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psnet.ahrq.gov/node/836954/psn-pdf
April 20, 2022 - Effects of tall man lettering on the visual behaviour of
critical care nurses while identifying syringe drug labels:
a randomised in situ simulation.
April 20, 2022
Lohmeyer Q, Schiess C, Wendel Garcia PD, et al. Effects of tall man lettering on the visual behaviour of
critical care nurses while identifying syring…
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psnet.ahrq.gov/primer/never-events
June 15, 2024 - Never Events
Citation Text:
Never Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/primer/falls
October 27, 2021 - elderly patients by using an individualized fall prevention intervention drawing on many of the elements listed
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psnet.ahrq.gov/node/33605/psn-pdf
March 12, 2021 - Medication Administration Errors
March 12, 2021
MacDowell P, Cabri A, Davis M. Medication Administration Errors. PSNet [internet]. 2021.
https://psnet.ahrq.gov/primer/medication-administration-errors
Updated in March 2021. Originally published in January 2018 by researchers at the University of California,
San Fra…
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psnet.ahrq.gov/web-mm/medication-reconciliation-twist-or-dare-we-say-patch
April 03, 2024 - SPOTLIGHT CASE
Medication Reconciliation With a Twist (or Dare We Say, a Patch?)
Citation Text:
Kwan JL. Medication Reconciliation With a Twist (or Dare We Say, a Patch?). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 201…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.398_slideshow.ppt
February 01, 2017 - assuming its computerized format signals
The appearance of infallibility and correctness
That all listed
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psnet.ahrq.gov/node/41164/psn-pdf
June 10, 2018 - Results of ISMP survey on high-alert medications:
differences between nursing, pharmacy, and
risk/quality/safety perspectives.
June 10, 2018
ISMP Medication Safety Alert! Acute Care Edition. February 9, 2012;17:1-4.
https://psnet.ahrq.gov/issue/results-ismp-survey-high-alert-medications-differences-between-nursing…
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psnet.ahrq.gov/web-mm/2-week-itch
June 16, 2019 - In addition, for many of the nonproprietary name pairs listed in the Table , in 2001 the FDA required
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psnet.ahrq.gov/node/36916/psn-pdf
May 03, 2018 - ISMP 2007 survey on high-alert medications. Differences
between nursing and pharmacy perspectives still
prevalent.
May 3, 2018
ISMP Medication Safety Alert! Acute care edition. May 17, 2007.
https://psnet.ahrq.gov/issue/ismp-2007-survey-high-alert-medications-differences-between-nursing-and-
pharmacy-perspectives…
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psnet.ahrq.gov/node/44531/psn-pdf
September 30, 2015 - Never Events for Hospital Care in Canada: Safer Care for
Patients.
September 30, 2015
Toronto, ON: Health Quality Ontario and the Canadian Patient Safety Institute; September 2015. ISBN:
9781460666180.
https://psnet.ahrq.gov/issue/never-events-hospital-care-canada-safer-care-patients
The never events list was dev…
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psnet.ahrq.gov/node/46590/psn-pdf
November 01, 2017 - High-alert medications: the safeguards that you should
put in place to reduce risks.
November 1, 2017
Blank C. Drug Topics. October 13, 2017.
https://psnet.ahrq.gov/issue/high-alert-medications-safeguards-you-should-put-place-reduce-risks
This magazine article reports on high-alert medications, their potential to …
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psnet.ahrq.gov/node/49396/psn-pdf
April 01, 2003 - In addition, for many of the nonproprietary name pairs listed in the Table, in 2001 the FDA required
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psnet.ahrq.gov/issue/medication-reconciliation-accuracy-and-patient-understanding-intended-medication-changes
July 29, 2020 - Study
Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge.
Citation Text:
Ziaeian B, Araujo KLB, Van Ness PH, et al. Medication reconciliation accuracy and patient understanding of intended medication changes on hospital disch…
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psnet.ahrq.gov/node/846158/psn-pdf
March 15, 2023 - Safety risks and workflow implications associated with
nursing-related free-text communication orders.
March 15, 2023
Staes CJ, Yusuf S, Hambly M, et al. Safety risks and workflow implications associated with nursing-related
free-text communication orders. J Am Med Inform Assoc. 2023;30(5):828-837. doi:10.1093/jami…
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psnet.ahrq.gov/node/43440/psn-pdf
August 13, 2014 - Hospital Experiences Using Electronic Health Records to
Support Medication Reconciliation.
August 13, 2014
Grossman JM, Gourevitch R, Cross D. Washington, DC: National Institute for Health Care Reform; July
2014. NIHCR Research Brief No. 17.
https://psnet.ahrq.gov/issue/hospital-experiences-using-electronic-health…
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psnet.ahrq.gov/node/43649/psn-pdf
November 05, 2014 - How patients can improve the accuracy of their medical
records.
November 5, 2014
Dullabh P, Sondheimer N, Katsh E, et al. How Patients Can Improve the Accuracy of their Medical
Records. eGEMs (Generating Evidence & Methods to improve patient outcomes). 2014;2(3).
doi:10.13063/2327-9214.1080.
https://psnet.ahrq.go…
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psnet.ahrq.gov/perspective/becoming-patient-safety-organization
July 01, 2011 - CHPSO easily complied with the listing requirements, and became the second listed PSO in the nation. … Getting a PSO listed and functioning can be rather "cookbook"—the PSQIA and its associated rules are … Munier : A Patient Safety Organization is a new or existing organization that applies to be officially listed
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psnet.ahrq.gov/issue/implementing-patient-safety-practices-small-ambulatory-care-settings
April 19, 2013 - Study
Implementing patient safety practices in small ambulatory care settings.
Citation Text:
Schauberger CW, Larson P. Implementing patient safety practices in small ambulatory care settings. Jt Comm J Qual Patient Saf. 2006;32(8):419-425.
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psnet.ahrq.gov/issue/utilization-pharmacy-technicians-increase-accuracy-patient-medication-histories-obtained
October 08, 2014 - Study
Utilization of pharmacy technicians to increase the accuracy of patient medication histories obtained in the emergency department.
Citation Text:
Rubin EC, Pisupati R, Nerenberg SF. Utilization of Pharmacy Technicians to Increase the Accuracy of Patient Medication Histories Obtaine…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.104_slideshow.ppt
September 01, 2005 - Spotlight Case [MONTH] 2003
Spotlight Case September 2005
Double Trouble
Source and Credits
This presentation is based on the Sept. 2005
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Jerry H. Gurwitz, MD, University of…