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psnet.ahrq.gov/web-mm/near-miss-bedside-medications
February 01, 2006 - SPOTLIGHT CASE
Near Miss with Bedside Medications
Citation Text:
Wu AW. Near Miss with Bedside Medications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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psnet.ahrq.gov/issue/strategically-advancing-patient-and-family-advisory-councils-new-york-state-hospitals
February 22, 2017 - Book/Report
Strategically Advancing Patient and Family Advisory Councils in New York State Hospitals.
Citation Text:
Strategically Advancing Patient and Family Advisory Councils in New York State Hospitals. Bethesda, MD: Institute for Patient- and Family-Centered Care; June 2018.
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psnet.ahrq.gov/issue/inadequate-outpatient-mental-health-triage-and-care-patient-chico-community-based-outpatient
November 29, 2023 - Book/Report
Inadequate Outpatient Mental Health Triage and Care of a Patient at the Chico Community-Based Outpatient Clinic in California.
Citation Text:
Inadequate Outpatient Mental Health Triage and Care of a Patient at the Chico Community-Based Outpatient Clinic in California. Washing…
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psnet.ahrq.gov/issue/profit-long-term-care-homes-and-risk-covid-19-outbreaks-and-resident-deaths
October 28, 2020 - Study
For-profit long-term care homes and the risk of COVID-19 outbreaks and resident deaths.
Citation Text:
Stall NM, Jones A, Brown KA, et al. For-profit long-term care homes and the risk of COVID-19 outbreaks and resident deaths. CMAJ. 2020;192(33):e946-e955 . doi:10.1503/cmaj.201197.…
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psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
January 01, 2016 - SPOTLIGHT CASE
The Safety and Quality of Long Term Care
Citation Text:
Vogelsmeier AA. The Safety and Quality of Long Term Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumothorax
December 14, 2022 - Coming up for Err: Missed Diagnosis in a Patient with Recurrent Pneumothorax
Citation Text:
Carlile N, El-Chemaly S, Schiff G. Coming up for Err – Missed Diagnosis in a Patient with Recurrent Pneumothorax. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health …
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psnet.ahrq.gov/issue/preventing-lawsuits-coalition-pushes-apologies-and-cash-front-dealing-medical-errors-when
February 20, 2019 - Newspaper/Magazine Article
Preventing lawsuits: Coalition pushes apologies and cash up-front. Dealing with medical errors when they happen--instead of in court--can benefit doctors and patients, supporters say.
Citation Text:
Preventing lawsuits: Coalition pushes apologies and cash up-fr…
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psnet.ahrq.gov/issue/patient-self-medication-change-hospital-practice
March 09, 2022 - Study
Patient self-medication--a change in hospital practice.
Citation Text:
Grantham G, McMillan V, Dunn S, et al. Patient self-medication--a change in hospital practice. J Clin Nurs. 2006;15(8):962-70.
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psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
July 10, 2024 - Health Plan Patient Safety Initiatives
Amy Helwig, MD, MS, FAAFP, Zoe Sousane, BS, Sarah Mossburg, RN, PhD | July 10, 2024
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Helwig A, Sousane Z, Mossburg S. Health Plan Patient S…
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psnet.ahrq.gov/issue/effects-multifaceted-medication-reconciliation-quality-improvement-intervention-patient
April 12, 2023 - Study
Emerging Classic
Effects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results of the MARQUIS study.
Citation Text:
Schnipper JL, Mixon A, Stein J, et al. Effects of a multifaceted medication reconcil…
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psnet.ahrq.gov/issue/detection-and-prevention-medication-misadventures-general-practice
May 13, 2020 - Study
Detection and prevention of medication misadventures in general practice.
Citation Text:
Tam KWT, Kwok KH, Fan YMC, et al. Detection and prevention of medication misadventures in general practice. Int J Qual Health Care. 2008;20(3):192-9. doi:10.1093/intqhc/mzn002.
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psnet.ahrq.gov/issue/toolkit-improve-safety-ambulatory-surgery-centers
May 01, 2015 - Toolkit
Toolkit To Improve Safety in Ambulatory Surgery Centers.
Citation Text:
Toolkit To Improve Safety in Ambulatory Surgery Centers. Rockville, MD: Agency for Healthcare Research and Quality; December 2014.
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psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-hospital-survey-20-user-database-report
December 18, 2024 - Book/Report
Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: User Database Report.
Citation Text:
Tyler ER, Yalden O, Fan L, et al. Surveys On Patient Safety Culture (Sops) Hospital Survey 2.0: User Database Report. Rockville, MD: Agency for Healthcare Research and Quality; …
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psnet.ahrq.gov/issue/safety-considerations-product-design-minimize-medication-errors-guidance-industry
January 13, 2021 - Book/Report
Safety Considerations for Product Design to Minimize Medication Errors: Guidance for Industry.
Citation Text:
Safety Considerations for Product Design to Minimize Medication Errors: Guidance for Industry. Rockville, MD: Center for Drug Evaluation and Research, US Food and Dru…
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psnet.ahrq.gov/issue/patient-safety-when-receiving-telephone-advice-primary-care-swedish-qualitative-interview
October 13, 2021 - Study
Patient safety when receiving telephone advice in primary care - a Swedish qualitative interview study.
Citation Text:
Berntsson K, Eliasson M, Beckman L. Patient safety when receiving telephone advice in primary care – a Swedish qualitative interview study. BMC Nurs. 2022;21(1):24…
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psnet.ahrq.gov/issue/primary-care-teams-reported-actions-improve-medication-safety-qualitative-study-insights-high
July 06, 2022 - Study
Primary care teams' reported actions to improve medication safety: a qualitative study with insights in high reliability organising.
Citation Text:
Young RA, Gurses AP, Fulda KG, et al. Primary care teams’ reported actions to improve medication safety: a qualitative study with insi…
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psnet.ahrq.gov/web-mm/continuity-errors-resident-clinic
October 02, 2019 - There is no "i" in teamwork in the patient-centered medical home: defining teamwork competencies for
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psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn
February 10, 2010 - Residual Anesthesia: Tepid Burn
Citation Text:
Kurrek MM, Twersky RS. Residual Anesthesia: Tepid Burn. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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psnet.ahrq.gov/perspective/role-patient-facing-technologies-empower-patients-and-improve-safety
November 01, 2017 - EndNote 7 XML Endnote tagged PubMedId RIS
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Perspective
Patient-centered … The National Academy of Medicine defines patient-centered care as "care that is respectful of and responsive … However, these technology-enabled standardized approaches only get us so far to delivering patient-centered … that we conducted recently in the medical intensive care unit (ICU), implementation of a structured patient-centered … maintaining focus on the people as much as the processes, technology will boost the progression toward patient-centered
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psnet.ahrq.gov/issue/medication-errors-community-pharmacies-need-commitment-transparency-and-research
June 17, 2020 - Commentary
Medication errors in community pharmacies: the need for commitment, transparency, and research.
Citation Text:
Hong K, Hong YD, Cooke CE. Medication errors in community pharmacies: the need for commitment, transparency, and research. Res Social Adm Pharm. 2019;15(7):823-826. d…