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psnet.ahrq.gov/issue/safe-practices-drug-allergies-using-cds-and-health-it
March 10, 2021 - Book/Report
Safe Practices for Drug Allergies—Using CDS and Health IT.
Citation Text:
Safe Practices for Drug Allergies—Using CDS and Health IT. Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2019.
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psnet.ahrq.gov/issue/2009-john-m-eisenberg-patient-safety-and-quality-awards
September 24, 2018 - Award Recipient
2009 John M. Eisenberg Patient Safety and Quality Awards.
Citation Text:
2009 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2009;35(9):583-603.
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psnet.ahrq.gov/issue/2010-john-m-eisenberg-patient-safety-and-quality-awards
September 03, 2011 - Special or Theme Issue
2010 John M. Eisenberg Patient Safety and Quality Awards.
Citation Text:
2010 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2011;37(5):194-239.
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psnet.ahrq.gov/issue/handoffs-and-fumbles
June 12, 2007 - Book/Report
Handoffs and fumbles.
Citation Text:
Handoffs and fumbles. Wachter RM, Shojania KG. Chapter in: Wachter RM, Shojania KG. Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes. New York, NY: Rugged Land, LLC; 2004.
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psnet.ahrq.gov/issue/health-literacy-and-its-influence-patient-safety
June 19, 2024 - Commentary
Health literacy and its influence on patient safety.
Citation Text:
Ross J. Health Literacy and Its Influence on Patient Safety. Journal of PeriAnesthesia Nursing. 2007;22(3). doi:10.1016/j.jopan.2007.03.005.
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psnet.ahrq.gov/issue/patient-safety-outcomes-importance-understanding-organizational-culture-and-safety-climate
June 19, 2024 - Commentary
Patient safety outcomes: the importance of understanding the organizational culture and safety climate.
Citation Text:
Ross J. Patient safety outcomes: the importance of understanding the organizational culture and safety climate. J Perianesth Nurs. 2011;26(5):347-8. doi:10.…
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psnet.ahrq.gov/issue/culture-change-nhs-applying-lessons-francis-inquiries
September 09, 2015 - Book/Report
Culture Change in the NHS: Applying the Lessons of the Francis Inquiries.
Citation Text:
Culture Change in the NHS: Applying the Lessons of the Francis Inquiries. Department of Health. London, England: Crown Publishing; February 2015. ISBN: 9781474112116.
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psnet.ahrq.gov/issue/medical-abbreviations-have-contradictory-or-ambiguous-meanings
November 18, 2020 - Newspaper/Magazine Article
Medical abbreviations that have contradictory or ambiguous meanings.
Citation Text:
Medical abbreviations that have contradictory or ambiguous meanings. Davis N. ISMP Medication Safety Alert! Acute care edition! January 30, 2020;25(2):1-5.
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psnet.ahrq.gov/issue/reducing-adverse-obstetrical-outcomes-through-safety-sciences
May 30, 2018 - Review
Reducing adverse obstetrical outcomes through safety sciences.
Citation Text:
Reducing adverse obstetrical outcomes through safety sciences. Ennen CS, Satin AJ. UpToDate. October 16, 2024.
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psnet.ahrq.gov/issue/piecing-together-medication-administration
April 02, 2009 - Newspaper/Magazine Article
Piecing together medication administration.
Citation Text:
Piecing together medication administration. Anderson HJ. Health Data Management. May 1, 2009;17:22.
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psnet.ahrq.gov/node/33566/psn-pdf
September 15, 2024 - Teamwork Training
September 15, 2024
Teamwork Training. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/teamwork-training
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed …
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psnet.ahrq.gov/node/33727/psn-pdf
March 01, 2012 - Can Research Help Us Improve the Medical Liability
System?
March 1, 2012
Kachalia A. Can Research Help Us Improve the Medical Liability System? PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system
Perspective
The United States medical malpractice liabili…
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psnet.ahrq.gov/primer/digital-health-literacy
August 30, 2023 - Digital Health Literacy
Citation Text:
Seidel E, Cortes T, Chong C. Digital Health Literacy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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psnet.ahrq.gov/sites/default/files/2021-04/final_psnet_spotlight_retained_vaginal_packing_04.08.2021.pdf
January 01, 2021 - Spotlight
Spotlight
Two Cases of Retained Vaginal Packing:
When Writing an Order is Not Enough
Source and Credits
• This presentation is based on the April 2021 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Verna Gibbs, MD
o AHRQ W…
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psnet.ahrq.gov/issue/qualitative-study-speaking-out-about-patient-safety-concerns-intensive-care-units
August 21, 2013 - Study
A qualitative study of speaking out about patient safety concerns in intensive care units.
Citation Text:
Tarrant C, Leslie M, Bion J, et al. A qualitative study of speaking out about patient safety concerns in intensive care units. Soc Sci Med. 2017;193:8-15. doi:10.1016/j.socscim…
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psnet.ahrq.gov/issue/pharmacist-physician-communications-highly-computerised-hospital-sign-and-action-electronic
February 27, 2019 - Study
Pharmacist–physician communications in a highly computerised hospital: sign-off and action of electronic review messages.
Citation Text:
Pontefract SK, Hodson J, Marriott JF, et al. Pharmacist-Physician Communications in a Highly Computerised Hospital: Sign-Off and Action of Electr…
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psnet.ahrq.gov/issue/multi-method-exploratory-evaluation-service-designed-improve-medication-safety-patients
July 22, 2020 - Study
A multi-method exploratory evaluation of a service designed to improve medication safety for patients with monitored dosage systems following hospital discharge.
Citation Text:
Alqenae FA, Steinke DT, Belither H, et al. A multi-method exploratory evaluation of a service designed to…
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psnet.ahrq.gov/issue/identifying-patient-centred-recommendations-improving-patient-safety-general-practices
April 25, 2018 - Study
Identifying patient-centred recommendations for improving patient safety in General Practices in England: a qualitative content analysis of free-text responses using the Patient Reported Experiences and Outcomes of Safety in Primary Care (PREOS-PC) questionnaire.
Citation Text:
Ric…
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psnet.ahrq.gov/issue/can-patient-involvement-improve-patient-safety-cluster-randomised-control-trial-patient
December 21, 2016 - Study
Classic
Can patient involvement improve patient safety? A cluster randomised control trial of the Patient Reporting and Action for a Safe Environment (PRASE) intervention.
Citation Text:
Lawton R, O'Hara JK, Sheard L, et al. Can patient involvement improve…
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psnet.ahrq.gov/issue/patient-and-family-contributions-improve-diagnostic-process-through-ourdx-electronic-health
October 27, 2021 - Study
Patient and family contributions to improve the diagnostic process through the OurDX electronic health record tool: a mixed method analysis.
Citation Text:
Bell SK, Harcourt K, Dong J, et al. Patient and family contributions to improve the diagnostic process through the OurDX elect…