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psnet.ahrq.gov/issue/patient-safety-5
February 22, 2006 - Safety Professionals
Discontinuities, Gaps, and Hand-Off Problems
Fatigue and Sleep Deprivation
Medication … Errors/Preventable Adverse Drug Events
Nosocomial Infections
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psnet.ahrq.gov/issue/patient-safety-serious-reportable-events-healthcare
September 06, 2011 - April 15, 2005
Preventing Medication Errors: A $21 Billion Opportunity.
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psnet.ahrq.gov/issue/use-color-coded-patient-wristbands-creates-unnecessary-risk
November 28, 2018 - July 24, 2013
Perioperative medication errors: uncovering risk from behind the drapes
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psnet.ahrq.gov/issue/do-no-harm-hospital-care-las-vegas
October 02, 2013 - March 24, 2016
Successful remediation of patient safety incidents: a tale of two medication … errors.
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psnet.ahrq.gov/issue/hospital-safety-your-responsibility-or-theirs
October 23, 2019 - May 8, 2013
Fatal mistakes: why do ten-fold medication errors in children keep happening
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psnet.ahrq.gov/node/50630/psn-pdf
November 06, 2019 - Non-dispensing pharmacists' actions and solutions of
drug therapy problems among elderly polypharmacy
patients in primary care.
November 6, 2019
Hazen ACM, Zwart DLM, Poldervaart JM, et al. Non-dispensing pharmacists' actions and solutions of drug
therapy problems among elderly polypharmacy patients in primary car…
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psnet.ahrq.gov/node/35928/psn-pdf
June 09, 2011 - Clinical pharmacists and inpatient medical care: a
systematic review.
June 9, 2011
Kaboli PJ, Hoth AB, McClimon BJ, et al. Clinical pharmacists and inpatient medical care: a systematic
review. Arch Intern Med. 2006;166(9):955-64.
https://psnet.ahrq.gov/issue/clinical-pharmacists-and-inpatient-medical-care-systemat…
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digital.ahrq.gov/location/usa-il-evanston
January 01, 2023 - USA, IL, Evanston
Preventing Wrong-Drug and Wrong-Patient Errors With Indication Alerts in CPOE Systems
Description
This research implemented indication alerts, which occur when an ordered or prescribed medication lacks a corresponding problem on the patient’s problem list. Th…
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psnet.ahrq.gov/perspective/conversation-john-g-reiling-phd
June 01, 2014 - For example, design around medication errors. … Then we made a chart of ideas around all latent conditions and adverse events: medication errors, noise … For example, we thought putting medications at the bedside would lower medication errors, and it would … errors. … For example, data for medication errors has shown that reducing interruptions and having a quiet "pharmacy
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psnet.ahrq.gov/issue/incorrect-surgical-counts-qualitative-analysis
September 12, 2012 - Study
Incorrect surgical counts: a qualitative analysis.
Citation Text:
Rowlands A, Steeves R. Incorrect surgical counts: a qualitative analysis. AORN J. 2010;92(4):410-9. doi:10.1016/j.aorn.2010.01.019.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML…
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psnet.ahrq.gov/issue/time-day-and-decision-prescribe-antibiotics
September 29, 2017 - Study
Time of day and the decision to prescribe antibiotics.
Citation Text:
Linder JA, Doctor JN, Friedberg MW, et al. Time of day and the decision to prescribe antibiotics. JAMA Intern Med. 2014;174(12):2029-31. doi:10.1001/jamainternmed.2014.5225.
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DO…
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psnet.ahrq.gov/issue/racial-disparities-child-abuse-medicine
June 15, 2022 - Commentary
Racial disparities in child abuse medicine.
Citation Text:
Rosenthal CM, Parker DM, Thompson LA. Racial disparities in child abuse medicine. JAMA Pediatr. 2022;176(2):119-120. doi:10.1001/jamapediatrics.2021.3601.
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DOI Google Scholar BibTeX E…
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psnet.ahrq.gov/issue/criminal-liability-nursing-and-medical-harm
August 10, 2022 - Commentary
Criminal liability for nursing and medical harm.
Citation Text:
Maher V, Cwiek M. Criminal liability for nursing and medical harm. Hosp Top. 2024;102(2):117-124. doi:10.1080/00185868.2022.2101571.
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DOI Google Scholar BibTeX EndNote X3 XML End…
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psnet.ahrq.gov/issue/hospital-mortality-associated-misdiagnosis-or-unidentified-site-infection-admission
June 27, 2011 - Review
In-hospital mortality associated with the misdiagnosis or unidentified site of infection at admission.
Citation Text:
Abe T, Tokuda Y, Shiraishi A, et al. In-hospital mortality associated with the misdiagnosis or unidentified site of infection at admission. Crit Care. 2019;23(1):2…
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psnet.ahrq.gov/issue/computerization-can-create-safety-hazards-bar-coding-near-miss
March 11, 2011 - Commentary
Classic
Computerization can create safety hazards: a bar-coding near miss.
Citation Text:
McDonald CJ. Computerization can create safety hazards: a bar-coding near miss. Ann Intern Med. 2006;144(7):510-6.
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psnet.ahrq.gov/issue/initiative-improve-management-clinically-significant-test-results-large-health-care-network
November 26, 2014 - Study
An initiative to improve the management of clinically significant test results in a large health care network.
Citation Text:
Roy CL, Rothschild JM, Dighe AS, et al. An initiative to improve the management of clinically significant test results in a large health care network. Jt …
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psnet.ahrq.gov/issue/hcup-statistical-brief-313-trends-severe-maternal-morbidity-complications-patient
December 16, 2009 - Book/Report
HCUP Statistical Brief #312. Trends in Severe Maternal Morbidity Complications by Patient Characteristics, 2016-2021.
Citation Text:
Reid LD. Hcup Statistical Brief #313. Trends In Severe Maternal Morbidity Complications By Patient Characteristics, 2016-2021. Rockville, MD: A…
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psnet.ahrq.gov/issue/long-working-hours-safety-and-health-toward-national-research-agenda
November 16, 2022 - Review
Long working hours, safety, and health: toward a national research agenda.
Citation Text:
Caruso CC, Bushnell T, Eggerth D, et al. Long working hours, safety, and health: toward a National Research Agenda. Am J Ind Med. 2006;49(11):930-42.
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psnet.ahrq.gov/issue/defining-optimal-length-opioid-pain-medication-prescription-after-common-surgical-procedures
August 15, 2018 - Study
Defining optimal length of opioid pain medication prescription after common surgical procedures.
Citation Text:
Scully RE, Schoenfeld AJ, Jiang W, et al. Defining Optimal Length of Opioid Pain Medication Prescription After Common Surgical Procedures. JAMA Surg. 2018;153(1):37-43. d…
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psnet.ahrq.gov/issue/veterans-affairs-national-quality-scholars-program-model-interprofessional-education-quality
May 02, 2012 - Commentary
The Veterans Affairs National Quality Scholars Program: a model for interprofessional education in quality and safety.
Citation Text:
Patrician PA, Dolansky MA, Pair V, et al. The Veterans Affairs National Quality Scholars program: a model for interprofessional education in …