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psnet.ahrq.gov/issue/structured-patient-handoffs-movement-toward-adverse-event-reduction-perioperative-unit
December 16, 2020 - Newspaper/Magazine Article
Structured patient handoffs: the movement toward adverse event reduction in the perioperative unit.
Citation Text:
Structured patient handoffs: the movement toward adverse event reduction in the perioperative unit. Hamilton WL.
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psnet.ahrq.gov/node/49479/psn-pdf
April 01, 2005 - Also, as in most hospitals, the nursing medication administration record
(MAR) listed the once-daily
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psnet.ahrq.gov/node/49521/psn-pdf
September 12, 2006 - The Commentary
Penicillamine and penicillin are listed as look-alike/sound-alike drugs by the United
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psnet.ahrq.gov/web-mm/near-miss-neonate
August 15, 2018 - would be to instruct trainees to evaluate their own plan of care against the algorithm and guidelines listed
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psnet.ahrq.gov/node/49708/psn-pdf
May 01, 2014 - Medication Reconciliation With a Twist (or Dare We Say, a
Patch?)
May 1, 2014
Kwan JL. Medication Reconciliation With a Twist (or Dare We Say, a Patch?). PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/medication-reconciliation-twist-or-dare-we-say-patch
Case Objectives
Appreciate that medication discrepanc…
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psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon-0
October 24, 2021 - If you tried to prescribe something else, "We don't have this listed for diabetes.
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psnet.ahrq.gov/issue/fdas-promised-guidance-pulse-oximeters-unlikely-end-decades-racial-bias
November 06, 2024 - Newspaper/Magazine Article
FDA’s promised guidance on pulse oximeters unlikely to end decades of racial bias.
Citation Text:
Allen A. FDA’s promised guidance on pulse oximeters unlikely to end decades of racial bias. KFF Health News. October 07, 2024;
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…
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psnet.ahrq.gov/issue/health-care-providers-want-patients-read-medical-records-spot-errors
August 17, 2016 - Newspaper/Magazine Article
Health-care providers want patients to read medical records, spot errors.
Citation Text:
Health-care providers want patients to read medical records, spot errors. Landro L. Wall Street Journal. June 9, 2014.
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psnet.ahrq.gov/web-mm/coming-short
May 20, 2020 - Coming Up Short
Citation Text:
Hochberg Z'ev. Coming Up Short. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/node/836850/psn-pdf
March 31, 2022 - Perspective authors reviewed articles and other materials
related to the safety practice areas listed
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psnet.ahrq.gov/web-mm/critical-opportunity-lost
February 17, 2017 - Critical Opportunity Lost
Citation Text:
Genzen JR, Signorelli HN. Critical Opportunity Lost. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/node/49607/psn-pdf
August 01, 2010 - Missed Patient Assignment: Is Anyone There?
August 1, 2010
Sittig DF, Campbell EM, Singh H. Missed Patient Assignment: Is Anyone There? PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/missed-patient-assignment-anyone-there
The Case
In one hospital, nurses' patient assignments were communicated by listing the…
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psnet.ahrq.gov/issue/how-patients-can-improve-accuracy-their-medical-records
July 20, 2022 - Study
How patients can improve the accuracy of their medical records.
Citation Text:
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:10.13063/2327-92…
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psnet.ahrq.gov/issue/millions-people-used-tainted-breathing-machines-fda-failed-use-its-power-protect-them
June 28, 2023 - Newspaper/Magazine Article
Millions of people used tainted breathing machines. The FDA failed to use its power to protect them.
Citation Text:
Millions of people used tainted breathing machines. The FDA failed to use its power to protect them. Cenziper D, Sallah MD, Korsh M. ProPublica. …
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psnet.ahrq.gov/issue/achieving-dialysis-safety-critical-role-higher-functioning-teams
August 04, 2021 - Review
Achieving dialysis safety: the critical role of higher-functioning teams.
Citation Text:
Wong LP. Achieving dialysis safety: The critical role of higher-functioning teams. Semin Dial. 2019;32(3):266-273. doi:10.1111/sdi.12778.
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DOI Google Scholar…
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psnet.ahrq.gov/node/50392/psn-pdf
September 01, 2019 - In Conversation With… Shantanu Agrawal, MD, MPhil
September 1, 2019
In Conversation With… Shantanu Agrawal, MD, MPhil. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/conversation-shantanu-agrawal-md-mphil
Editor's note: Dr. Agrawal is president and CEO of the National Quality Forum (NQF). He is the form…
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psnet.ahrq.gov/issue/2017-ismp-medication-safety-self-assessment-communityambulatory-pharmacy
June 07, 2017 - Measurement Tool/Indicator
2017 ISMP Medication Safety Self Assessment for Community/Ambulatory Pharmacy.
Citation Text:
2017 ISMP Medication Safety Self Assessment for Community/Ambulatory Pharmacy. Horsham, PA: Institute for Safe Medication Practices; 2017.
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…
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psnet.ahrq.gov/issue/ismps-guidelines-standard-order-sets
May 11, 2017 - Organizational Policy/Guidelines
ISMP's Guidelines for Standard Order Sets.
Citation Text:
ISMP's Guidelines for Standard Order Sets. Horsham, PA: Institute for Safe Medication Practices; March 2010.
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psnet.ahrq.gov/issue/ismp-quarterwatch-reports
June 07, 2017 - Book/Report
ISMP QuarterWatch Reports.
Citation Text:
ISMP QuarterWatch Reports. Horsham, PA: Institute for Safe Medication Practices.
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psnet.ahrq.gov/node/49764/psn-pdf
June 01, 2016 - The 2016 National Patient Safety Goals
listed improving the effectiveness of communication among caregivers