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psnet.ahrq.gov/issue/safety-considerations-product-design-minimize-medication-errors-guidance-industry
January 13, 2021 - Book/Report
Safety Considerations for Product Design to Minimize Medication Errors: Guidance for Industry.
Citation Text:
Safety Considerations for Product Design to Minimize Medication Errors: Guidance for Industry. Rockville, MD: Center for Drug Evaluation and Research, US Food and Dru…
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psnet.ahrq.gov/issue/global-patient-safety-action-plan-2021-2030-towards-eliminating-avoidable-harm-health-care
July 14, 2021 - Book/Report
Global Patient Safety Action Plan 2021-2030: Towards Eliminating Avoidable Harm in Health Care.
Citation Text:
Global Patient Safety Action Plan 2021-2030: Towards Eliminating Avoidable Harm in Health Care. Geneva, Switzerland: World Health Organization; 2021. ISBN: 978924003…
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psnet.ahrq.gov/issue/physician-burnout
May 01, 2017 - Book/Report
Physician Burnout.
Citation Text:
Physician Burnout. Rockville, MD: Agency for Healthcare Research and Quality; July 2017. AHRQ Publication No. 17-M018-1-EF.
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psnet.ahrq.gov/issue/algorithmic-bias-playbook
May 13, 2020 - Book/Report
Algorithmic Bias Playbook.
Citation Text:
Algorithmic Bias Playbook. Obermeyer Z, Nissan R, Stern M, et al. Center for Applied Artificial Intelligence, Chicago Booth: June 2021.
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psnet.ahrq.gov/issue/nursing-home-survey-patient-safety-culture
November 23, 2016 - Measurement Tool/Indicator
Nursing Home Survey on Patient Safety Culture.
Citation Text:
Nursing Home Survey on Patient Safety Culture. Rockville, MD: Agency for Healthcare Research and Quality; October 2020.
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psnet.ahrq.gov/issue/electronically-generated-medication-administration-and-electronic-medication-administration
May 25, 2016 - Book/Report
Electronically Generated Medication Administration and Electronic Medication Administration Records for the Prevention of Medication Transcription Errors: Review of Clinical Effectiveness and Safety.
Citation Text:
Electronically Generated Medication Administration and Electr…
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psnet.ahrq.gov/issue/engineering-patient-safety-radiation-oncology-university-north-carolinas-pursuit-high
May 04, 2016 - Book/Report
Engineering Patient Safety in Radiation Oncology: University of North Carolina's Pursuit for High Reliability and Value Creation.
Citation Text:
Engineering Patient Safety in Radiation Oncology: University of North Carolina's Pursuit for High Reliability and Value Creation. M…
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psnet.ahrq.gov/issue/advancing-diagnostic-excellence-maternal-health-care-proceedings-workshop-brief
September 12, 2018 - Book/Report
Advancing Diagnostic Excellence for Maternal Health Care: Proceedings of a Workshop–in Brief.
Citation Text:
Advancing Diagnostic Excellence for Maternal Health Care: Proceedings of a Workshop–in Brief. National Academies of Sciences, Engineering, and Medicine. Washington, DC…
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psnet.ahrq.gov/issue/home-health-agencies-failed-report-over-half-falls-major-injury-and-hospitalization-among
July 26, 2023 - Book/Report
Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients.
Citation Text:
Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. Maxwell A…
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psnet.ahrq.gov/issue/national-trauma-care-system-integrating-military-and-civilian-trauma-systems-achieve-zero
September 12, 2018 - Book/Report
A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury.
Citation Text:
A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury. Nat…
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psnet.ahrq.gov/node/45579/psn-pdf
November 01, 2017 - Factors influencing patient safety during postoperative
handover.
November 1, 2017
Rose M, Newman SD. AANA J. 2016;84:329-338.
https://psnet.ahrq.gov/issue/factors-influencing-patient-safety-during-postoperative-handover
Patient handoffs between care teams are vulnerable to error. This scoping review explored the …
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psnet.ahrq.gov/node/44916/psn-pdf
June 01, 2016 - Implementing situation-background-assessment-
recommendation in an anaesthetic clinic and subsequent
information retention among receivers: a prospective
interventional study of postoperative handovers.
June 1, 2016
Randmaa M, Swenne CL, Mårtensson G, et al. Implementing situation-background-assessment-
recommend…
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psnet.ahrq.gov/node/47652/psn-pdf
February 20, 2019 - Strategy on Reducing Regulatory and Administrative
Burden Relating to the Use of Health IT and EHRs.
February 20, 2019
Washington, DC: Office of the National Coordinator for Health Information Technology; November 28,
2018.
https://psnet.ahrq.gov/issue/strategy-reducing-regulatory-and-administrative-burden-relatin…
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psnet.ahrq.gov/node/39054/psn-pdf
February 20, 2010 - Accuracy of medication documentation in hospital
discharge summaries: a retrospective analysis of
medication transcription errors in manual and electronic
discharge summaries.
February 20, 2010
Callen J, McIntosh J, Li J. Accuracy of medication documentation in hospital discharge summaries: A
retrospective analys…
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psnet.ahrq.gov/node/853074/psn-pdf
February 06, 2024 - Patient Experience, Patient Safety, and Provider Well-
Being: Associations and Paths for Quality Improvement.
February 6, 2024
Rockville, MD: Agency for Healthcare Research and Quality; January 2024. AHRQ Publication no.
24-0030.
https://psnet.ahrq.gov/issue/patient-experience-patient-safety-and-provider-well…
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psnet.ahrq.gov/node/45843/psn-pdf
July 02, 2017 - Safety huddles to proactively identify and address
electronic health record safety.
July 2, 2017
Menon S, Singh H, Giardina TD, et al. Safety huddles to proactively identify and address electronic health
record safety. J Am Med Inform Assoc. 2017;24(2):261-267. doi:10.1093/jamia/ocw153.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/46930/psn-pdf
June 13, 2018 - Ward round template: enhancing patient safety on ward
rounds.
June 13, 2018
Gilliland N, Catherwood N, Chen S, et al. Ward round template: enhancing patient safety on ward rounds.
BMJ Open Qual. 2018;7(2):e000170. doi:10.1136/bmjoq-2017-000170.
https://psnet.ahrq.gov/issue/ward-round-template-enhancing-patient-saf…
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psnet.ahrq.gov/node/861292/psn-pdf
January 24, 2024 - Deficiencies in the Community Care Network
Credentialing Process of a Former VA Surgeon and
Veterans Health Administration Oversight Failures.
January 24, 2024
Washington DC: VA Office of the Inspector General; January 4, 2024; Report no. 22-02294-42.
https://psnet.ahrq.gov/issue/deficiencies-community-care-n…
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psnet.ahrq.gov/node/45702/psn-pdf
January 25, 2017 - Implantable infusion pumps in the magnetic resonance
(MR) environment: FDA safety communication—important
safety precautions.
January 25, 2017
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; January 11, 2017.
https://psnet.ahrq.gov/issue/implantable-infusion-pumps-magnetic-resonance-mr-e…
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psnet.ahrq.gov/node/35045/psn-pdf
November 05, 2015 - Identifying barriers to the effective use of clinical
reminders: bootstrapping multiple methods.
November 5, 2015
Patterson ES, Doebbeling BN, Fung CH, et al. Identifying barriers to the effective use of clinical reminders:
bootstrapping multiple methods. J Biomed Inform. 2005;38(3):189-99.
https://psnet.ahrq.gov/…