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psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
August 01, 2006 - Tacit Handover, Overt Mishap
Citation Text:
Cooper JB, Kamdar BB. Tacit Handover, Overt Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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psnet.ahrq.gov/node/50699/psn-pdf
November 26, 2019 - predisposes older patients to be less resilient to the side effects of procedures and
medications, such as infections
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psnet.ahrq.gov/node/867427/psn-pdf
December 18, 2024 - In hospitals, falls with injuries
can lead to other adverse outcomes including pressure injuries or infections
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psnet.ahrq.gov/node/49764/psn-pdf
June 01, 2016 - notable for a markedly elevated white blood cell count of 121,000
(normal is 5,000–10,000, and routine infections
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psnet.ahrq.gov/perspective/patient-safety-medical-nursing-and-other-clinical-education
January 31, 2020 - Specific consideration for infection prevention and control practices. … competencies include those that focus on: Improving individual safety practices, such as practicing infection-control
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psnet.ahrq.gov/node/846127/psn-pdf
March 15, 2023 - When surgical intervention is delayed, progressive infection and septic complications
may worsen and … is likely that the continued stream
of fecal contamination prolonged the time to resolution of the infection
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psnet.ahrq.gov/node/49662/psn-pdf
August 01, 2012 - 72 hours) or late (> 72 hours).(10) Minor
complications include tube clogging, superficial wound infection … PEG patients and may reflect hyperosmolar solutions, medications
such as antibiotics or antacids, infection
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psnet.ahrq.gov/web-mm/privacy-gone-awry
February 24, 2011 - Preoperatively, she had an upper respiratory infection, but was eating normally. … One must also wonder why a patient with an intercurrent upper respiratory infection underwent an elective
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psnet.ahrq.gov/perspective/conversation-withgeri-amori-phd
December 01, 2010 - about the hospitals that you've worked with now, 10 or 15 years ago, the risk manager or maybe the infection … In some organizations, risk management is expanding to encompass compliance, infection control, and more … We work at reducing our infection rates so you don't have to worry." … Council recommendation on patient safety, including the prevention and control of healthcare associated infections
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psnet.ahrq.gov/node/50389/psn-pdf
September 25, 2019 - tumor lysis syndrome, the cause of death
was septic shock due to a disseminated Staphylococcus aureus infection … consultants was around managing this oncologic emergency, with the result that a concomitant serious
infection
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psnet.ahrq.gov/issue/medication-safety-issue-brief-small-and-rural-hospitals-unique-challenges-unique-solutions
June 17, 2014 - Fact Sheet/FAQs
Medication safety issue brief. Small and rural hospitals—unique challenges, unique solutions.
Citation Text:
Association AH, Pharmacists AS of H-S, Networks H & H. Medication Safety Issue Brief. Small and rural hospitals--unique challenges, unique solutions. Hospitals & h…
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psnet.ahrq.gov/issue/chemotherapy-drug-shortages-pediatric-oncology-consensus-statement
March 15, 2017 - Organizational Policy/Guidelines
Chemotherapy drug shortages in pediatric oncology: a consensus statement.
Citation Text:
Decamp M, Joffe S, Fernandez C, et al. Chemotherapy drug shortages in pediatric oncology: a consensus statement. Pediatrics. 2014;133(3):e716-24. doi:10.1542/peds.201…
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psnet.ahrq.gov/issue/comparing-two-safety-culture-surveys-safety-attitudes-questionnaire-and-hospital-survey
September 01, 2018 - Study
Comparing two safety culture surveys: Safety Attitudes Questionnaire and Hospital Survey on Patient Safety.
Citation Text:
Etchegaray J, Thomas EJ. Comparing two safety culture surveys: safety attitudes questionnaire and hospital survey on patient safety. BMJ Qual Saf. 2012;21(6)…
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psnet.ahrq.gov/issue/ashp-guidelines-preventing-medication-errors-chemotherapy-and-biotherapy
September 07, 2016 - Organizational Policy/Guidelines
ASHP guidelines on preventing medication errors with chemotherapy and biotherapy.
Citation Text:
Goldspiel B, Hoffman JM, Griffith NL, et al. ASHP guidelines on preventing medication errors with chemotherapy and biotherapy. Am J Health Syst Pharm. 2015;72…
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psnet.ahrq.gov/issue/medication-error-care-hivaids-patients-electronic-surveillance-confirmation-and-adverse
September 28, 2022 - Study
Medication error in the care of HIV/AIDS patients: electronic surveillance, confirmation, and adverse events.
Citation Text:
DeLorenze GN, Follansbee SF, Nguyen DP, et al. Medication error in the care of HIV/AIDS patients: electronic surveillance, confirmation, and adverse events…
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psnet.ahrq.gov/issue/what-new-paediatric-medication-safety
June 28, 2017 - Review
What is new in paediatric medication safety?
Citation Text:
Kahn S, Abramson EL. What is new in paediatric medication safety? Arch Dis Child. 2019;104(6):596-599. doi:10.1136/archdischild-2018-315175.
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psnet.ahrq.gov/issue/improving-self-reporting-adverse-drug-events-west-virginia-hospital
March 10, 2011 - Study
Improving self-reporting of adverse drug events in a West Virginia hospital.
Citation Text:
Schade CP, Hannah K, Ruddick P, et al. Improving self-reporting of adverse drug events in a West Virginia hospital. Am J Med Qual. 2006;21(5):335-41.
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Go…
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psnet.ahrq.gov/issue/enhancing-medication-use-safety-benefits-learning-your-peers
May 07, 2008 - Study
Enhancing medication use safety: benefits of learning from your peers.
Citation Text:
Kazandjian VA, Ogunbo S, Wicker KG, et al. Enhancing medication use safety: benefits of learning from your peers. Qual Saf Health Care. 2009;18(5):331-5. doi:10.1136/qshc.2008.027938.
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psnet.ahrq.gov/issue/antibiotic-prescribing-ambulatory-pediatrics-united-states
May 25, 2016 - Study
Antibiotic prescribing in ambulatory pediatrics in the United States.
Citation Text:
Hersh AL, Shapiro DJ, Pavia AT, et al. Antibiotic prescribing in ambulatory pediatrics in the United States. Pediatrics. 2011;128(6):1053-61. doi:10.1542/peds.2011-1337.
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psnet.ahrq.gov/issue/rural-inpatient-telepharmacy-consultation-demonstration-after-hours-medication-review
January 23, 2017 - Study
Rural inpatient telepharmacy consultation demonstration for after-hours medication review.
Citation Text:
Cole SL, Grubbs JH, Din C, et al. Rural inpatient telepharmacy consultation demonstration for after-hours medication review. Telemed J E Health. 2012;18(7):530-7. doi:10.1089/…