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psnet.ahrq.gov/issue/mrsa-infections
September 26, 2018 - Commentary
MRSA Infections.
Citation Text:
Zeller JL, Burke AE, Glass RM. JAMA patient page. MRSA infections. JAMA. 2007;298(15):1826.
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psnet.ahrq.gov/node/37746/psn-pdf
May 14, 2008 - Reducing preventable medication safety events by
recognizing renal risk.
May 14, 2008
Fields W, Tedeschi C, Foltz J, et al. Reducing preventable medication safety events by recognizing renal
risk. Clin Nurse Spec. 2008;22(2):73-8; quiz 79-80. doi:10.1097/01.NUR.0000311795.69476.2f.
https://psnet.ahrq.gov/issue/red…
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psnet.ahrq.gov/node/41867/psn-pdf
January 30, 2013 - Medication discrepancies in integrated electronic health
records.
January 30, 2013
Linsky A, Simon SR. Medication discrepancies in integrated electronic health records. BMJ Qual Saf.
2013;22(2):103-9. doi:10.1136/bmjqs-2012-001301.
https://psnet.ahrq.gov/issue/medication-discrepancies-integrated-electronic-health-…
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psnet.ahrq.gov/node/42810/psn-pdf
June 10, 2018 - First annual review of data submitted to the ISMP National
Vaccine Errors Reporting Program (VERP).
June 10, 2018
ISMP Medication Safety Alert! Acute Care Edition. November 28, 2013;18:1-5.
https://psnet.ahrq.gov/issue/first-annual-review-data-submitted-ismp-national-vaccine-errors-reporting-
program-verp
This re…
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psnet.ahrq.gov/issue/unintended-adverse-consequences-introducing-electronic-health-records-residential-aged-care
March 24, 2019 - Study
Unintended adverse consequences of introducing electronic health records in residential aged care homes.
Citation Text:
Yu P, Zhang Y, Gong Y, et al. Unintended adverse consequences of introducing electronic health records in residential aged care homes. Int J Med Inform. 2013;82…
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psnet.ahrq.gov/issue/evaluation-nationally-mandated-drug-use-reviews-improve-patient-safety-nursing-homes-natural
July 20, 2011 - Study
Evaluation of nationally mandated drug use reviews to improve patient safety in nursing homes: a natural experiment.
Citation Text:
Briesacher B, Limcangco R, Simoni-Wastila L, et al. Evaluation of nationally mandated drug use reviews to improve patient safety in nursing homes: a…
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psnet.ahrq.gov/issue/rural-hospital-information-technology-implementation-safety-and-quality-improvement-lessons
April 24, 2018 - Study
Rural hospital information technology implementation for safety and quality improvement: lessons learned.
Citation Text:
Tietze MF, Williams J, Galimbertti M. Rural hospital information technology implementation for safety and quality improvement: lessons learned. Comput Inform N…
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psnet.ahrq.gov/issue/fmea-team-performance-health-care-qualitative-analysis-team-member-perceptions
December 31, 2014 - Study
FMEA team performance in health care: a qualitative analysis of team member perceptions.
Citation Text:
Wetterneck TB, Hundt AS, Carayon P. FMEA Team Performance in Health Care. J Patient Saf. 2009;5(2). doi:10.1097/pts.0b013e3181a852be.
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psnet.ahrq.gov/issue/supporting-psychiatric-hospital-culture-safety
March 11, 2020 - Study
Supporting a psychiatric hospital culture of safety.
Citation Text:
Mahoney JS, Ellis TE, Garland G, et al. Supporting a psychiatric hospital culture of safety. J Am Psychiatr Nurses Assoc. 2012;18(5):299-306. doi:10.1177/1078390312460577.
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psnet.ahrq.gov/issue/rating-recommendations-consumers-about-patient-safety-sense-common-sense-or-nonsense
January 06, 2017 - Study
Rating recommendations for consumers about patient safety: sense, common sense, or nonsense?
Citation Text:
Weingart SN, Morway L, Brouillard D, et al. Rating recommendations for consumers about patient safety: sense, common sense, or nonsense? Jt Comm J Qual Patient Saf. 2009;35(4…
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psnet.ahrq.gov/issue/documentation-clinical-review-and-vital-signs-after-major-surgery
September 30, 2010 - Study
Documentation of clinical review and vital signs after major surgery.
Citation Text:
McGain F, Cretikos MA, Jones D, et al. Documentation of clinical review and vital signs after major surgery. Med J Aust. 2008;189(7):380-3.
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psnet.ahrq.gov/issue/human-factors-systems-approach-healthcare-quality-and-patient-safety
October 03, 2013 - Commentary
Human factors systems approach to healthcare quality and patient safety.
Citation Text:
Carayon P, Wetterneck TB, Rivera-Rodriguez J, et al. Human factors systems approach to healthcare quality and patient safety. Appl Ergon. 2014;45(1):14-25. doi:10.1016/j.apergo.2013.04.02…
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psnet.ahrq.gov/issue/report-announced-inspection-medication-safety-midland-regional-hospital-tullamore-county
October 23, 2013 - Book/Report
Report of the Announced Inspection of Medication Safety at the Midland Regional Hospital Tullamore, County Offaly.
Citation Text:
Report of the Announced Inspection of Medication Safety at the Midland Regional Hospital Tullamore, County Offaly. Dublin, Ireland: Health Informa…
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psnet.ahrq.gov/issue/how-residents-think-and-make-medical-decisions-implications-education-and-patient-safety
June 07, 2023 - Study
How residents think and make medical decisions: implications for education and patient safety.
Citation Text:
Young JS, Smith RL, Guerlain S, et al. How residents think and make medical decisions: implications for education and patient safety. Am Surg. 2007;73(6):548-553; discuss…
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psnet.ahrq.gov/issue/prevalence-polypharmacy-exposure-among-hospitalized-children-united-states
August 20, 2016 - Study
Prevalence of polypharmacy exposure among hospitalized children in the United States.
Citation Text:
Feudtner C, Dai D, Hexem KR, et al. Prevalence of polypharmacy exposure among hospitalized children in the United States. Arch Pediatr Adolesc Med. 2012;166(1):9-16. doi:10.1001/a…
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psnet.ahrq.gov/issue/our-pharmacy-meeting-patients-needs-pharmacy-health-literacy-assessment-tool-users-guide
December 24, 2008 - Measurement Tool/Indicator
Is Our Pharmacy Meeting Patients' Needs? A Pharmacy Health Literacy Assessment Tool User's Guide.
Citation Text:
Is Our Pharmacy Meeting Patients' Needs? A Pharmacy Health Literacy Assessment Tool User's Guide. Jacobson KL, Gazmararian JA, Kripalani S, et a…
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psnet.ahrq.gov/node/42064/psn-pdf
March 16, 2013 - particularly common adverse events such as diagnostic errors, adverse events after
hospital discharge, and medication … errors.
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psnet.ahrq.gov/issue/medlineplus-patient-safety
September 29, 2017 - September 29, 2017
Identifying and Preventing Medication Errors.
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psnet.ahrq.gov/issue/fixing-healthcare-delivery
February 05, 2014 - May 7, 2018
Wrong-patient medication errors: an analysis of event reports in Pennsylvania
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psnet.ahrq.gov/node/37165/psn-pdf
May 02, 2018 - Lack of standard dosing methods contributes to IV errors.
May 2, 2018
ISMP Medication Safety Alert! Acute care edition. August 23, 2007,
https://psnet.ahrq.gov/issue/lack-standard-dosing-methods-contributes-iv-errors
This article discusses the myriad dosing methods that can lead to errors in administering intraveno…