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psnet.ahrq.gov/issue/fda-recommends-health-care-professionals-discuss-naloxone-all-patients-when-prescribing
December 16, 2020 - Press Release/Announcement
FDA recommends health care professionals discuss naloxone with all patients when prescribing opioid pain relievers or medicines to treat opioid use disorder.
Citation Text:
FDA recommends health care professionals discuss naloxone with all patients when prescri…
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psnet.ahrq.gov/issue/impact-pharmacist-facilitated-hospital-discharge-program-quasi-experimental-study
December 21, 2014 - Study
Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study.
Citation Text:
Walker PC, Bernstein SJ, Jones JNT, et al. Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. Arch Intern Med. 2009;169(21):2003-10. d…
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psnet.ahrq.gov/issue/prevalence-copied-information-attendings-and-residents-critical-care-progress-notes
September 28, 2017 - Study
Prevalence of copied information by attendings and residents in critical care progress notes.
Citation Text:
Thornton D, Schold JD, Venkateshaiah L, et al. Prevalence of copied information by attendings and residents in critical care progress notes. Crit Care Med. 2013;41(2):382-…
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psnet.ahrq.gov/issue/exposure-media-information-about-disease-can-cause-doctors-misdiagnose-similar-looking
July 03, 2014 - Study
Exposure to media information about a disease can cause doctors to misdiagnose similar-looking clinical cases.
Citation Text:
Schmidt HG, Mamede S, Van den Berge K, et al. Exposure to media information about a disease can cause doctors to misdiagnose similar-looking clinical cases…
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psnet.ahrq.gov/node/60864/psn-pdf
August 31, 2020 - Safety Across The Board
August 31, 2020
Fitall E, Hall KK, Gale B. Safety Across The Board . PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/safety-across-board
Defining Safety Across the Board
Safety Across The Board (SAB) is a concept originating from the Centers for Medicare & Medicaid Services
(CMS…
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psnet.ahrq.gov/issue/measuring-patient-safety-primary-care-development-and-validation-patient-reported-experiences
April 25, 2018 - Study
Measuring patient safety in primary care: the development and validation of the "Patient Reported Experiences and Outcomes of Safety in Primary Care" (PREOS-PC).
Citation Text:
Ricci-Cabello I, Avery A, Reeves D, et al. Measuring Patient Safety in Primary Care: The Development and …
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psnet.ahrq.gov/issue/results-effort-integrate-quality-and-safety-medical-and-nursing-school-curricula-and-foster
September 08, 2021 - Study
Results of an effort to integrate quality and safety into medical and nursing school curricula and foster joint learning.
Citation Text:
Headrick LA, Barton AJ, Ogrinc G, et al. Results of an effort to integrate quality and safety into medical and nursing school curricula and fos…
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psnet.ahrq.gov/issue/incidence-severity-and-preventability-medication-related-visits-emergency-department
May 25, 2010 - Study
Incidence, severity and preventability of medication-related visits to the emergency department: a prospective study.
Citation Text:
Zed PJ, Abu-Laban RB, Balen RM, et al. Incidence, severity and preventability of medication-related visits to the emergency department: a prospecti…
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psnet.ahrq.gov/issue/insulin-pump-risks-and-benefits-clinical-appraisal-pump-safety-standards-adverse-event
June 03, 2020 - Review
Insulin pump risks and benefits: a clinical appraisal of pump safety standards, adverse event reporting, and research needs: a joint statement of the European Association for the Study of Diabetes and the American Diabetes Association Diabetes Technology Working Group.
Citation Text…
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psnet.ahrq.gov/issue/multimethod-study-large-scale-programme-improve-patient-safety-using-harm-free-care-approach
January 23, 2019 - Study
Multimethod study of a large-scale programme to improve patient safety using a harm-free care approach.
Citation Text:
Power M, Brewster L, Parry G, et al. Multimethod study of a large-scale programme to improve patient safety using a harm-free care approach. BMJ Open. 2016;6(9):e0…
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psnet.ahrq.gov/issue/emergency-department-visits-adverse-events-related-dietary-supplements
December 19, 2017 - Study
Classic
Emergency department visits for adverse events related to dietary supplements.
