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psnet.ahrq.gov/issue/detecting-adverse-drug-events-through-data-mining
February 17, 2009 - Commentary
Detecting adverse drug events through data mining.
Citation Text:
Glasgow JM, Kaboli PJ. Detecting adverse drug events through data mining. Am J Health Syst Pharm. 2010;67(4):317-20. doi:10.2146/ajhp090115.
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psnet.ahrq.gov/issue/exploring-causes-junior-doctors-prescribing-mistakes-qualitative-study
September 09, 2015 - Study
Exploring the causes of junior doctors' prescribing mistakes: a qualitative study.
Citation Text:
Lewis PJ, Ashcroft DM, Dornan T, et al. Exploring the causes of junior doctors' prescribing mistakes: a qualitative study. Br J Clin Pharmacol. 2014;78(2):310-9. doi:10.1111/bcp.12332.…
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psnet.ahrq.gov/issue/dangers-ignoring-beers-criteria-prescribing-cascade
October 10, 2018 - Commentary
The dangers of ignoring the Beers criteria—the prescribing cascade.
Citation Text:
DeRhodes KH. The Dangers of Ignoring the Beers Criteria-The Prescribing Cascade. JAMA Intern Med. 2019;179(7):863-864. doi:10.1001/jamainternmed.2019.1288.
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psnet.ahrq.gov/issue/overdiagnosis-how-our-compulsion-diagnosis-may-be-harming-children
March 04, 2020 - Commentary
Overdiagnosis: how our compulsion for diagnosis may be harming children.
Citation Text:
Coon ER, Quinonez RA, Moyer VA, et al. Overdiagnosis: how our compulsion for diagnosis may be harming children. Pediatrics. 2014;134(5):1013-23. doi:10.1542/peds.2014-1778.
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psnet.ahrq.gov/issue/safety-nebulized-medications-requires-interdisciplinary-team-approach
December 27, 2018 - Newspaper/Magazine Article
Safety with nebulized medications requires an interdisciplinary team approach.
Citation Text:
Safety with nebulized medications requires an interdisciplinary team approach. ISMP Medication Safety Alert! Acute care edition. February 22, 2018;23(4):1-5.
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psnet.ahrq.gov/issue/incomplete-care-trail-flaws-system
February 17, 2011 - Commentary
Incomplete care—on the trail of flaws in the system.
Citation Text:
Gandhi TK, Zuccotti G, Lee TH. Incomplete care--on the trail of flaws in the system. N Engl J Med. 2011;365(6):486-8. doi:10.1056/NEJMp1106313.
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psnet.ahrq.gov/issue/expert-panel-report-texas-health-resources-leadership-2014-ebola-events
February 10, 2016 - Book/Report
The Expert Panel Report to Texas Health Resources Leadership on the 2014 Ebola Events.
Citation Text:
The Expert Panel Report to Texas Health Resources Leadership on the 2014 Ebola Events. Cortese D, Abbott P, Chassin M, Lyon GM III, Riley WJ. Dallas, TX: Texas Health Resourc…
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psnet.ahrq.gov/issue/potentially-fatal-errors-gdh-pqq-glucose-dehydrogenase-pyrroloquinoline-quinone-glucose
June 22, 2011 - Press Release/Announcement
Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology.
Citation Text:
Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology. MedWat…
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psnet.ahrq.gov/issue/system-weaknesses-contributing-causes-accidents-health-care
August 31, 2022 - Study
System weaknesses as contributing causes of accidents in health care.
Citation Text:
Ternov S, Akselsson R. System weaknesses as contributing causes of accidents in health care. Int J Qual Health Care. 2005;17(1):5-13.
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psnet.ahrq.gov/issue/cms-proposal-suppress-hospital-safety-data-angers-advocates-agency-says-covid-disruptions
June 15, 2022 - Newspaper/Magazine Article
CMS proposal to suppress hospital safety data angers advocates — agency says COVID disruptions, staff shortages hamper ability to fairly score poor performers.
