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psnet.ahrq.gov/issue/omissions-care-nursing-home-settings-narrative-review
November 18, 2020 - Review
Omissions of care in nursing home settings: a narrative review.
Citation Text:
Ogletree AM, Mangrum R, Harris Y, et al. Omissions of care in nursing home settings: a narrative review. J Am Med Dir Assoc. 2020;21(5):604-614.e6. doi:10.1016/j.jamda.2020.02.016.
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psnet.ahrq.gov/issue/interventions-targeted-reducing-diagnostic-error-systematic-review
March 10, 2021 - Review
Interventions targeted at reducing diagnostic error: systematic review.
Citation Text:
Dave N, Bui S, Morgan C, et al. Interventions targeted at reducing diagnostic error: systematic review. BMJ Qual Saf. 2022;31(4):297-307. doi:10.1136/bmjqs-2020-012704.
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psnet.ahrq.gov/issue/simulation-exercises-patient-safety-strategy-systematic-review
March 13, 2013 - May 22, 2019
Human-simulation-based learning to prevent medication error: a systematic
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psnet.ahrq.gov/issue/what-are-unintended-patient-safety-consequences-healthcare-technologies-qualitative-study
February 26, 2020 - machine learning-based clinical decision support system to identify prescriptions with a high risk of medication … error.
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psnet.ahrq.gov/web-mm/air-side-caution
April 21, 2015 - Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a … October 1, 2011
Effect of pharmacists on medication errors in an emergency department
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digital.ahrq.gov/sites/default/files/docs/lesson/08-0063-ef-ambulatory-cpoe.pdf
May 01, 2008 - Effect of computerized physician order entry and a team
intervention on prevention of serious medication … errors. … The impact of computerized physician order entry on medication error
prevention. … Relationship between medication errors and adverse drug
events.
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psnet.ahrq.gov/issue/fda-public-health-notification-unretrieved-device-fragments
June 02, 2021 - Press Release/Announcement
FDA public health notification: unretrieved device fragments.
Citation Text:
FDA public health notification: unretrieved device fragments. Silver Spring MD, Center for Devices and Radiological Health, US Food and Drug Administration; January 15, 2008.
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psnet.ahrq.gov/issue/research-webairs-incident-reporting-system
February 15, 2023 - Special or Theme Issue
Research from webAIRS incident reporting system.
Citation Text:
Research from webAIRS incident reporting system. Anaesth Intensive Care. 2023;51(6):372-421.
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psnet.ahrq.gov/issue/patient-misidentification-oncology-care
March 22, 2006 - Commentary
Patient misidentification in oncology care.
Citation Text:
Patient misidentification in oncology care. Schulmeister L. Clin J Oncol Nurs. 2008;12:495-498.
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psnet.ahrq.gov/issue/nhs-hospitals-employ-safety-experts-tackle-thousands-avoidable-mistakes
June 07, 2023 - Newspaper/Magazine Article
NHS hospitals to employ safety experts to tackle thousands of avoidable mistakes.
Citation Text:
Lintern S. NHS hospitals to employ safety experts to tackle thousands of avoidable mistakes. Independent. December 25, 2019;
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psnet.ahrq.gov/issue/our-long-journey-towards-safety-minded-just-culture-part-i-where-weve-been
November 13, 2018 - Newspaper/Magazine Article
Our long journey towards a safety-minded just culture. Part I: Where we've been.
Citation Text:
Our long journey towards a safety-minded just culture. Part I: Where we've been. ISMP Medication Safety Alert! Acute care edition. September 7, 2006;11.
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psnet.ahrq.gov/issue/radiologists-responses-inadequate-referrals
December 07, 2011 - Study
Radiologists' responses to inadequate referrals.
Citation Text:
Lysdahl KB, Hofmann BM, Espeland A. Radiologists' responses to inadequate referrals. Eur Radiol. 2010;20(5):1227-33. doi:10.1007/s00330-009-1640-y.
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www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-11.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure 11: Comparison of Audit Techniques
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Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chapter 1…
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www.ahrq.gov/patient-safety/settings/hospital/match/figure-11.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure 11: Comparison of Audit Techniques
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chapter 1…
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psnet.ahrq.gov/issue/ismp-survey-high-alert-medications-acute-care-settings
January 26, 2023 - Measurement Tool/Indicator
ISMP Survey on High-Alert Medications in Acute Care Settings.
Citation Text:
ISMP Survey on High-Alert Medications in Acute Care Settings. Plymouth Meeting, PA: Institute for Safe Medication Practices; 2023.
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psnet.ahrq.gov/node/43232/psn-pdf
June 04, 2014 - Standardization in patient safety: the WHO High 5s
project.
June 4, 2014
Leotsakos A, Zheng H, Croteau R, et al. Standardization in patient safety: the WHO High 5s project. Int J
Qual Health Care. 2014;26(2):109-16. doi:10.1093/intqhc/mzu010.
https://psnet.ahrq.gov/issue/standardization-patient-safety-who-high-5s-…
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psnet.ahrq.gov/node/44838/psn-pdf
February 10, 2016 - ADVERSE drug events: incidence and risk reduction
across the care continuum.
February 10, 2016
Wanderer JP, Rathmell JP. ADVERSE Drug Events: Incidence & risk reduction across the care continuum.
Anesthesiology. 2016;124(1):A23. doi:10.1097/01.anes.0000473722.20007.03.
https://psnet.ahrq.gov/issue/adverse-drug-eve…
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psnet.ahrq.gov/issue/effect-interventions-improve-safety-culture-healthcare-workers-hospital-settings-systematic
September 06, 2023 - December 8, 2021
Potential costs and consequences associated with medication error at … February 1, 2023
Medication errors among adults and children with cancer in the outpatient
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psnet.ahrq.gov/issue/association-nurse-work-environment-and-patient-safety-pediatric-acute-care
July 12, 2017 - Diagnostic Safety and Quality
April 26, 2023
Nearing zero...reducing grade C medication … errors. … February 2, 2011
Nighttime and weekend medication error rates in an inpatient pediatric
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psnet.ahrq.gov/issue/department-anesthesiology-skilled-peer-support-program-outcomes-second-victim-perceptions
April 12, 2011 - Related Resources From the Same Author(s)
Field test results of a new ambulatory care Medication … Error and Adverse Drug Event Reporting System—MEADERS. … session to improve first-year pharmacy students' knowledge and confidence concerning the prevention of medication … errors.