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Medication safety issue brief. Small and rural hospitals—unique challenges, unique solutions. | PSNet

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June 17, 2014 - Fact Sheet/FAQs Medication safety issue brief. Small and rural hospitals—unique challenges, unique solutions. Citation Text: Association AH, Pharmacists AS of H-S, Networks H & H. Medication Safety Issue Brief. Small and rural hospitals--unique challenges, unique solutions. Hospitals & h…

Medication Administration Time Study (MATS): nursing staff performance of medication administration. | PSNet

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February 21, 2018 - Study Medication Administration Time Study (MATS): nursing staff performance of medication administration. Citation Text: Elganzouri ES, Standish CA, Androwich I. Medication Administration Time Study (MATS): nursing staff performance of medication administration. J Nurs Admin. 2009;39(5)…

Patient Safety and Quality Improvement Act of 2005--HHS guidance regarding patient safety work product and providers' external obligations. | PSNet

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December 24, 2008 - Government Resource Patient Safety and Quality Improvement Act of 2005--HHS guidance regarding patient safety work product and providers' external obligations. Citation Text: Patient Safety and Quality Improvement Act of 2005--HHS guidance regarding patient safety work product and provid…

Best practices in medication administration: preventing adverse drug events in perinatal settings. | PSNet

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July 16, 2009 - Commentary Best practices in medication administration: preventing adverse drug events in perinatal settings. Citation Text: Mahlmeister LR. Best practices in medication administration: preventing adverse drug events in perinatal settings. J Perinat Neonatal Nurs. 2007;21(1):6-8. Cop…

The hospital ran out of her child's cancer drug. Now she's fighting to end shortages. | PSNet

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February 06, 2019 - Newspaper/Magazine Article The hospital ran out of her child's cancer drug. Now she's fighting to end shortages. Citation Text: The hospital ran out of her child's cancer drug. Now she's fighting to end shortages. Noguchi Y. Health Shots and All Things Considered. National Public Ra…

Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. | PSNet

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July 28, 2021 - Newspaper/Magazine Article Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. Citation Text: Milne-Tyte A. Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. Health Shots. National Public Radio. July 30, 2024; Copy C…

Sir Karl Popper, swans, and the general practitioner. | PSNet

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March 05, 2025 - Commentary Sir Karl Popper, swans, and the general practitioner. Citation Text: Berghmans R, Schouten HC. Sir Karl Popper, swans, and the general practitioner. BMJ. 2011;343:d5469. doi:10.1136/bmj.d5469. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…

Infection Prevention Compendium For Long-Term Care Facilities. | PSNet

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November 08, 2017 - Tools/Toolkit Infection Prevention Compendium For Long-Term Care Facilities. Citation Text: Infection Prevention Compendium For Long-Term Care Facilities. Center for Healthy Aging--New York Academy of Medicine, Yale School of Nursing. Copy Citation Save Save to…

Infection prevention in the emergency department. | PSNet

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July 13, 2016 - Review Infection prevention in the emergency department. Citation Text: Liang SY, Theodoro DL, Schuur JD, et al. Infection prevention in the emergency department. Ann Emerg Med. 2014;64(3):299-313. doi:10.1016/j.annemergmed.2014.02.024. Copy Citation Format: DOI Google Scho…

Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis. | PSNet

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October 05, 2011 - Study Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis. Citation Text: Muething SE, Conway PH, Kloppenborg E, et al. Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis. Qual Saf Health…

Safety checklist compliance and a false sense of safety: new directions for research. | PSNet

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December 29, 2014 - Commentary Safety checklist compliance and a false sense of safety: new directions for research. Citation Text: Rydenfält C, Ek Å, Larsson PA. Safety checklist compliance and a false sense of safety: new directions for research. BMJ Qual Saf. 2014;23(3):183-6. doi:10.1136/bmjqs-2013-0021…