Citation Text:
CMS proposal to suppress hospital safety data angers advocates — agency says COVID dis…
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psnet.ahrq.gov/issue/systematic-review-human-factors-and-ergonomics-hfe-based-healthcare-system-redesign-quality
February 13, 2014 - Review
A systematic review of human factors and ergonomics (HFE)-based healthcare system redesign for quality of care and patient safety.
Citation Text:
Xie A, Carayon P. A systematic review of human factors and ergonomics (HFE)-based healthcare system redesign for quality of care and pa…
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psnet.ahrq.gov/issue/impact-organizations-healthcare-associated-infections
December 11, 2024 - Commentary
Impact of organizations on healthcare-associated infections.
Citation Text:
Castro-Sánchez E, Holmes AH. Impact of organizations on healthcare-associated infections. J Hosp Infect. 2015;89(4):346-50. doi:10.1016/j.jhin.2015.01.012.
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psnet.ahrq.gov/issue/preventing-medication-errors
May 30, 2018 - Commentary
Preventing medication errors.
Citation Text:
Stefanacci RG, Riddle A. Preventing medication errors. Geriatr Nurs. 2016;37(4):307-10. doi:10.1016/j.gerinurse.2016.06.005.
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psnet.ahrq.gov/issue/addressing-postdischarge-adverse-events-neglected-area
November 13, 2024 - Review
Addressing postdischarge adverse events: a neglected area.
Citation Text:
Tsilimingras D. Addressing postdischarge adverse events: a neglected area. Jt Comm J Qual Patient Saf. 2008;34(2):85-97.
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psnet.ahrq.gov/node/38652/psn-pdf
June 17, 2014 - Pediatric safety.
June 17, 2014
Runy LA. Pediatric safety. Hospitals & health networks. 2009;83(5):8 p following 32, 2.
https://psnet.ahrq.gov/issue/pediatric-safety
This condensed discussion shares information on safety issues that affect care for children.
https://psnet.ahrq.gov/issue/pediatric-safety
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psnet.ahrq.gov/node/41981/psn-pdf
February 03, 2014 - FIRST Do No Harm.
February 3, 2014
Wakefield, MA: Quality and Patient Safety Division, Massachusetts Board of Registration in Medicine.
https://psnet.ahrq.gov/issue/first-do-no-harm-1
This free newsletter provides information on quality and patient safety initiatives in Massachusetts.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/39209/psn-pdf
January 06, 2010 - AHRQ 2008 Annual Conference.
January 6, 2010
Agency for Healthcare Research and Quality; AHRQ.
https://psnet.ahrq.gov/issue/ahrq-2008-annual-conference
This Web site provides a collection of presentations on health information technology and other research
areas supported by AHRQ.
https://psnet.ahrq.gov/issue/ahr…
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psnet.ahrq.gov/node/36737/psn-pdf
June 07, 2008 - Indiana Medical Error Reporting System.
June 7, 2008
Indiana State Department of Health.
https://psnet.ahrq.gov/issue/indiana-medical-error-reporting-system
This Web site provides background and information on Indiana's statewide incident reporting initiative.
https://psnet.ahrq.gov/issue/indiana-medical-error-rep…
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psnet.ahrq.gov/node/40877/psn-pdf
February 05, 2018 - Fire Safety.
February 5, 2018
Council on Surgical & Perioperative Safety.
https://psnet.ahrq.gov/issue/fire-safety
This initiative provides information on surgical fires and makes recommendations to address the risk of fires
during surgery.
https://psnet.ahrq.gov/issue/fire-safety
https://psnet.ahrq.gov/issue/pra…
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psnet.ahrq.gov/node/36876/psn-pdf
August 30, 2017 - Global Patient Safety Collaborative.
August 30, 2017
World Alliance for Patient Safety; World Health Organization
https://psnet.ahrq.gov/issue/who-collaborating-centres-patient-safety
This Web site shares information on a variety of initiatives from the World Alliance for Patient Safety.
https://psnet.ahrq.gov/iss…