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psnet.ahrq.gov/web-mm/when-looks-arent-all-they-appear-be-medication-error-uncommon-indication
July 02, 2019 - When Looks Aren’t All They Appear to Be: A Medication Error in an Uncommon Indication
Citation Text:
Ton K. When Looks Aren’t All They Appear to Be: A Medication Error in an Uncommon Indication . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human…
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psnet.ahrq.gov/node/50698/psn-pdf
November 27, 2019 - Missed Opportunities for Suicide Risk Assessment
November 27, 2019
Xiong G, Kahn D. Missed Opportunities for Suicide Risk Assessment. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/missed-opportunities-suicide-risk-assessment
Disclosure of Relevant Financial Relationships: As a provider accredited by the Acc…
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psnet.ahrq.gov/issue/misunderstanding-prescription-drug-warning-labels-among-patients-low-literacy
February 28, 2011 - Study
Misunderstanding of prescription drug warning labels among patients with low literacy.
Citation Text:
Wolf MS, Davis TC, Tilson HH, et al. Misunderstanding of prescription drug warning labels among patients with low literacy. Am J Health Syst Pharm. 2006;63(11):1048-55.
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psnet.ahrq.gov/issue/improving-medication-safety-primary-care-using-electronic-health-records
April 23, 2008 - Study
Improving medication safety in primary care using electronic health records.
Citation Text:
Nemeth LS, Wessell AM. Improving medication safety in primary care using electronic health records. J Patient Saf. 2010;6(4):238-43.
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Format:
Google Scholar PubM…
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psnet.ahrq.gov/issue/alarming-reality-medication-error-patient-case-and-review-pennsylvania-and-national-data
June 28, 2017 - Commentary
The alarming reality of medication error: a patient case and review of Pennsylvania and national data.
Citation Text:
da Silva BA, Krishnamurthy M. The alarming reality of medication error: a patient case and review of Pennsylvania and National data. J Community Hosp Intern Me…
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psnet.ahrq.gov/issue/lingering-safety-menace-10-year-review-enteral-misconnection-adverse-events-and-narrative
January 06, 2017 - Review
The lingering safety menace: a 10-year review of enteral misconnection adverse events and narrative review.
Citation Text:
Ethington S, Volpe A, Guenter P, et al. The lingering safety menace: A 10‐year review of enteral misconnection adverse events and narrative review. Nutr Clin …
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psnet.ahrq.gov/issue/novel-process-audit-standardized-perioperative-handoff-protocols
June 27, 2018 - Commentary
A novel process audit for standardized perioperative handoff protocols.
Citation Text:
Pallekonda V, Scholl AT, McKelvey GM, et al. A Novel Process Audit for Standardized Perioperative Handoff Protocols. Jt Comm J Qual Patient Saf. 2017;43(11):611-618. doi:10.1016/j.jcjq.2017.…
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psnet.ahrq.gov/issue/health-care-consumers-inclination-engage-selected-patient-safety-practices-survey-adults
March 03, 2011 - Study
Health care consumers' inclination to engage in selected patient safety practices: a survey of adults in Pennsylvania.
Citation Text:
Marella WM, Finley E, Thomas AD, et al. Health Care Consumers' Inclination to Engage in Selected Patient Safety Practices. J Patient Saf. 2008;3(4…
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psnet.ahrq.gov/issue/preventing-medication-errors-quality-chasm-series
January 04, 2009 - Book/Report
Classic
Preventing Medication Errors: Quality Chasm Series.
Citation Text:
Preventing Medication Errors: Quality Chasm Series. Aspden P, Wolcott J, Bootman JL, et al, eds; Institute of Medicine, Committee on Identifying and Preventing Medication …
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psnet.ahrq.gov/node/49659/psn-pdf
July 01, 2012 - The ED physician reviewed the patient's electronic medical record (EMR) and noted a
history of "PE" listed
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psnet.ahrq.gov/node/49556/psn-pdf
March 01, 2008 - Many of the recommendations listed above could have helped to
prevent this error from occurring.
