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psnet.ahrq.gov/node/41902/psn-pdf
November 19, 2018 - High-Alert Medication Learning Guides for Consumers.
November 19, 2018
Horsham, PA: Institute for Safe Medication Practices; 2018.
https://psnet.ahrq.gov/issue/high-alert-medication-learning-guides-consumers
This set of leaflets provides patients with information about taking high-alert medications safely.
https…
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psnet.ahrq.gov/node/35561/psn-pdf
October 01, 2016 - Statement on the prevention of retained foreign bodies
after surgery.
October 1, 2016
Chicago, IL: American College of Surgeons; October 2016.
https://psnet.ahrq.gov/issue/statement-prevention-retained-foreign-bodies-after-surgery
This statement briefly lists the American College of Surgeons' guidelines for preven…
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psnet.ahrq.gov/node/43337/psn-pdf
July 09, 2014 - My Medicines.
July 9, 2014
Silver Spring, MD: US Food and Drug Administration. Office of Women's Health and National Association
of Chain Drug Stores.
https://psnet.ahrq.gov/issue/my-medicines
This toolkit offers tips for patients to prevent adverse drug events and provides a way to record important
medication in…
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psnet.ahrq.gov/node/38973/psn-pdf
September 23, 2009 - Patient safety: healthcare acquired conditions and
serious reportable events.
September 23, 2009
https://psnet.ahrq.gov/issue/patient-safety-healthcare-acquired-conditions-and-serious-reportable-events
This announcement provides background on the proposed 2010 effort to revise and expand the National
Quality Forum…
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psnet.ahrq.gov/perspective/conversation-richard-platt-md-msc
October 01, 2016 - Yet clinical data is complex and contextual—a heart rate may be listed under the formal vital sign table … or under nursing documentation, where it is listed as a pulse.
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psnet.ahrq.gov/web-mm/are-you-mrs-issue-identification-over-telephone
January 01, 2016 - Are You Mrs. A? An Issue of Identification Over Telephone
Citation Text:
Adelman JS. Are You Mrs. A? An Issue of Identification Over Telephone. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
Copy Citation
Format:
…
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psnet.ahrq.gov/node/49750/psn-pdf
January 01, 2016 - Key personnel to consider involving when developing a system to streamline planned admissions are
listed
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psnet.ahrq.gov/node/35149/psn-pdf
June 16, 2014 - Eliminating Dangerous Abbreviations, Acronyms and
Symbols.
June 16, 2014
AHA: American Hosptial Association; American Society of Health-System Pharmacists; AHSP
https://psnet.ahrq.gov/issue/eliminating-dangerous-abbreviations-acronyms-and-symbols
Providing examples from three health care organizations, this briefi…
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psnet.ahrq.gov/node/35591/psn-pdf
December 21, 2005 - WHO Draft Guidelines for Adverse Event Reporting and
Learning Systems.
December 21, 2005
World Alliance for Patient Safety. Geneva, Switzerland: World Health Organization; 2005.
https://psnet.ahrq.gov/issue/who-draft-guidelines-adverse-event-reporting-and-learning-systems
These guidelines present background on the…
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psnet.ahrq.gov/node/36978/psn-pdf
September 19, 2016 - TRUST: the 5 rights of the second victim.
September 19, 2016
Denham CR. TRUST. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000236917.02321.fd.
https://psnet.ahrq.gov/issue/trust-5-rights-second-victim
The author discusses the psychological impact of medical error on clinicians and shares interviews with
several …
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psnet.ahrq.gov/node/36959/psn-pdf
September 12, 2011 - Health care governance for quality and safety: the new
agenda.
September 12, 2011
Clough J, Nash DB. Health care governance for quality and safety: the new agenda. Am J Med Qual.
2007;22(3):203-13.
https://psnet.ahrq.gov/issue/health-care-governance-quality-and-safety-new-agenda
The authors provide an annotated l…
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psnet.ahrq.gov/node/36479/psn-pdf
February 06, 2008 - Oral Dosage Forms that Should Not Be Crushed.
February 6, 2008
Mitchell JF; Institute for Safe Medications Practices; ISMP.
https://psnet.ahrq.gov/issue/oral-dosage-forms-should-not-be-crushed
To ensure that certain medications are used safely, this updated list includes oral medications that should
not be crushed…
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psnet.ahrq.gov/node/49645/psn-pdf
February 01, 2012 - prescriber to review all prescriptions
(including new, renewals, or changes) before sending would have listed
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psnet.ahrq.gov/issue/high-priority-drug-drug-interactions-use-electronic-health-records
September 01, 2016 - Study
High-priority drug–drug interactions for use in electronic health records.
Citation Text:
Phansalkar S, Desai AA, Bell D, et al. High-priority drug-drug interactions for use in electronic health records. J Am Med Inform Assoc. 2012;19(5):735-43. doi:10.1136/amiajnl-2011-000612.
C…
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psnet.ahrq.gov/issue/impact-incorporating-pharmacy-claims-data-electronic-medication-reconciliation
September 01, 2016 - Study
Impact of incorporating pharmacy claims data into electronic medication reconciliation.
Citation Text:
Phansalkar S, Her QL, Tucker AD, et al. Impact of incorporating pharmacy claims data into electronic medication reconciliation. Am J Health Syst Pharm. 2015;72(3):212-7. doi:10.21…
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psnet.ahrq.gov/issue/effect-electronic-medication-reconciliation-application-and-process-redesign-potential
June 09, 2011 - Study
Classic
Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trial.
Citation Text:
Schnipper JL, Hamann C, Ndumele CD, et al. Effect of an electronic medication reconcil…
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psnet.ahrq.gov/issue/transitioning-between-electronic-health-records-effects-ambulatory-prescribing-safety
June 03, 2013 - Study
Transitioning between electronic health records: effects on ambulatory prescribing safety.
Citation Text:
Abramson EL, Malhotra S, Fischer K, et al. Transitioning between electronic health records: effects on ambulatory prescribing safety. J Gen Intern Med. 2011;26(8):868-74. doi:1…
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psnet.ahrq.gov/perspective/conversation-withj-bryan-sexton-phd-ma
December 01, 2006 - In Conversation with...J. Bryan Sexton, PhD, MA
December 1, 2006
Also Read an Essay
Citation Text:
In Conversation with..J. Bryan Sexton, PhD, MA. PSNet [internet]. 2006.In Conversation with...J. Bryan Sexton, PhD, MA. PSNet [internet]. Rockville (MD): Agency for…
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psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
December 01, 2006 - Establishing a Safety Culture: Thinking Small
Timothy J. Hoff, PhD | December 1, 2006
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Hoff TJ. Establishing a Safety Culture: Thinking Small. PSNet [internet]. Rockville (MD): Age…
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psnet.ahrq.gov/node/40851/psn-pdf
October 12, 2011 - Improving Patient Safety Through Simulation Research:
Funded Projects.
October 12, 2011
Agency for Healthcare Quality and Research; AHRQ.
https://psnet.ahrq.gov/issue/improving-patient-safety-through-simulation-research-funded-projects
This AHRQ announcement lists projects funded in 2011 to evaluate how simulation…