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psnet.ahrq.gov/issue/patient-safety-canada-update
December 04, 2019 - Book/Report
Patient Safety in Canada: An Update.
Citation Text:
Patient Safety in Canada: An Update. Ottawa, ON: Canadian Institute for Health Information; August 14, 2007.
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psnet.ahrq.gov/web-mm/central-not-epidural
August 28, 2024 - overview of intravenous-related medication administration errors as reported to MEDMARX, a national medication … error-reporting program.
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psnet.ahrq.gov/issue/disclose-or-not-disclose-radiologic-errors-should-patient-first-supersede-radiologist-self
October 23, 2018 - September 25, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/applying-medications-transitions-and-clinical-handoffs-toolkit-rural-primary-care-clinic
August 04, 2021 - Study
Applying the Medications at Transitions and Clinical Handoffs Toolkit in a rural primary care clinic: implications for nursing, patients, and caregivers.
Citation Text:
Jarrett T, Cochran J, Baus A. Applying the Medications at Transitions and Clinical Handoffs Toolkit in a rural pr…
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psnet.ahrq.gov/issue/adverse-outcomes-polypharmacy-older-people-systematic-review-reviews
May 29, 2019 - Review
Classic
Adverse outcomes of polypharmacy in older people: systematic review of reviews.
Citation Text:
Davies LE, Spiers G, Kingston A, et al. Adverse outcomes of polypharmacy in older people: systematic review of reviews. J Am Med Dir Assoc. 2020;21(2):1…
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psnet.ahrq.gov/issue/analysis-deaths-related-anesthesia-period-1996-2004-closed-claims-registered-danish-patient
November 13, 2024 - Study
Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the Danish Patient Insurance Association.
Citation Text:
Hove LD, Steinmetz J, Christoffersen JK, et al. Analysis of deaths related to anesthesia in the period 1996-2004 from closed …
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psnet.ahrq.gov/issue/impact-regionalized-care-concordance-plan-and-preventable-adverse-events-general-medicine
November 16, 2022 - Study
Impact of regionalized care on concordance of plan and preventable adverse events on general medicine services.
Citation Text:
Mueller SK, Schnipper JL, Giannelli K, et al. Impact of regionalized care on concordance of plan and preventable adverse events on general medicine service…
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psnet.ahrq.gov/issue/older-patients-understanding-emergency-department-discharge-information-and-its-relationship
October 10, 2012 - Study
Older patients' understanding of emergency department discharge information and its relationship with adverse outcomes.
Citation Text:
Hastings SN, Barrett A, Weinberger M, et al. Older Patients' Understanding of Emergency Department Discharge Information and Its Relationship Wit…
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psnet.ahrq.gov/issue/are-language-barriers-associated-serious-medical-events-hospitalized-pediatric-patients
November 16, 2022 - Study
Classic
Are language barriers associated with serious medical events in hospitalized pediatric patients?
Citation Text:
Cohen AL. Are Language Barriers Associated With Serious Medical Events in Hospitalized Pediatric Patients? Pediatrics. 2005;116(3):575…
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psnet.ahrq.gov/issue/effectiveness-interventions-improve-adverse-drug-reaction-reporting-healthcare-professionals
August 28, 2024 - Review
Effectiveness of interventions to improve adverse drug reaction reporting by healthcare professionals over the last decade: A systematic review
Citation Text:
Li R, Zaidi STR, Chen T, et al. Effectiveness of interventions to improve adverse drug reaction reporting by healthcare pr…
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psnet.ahrq.gov/issue/effects-rapid-response-systems-clinical-outcomes-systematic-review-and-meta-analysis
September 23, 2020 - Review
Classic
Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis.
Citation Text:
Ranji SR, Auerbach AD, Hurd CJ, et al. Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis. J Hos…
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psnet.ahrq.gov/issue/voluntary-electronic-reporting-laboratory-errors-analysis-37532-laboratory-event-reports-30
February 24, 2011 - Study
Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations.
Citation Text:
Snydman LK, Harubin B, Kumar S, et al. Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event…
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psnet.ahrq.gov/issue/ecri-announces-top-10-healthcare-technology-hazards
May 22, 2013 - September 28, 2016
Medication errors involving overrides of healthcare technology.
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psnet.ahrq.gov/issue/thinking-about-our-thinking-physicians
August 24, 2016 - January 4, 2009
Preventing Medication Errors: Quality Chasm Series.
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psnet.ahrq.gov/issue/brigham-and-womens-airing-medical-mistakes
August 24, 2016 - August 24, 2016
Report faults Children's Hospital for medication errors.
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/measure4.html
June 01, 2018 - between providers and patients, within and across care settings, has been identified as a source of medication … error. … Improving communication is a key aspect of decreasing medication errors and improving patient safety
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psnet.ahrq.gov/node/41627/psn-pdf
August 29, 2012 - The nurse's medication day.
August 29, 2012
Jennings BM, Sandelowski M, Mark BA. The nurse's medication day. Qual Health Res. 2011;21(10):1441-
51. doi:10.1177/1049732311411927.
https://psnet.ahrq.gov/issue/nurses-medication-day
This ethnographic study describes the complexity of medication administration and comp…
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psnet.ahrq.gov/issue/technology-education-and-safety-2
December 02, 2020 - WebM&M Cases
Syringe Swap During Regional Block: A Case of Medication … Error and Recovery
January 31, 2024
Facilitators and barriers to the implementation
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psnet.ahrq.gov/issue/doctors-use-more-devices-potential-distraction-grows
March 06, 2005 - October 24, 2012
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/comparison-accuracy-human-readers-versus-machine-learning-algorithms-pigmented-skin-lesion
July 22, 2020 - Study
Classic
Comparison of the accuracy of human readers versus machine-learning algorithms for pigmented skin lesion classification: an open, web-based, international, diagnostic study.
Citation Text:
Tschandl P, Codella N, Akay BN, et al. Comparison of the ac…