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psnet.ahrq.gov/node/43897/psn-pdf
August 21, 2015 - Guidelines for Adult IV Push Medications.
August 21, 2015
Horsham, PA: The Institute for Safe Medication Practices; July 2015.
https://psnet.ahrq.gov/issue/guidelines-adult-iv-push-medications
To address the lack of standards on intravenous (IV) push medication administration, this guidance reflects
applied expert…
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psnet.ahrq.gov/issue/indicators-implementation-outcome-monitoring-reporting-and-learning-systems-hospitals
March 02, 2022 - machine learning-based clinical decision support system to identify prescriptions with a high risk of medication … error.
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psnet.ahrq.gov/issue/disclosure-and-apology-whats-missing-advancing-programs-support-clinicians
December 07, 2016 - Book/Report
Disclosure and Apology: What's Missing? Advancing Programs that Support Clinicians.
Citation Text:
Disclosure and Apology: What's Missing? Advancing Programs that Support Clinicians. Carr S. Chestnut Hill, MA: Medically Induced Trauma Support Services; 2009.
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psnet.ahrq.gov/issue/call-action-safeguarding-integrity-healthcare-quality-and-safety-systems
November 09, 2022 - Book/Report
Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems.
Citation Text:
Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems. Glenview, IL: National Association of Healthcare Quality; October 2012.
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psnet.ahrq.gov/issue/preventing-newborn-falls-and-drops
October 10, 2018 - Newspaper/Magazine Article
Preventing newborn falls and drops.
Citation Text:
Preventing newborn falls and drops. Quick Safety. March 27, 2018;(40):1-2.
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psnet.ahrq.gov/issue/communicating-radiation-risks-paediatric-imaging-information-support-healthcare-discussions
July 14, 2021 - Book/Report
Communicating Radiation Risks in Paediatric Imaging: Information to Support Healthcare Discussions About Benefit and Risk.
Citation Text:
Communicating Radiation Risks in Paediatric Imaging: Information to Support Healthcare Discussions About Benefit and Risk. Geneva, Switzer…
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psnet.ahrq.gov/node/35891/psn-pdf
May 03, 2006 - They conclude that HIT may
reduce pediatric medication errors, have the potential to improve safety
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psnet.ahrq.gov/node/39553/psn-pdf
July 01, 2010 - chemotherapy-patients-perceptions-drug-administration-safety
This survey of outpatient chemotherapy patients revealed a high degree of concern about medication … errors, and most patients expressed a desire to take an active role in ensuring their own safety.
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psnet.ahrq.gov/node/60633/psn-pdf
July 01, 2020 - Frequency and types of patient-reported errors in
electronic health record ambulatory care notes.
July 1, 2020
Bell SK, Delbanco T, Elmore JG, et al. Frequency and types of patient-reported errors in electronic health
record ambulatory care notes. JAMA Netw Open. 2020;3(6):e205867.
doi:10.1001/jamanetworkopen.2020…
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psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
December 23, 2020 - May 27, 2011
Medication errors with the use of allopurinol and colchicine: a retrospective
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psnet.ahrq.gov/node/861281/psn-pdf
January 24, 2024 - E-prescribing and medication safety in community
settings: a rapid scoping review.
January 24, 2024
Cassidy CE, Boulos L, McConnell E, et al. E-prescribing and medication safety in community settings: a
rapid scoping review. Explor Res Clin Soc Pharm. 2023;12:100365. doi:10.1016/j.rcsop.2023.100365.
https://psnet.…
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psnet.ahrq.gov/issue/accidents-claiming-and-regional-subcultures-are-medical-errors-and-malpractice-lawsuits
October 16, 2024 - December 16, 2008
Iatrogenic disease management: moderating medication errors and risks
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psnet.ahrq.gov/issue/reliability-uncertainty-and-management-error-new-perspectives-covid-19-era
January 12, 2022 - May 24, 2015
Preventing medication errors in hospitals through a systems approach and
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psnet.ahrq.gov/issue/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
May 12, 2021 - Commentary
The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy.
Citation Text:
Kanter MH, Ghobadi A, Lurvey LD, et al. The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy. Diagnosis (Berl). 2022;9(4):430-43…
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psnet.ahrq.gov/issue/peers-without-fears-barriers-effective-communication-among-primary-care-physicians-and
October 27, 2021 - Study
Peers without fears? Barriers to effective communication among primary care physicians and oncologists about diagnostic delays in cancer.
Citation Text:
Lipitz-Snyderman A, Kale M, Robbins L, et al. Peers without fears? Barriers to effective communication among primary care physici…
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psnet.ahrq.gov/issue/impact-teamwork-and-communication-training-interventions-safety-culture-and-patient-safety
October 07, 2020 - Review
Impact of teamwork and communication training interventions on safety culture and patient safety in emergency departments: a systematic review.
Citation Text:
Alsabri M, Boudi Z, Lauque D, et al. Impact of teamwork and communication training interventions on safety culture and pat…
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psnet.ahrq.gov/issue/when-doctors-share-visit-notes-patients-study-patient-and-doctor-perceptions-documentation
October 27, 2021 - Study
When doctors share visit notes with patients: a study of patient and doctor perceptions of documentation errors, safety opportunities and the patient–doctor relationship.
Citation Text:
Bell SK, Mejilla R, Anselmo M, et al. When doctors share visit notes with patients: a study of p…
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psnet.ahrq.gov/issue/do-work-condition-interventions-affect-quality-and-errors-primary-care-results-healthy-work
September 04, 2016 - Study
Do work condition interventions affect quality and errors in primary care? Results from the Healthy Work Place Study.
Citation Text:
Linzer M, Poplau S, Brown RL, et al. Do Work Condition Interventions Affect Quality and Errors in Primary Care? Results from the Healthy Work Place S…
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psnet.ahrq.gov/issue/use-patient-complaints-identify-diagnosis-related-safety-concerns-mixed-method-evaluation
April 13, 2022 - Study
Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation.
Citation Text:
Giardina TD, Korukonda S, Shahid U, et al. Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation. BMJ Qual Saf. 2021;30(12…
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psnet.ahrq.gov/issue/getting-it-right-patient-safety-specimen-collection-process-improvement-operating-room
July 16, 2013 - July 15, 2020
Economic analysis of the prevalence and clinical and economic burden of medication … error in England.