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psnet.ahrq.gov/primer/pharmacists-role-medication-safety
March 14, 2018 - medication management across care transitions; assist with care coordination for transitions Pharmacist-led … A 2012 randomized controlled trial of a pharmacist-led intervention in primary care practices in the … Given the latter factor, further studies that consider the return-on-investment of pharmacist-led safety
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psnet.ahrq.gov/node/43871/psn-pdf
March 17, 2015 - manufactured
specifically for training purposes was inadvertently distributed and used for actual care and led
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psnet.ahrq.gov/node/40245/psn-pdf
June 08, 2011 - patient-alarms-often-unheard-unheeded
Revealing cases in which the constant din of hospital alarms led
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psnet.ahrq.gov/node/41772/psn-pdf
October 17, 2012 - The outbreak has already led to more than a dozen
deaths.
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psnet.ahrq.gov/node/36127/psn-pdf
September 29, 2010 - The authors investigated a fatal chemotherapy-related error and identified contributing factors that led
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psnet.ahrq.gov/node/38539/psn-pdf
January 02, 2017 - https://psnet.ahrq.gov/issue/rescue-me-saving-vulnerable-non-icu-patient-population
A nurse-led rapid
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psnet.ahrq.gov/node/37777/psn-pdf
May 04, 2014 - iatrogenic-delirium-and-coma-near-miss
This case report describes how diagnostic and medication errors led
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psnet.ahrq.gov/node/39096/psn-pdf
February 08, 2010 - A few well-publicized cases of medical errors have led the hospitals
involved to transform how they
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psnet.ahrq.gov/node/35944/psn-pdf
August 02, 2010 - analyzed critical value communication activities at their hospital and identified the factors
that led
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psnet.ahrq.gov/node/35914/psn-pdf
July 23, 2010 - psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-0
The author reviews key research that led
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psnet.ahrq.gov/node/40464/psn-pdf
June 10, 2018 - multiple-latent-failures-align-allow-serious-drug-interaction-harm-patient
Detailing a case in which latent failures led
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psnet.ahrq.gov/node/42941/psn-pdf
February 12, 2014 - risk-and-safety-management-infertility-and-assisted-reproductive-technology
Introduction of assisted reproductive technology has led
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psnet.ahrq.gov/node/39508/psn-pdf
May 10, 2010 - impact-senior-clinical-review-patient-disposition-emergency-department
This study discovered that real-time review of cases by a senior physician led
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psnet.ahrq.gov/node/36993/psn-pdf
September 15, 2011 - transdisciplinary-team-acting-evidence-through-analyses-moot-malpractice-
cases
The author proposes that nurse-led
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psnet.ahrq.gov/node/36922/psn-pdf
June 22, 2015 - fluorouracil-incident-root-cause-analysis-report
This report shares findings from a root cause analysis of a medication error incident that led
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psnet.ahrq.gov/node/41728/psn-pdf
January 18, 2013 - whos-covering-our-loved-ones-surprising-barriers-sign-out-process
This study found that implementation of standardized guidelines for patient signout led
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psnet.ahrq.gov/node/40973/psn-pdf
November 30, 2011 - clinical-nurse-specialist-intervention-facilitate-safe-transfer-icu
This commentary describes a formal assessment, consultation, and follow-up initiative led
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psnet.ahrq.gov/node/39522/psn-pdf
May 12, 2010 - Pennsylvania hospitals resulted in increased
reporting rates, but it was unclear if the increase in reports led
-
psnet.ahrq.gov/node/34844/psn-pdf
February 24, 2011 - issue/communication-factors-follow-abnormal-mammograms
This study describes communication gaps that led
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psnet.ahrq.gov/node/42370/psn-pdf
June 19, 2013 - psnet.ahrq.gov/issue/journal-quality-improvement-healthcare-second-edition
https://psnet.ahrq.gov/issue/resident-led-institutional-patient-safety-and-quality-improvement-process