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psnet.ahrq.gov/node/46795/psn-pdf
March 28, 2018 - Systematic review and meta-analysis of the effectiveness
of pharmacist-led medication reconciliation in the
community after hospital discharge.
March 28, 2018
McNab D, Bowie P, Ross A, et al. Systematic review and meta-analysis of the effectiveness of pharmacist-
led medication reconciliation in the community afte…
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psnet.ahrq.gov/node/36052/psn-pdf
June 29, 2011 - Identifying risk factors for medical injury.
June 29, 2011
Guse CE, Yang H, Layde PM. Identifying risk factors for medical injury. Int J Qual Health Care.
2006;18(3):203-10.
https://psnet.ahrq.gov/issue/identifying-risk-factors-medical-injury
This cross-sectional study described associations between a medical inju…
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psnet.ahrq.gov/node/44234/psn-pdf
September 09, 2015 - Improving the reliability of verbal communication between
primary care physicians and pediatric hospitalists at
hospital discharge.
September 9, 2015
Mussman GM, Vossmeyer MT, Brady PW, et al. Improving the reliability of verbal communication between
primary care physicians and pediatric hospitalists at hospital d…
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psnet.ahrq.gov/node/44765/psn-pdf
November 23, 2016 - Communication relating to family members' involvement
and understandings about patients' medication
management in hospital.
November 23, 2016
Manias E. Communication relating to family members' involvement and understandings about patients'
medication management in hospital. Health Expect. 2015;18(5):850-66. doi:1…
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psnet.ahrq.gov/node/838921/psn-pdf
October 26, 2022 - Improving discharge safety in a pediatric emergency
department.
October 26, 2022
Paydar-Darian N, Stack AM, Volpe D, et al. Improving discharge safety in a pediatric emergency
department. Pediatrics. 2022;150(5):e2021054307. doi:10.1542/peds.2021-054307.
https://psnet.ahrq.gov/issue/improving-discharge-safety-pedi…
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psnet.ahrq.gov/node/46261/psn-pdf
July 18, 2018 - Pilot Testing Fall TIPS (Tailoring Interventions for Patient
Safety): a patient-centered fall prevention toolkit.
July 18, 2018
Dykes PC, Duckworth M, Cunningham S, et al. Pilot Testing Fall TIPS (Tailoring Interventions for Patient
Safety): a Patient-Centered Fall Prevention Toolkit. Jt Comm J Qual Patient Saf. 20…
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psnet.ahrq.gov/node/42451/psn-pdf
August 07, 2013 - Is the Surgical Safety Checklist successfully conducted?
An observational study of social interactions in the
operating rooms of a tertiary hospital.
August 7, 2013
Cullati S, Le Du S, Raë A-C, et al. Is the Surgical Safety Checklist successfully conducted? An
observational study of social interactions in the oper…
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psnet.ahrq.gov/node/45465/psn-pdf
September 07, 2016 - Improving patient safety culture in primary care: a
systematic review.
September 7, 2016
Verbakel NJ, Langelaan M, Verheij TJM, et al. Improving Patient Safety Culture in Primary Care: A
Systematic Review. J Patient Saf. 2016;12(3):152-8. doi:10.1097/PTS.0000000000000075.
https://psnet.ahrq.gov/issue/improving-pat…
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psnet.ahrq.gov/node/43245/psn-pdf
June 18, 2014 - Paediatric nurses' adherence to the double-checking
process during medication administration in a children's
hospital: an observational study.
June 18, 2014
Alsulami Z, Choonara I, Conroy S. Paediatric nurses' adherence to the double-checking process during
medication administration in a children's hospital: an ob…
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psnet.ahrq.gov/node/36494/psn-pdf
August 29, 2016 - Medication prescribing errors involving the route of
administration.
August 29, 2016
Lesar TS. Medication Prescribing Errors Involving the Route of Administration. Hosp Pharm.
2010;41(11):1053-1066. doi:10.1310/hpj4111-1053.
https://psnet.ahrq.gov/issue/medication-prescribing-errors-involving-route-administration
…
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psnet.ahrq.gov/node/45592/psn-pdf
October 27, 2016 - Preventing Patient Falls: A Systematic Approach From
the Joint Commission Center for Transforming Healthcare
Project.
October 27, 2016
Chicago, IL: Health Research & Educational Trust; October 2016.
https://psnet.ahrq.gov/issue/preventing-patient-falls-systematic-approach-joint-commission-center-
transforming-hea…
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psnet.ahrq.gov/node/46868/psn-pdf
April 03, 2019 - 2017 John M. Eisenberg Patient Safety and Quality Award
Recipients Announced.
April 3, 2019
Joint Commission.
https://psnet.ahrq.gov/issue/2017-john-m-eisenberg-patient-safety-and-quality-award-recipients-announced
The Eisenberg Award honors individuals and organizations who have made unique and sustained
contrib…
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psnet.ahrq.gov/perspective/conversation-jennifer-schulz-moore-llb-ma-phd
February 26, 2025 - In Conversation With… … Jennifer Schulz Moore, LLB, MA, PhD
April 1, 2019
Citation Text:
In Conversation With… … Jennifer Schulz Moore, LLB, MA, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Serv…
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psnet.ahrq.gov/issue/using-good-design-eliminate-medical-errors
December 09, 2020 - Newspaper/Magazine Article
Using good design to eliminate medical errors.
Citation Text:
Using good design to eliminate medical errors. Jaffe E.
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psnet.ahrq.gov/issue/bringing-surgeons-down-earth
August 17, 2016 - Newspaper/Magazine Article
Bringing surgeons down to earth.
Citation Text:
Bringing surgeons down to earth. Landro L.
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psnet.ahrq.gov/issue/transforming-care-bedside-tcab-toolkit
January 17, 2024 - Toolkit
The Transforming Care at the Bedside (TCAB) Toolkit.
Citation Text:
The Transforming Care at the Bedside (TCAB) Toolkit. Princeton, NJ: Robert Wood Johnson Foundation; 2008.
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psnet.ahrq.gov/issue/diagnostic-error-acute-care
December 15, 2010 - Newspaper/Magazine Article
Diagnostic error in acute care.
Citation Text:
Diagnostic error in acute care. PA-PSRS Patient Saf Advis. September 2010;7:76-86.
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psnet.ahrq.gov/issue/use-barcode-scanning-prevent-errors-enteral-nutrition-feedings
December 04, 2024 - Newspaper/Magazine Article
Use barcode scanning to prevent errors with enteral nutrition feedings.
Citation Text:
Use barcode scanning to prevent errors with enteral nutrition feedings. ISMP Medication Safety Alert! Acute Care. August 08, 2024;29(16).
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psnet.ahrq.gov/issue/safety-doses
July 01, 2009 - Book/Report
Safety in Doses.
Citation Text:
Safety in Doses. London, UK: National Patient Safety Agency; 2009. ISBN: 9781906624088.
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psnet.ahrq.gov/node/39389/psn-pdf
January 03, 2017 - Shaping systems for better behavioral choices: lessons
learned from a fatal medication error.
January 3, 2017
Smetzer JL, Baker C, Byrne FD, et al. Shaping systems for better behavioral choices: lessons learned from
a fatal medication error. Jt Comm J Qual Patient Saf. 2010;36(4):152-163.
https://psnet.ahrq.gov/is…