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psnet.ahrq.gov/node/49710/psn-pdf
May 01, 2014 - Discontinued Medications: Are They Really
Discontinued?
May 1, 2014
Mankey CG, Varkey P. Discontinued Medications: Are They Really Discontinued? PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/discontinued-medications-are-they-really-discontinued
The Case
A 69-year-old man with a history of chronic atrial f…
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psnet.ahrq.gov/node/37782/psn-pdf
May 24, 2015 - CMS seeks to add 9 hospital-acquired conditions to no-
pay list.
May 24, 2015
https://psnet.ahrq.gov/issue/cms-seeks-add-9-hospital-acquired-conditions-no-pay-list
This article reports that the Centers for Medicare and Medicaid Services (CMS) has proposed expanding
the list of hospital-acquired conditions that it …
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psnet.ahrq.gov/node/49783/psn-pdf
February 01, 2017 - on a list are always appropriate, there is a tendency on the
part of the user to assume that every listed
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psnet.ahrq.gov/issue/risk-factors-clinically-relevant-deviations-patients-medication-lists-reported-patients
March 23, 2022 - Study
Risk factors for clinically relevant deviations in patients' medication lists reported by patients in personal health records: a prospective cohort study in a hospital setting.
Citation Text:
van der Nat DJ, Taks M, Huiskes VJB, et al. Risk factors for clinically relevant deviation…
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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/node/38335/psn-pdf
March 23, 2009 - For patients, a list of hospital hazards.
March 23, 2009
Landro L. Wall Street Journal (Eastern edition). December 23, 2008;D2.
https://psnet.ahrq.gov/issue/patients-list-hospital-hazards
Emphasizing the importance of safe device use to prevent patient harm, this article reports on the top 10
technology hazards in…
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psnet.ahrq.gov/node/40057/psn-pdf
June 10, 2018 - ISMP updates its list of drug name pairs with Tall man
letters.
June 10, 2018
ISMP Medication Safety Alert! Acute Care Edition. November 18, 2010;15:1-3.
https://psnet.ahrq.gov/issue/ismp-updates-its-list-drug-name-pairs-tall-man-letters
This article reports results of a national survey on how "tall man" lettering…
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psnet.ahrq.gov/node/38188/psn-pdf
November 05, 2008 - The top 10 list for a safe and effective sign-out.
November 5, 2008
Kemp CD, Bath JM, Berger J, et al. The top 10 list for a safe and effective sign-out. Arch Surg.
2008;143(10):1008-10. doi:10.1001/archsurg.143.10.1008.
https://psnet.ahrq.gov/issue/top-10-list-safe-and-effective-sign-out
Drawing on their personal…
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psnet.ahrq.gov/node/41706/psn-pdf
November 08, 2012 - Improving medication safety with accurate preadmission
medication lists and postdischarge education.
November 8, 2012
Gardella JE, Cardwell TB, Nnadi M. Improving medication safety with accurate preadmission medication
lists and postdischarge education. Jt Comm J Qual Patient Saf. 2012;38(10):452-458.
https://psne…
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psnet.ahrq.gov/issue/survey-lasa-drug-name-pairs-who-knows-whats-your-list-and-best-ways-prevent-mix-ups
June 10, 2018 - Newspaper/Magazine Article
Survey on LASA drug name pairs: who knows what’s on your list and the best ways to prevent mix-ups?
Citation Text:
Survey on LASA drug name pairs: who knows what’s on your list and the best ways to prevent mix-ups? ISMP Medication Safety Alert! Acute Care Editi…
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psnet.ahrq.gov/issue/your-high-alert-medication-list-relatively-useless-without-associated-risk-reduction
May 07, 2014 - Newspaper/Magazine Article
Your high-alert medication list—relatively useless without associated risk-reduction strategies.
Citation Text:
Your high-alert medication list—relatively useless without associated risk-reduction strategies. ISMP Medication Safety Alert! Acute Care Edition. Ap…
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psnet.ahrq.gov/node/38523/psn-pdf
April 09, 2009 - CMS's hospital-acquired condition lists link hospital
payment, patient safety.
April 9, 2009
Clancy CM. CMS's hospital-acquired condition lists link hospital payment, patient safety. Am J Med Qual.
2009;24(2):166-8. doi:10.1177/1062860608331241.
https://psnet.ahrq.gov/issue/cmss-hospital-acquired-condition-lists-l…
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psnet.ahrq.gov/node/837748/psn-pdf
August 05, 2022 - The preoperative medication history was
reviewed and listed her dose as regular insulin 5 units subcutaneously
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psnet.ahrq.gov/issue/improving-patient-safety-ambulatory-surgery-centers-resource-list-users-ahrq-ambulatory
May 11, 2016 - Book/Report
Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture.
Citation Text:
Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Su…
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psnet.ahrq.gov/node/867041/psn-pdf
October 30, 2024 - "What else could it be?" A scoping review of questions
for patients to ask throughout the diagnostic process.
October 30, 2024
Hill MA, Coppinger T, Sedig K, et al. "What else could it be?" A scoping review of questions for patients to
ask throughout the diagnostic process. J Patient Saf. 2024;20(8):529-534.
doi:1…
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psnet.ahrq.gov/node/45619/psn-pdf
August 16, 2017 - Checking the lists: a systematic review of electronic
checklist use in health care.
August 16, 2017
Kramer HS, Drews FA. Checking the lists: A systematic review of electronic checklist use in health care. J
Biomed Inform. 2017;71S:S6-S12. doi:10.1016/j.jbi.2016.09.006.
https://psnet.ahrq.gov/issue/checking-lists-s…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.107_slideshow.ppt
November 01, 2005 - Spotlight Case [MONTH] 2003
Spotlight Case November 2005
Reconciling Doses
Source and Credits
This presentation is based on the November 2005 Spotlight Case in Emergency Medicine
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Frank Federico, RPh,…
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psnet.ahrq.gov/node/46206/psn-pdf
August 02, 2017 - Patient safety in dentistry: development of a candidate
'never event' list for primary care.
August 2, 2017
Black I, Bowie P. Patient safety in dentistry: development of a candidate 'never event' list for primary care.
Br Dent J. 2017;222(10):782-788. doi:10.1038/sj.bdj.2017.456.
https://psnet.ahrq.gov/issue/patie…
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psnet.ahrq.gov/web-mm/challenges-diabetes-management-and-medication-reconciliation
March 15, 2023 - The preoperative medication history was reviewed and listed her dose as regular insulin 5 units subcutaneously
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psnet.ahrq.gov/web-mm/hazards-distraction-ticking-all-ehr-boxes
April 09, 2014 - on a list are always appropriate, there is a tendency on the part of the user to assume that every listed