Citation Text:
Geller AI, Shehab N, Weidle NJ, et al. Emergency Department Visits for Adverse Events Related to Dietary Supplements. N Engl J Med. 2015;373(16):1531-40. …
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psnet.ahrq.gov/issue/teaching-hospital-five-year-mortality-trends-wake-duty-hour-reforms
November 26, 2014 - Study
Teaching hospital five-year mortality trends in the wake of duty hour reforms.
Citation Text:
Volpp KG, Small DS, Romano PS, et al. Teaching hospital five-year mortality trends in the wake of duty hour reforms. J Gen Intern Med. 2013;28(8):1048-55. doi:10.1007/s11606-013-2401-9.
…
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psnet.ahrq.gov/issue/central-venous-catheter-guidewire-retention-lessons-englands-never-event-database
September 15, 2021 - Study
Central venous catheter guidewire retention: lessons from England's never event database.
Citation Text:
Mariyaselvam MZA, Patel V, Young HE, et al. Central venous catheter guidewire retention: lessons from England's never event database. J Patient Saf. 2022;18(2):e387-e392. doi:10…
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psnet.ahrq.gov/issue/improving-medication-safety-accurate-preadmission-medication-lists-and-postdischarge
June 26, 2019 - Study
Improving medication safety with accurate preadmission medication lists and postdischarge education.
Citation Text:
Gardella JE, Cardwell TB, Nnadi M. Improving medication safety with accurate preadmission medication lists and postdischarge education. Jt Comm J Qual Patient Saf. …
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psnet.ahrq.gov/issue/characterising-complexity-medication-safety-using-human-factors-approach-observational-study
March 15, 2017 - Study
Classic
Characterising the complexity of medication safety using a human factors approach: an observational study in two intensive care units.
Citation Text:
Carayon P, Wetterneck TB, Cartmill R, et al. Characterising the complexity of medication safety us…
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psnet.ahrq.gov/issue/assessing-state-safe-medication-practices-using-ismp-medication-safety-self-assessment
March 02, 2016 - Study
Assessing the state of safe medication practices using the ISMP Medication Safety Self Assessment for Hospitals: 2000 and 2011.
Citation Text:
Vaida AJ, Lamis RL, Smetzer JL, et al. Assessing the State of Safe Medication Practices Using the ISMP Medication Safety Self Assessment ® …
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psnet.ahrq.gov/issue/evidence-based-tool-pe-ps-healthcare-managers-assess-patient-engagement-patient-safety
June 08, 2010 - Study
An evidence-based tool (PE for PS) for healthcare managers to assess patient engagement for patient safety in healthcare organizations.
Citation Text:
Aho-Glele U, Pomey M-P, Gomes de Sousa MR, et al. An evidence-based tool (PE for PS) for healthcare managers to assess patient enga…
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psnet.ahrq.gov/issue/national-trends-safety-performance-electronic-health-record-systems-childrens-hospitals
July 29, 2020 - Study
Classic
National trends in safety performance of electronic health record systems in children's hospitals.
Citation Text:
Chaparro JD, Classen D, Danforth M, et al. National trends in safety performance of electronic health record systems in children's hos…
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psnet.ahrq.gov/issue/escalation-care-surgery-systematic-risk-assessment-prevent-avoidable-harm-hospitalized
December 17, 2014 - Study
Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients.
Citation Text:
Johnston MJ, Arora S, Anderson O, et al. Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients. An…
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psnet.ahrq.gov/issue/accreditation-council-graduate-medical-educations-limits-residents-work-hours-and-patient
July 10, 2008 - Study
Classic
The Accreditation Council for Graduate Medical Education's limits on residents' work hours and patient safety.
Citation Text:
Jagsi R, Weinstein DF, Shapiro J, et al. The Accreditation Council for Graduate Medical Education's limits on residents'…