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psnet.ahrq.gov/node/45387/psn-pdf
August 15, 2016 - Preventing medication errors.
August 15, 2016
Stefanacci RG, Riddle A. Preventing medication errors. Geriatr Nurs. 2016;37(4):307-10.
doi:10.1016/j.gerinurse.2016.06.005.
https://psnet.ahrq.gov/issue/preventing-medication-errors
Nursing home patients are particularly vulnerable to medication errors. This commentar…
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psnet.ahrq.gov/node/43752/psn-pdf
January 21, 2015 - Organizational and social-psychological conditions in
healthcare and their importance for patient and staff
safety. A critical incident study among doctors and
nurses.
January 21, 2015
Eklöf M, Törner M, Pousette A. Organizational and social-psychological conditions in healthcare and their
importance for patient …
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psnet.ahrq.gov/node/37689/psn-pdf
April 16, 2008 - Resident uncertainty in clinical decision making and
impact on patient care: a qualitative study.
April 16, 2008
Farnan JM, Johnson JK, Meltzer DO, et al. Resident uncertainty in clinical decision making and impact on
patient care: a qualitative study. Qual Saf Health Care. 2008;17(2):122-6. doi:10.1136/qshc.2007.0…
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psnet.ahrq.gov/node/43366/psn-pdf
March 04, 2015 - Safety of medication use in primary care.
March 4, 2015
Olaniyan JO, Ghaleb M, Dhillon S, et al. Safety of medication use in primary care. Int J Pharm Pract.
2015;23(1):3-20. doi:10.1111/ijpp.12120.
https://psnet.ahrq.gov/issue/safety-medication-use-primary-care
This systematic review found that incidence rates of…
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psnet.ahrq.gov/node/838192/psn-pdf
September 28, 2022 - When medical error becomes personal, activism becomes
painful.
September 28, 2022
Millenson M. Forbes. September 16, 2022.
https://psnet.ahrq.gov/issue/when-medical-error-becomes-personal-activism-becomes-painful
Unnecessary medication infusions indicate weaknesses in medication service processes. While no harm
w…
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psnet.ahrq.gov/issue/diagnostic-safety-event-reporting
August 05, 2020 - Newspaper/Magazine Article
Diagnostic safety event reporting.
Citation Text:
Diagnostic safety event reporting. Carr S. ImproveDx. July 2021;8(4).
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psnet.ahrq.gov/print/pdf/node/74279
January 01, 2022 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
COVID-19 Pandemic Impact on Healthcare
Associated Conditions
Curated Library
All Library Content
The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a
summary of data reported to the National Healt…
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psnet.ahrq.gov/issue/learning-investigations
July 28, 2013 - Book/Report
Learning from Investigations.
Citation Text:
Learning from Investigations. Commission for Healthcare Audit and Inspection. London, England; Healthcare Commission: 2008. ISBN 9781845621636.
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psnet.ahrq.gov/issue/national-confidential-enquiry-patient-outcome-and-death
November 25, 2009 - Multi-use Website
National Confidential Enquiry into Patient Outcome and Death.
Citation Text:
National Confidential Enquiry into Patient Outcome and Death. National Confidential Enquiry into Patient Outcome and Death; NCEPOD
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www.ahrq.gov/sites/default/files/2024-02/zierler-report.pdf
January 01, 2024 - Final Progress Report: VTE Safety Toolkit: A Systems Approach to Patient Safety
Title: VTE Safety Toolkit: A Systems Approach to Patient Safety
Principal Investigator: Brenda K. Zierler, PhD1
Team Members:
Ann Wittkowsky, PharmD2
Robb Glenny, MD3
Seth Wolpin, PhD1
Jung-Ah Lee, MN1
Gene Peterson, MD, PhD3
Fre…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/9Tse2TwVFQgYb-aNCq4Ngv
September 04, 2018 - Screening for Syphilis Infection in Pregnant Women: Updated Evidence Report and Systematic Review for the USPSTF
Screening for Syphilis Infection in Pregnant Women
Updated Evidence Report and Systematic Review
for the US Preventive Services Task Force
Jennifer S. Lin, MD; Michelle L. Eder, PhD; Sarah I. Bean, MPH
IM…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata2b.html
May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Chapter 2: Evidence of Disparities Among Ethnicity Groups (continued, 2)
Previous Page Next Page
Table of Contents
Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Summary…
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psnet.ahrq.gov/node/47241/psn-pdf
October 10, 2018 - Impact of high-reliability education on adverse event
reporting by registered nurses.
October 10, 2018
McFarland DM, Doucette JN. Impact of High-Reliability Education on Adverse Event Reporting by
Registered Nurses. J Nurs Care Qual. 2018;33(3):285-290. doi:10.1097/NCQ.0000000000000291.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/49591/psn-pdf
October 01, 2009 - The great difference between enforcing rules on faculty behavior compared with incidents involving
residents
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psnet.ahrq.gov/sites/default/files/2025-03/PSNet%20Webinar%20Feb%202025_0.pdf
January 01, 2025 - AHRQ PSNet Webinar
AHRQ PSNet Webinar
Making Healthcare Safer (MHS) IV:
Rapid Response Systems and Opioid Stewardship
February 10, 2025
Agenda
2
• Logistics
• Introduction to the Making Healthcare Safer (MHS) IV Reports
• Report 1 – Rapid Response Systems
► Discussion
► PSNet Resources
• Report 2 – Opioi…
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-transitions-complex-elderly/annual-summary/2010
January 01, 2010 - Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home - 2010
Project Name
Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home
Princi…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan150/iron-deficiency-anemia-in-young-children-screening
July 18, 2013 - Share to Facebook
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Final Research Plan
Iron Deficiency Anemia in Young Children: Screening
July 18, 2013
Recommendations made by the USPSTF are independent of the U.S. government. They shoul…
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effectivehealthcare.ahrq.gov/sites/default/files/s131.pdf
October 01, 2007 - ORIGINAL ARTICLE
Increasing Levels of Restriction in Pharmacoepidemiologic
Database Studies of Elderly and Comparison With
Randomized Trial Results
Sebastian Schneeweiss, MD, ScD,* Amanda R. Patrick, MS,* Til Stürmer, MD, MPH,*
M. Alan Brookhart, PhD,* Jerry Avorn, MD,* Malcolm Maclure, ScD,*
Kenneth J. Rothman, DM…
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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/40117/psn-pdf
March 18, 2011 - Impact of sample size on variation of adverse events and
preventable adverse events: systematic review on
epidemiology and contributing factors.
March 18, 2011
Lessing C, Schmitz A, Albers B, et al. Impact of sample size on variation of adverse events and
preventable adverse events: systematic review on epidemiolo…