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psnet.ahrq.gov/issue/quick-tips-when-getting-prescription
December 24, 2008 - Government Resource
Quick Tips—When Getting A Prescription.
Citation Text:
Quick Tips—When Getting A Prescription. Agency for Healthcare Research and Quality; AHRQ.
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psnet.ahrq.gov/issue/culture-resistance
September 19, 2016 - Newspaper/Magazine Article
Culture of resistance.
Citation Text:
Culture of resistance. Berens MJ; Armstrong K.
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psnet.ahrq.gov/issue/managing-care-patients-discharged-home-health-quiet-threat-patient-safety
October 16, 2012 - 24, 2008
Nurses' practice environments, error interception practices, and inpatient medication … errors.
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psnet.ahrq.gov/node/39070/psn-pdf
November 27, 2009 - Litigation related to drug errors in anaesthesia: an
analysis of claims against the NHS in England 1995-2007.
November 27, 2009
Cranshaw J, Gupta KJ, Cook TM. Litigation related to drug errors in anaesthesia: an analysis of claims
against the NHS in England 1995-2007. Anaesthesia. 2009;64(12):1317-23. doi:10.1111/j…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast3-gandhi.pdf
January 01, 2018 - New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - Optimizing (Gandhi)
Optimizing
the Use of HIT
to Improve
Safety
Tejal Gandhi
Handwriting
16
Ways IT Can Improve Safety
• Prevent errors and adverse events
• Facilitating a more rapid response after an
…
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psnet.ahrq.gov/issue/roi-fall-prevention-intervention-invest-little-save-lot
September 13, 2017 - Study
ROI for a fall prevention intervention: invest a little, save a lot.
Citation Text:
Cooper AS. ROI for a fall prevention intervention: invest a little, save a lot. Nurs Adm Q. 2024;48(3):248-252. doi:10.1097/naq.0000000000000647.
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psnet.ahrq.gov/issue/food-and-drug-administrations-initiative-safe-design-and-effective-use-home-medical-equipment
August 18, 2010 - Commentary
The Food and Drug Administration's initiative for safe design and effective use of home medical equipment.
Citation Text:
Weick-Brady M, Singh S. The Food and Drug Administration's initiative for safe design and effective use of home medical equipment. Home Healthc Nurse. 2014…
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psnet.ahrq.gov/issue/scrutinizing-incident-reporting-anaesthesia-why-incident-perceived-critical
February 23, 2011 - Study
Scrutinizing incident reporting in anaesthesia: why is an incident perceived as critical?
Citation Text:
Maaløe R, la Cour M, Hansen A, et al. Scrutinizing incident reporting in anaesthesia: why is an incident perceived as critical? Acta Anaesthesiol Scand. 2006;50(8):1005-13.
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psnet.ahrq.gov/issue/harmed-patients-gaining-voice-challenging-dominant-perspectives-construction-medical-harm-and
March 18, 2020 - Study
Harmed patients gaining voice: challenging dominant perspectives in the construction of medical harm and patient safety reforms.
Citation Text:
Ocloo JE. Harmed patients gaining voice: challenging dominant perspectives in the construction of medical harm and patient safety reform…
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psnet.ahrq.gov/issue/little-shop-errors-innovative-simulation-patient-safety-workshop-community-health-care
October 14, 2009 - Commentary
Little shop of errors: an innovative simulation patient safety workshop for community health care professionals.
Citation Text:
Tupper JB, Pearson KB, Meinersmann KM, et al. Little shop of errors: an innovative simulation patient safety workshop for community health care pro…
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psnet.ahrq.gov/issue/hamilton-acute-pain-service-safety-study-using-root-cause-analysis-reduce-incidence-adverse
January 12, 2011 - Study
Hamilton Acute Pain Service Safety Study: using root cause analysis to reduce the incidence of adverse events.
Citation Text:
Paul JE, Buckley N, McLean RF, et al. Hamilton acute pain service safety study: using root cause analysis to reduce the incidence of adverse events. Anesth…
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psnet.ahrq.gov/issue/misdiagnosis-emergency-department-time-system-solution
March 25, 2020 - Commentary
Misdiagnosis in the emergency department: time for a system solution.
Citation Text:
Edlow JA, Pronovost PJ. Misdiagnosis in the emergency department: time for a system solution. JAMA. 2023;329(8):631-632. doi:10.1001/jama.2023.0577.
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psnet.ahrq.gov/issue/specificity-computerized-physician-order-entry-has-significant-effect-efficiency-workflow
March 14, 2022 - Study
Specificity of computerized physician order entry has a significant effect on the efficiency of workflow for critically ill patients.
Citation Text:
Ali NA, Mekhjian HS, Kuehn L, et al. Specificity of computerized physician order entry has a significant effect on the efficiency o…
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psnet.ahrq.gov/issue/health-care-getting-safer
December 14, 2016 - Commentary
Is health care getting safer?
Citation Text:
Vincent CA, Aylin PP, Franklin BD, et al. Is health care getting safer? BMJ. 2008;337:a2426. doi:10.1136/bmj.a2426.
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psnet.ahrq.gov/issue/racial-differences-antibiotic-prescribing-primary-care-pediatricians
April 22, 2020 - Study
Racial differences in antibiotic prescribing by primary care pediatricians.
Citation Text:
Gerber JS, Prasad PA, Localio AR, et al. Racial differences in antibiotic prescribing by primary care pediatricians. Pediatrics. 2013;131(4):677-684. doi:10.1542/peds.2012-2500.
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psnet.ahrq.gov/issue/effect-anonymous-reporting-system-near-miss-and-harmful-medical-error-reporting-pediatric
September 28, 2010 - Study
Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care unit.
Citation Text:
Grant MJC, Larsen G. Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care …
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psnet.ahrq.gov/issue/threats-patient-safety-primary-care-office-concerns-physicians-and-nurses
November 09, 2015 - Study
Threats to patient safety in the primary care office: concerns of physicians and nurses.
Citation Text:
Schwappach DLB, Gehring K, Battaglia M, et al. Threats to patient safety in the primary care office: concerns of physicians and nurses. Swiss Med Wkly. 2012;142:w13601. doi:10.…
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psnet.ahrq.gov/issue/implementation-science-approach-promote-optimal-implementation-adoption-use-and-spread
July 13, 2010 - Study
An implementation science approach to promote optimal implementation, adoption, use, and spread of continuous clinical monitoring system technology.
Citation Text:
Dykes PC, Lowenthal G, Faris A, et al. An Implementation Science Approach to Promote Optimal Implementation, Adoption,…
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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/fixing-healthcare-delivery
February 05, 2014 - May 7, 2018
Wrong-patient medication errors: an analysis of event reports in Pennsylvania