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psnet.ahrq.gov/node/39632/psn-pdf
May 20, 2016 - Medical Liability Reform & Patient Safety Initiative.
May 20, 2016
Agency for Healthcare Research and Quality; AHRQ.
https://psnet.ahrq.gov/issue/medical-liability-reform-patient-safety-initiative
This website disseminates information regarding an AHRQ-funded initiative to implement and evaluate
medical liability …
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psnet.ahrq.gov/node/42557/psn-pdf
August 28, 2013 - European Union Network for Patient Safety and Quality of
Care.
August 28, 2013
European Union Network for Patient Safety and Quality of Care; PaSQ.
https://psnet.ahrq.gov/issue/european-union-network-patient-safety-and-quality-care
This organization aims to promote implementation of recommended patient safety prac…
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psnet.ahrq.gov/node/37082/psn-pdf
January 02, 2017 - Improving rapid response systems: progress, issues, and
future directions.
January 2, 2017
Ovretveit J, Suffoletto J-A. Improving rapid response systems: progress, issues, and future directions.
https://psnet.ahrq.gov/issue/improving-rapid-response-systems-progress-issues-and-future-directions
The authors discuss …
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psnet.ahrq.gov/node/40176/psn-pdf
May 25, 2011 - A leadership initiative to improve communication and
enhance safety.
May 25, 2011
Donahue M, Miller M, Smith L, et al. A Leadership Initiative to Improve Communication and Enhance
Safety. American Journal of Medical Quality. 2011;26(3). doi:10.1177/1062860610387410.
https://psnet.ahrq.gov/issue/leadership-initiati…
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psnet.ahrq.gov/node/38923/psn-pdf
September 09, 2009 - Improving communication in the emergency department.
September 9, 2009
Redfern E, Brown R, Vincent C. Improving communication in the emergency department. Emerg Med J.
2009;26(9):658-61. doi:10.1136/emj.2008.065623.
https://psnet.ahrq.gov/issue/improving-communication-emergency-department
Implementation of structu…
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psnet.ahrq.gov/node/42797/psn-pdf
June 10, 2018 - Understanding and managing IV container overfill.
June 10, 2018
ISMP Medication Safety Alert! Acute care edition. November 14, 2013;18:1-4.
https://psnet.ahrq.gov/issue/understanding-and-managing-iv-container-overfill
This newsletter article reports on concerns associated with chemotherapy preparations due to varia…
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psnet.ahrq.gov/node/36957/psn-pdf
October 16, 2008 - The Patient Safety in Surgery Study.
October 16, 2008
J Am Coll Surg. 2007;204(6):1087-1300.
https://psnet.ahrq.gov/issue/patient-safety-surgery-study
This special issue shares the results of the AHRQ-funded Patient Safety in Surgery Study,
which compared surgical outcomes at Veterans Affairs' medical centers with…
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psnet.ahrq.gov/node/38221/psn-pdf
June 13, 2011 - Medication reconciliation in a community, nonteaching
hospital.
June 13, 2011
Wortman SB. Medication reconciliation in a community, nonteaching hospital. Am J Health Syst Pharm.
2008;65(21):2047-54. doi:10.2146/ajhp080091.
https://psnet.ahrq.gov/issue/medication-reconciliation-community-nonteaching-hospital
This …
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psnet.ahrq.gov/node/39961/psn-pdf
March 08, 2015 - When errors occur.
March 8, 2015
Wetzel TG. When errors occur, 'I'm sorry' is a big step, but just the first. Hospitals & health networks.
2010;84(10):41-2, 44, 2.
https://psnet.ahrq.gov/issue/when-errors-occur
This article describes how hospital responses to adverse events have affected disclosure process
strate…
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psnet.ahrq.gov/node/41681/psn-pdf
January 01, 2013 - Patient safety in plastic surgery.
September 12, 2012
Trussler AP, Tabbal GN. Patient safety in plastic surgery. Plast Reconstr Surg. 2013;130(3):470e-478e.
doi:10.1097/prs.0b013e31825dc349.
https://psnet.ahrq.gov/issue/patient-safety-plastic-surgery
This commentary outlines tactics to prevent complications in pla…
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psnet.ahrq.gov/node/39757/psn-pdf
September 02, 2016 - Drug shortages threaten patient safety.
