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psnet.ahrq.gov/issue/identifying-understanding-and-overcoming-barriers-medication-error-reporting-hospitals-focus
March 13, 2015 - Study
Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus group study.
Citation Text:
Hartnell N, MacKinnon NJ, Sketris I, et al. Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus gr…
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psnet.ahrq.gov/issue/automation-i-pass-tool-improve-transitions-care
August 04, 2021 - Study
Automation of the I-PASS tool to improve transitions of care.
Citation Text:
Skaret MM, Weaver TD, Humes RJ, et al. Automation of the I-PASS Tool to Improve Transitions of Care. J Healthc Qual. 2019;41(5):274-280. doi:10.1097/JHQ.0000000000000174.
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psnet.ahrq.gov/issue/effectiveness-chatgpt-clinical-pharmacy-and-role-artificial-intelligence-medication-therapy
November 11, 2020 - Study
Effectiveness of ChatGPT in clinical pharmacy and the role of artificial intelligence in medication therapy management.
Citation Text:
Roosan D, Padua P, Khan R, et al. Effectiveness of ChatGPT in clinical pharmacy and the role of artificial intelligence in medication therapy manag…
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psnet.ahrq.gov/issue/distractions-cardiac-catheterisation-laboratory-impact-cardiologists-and-patient-safety
June 07, 2023 - Study
Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety.
Citation Text:
Mahadevan K, Cowan E, Kalsi N, et al. Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. Open Heart. 2020;7(2). doi:…
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psnet.ahrq.gov/issue/assessment-emergency-department-antibiotic-discharge-prescription-dosing-errors-pediatric
March 01, 2011 - Study
Assessment of emergency department antibiotic discharge prescription dosing errors for pediatric patients in a community hospital health system.
Citation Text:
Barstow L, Herman E, Phillips H, et al. Assessment of Emergency Department Antibiotic Discharge Prescription Dosing Errors…
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psnet.ahrq.gov/issue/patient-safety-complementary-medicine-through-application-clinical-risk-management-public
February 15, 2023 - Study
Patient safety in complementary medicine through the application of clinical risk management in the public health system.
Citation Text:
Rossi EG, Bellandi T, Picchi M, et al. Patient Safety in Complementary Medicine through the Application of Clinical Risk Management in the Public…
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psnet.ahrq.gov/issue/examination-leapfrog-safety-measures-and-magnet-designation
January 27, 2021 - Study
An examination of Leapfrog safety measures and Magnet designation.
Citation Text:
Tai TWC, Mattie A, Miller SM, et al. An examination of Leapfrog safety measures and Magnet designation. J Healthc Risk Manag. 2023;42(3-4):21-29. doi:10.1002/jhrm.21533.
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psnet.ahrq.gov/issue/caregivers-perspectives-ethical-challenges-and-patient-safety-tele-palliative-care
July 10, 2024 - Review
Caregivers' perspectives on ethical challenges and patient safety in tele-palliative care: an integrative review.
Citation Text:
Schuessler N, Glarcher M. Caregivers' perspectives on ethical challenges and patient safety in tele-palliative care: an integrative review. J Hosp Palli…
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psnet.ahrq.gov/issue/can-patients-contribute-safer-care-meetings-healthcare-professionals-cross-sectional-survey
November 22, 2017 - Study
Can patients contribute to safer care in meetings with healthcare professionals? A cross-sectional survey of patient perceptions and beliefs.
Citation Text:
Ericsson C, Skagerström J, Schildmeijer K, et al. Can patients contribute to safer care in meetings with healthcare professio…
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psnet.ahrq.gov/issue/hospital-safety-climate-and-safety-behavior-social-exchange-perspective
February 15, 2023 - Study
Hospital safety climate and safety behavior: a social exchange perspective.
Citation Text:
Ancarani A, Di Mauro C, Giammanco MD. Hospital safety climate and safety behavior: A social exchange perspective. Health Care Manage Rev. 2017;42(4):341-351. doi:10.1097/HMR.0000000000000118.…
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psnet.ahrq.gov/issue/surveillance-medical-device-related-hazards-and-adverse-events-hospitalized-patients
March 11, 2011 - Study
Classic
Surveillance of medical device-related hazards and adverse events in hospitalized patients.
Citation Text:
Samore MH, Evans S, Lassen A, et al. Surveillance of medical device-related hazards and adverse events in hospitalized patients. JAMA. 2004;2…
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psnet.ahrq.gov/issue/medication-errors-community-pharmacies-need-commitment-transparency-and-research
June 17, 2020 - August 18, 2021
Medication discrepancy rates and sources upon nursing home intake: a
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psnet.ahrq.gov/issue/surrogate-decision-makers-perspectives-preventable-breakdowns-care-among-critically-ill
June 07, 2016 - May 15, 2013
The association of nursing home characteristics and quality with adverse
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psnet.ahrq.gov/node/34926/psn-pdf
February 03, 2010 - Strategies to improve the patient safety outcome
indicator: preventing or reducing falls.
February 3, 2010
Bright L. Strategies to improve the patient safety outcome indicator: preventing or reducing falls. Home
Healthc Nurse. 2005;23(1):29-36.
https://psnet.ahrq.gov/issue/strategies-improve-patient-safety-outcome…
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psnet.ahrq.gov/issue/patient-safety-5
February 22, 2006 - November 19, 2018
AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative
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psnet.ahrq.gov/issue/ahrq-2010-annual-conference
December 24, 2008 - December 10, 2024
View More
Related Resources
SOPS Nursing Home
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psnet.ahrq.gov/issue/hospitals-mess-are-urged-confess
December 14, 2016 - May 17, 2013
Medicare takes aim at boomerang hospitalizations of nursing home patients
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psnet.ahrq.gov/issue/surgeon-scorecard
January 22, 2014 - November 28, 2018
Nursing Home Compare.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.290_slideshow.ppt
February 01, 2013 - Spotlight Case July 2008
Spotlight Case
Delay in Treatment:
Failure to Contact Patient Leads to Significant Complications
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Source and Credits
This presentation is based on the February 2013
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.293_slideshow.ppt
March 01, 2013 - Spotlight Case July 2008
Spotlight Case
A Weighty Mistake
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*
Source and Credits
This presentation is based on the March 2013
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Seth J. Bokser, MD, MPH, Associate Professor of Pediatrics & Medical…