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psnet.ahrq.gov/issue/moderate-success-quality-care-improvement-efforts-three-observations-situation
May 06, 2015 - Commentary
The moderate success of quality of care improvement efforts: three observations on the situation.
Citation Text:
Katz-Navon T, Naveh E, Stern Z. The moderate success of quality of care improvement efforts: three observations on the situation. International Journal for Qualit…
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psnet.ahrq.gov/issue/blood-sampling-guidelines-focus-patient-safety-and-identification-review
August 10, 2016 - Review
Blood sampling guidelines with focus on patient safety and identification—a review.
Citation Text:
Cornes M, Ibarz M, Ivanov H, et al. Blood sampling guidelines with focus on patient safety and identification - a review. Diagnosis (Berl). 2019;6(1):33-37. doi:10.1515/dx-2018-0042.…
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psnet.ahrq.gov/issue/deaths-following-prehospital-safety-incidents-analysis-national-database
October 03, 2018 - Study
Deaths following prehospital safety incidents: an analysis of a national database.
Citation Text:
Yardley I, Donaldson LJ. Deaths following prehospital safety incidents: an analysis of a national database. Emerg Med J. 2016;33(10):716-721. doi:10.1136/emermed-2015-204724.
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psnet.ahrq.gov/issue/association-patient-photographs-and-reduced-retract-and-reorder-events
February 24, 2021 - Study
Association of patient photographs and reduced retract-and-reorder events.
Citation Text:
Rzewnicki D, Kanvinde A, Gillespie S, et al. Association of patient photographs and reduced retract-and-reorder events. JAMIA Open. 2024;7(3):ooae042. doi:10.1093/jamiaopen/ooae042.
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psnet.ahrq.gov/issue/patient-hand-initiation-and-evaluation-phone-study-randomized-trial-patient-handoff-methods
December 20, 2023 - Study
Patient Hand-Off iNitiation and Evaluation (PHONE) study: a randomized trial of patient handoff methods.
Citation Text:
Clanton J, Gardner A, Subichin M, et al. Patient Hand-Off iNitiation and Evaluation (PHONE) study: A randomized trial of patient handoff methods. Am J Surg. 2017;…
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psnet.ahrq.gov/issue/national-efforts-improve-health-information-system-safety-canada-united-states-america-and
July 14, 2009 - Review
National efforts to improve health information system safety in Canada, the United States of America and England.
Citation Text:
Kushniruk AW, Bates DW, Bainbridge M, et al. National efforts to improve health information system safety in Canada, the United States of America and …
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psnet.ahrq.gov/issue/impact-feeling-responsible-adverse-events-doctors-personal-and-professional-lives-importance
March 13, 2013 - Study
Impact of feeling responsible for adverse events on doctors' personal and professional lives: the importance of being open to criticism from colleagues.
Citation Text:
Aasland OG, Førde R. Impact of feeling responsible for adverse events on doctors' personal and professional live…
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psnet.ahrq.gov/issue/normal-neurologic-and-developmental-outcome-after-accidental-intravenous-infusion-expressed
June 15, 2022 - Study
Normal neurologic and developmental outcome after an accidental intravenous infusion of expressed breast milk in a neonate.
Citation Text:
Ryan A, Mohammad I, Murphy B. Normal neurologic and developmental outcome after an accidental intravenous infusion of expressed breast milk i…
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psnet.ahrq.gov/issue/real-malady-marcel-proust-and-what-it-reveals-about-diagnostic-errors-medicine
September 27, 2022 - Commentary
The real malady of Marcel Proust and what it reveals about diagnostic errors in medicine.
Citation Text:
Douglas Y. The real malady of Marcel Proust and what it reveals about diagnostic errors in medicine. Med Hypotheses. 2016;90:14-8. doi:10.1016/j.mehy.2016.02.024.
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psnet.ahrq.gov/node/47738/psn-pdf
February 06, 2019 - ISMP Guidelines for Safe Electronic Communication of
Medication Information.
February 6, 2019
Horsham, PA: Institute for Safe Medication Practices; January 2019.
https://psnet.ahrq.gov/issue/ismp-guidelines-safe-electronic-communication-medication-information
Inaccurate or incomplete data in electronic health reco…
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psnet.ahrq.gov/node/35340/psn-pdf
July 10, 2008 - Posthospital medication discrepancies: prevalence and
contributing factors.
July 10, 2008
Coleman EA, Smith JD, Raha D, et al. Posthospital medication discrepancies: prevalence and contributing
factors. Arch Intern Med. 2005;165(16):1842-1847.
https://psnet.ahrq.gov/issue/posthospital-medication-discrepancies-prev…
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psnet.ahrq.gov/node/46632/psn-pdf
May 11, 2019 - Higher accuracy of complex medication reconciliation
through improved design of electronic tools.
May 11, 2019
Horsky J, Drucker EA, Ramelson HZ. Higher accuracy of complex medication reconciliation through
improved design of electronic tools. J Am Med Inform Assoc. 2018;25(5):465-475.
doi:10.1093/jamia/ocx127.
h…
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psnet.ahrq.gov/node/867599/psn-pdf
January 22, 2025 - Assessing patient work system factors for medication
management during transition of care among older
adults: an observational study.
January 22, 2025
Xiao Y, Hsu Y-J, Hannum SM, et al. Assessing patient work system factors for medication management
during transition of care among older adults: an observational st…
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psnet.ahrq.gov/issue/readiness-report-medical-treatment-errors-effects-safety-procedures-safety-information-and
July 11, 2007 - December 29, 2014
Medication-error reporting and pharmacy resident experience during
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psnet.ahrq.gov/node/43265/psn-pdf
February 15, 2024 - Five Medication Safety Tips for Older Adults.
February 15, 2024
FDA Consumer Health Information. Silver Spring, MD: US Food and Drug Administration; February 15,
2024.
https://psnet.ahrq.gov/issue/five-medication-safety-tips-older-adults
Highlighting how aging affects medication absorption that may lead to complic…
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psnet.ahrq.gov/issue/decade-preventing-harm
July 10, 2008 - August 17, 2016
Initiatives to identify and mitigate medication errors in England.
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psnet.ahrq.gov/issue/peer-review-comments-augment-diagnostic-error-characterization-and-departmental-quality
September 02, 2020 - June 16, 2009
Characteristics of medication errors and adverse drug events in hospitals
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psnet.ahrq.gov/issue/journal-reporting-medical-errors-wisdom-solomon-bravery-achilles-and-foolishness-pan
April 24, 2018 - Computerized prescriber order entry–related patient safety reports: analysis of 2522 medication … errors.
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psnet.ahrq.gov/issue/improvement-detection-adverse-drug-events-use-electronic-health-and-prescription-records
September 23, 2020 - June 30, 2011
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psnet.ahrq.gov/issue/icn-position-statement-patient-safety
March 09, 2022 - Organizational Policy/Guidelines
ICN Position Statement: Patient Safety.
Citation Text:
ICN Position Statement: Patient Safety. Geneva, Switzerland; International Council of Nurses: 2023.
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