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psnet.ahrq.gov/node/33899/psn-pdf
April 16, 2018 - Quick Tips—When Planning for Surgery.
April 16, 2018
Agency for Health Research Research and Quality; AHRQ
https://psnet.ahrq.gov/issue/quick-tips-when-planning-surgery
A list of quick tips and questions to aid anyone who is preparing for surgery.
https://psnet.ahrq.gov/issue/quick-tips-when-planning-surgery
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psnet.ahrq.gov/node/36376/psn-pdf
November 21, 2016 - Safety Information for Patients and Families.
November 21, 2016
Massachusetts Coalition for the Prevention of Medical Errors; Massachusetts Medical Society
https://psnet.ahrq.gov/issue/safety-information-patients-and-families
This Web site provides medication safety information for consumers, including a list to he…
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psnet.ahrq.gov/node/35192/psn-pdf
October 12, 2009 - 10 ways to guarantee a lawsuit.
October 12, 2009
Rice B. 10 ways to guarantee a lawsuit. Medical economics. 2005;82(13):66-9.
https://psnet.ahrq.gov/issue/10-ways-guarantee-lawsuit
This article lists ten nonclinical mistakes physicians make when dealing with patients.
https://psnet.ahrq.gov/issue/10-ways-guarantee…
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psnet.ahrq.gov/node/36399/psn-pdf
May 04, 2015 - Tips for Safer Surgery.
May 4, 2015
Surgical Care Improvement Project. Oklahoma City, OK: Oklahoma Foundation for Medical Quality;
2006.
https://psnet.ahrq.gov/issue/tips-safer-surgery
This tip sheet provides a list of questions consumers should ask clinicians to help improve the safety of
their surgical car…
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psnet.ahrq.gov/issue/medication-regimen-complexity-and-hospital-readmission-adverse-drug-event
December 03, 2014 - Study
Medication regimen complexity and hospital readmission for an adverse drug event.
Citation Text:
Willson MN, Greer CL, Weeks DL. Medication regimen complexity and hospital readmission for an adverse drug event. Ann Pharmacother. 2014;48(1):26-32. doi:10.1177/1060028013510898.
C…
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psnet.ahrq.gov/node/42126/psn-pdf
November 30, 2016 - 2015 Patient Safety Core Topics and Tips.
November 30, 2016
Chicago, IL: American Society for Healthcare Risk Management; 2015.
https://psnet.ahrq.gov/issue/2015-patient-safety-core-topics-and-tips
This fact sheet lists 10 patient safety concerns such as adverse drug events and offers tips to address
them.
https:…
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psnet.ahrq.gov/node/42220/psn-pdf
April 17, 2013 - Lessons from America's safest hospitals.
April 17, 2013
Howard B.
https://psnet.ahrq.gov/issue/lessons-americas-safest-hospitals
This magazine article details how several hospitals have taken a comprehensive approach to improving
patient safety in their organizations. An interactive graphic displays many of the me…
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psnet.ahrq.gov/node/35372/psn-pdf
June 06, 2018 - Paralyzed by mistakes: preventing errors with
neuromuscular blocking agents.
June 6, 2018
ISMP Medication Safety Alert! Acute Care Edition. September 22, 2005;10:1-3.
https://psnet.ahrq.gov/issue/paralyzed-mistakes-preventing-errors-neuromuscular-blocking-agents
This article provides examples of incidents involvin…
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psnet.ahrq.gov/node/36126/psn-pdf
March 12, 2016 - Association for Professionals in Infection Control and
Epidemiology.
March 12, 2016
1400 Crystal Drive, Suite 900, Arlington, VA 22202. 202-789-1890 info@apic.org
https://psnet.ahrq.gov/issue/association-professionals-infection-control-and-epidemiology
This Web site offers news articles, event listings, and inform…