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psnet.ahrq.gov/issue/patient-safety-and-diagnostic-error-tips-your-next-shift
January 15, 2009 - Citation
Related Resources From the Same Author(s)
Profiles in patient safety: medication … errors in the emergency department.
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psnet.ahrq.gov/issue/improving-diagnosis-improving-education-policy-brief-education-healthcare-professions
August 28, 2019 - July 2, 2014
Profiles in patient safety: medication errors in the emergency department
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psnet.ahrq.gov/issue/amid-covid-19-discipline-against-bad-doctors-plummets-more-medical-errors-may-slip-through
June 24, 2020 - May 5, 2021
During the pandemic, aspire to identify and prevent medication errors and
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psnet.ahrq.gov/issue/i-think-medicine-actually-killed-my-wife-patient-and-family-perspectives-shared-decision
October 05, 2022 - Study
'I think this medicine actually killed my wife': patient and family perspectives on shared decision-making to optimize medications and safety.
Citation Text:
Mangin D, Risdon C, Lamarche L, et al. 'I think this medicine actually killed my wife': patient and family perspectives on s…
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psnet.ahrq.gov/issue/building-patient-trust-hospitals-combination-hospital-related-factors-and-health-care
April 14, 2021 - Study
Building patient trust in hospitals: a combination of hospital-related factors and health care clinician behaviors.
Citation Text:
Greene J, Samuel-Jakubos H. Building patient trust in hospitals: a combination of hospital-related factors and health care clinician behaviors. Jt Comm…
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psnet.ahrq.gov/issue/inappropriate-medication-national-sample-us-elderly-patients-receiving-home-health-care
September 09, 2020 - Study
Inappropriate medication in a national sample of US elderly patients receiving home health care.
Citation Text:
Bao Y, Shao H, Bishop TF, et al. Inappropriate medication in a national sample of US elderly patients receiving home health care. J Gen Intern Med. 2012;27(3):304-310. do…
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psnet.ahrq.gov/issue/examining-copy-and-paste-function-use-electronic-health-records
October 21, 2015 - Book/Report
Examining the Copy and Paste Function in the Use of Electronic Health Records.
Citation Text:
Examining the Copy and Paste Function in the Use of Electronic Health Records. Lowry SZ, Ramaiah M, Prettyman SS, et al. Gaithersburg, MD: National Institute of Standards and Technol…
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psnet.ahrq.gov/node/47051/psn-pdf
October 18, 2018 - Errors and discrepancies in the administration of
intravenous infusions: a mixed methods multihospital
observational study.
October 18, 2018
Lyons I, Furniss D, Blandford A, et al. Errors and discrepancies in the administration of intravenous
infusions: a mixed methods multihospital observational study. BMJ Qual S…
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psnet.ahrq.gov/node/44054/psn-pdf
November 16, 2015 - Analysis of ISMP National Vaccine Errors Reporting
Program—part 1 and part 2.
November 16, 2015
ISMP Medication Safety Alert! Acute Care Edition. December 4, 2014;19:1-6. March 26, 2015;20:1-4.
https://psnet.ahrq.gov/issue/analysis-ismp-national-vaccine-errors-reporting-program-part-1-and-part-2
This newsletter se…
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psnet.ahrq.gov/node/72535/psn-pdf
December 02, 2020 - Learning from influenza vaccine errors to prepare for
COVID-19 vaccination campaigns.
December 2, 2020
ISMP Medication Safety Alert! Acute care edition. November 19, 2020;25(23):1-6.
https://psnet.ahrq.gov/issue/learning-influenza-vaccine-errors-prepare-covid-19-vaccination-campaigns
Safety professionals enco…
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psnet.ahrq.gov/node/42024/psn-pdf
February 13, 2013 - The effects of resident level of training on the rate of
pediatric prescription errors in an academic emergency
department.
February 13, 2013
Pacheco GS, Viscusi C, Hays DP, et al. The effects of resident level of training on the rate of pediatric
prescription errors in an academic emergency department. J Emerg Me…
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psnet.ahrq.gov/issue/assessing-reasons-decreased-primary-care-access-individuals-prescribed-opioids-audit-study
November 17, 2021 - September 11, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/medication-management-covid-19-patients-during-transition-virtual-models-care-qualitative
October 30, 2024 - Associations of person-related, environment-related and communication-related factors on medication … errors in public and private hospitals: a retrospective clinical audit.
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www.ahrq.gov/sites/default/files/2024-01/sirio-report.pdf
January 01, 2024 - An important unanticipated benefit was identification of
medication errors. … tool for providing
education and assisting in the promotion of patient safety through decreasing
medication … errors and improving medication adherence behaviors. … errors, improve medication delivery system and
administration design issues, enhance and improve patient … • Unexpected and significant medication errors were identified in approximately
20% of a subset of
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psnet.ahrq.gov/issue/potentially-inappropriate-opioid-prescribing-overdose-and-mortality-massachusetts-2011-2015
January 23, 2019 - Study
Potentially inappropriate opioid prescribing, overdose, and mortality in Massachusetts, 2011–2015.
Citation Text:
Rose AJ, Bernson D, Chui KKH, et al. Potentially Inappropriate Opioid Prescribing, Overdose, and Mortality in Massachusetts, 2011-2015. J Gen Intern Med. 2018;33(9):151…
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psnet.ahrq.gov/issue/clinical-validation-ahrq-postoperative-venous-thromboembolism-patient-safety-indicator
September 25, 2011 - Study
Clinical validation of the AHRQ postoperative venous thromboembolism patient safety indicator.
Citation Text:
Henderson KE, Recktenwald AJ, Reichley RM, et al. Clinical validation of the AHRQ postoperative venous thromboembolism patient safety indicator. Jt Comm J Qual Patient Saf.…
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psnet.ahrq.gov/issue/system-wide-hospital-child-maltreatment-patient-safety-program
September 15, 2021 - Study
A system-wide hospital child maltreatment patient safety program.
Citation Text:
Hansen J, Terreros A, Sherman A, et al. A system-wide hospital child maltreatment patient safety program. Pediatrics. 2021;148(3):e2021050555. doi:10.1542/peds.2021-050555.
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psnet.ahrq.gov/issue/financial-incentives-promote-health-care-quality-hospital-acquired-conditions-nonpayment
November 08, 2023 - Commentary
Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy.
Citation Text:
Kavanagh KT. Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy. Soc Work Public Health. 2011;26(5):52…
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psnet.ahrq.gov/issue/human-factors-and-quality-improvement-emergency-department-reducing-potential-errors-blood
October 14, 2011 - Study
Human factors and quality improvement in the emergency department: reducing potential errors in blood collection.
Citation Text:
Bashkin O, Caspi S, Swissa A, et al. Human Factors and Quality Improvement in the Emergency Department: Reducing Potential Errors in Blood Collection. J …
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psnet.ahrq.gov/issue/cognitive-bias-and-dissonance-surgical-practice-narrative-review
June 25, 2018 - Review
Cognitive bias and dissonance in surgical practice: a narrative review.
Citation Text:
Richburg CE, Dossett LA, Hughes TM. Cognitive bias and dissonance in surgical practice: a narrative review. Surg Clin North Am. 2023;103(2):271-285. doi:10.1016/j.suc.2022.11.003.
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