Patient Safety Dialogue: evaluation of an intervention aimed at achieving an improved patient safety culture. | PSNet

psnet.ahrq.gov/issue/patient-safety-dialogue-evaluation-intervention-aimed-achieving-improved-patient-safety

December 09, 2020 - Study Patient Safety Dialogue: evaluation of an intervention aimed at achieving an improved patient safety culture. Citation Text: Öhrn A, Rutberg H, Nilsen P. Patient safety dialogue: evaluation of an intervention aimed at achieving an improved patient safety culture. J Patient Saf. …

System errors in intrapartum electronic fetal monitoring: a case review. | PSNet

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May 16, 2012 - Commentary System errors in intrapartum electronic fetal monitoring: a case review. Citation Text: Miller L. System errors in intrapartum electronic fetal monitoring: a case review. J Midwifery Womens Health. 2005;50(6):507-16. Copy Citation Format: Google Scholar PubMed …

How to Talk About Patient Safety. | PSNet

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June 24, 2019 - Book/Report How to Talk About Patient Safety. Citation Text: How to Talk About Patient Safety. Hendricks R, O'Neil M, Volmert A. Boston, MA: Betsy Lehman Center for Patient Safety; March 2019. Copy Citation Save Save to your library Print Download PDF …

Implementing bedside handoff in the emergency department: a practice improvement project. | PSNet

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November 14, 2018 - Commentary Implementing bedside handoff in the emergency department: a practice improvement project. Citation Text: Campbell D, Dontje K. Implementing Bedside Handoff in the Emergency Department: A Practice Improvement Project. J Emerg Nurs. 2019;45(2):149-154. doi:10.1016/j.jen.2018.09.…

Assessing the accuracy of drug profiles in an electronic medical record system of a Washington State hospital. | PSNet

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September 20, 2011 - Study Assessing the accuracy of drug profiles in an electronic medical record system of a Washington State hospital. Citation Text: Platte B, Akinci F, Güç Y. Assessing the accuracy of drug profiles in an electronic medical record system of a Washington state hospital. Am J Manag Care. 2…

Identifying and Understanding Ways to Address the Impact of Racism on Patient Safety in Health Care Settings. | PSNet

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May 21, 2014 - Book/Report Identifying and Understanding Ways to Address the Impact of Racism on Patient Safety in Health Care Settings. Citation Text: Identifying and Understanding Ways to Address the Impact of Racism on Patient Safety in Health Care Settings. Schulson LB, Thomas AD, Tsuei J, et al.&n…

Error in body weight estimation leads to inadequate parenteral anticoagulation. | PSNet

psnet.ahrq.gov/issue/error-body-weight-estimation-leads-inadequate-parenteral-anticoagulation

April 14, 2021 - Study Error in body weight estimation leads to inadequate parenteral anticoagulation. Citation Text: Macedo LG dos R, de Oliveira L, Pintão MC, et al. Error in body weight estimation leads to inadequate parenteral anticoagulation. Am J Emerg Med. 2011;29(6):613-7. doi:10.1016/j.ajem.20…

State sepsis mandates—a new era for regulation of hospital quality. | PSNet

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October 02, 2019 - Commentary State sepsis mandates—a new era for regulation of hospital quality. Citation Text: Hershey TB, Kahn JM. State Sepsis Mandates - A New Era for Regulation of Hospital Quality. N Engl J Med. 2017;376(24):2311-2313. doi:10.1056/NEJMp1611928. Copy Citation Format: DOI…

The Schwartz Center Rounds: evaluation of an interdisciplinary approach to enhancing patient-centered communication, teamwork, and provider support. | PSNet

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October 14, 2020 - Study The Schwartz Center Rounds: evaluation of an interdisciplinary approach to enhancing patient-centered communication, teamwork, and provider support. Citation Text: Lown BA, Manning CF. The Schwartz Center Rounds: evaluation of an interdisciplinary approach to enhancing patient-ce…

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