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psnet.ahrq.gov/node/44468/psn-pdf
September 23, 2015 - LINNEAUS Collaboration on Patient Safety in Primary
Care.
September 23, 2015
Eur J Gen Pract. 2015;(suppl 21):1-77.
https://psnet.ahrq.gov/issue/linneaus-collaboration-patient-safety-primary-care
Collaborative efforts provide learning opportunities for groups that seek to develop widely implementable
improvements…
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psnet.ahrq.gov/node/846459/psn-pdf
March 22, 2023 - Few hospitals are willing to bear the cost of providing
psychiatric care for kids.
March 22, 2023
Schorsch K, Karp S. WBEZ Chicago. March 9, 2023.
https://psnet.ahrq.gov/issue/few-hospitals-are-willing-bear-cost-providing-psychiatric-care-kids
Pediatric mental health is a patient safety concern. This news story ou…
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psnet.ahrq.gov/node/42622/psn-pdf
October 02, 2013 - Effect of barcode-assisted medication administration on
emergency department medication errors.
October 2, 2013
Bonkowski J, Carnes C, Melucci J, et al. Effect of barcode-assisted medication administration on
emergency department medication errors. Acad Emerg Med. 2013;20(8):801-6. doi:10.1111/acem.12189.
https://…
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psnet.ahrq.gov/node/38213/psn-pdf
November 12, 2008 - AHRQ announces interest in research on diagnostic
errors in ambulatory care settings.
November 12, 2008
Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. October 25, 2007.
Publication No. NOT-HS-08-002.
https://psnet.ahrq.gov/issue/ahrq-announces-interest-research-diagnostic-error…
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psnet.ahrq.gov/node/45842/psn-pdf
April 12, 2017 - Time-out and checklists: a survey of rural and urban
operating room personnel.
April 12, 2017
Lyons VE, Popejoy LL. Time-Out and Checklists: A Survey of Rural and Urban Operating Room Personnel.
J Nurs Care Qual. 2017;32(1):E3-E10.
https://psnet.ahrq.gov/issue/time-out-and-checklists-survey-rural-and-urban-operati…
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psnet.ahrq.gov/node/50553/psn-pdf
October 16, 2019 - Impact of an electronic health record transition on
chemotherapy error reporting
October 16, 2019
Hess E, Palmer SE, Stivers A, et al. Impact of an electronic health record transition on chemotherapy error
reporting. J Oncol Pharm Pract. 2019:1078155219870590. doi:10.1177/1078155219870590.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/issue/case-studies-medication-reconciliation
February 15, 2023 - Special or Theme Issue
Case studies on medication reconciliation.
Citation Text:
Case studies on medication reconciliation. Crawford AG; Sciamanna CN.
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psnet.ahrq.gov/issue/bar-coded-medication-administration-bcma
December 24, 2008 - Government Resource
Bar-Coded Medication Administration (BCMA).
Citation Text:
Bar-Coded Medication Administration (BCMA). Agency for Healthcare Research and Quality; AHRQ.
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psnet.ahrq.gov/issue/critical-care-safety-essentials-icu-patient-care-and-technology
March 10, 2021 - Book/Report
Critical Care Safety: Essentials for ICU Patient Care and Technology.
Citation Text:
Critical Care Safety: Essentials for ICU Patient Care and Technology. Plymouth Meeting PA: ECRI Institute; 2007. ISBN 9780977914258.
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psnet.ahrq.gov/issue/operating-room-hazards-and-approaches-improve-patient-safety
September 13, 2023 - Review
Patient safety in the operating room.
Citation Text:
Patient safety in the operating room. Wahr JA. UpToDate. September 21, 2023.
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psnet.ahrq.gov/issue/fixing-medication-reconciliation-breakdown
September 06, 2023 - Newspaper/Magazine Article
Fixing the medication reconciliation breakdown.
Citation Text:
Fixing the medication reconciliation breakdown. Starr D; West L.
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psnet.ahrq.gov/issue/ahrq-2007-annual-conference
December 24, 2008 - Meeting/Conference Proceedings
AHRQ 2007 Annual Conference.
Citation Text:
AHRQ 2007 Annual Conference. Rockville, MD: Agency for Healthcare Research and Quality; August 2008.
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psnet.ahrq.gov/issue/drug-shortages-pharmacy-informatics-perspective
June 25, 2018 - Newspaper/Magazine Article
Drug shortages: a pharmacy informatics perspective.
Citation Text:
Drug shortages: a pharmacy informatics perspective. Edillo PN.
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psnet.ahrq.gov/issue/recommendations-no-action-improving-effectiveness-quality-and-safety-recommendations
January 16, 2025 - Book/Report
Recommendations but no Action: Improving the Effectiveness of Quality and Safety Recommendations in Healthcare.
Citation Text:
Recommendations But No Action: Improving The Effectiveness Of Quality And Safety Recommendations In Healthcare. Dorset, UK: Health Services Safety In…
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psnet.ahrq.gov/issue/national-quality-measures-clearinghouse-nqmc
October 23, 2019 - Database/Directory
National Quality Measures Clearinghouse (NQMC).
Citation Text:
National Quality Measures Clearinghouse (NQMC). Agency for Healthcare Research and Quality. 1998-2018.
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psnet.ahrq.gov/perspective/university-texas-system-clinical-safety-and-effectiveness-course
February 01, 2011 - QI and cost
Implemented ABC program in 16 Texas rural hospitals and 2 Pennsylvania rural hospitals
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psnet.ahrq.gov/issue/clinicians-satisfaction-cpoe-ease-use-and-effect-clinicians-workflow-efficiency-and
August 10, 2022 - Study
Clinicians' satisfaction with CPOE ease of use and effect on clinicians' workflow, efficiency and medication safety.
Citation Text:
Khajouei R, Wierenga PC, Hasman A, et al. Clinicians satisfaction with CPOE ease of use and effect on clinicians' workflow, efficiency and medicatio…
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psnet.ahrq.gov/issue/machine-learning-evaluation-inequities-and-disparities-associated-nurse-sensitive-indicator
July 19, 2023 - Study
Machine learning evaluation of inequities and disparities associated with nurse sensitive indicator safety events.
Citation Text:
Georgantes ER, Gunturkun F, McGreevy TJ, et al. Machine learning evaluation of inequities and disparities associated with nurse sensitive indicator safe…
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psnet.ahrq.gov/issue/streamlining-care-crisis-rapid-creation-and-implementation-digital-support-tool-covid-19
October 21, 2020 - Commentary
Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19.
Citation Text:
Stark N, Kerrissey M, Grade M, et al. Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19. West J Emerg Med. …
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psnet.ahrq.gov/issue/toward-safer-opioid-prescribing-hiv-care-tower-mixed-methods-cluster-randomized-trial
September 07, 2022 - Study
Toward safer opioid prescribing in HIV care (TOWER): a mixed-methods, cluster-randomized trial.
Citation Text:
Cedillo G, George MC, Deshpande R, et al. Toward safer opioid prescribing in HIV care (TOWER): a mixed-methods, cluster-randomized trial. Addict Sci Clin Pract. 2022;17(1)…