September 2, 2016
ISMP Medication Safety Alert! Acute Care Edition. July 29, 2010;15:1-4.
https://psnet.ahrq.gov/issue/drug-shortages-threaten-patient-safety
This article discusses medication shortages and how they exacerbate medication error and treatment
delay. The piece i…
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psnet.ahrq.gov/node/41350/psn-pdf
May 02, 2012 - Medication reconciliation in the hospital: what, why,
where, when, who and how?
May 2, 2012
Fernandes O; Shojania KG.
https://psnet.ahrq.gov/issue/medication-reconciliation-hospital-what-why-where-when-who-and-how
This commentary examines the practical considerations required to implement a high quality medication…
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psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-associated-increased-risk-incident-disability
October 19, 2022 - Study
Potentially inappropriate medication use is associated with increased risk of incident disability in healthy older adults.
Citation Text:
Lockery JE, Collyer TA, Woods RL, et al. Potentially inappropriate medication use is associated with increased risk of incident disability in he…
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psnet.ahrq.gov/issue/efficacy-tolerability-and-dose-dependent-effects-opioid-analgesics-low-back-pain-systematic
March 02, 2011 - Review
Efficacy, tolerability, and dose-dependent effects of opioid analgesics for low back pain: a systematic review and meta-analysis.
Citation Text:
Shaheed CA, Maher CG, Williams KA, et al. Efficacy, Tolerability, and Dose-Dependent Effects of Opioid Analgesics for Low Back Pain: A S…
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psnet.ahrq.gov/issue/potentially-preventable-30-day-hospital-readmissions-childrens-hospital
July 11, 2017 - Study
Potentially preventable 30-day hospital readmissions at a children's hospital.
Citation Text:
Toomey SL, Peltz A, Loren S, et al. Potentially Preventable 30-Day Hospital Readmissions at a Children's Hospital. Pediatrics. 2016;138(2). doi:10.1542/peds.2015-4182.
Copy Citation
…
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psnet.ahrq.gov/issue/are-interventions-reduce-interruptions-and-errors-during-medication-administration-effective
August 28, 2024 - Review
Are interventions to reduce interruptions and errors during medication administration effective?: a systematic review.
Citation Text:
Raban MZ, Westbrook JI. Are interventions to reduce interruptions and errors during medication administration effective?: a systematic review. BMJ …
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psnet.ahrq.gov/issue/burden-and-risk-factors-adverse-drug-events-older-patients-prospective-cross-sectional-study
May 20, 2020 - Study
The burden and risk factors for adverse drug events in older patients--a prospective cross-sectional study.
Citation Text:
Tipping B, Kalula S, Badri M. The burden and risk factors for adverse drug events in older patients--a prospective cross-sectional study. S Afr Med J. 2006;9…
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psnet.ahrq.gov/issue/randomized-trial-multifactorial-strategy-prevent-serious-fall-injuries
August 04, 2021 - Study
A randomized trial of a multifactorial strategy to prevent serious fall injuries.
Citation Text:
Bhasin S, Gill TM, Reuben DB, et al. A randomized trial of a multifactorial strategy to prevent serious fall injuries. N Engl J Med. 2020;383(2):129-140. doi:10.1056/nejmoa2002183.
C…
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psnet.ahrq.gov/issue/impact-prescribing-safety-alerts-elderly-persons-electronic-medical-record-interrupted-time
July 10, 2008 - Study
The impact of prescribing safety alerts for elderly persons in an electronic medical record: an interrupted time series evaluation.
Citation Text:
Smith DH, Perrin N, Feldstein AC, et al. The impact of prescribing safety alerts for elderly persons in an electronic medical record:…
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psnet.ahrq.gov/issue/are-parents-who-feel-need-watch-over-their-childrens-care-better-patient-safety-partners
July 22, 2013 - Study
Are parents who feel the need to watch over their children's care better patient safety partners?
Citation Text:
Cox E, Hansen K, Rajamanickam VP, et al. Are Parents Who Feel the Need to Watch Over Their Children's Care Better Patient Safety Partners? Hosp Pediatr. 2017;7(12):716-7…