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psnet.ahrq.gov/node/41237/psn-pdf
March 21, 2012 - Good intention, uncertain outcome...our take on
physician dispensing in offices and clinics.
March 21, 2012
ISMP Medication Safety Alert! Acute care edition. March 8, 2012;17:1-3.
https://psnet.ahrq.gov/issue/good-intention-uncertain-outcomeour-take-physician-dispensing-offices-and-
clinics
This newsletter…
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psnet.ahrq.gov/node/861881/psn-pdf
January 31, 2024 - In Conversation with...Richard Ricciardi about Office-
Based Patient Safety
January 31, 2024
Ricciardi R, Lee M, Mossburg S. In Conversation with..Richard Ricciardi about Office-Based Patient Safety.
PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/conversation-withrichard-ricciardi-about-office-based-pa…
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psnet.ahrq.gov/node/41575/psn-pdf
August 08, 2012 - Threats to patient safety in the primary care office:
concerns of physicians and nurses.
August 8, 2012
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:10.4414/smw.2012.13601.
https://psnet.…
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psnet.ahrq.gov/issue/adverse-event-trigger-tool-dentistry-new-methodology-measuring-harm-dental-office
July 09, 2014 - Study
An adverse event trigger tool in dentistry: a new methodology for measuring harm in the dental office.
Citation Text:
Kalenderian E, Walji MF, Tavares A, et al. An adverse event trigger tool in dentistry: a new methodology for measuring harm in the dental office. J Am Dent Assoc.…
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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/node/40714/psn-pdf
October 04, 2011 - Outcome of 6 years of protocol use for preventing wrong
site office surgery.
October 4, 2011
Starling J, Coldiron BM. Outcome of 6 years of protocol use for preventing wrong site office surgery. J Am
Acad Dermatol. 2011;65(4):807-810. doi:10.1016/j.jaad.2011.05.011.
https://psnet.ahrq.gov/issue/outcome-6-years-pro…
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psnet.ahrq.gov/node/44959/psn-pdf
March 09, 2016 - Patient, physician, medical assistant, and office visit
factors associated with medication list agreement.
March 9, 2016
Reedy AB, Yeh JY, Nowacki AS, et al. Patient, Physician, Medical Assistant, and Office Visit Factors
Associated With Medication List Agreement. J Patient Saf. 2016;12(1):18-24.
doi:10.1097/PTS.0…
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psnet.ahrq.gov/node/39365/psn-pdf
May 25, 2010 - Electronic prescribing improves medication safety in
community-based office practices.
May 25, 2010
Kaushal R, Kern LM, Barrón Y, et al. Electronic Prescribing Improves Medication Safety in Community-
Based Office Practices. J Gen Intern Med. 2010;25(6). doi:10.1007/s11606-009-1238-8.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/issue/promises-project
January 30, 2019 - Multi-use Website
The PROMISES Project.
Citation Text:
The PROMISES Project. Brigham and Women's Hospital; Institute for Healthcare Improvement; Massachusetts Coalition for the Prevention of Medical Errors; Coverys; CRICO; Harvard School of Public Health; Harvard Medical School; Health…
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psnet.ahrq.gov/node/38812/psn-pdf
April 12, 2011 - Management of test results in family medicine offices.
April 12, 2011
Elder NC, McEwen TR, Flach JM, et al. Management of test results in family medicine offices. Ann Fam
Med. 2009;7(4):343-51. doi:10.1370/afm.961.
https://psnet.ahrq.gov/issue/management-test-results-family-medicine-offices
This study evaluated co…
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psnet.ahrq.gov/issue/emotional-impact-patient-safety-incidents-family-physicians-and-their-office-staff
December 11, 2013 - Study
Emotional impact of patient safety incidents on family physicians and their office staff.
Citation Text:
O'Beirne M, Sterling P, Palacios-Derflingher L, et al. Emotional impact of patient safety incidents on family physicians and their office staff. J Am Board Fam Med. 2012;25(2)…
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psnet.ahrq.gov/node/38257/psn-pdf
February 15, 2011 - Electronic health records and malpractice claims in office
practice.
February 15, 2011
Virapongse A, Bates DW, Shi P, et al. Electronic health records and malpractice claims in office practice.
Arch Intern Med. 2008;168(21):2362-7. doi:10.1001/archinte.168.21.2362.
https://psnet.ahrq.gov/issue/electronic-health-re…
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psnet.ahrq.gov/node/46630/psn-pdf
November 15, 2017 - Patient Safety in the Office-Based Practice Setting.
November 15, 2017
Philadelphia, PA: American College of Physicians; 2017.
https://psnet.ahrq.gov/issue/patient-safety-office-based-practice-setting
Patient safety in the ambulatory setting is gaining traction as a focus for research, intervention, and policy.
Th…
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psnet.ahrq.gov/node/42166/psn-pdf
June 10, 2018 - Drawn curtains, muted alarms, and diverted attention lead
to tragedy in the postanesthesia care unit.
June 10, 2018
ISMP Medication Safety Alert! Acute Care Edition. March 21, 2013;18:1-3.
https://psnet.ahrq.gov/issue/drawn-curtains-muted-alarms-and-diverted-attention-lead-tragedy-
postanesthesia-care-unit
This n…
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psnet.ahrq.gov/node/39227/psn-pdf
January 13, 2010 - Executive summary of the American College of
Obstetricians and Gynecologists Presidential Task Force
on Patient Safety in the Office Setting: reinvigorating
safety in office-based gynecologic surgery.
January 13, 2010
Erickson TB, Kirkpatrick DH, DeFrancesco MS, et al. Executive summary of the American College of
…
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psnet.ahrq.gov/node/42617/psn-pdf
January 24, 2018 - Improving Your Office Testing Process: A Step by Step
Guide for Rapid-Cycle Patient Safety and Quality
Improvement.
January 24, 2018
Rockville, MD: Agency for Healthcare Research and Quality; January 2018.
https://psnet.ahrq.gov/issue/improving-your-office-testing-process-step-step-guide-rapid-cycle-patient-
safe…
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psnet.ahrq.gov/node/49518/psn-pdf
August 01, 2006 - It's All in the Syringe
August 1, 2006
Weingart SN. It's All in the Syringe. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/its-all-syringe
The Case
A 33-year-old man with type 2 diabetes presented to his physician's office to discuss his diabetes
management. The patient admitted not taking his medications…
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psnet.ahrq.gov/node/33633/psn-pdf
May 01, 2006 - Patient Safety in the Physician Office Setting
May 1, 2006
Elder NC. Patient Safety in the Physician Office Setting. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/patient-safety-physician-office-setting
Perspective
Dr. Jones was sure he had increased Mr. H's cholesterol-lowering medication to 80 mg 6 …
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psnet.ahrq.gov/node/43445/psn-pdf
October 01, 2014 - Test result communication in primary care: clinical and
office staff perspectives.
October 1, 2014
Litchfield I, Bentham L, Lilford RJ, et al. Test result communication in primary care: clinical and office staff
perspectives. Fam Pract. 2014;31(5):592-7. doi:10.1093/fampra/cmu041.
https://psnet.ahrq.gov/issue/test…
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psnet.ahrq.gov/node/33574/psn-pdf
March 15, 2025 - Ambulatory Care Safety
March 15, 2025
Ambulatory Care Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/ambulatory-care-safety
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Las…