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psnet.ahrq.gov/issue/impact-patient-safety-bundle-and-team-based-training-obstetric-hypertensive-emergencies
July 21, 2021 - Study
Impact of patient safety bundle and team-based training on obstetric hypertensive emergencies.
Citation Text:
Grogan L, Peterson E, Flatley M, et al. Impact of patient safety bundle and team-based training on obstetric hypertensive emergencies. Am J Perinatol. 2025;42(4):452-461. d…
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psnet.ahrq.gov/issue/accuracy-infection-reporting-us-nursing-home-ratings
August 24, 2022 - Study
Accuracy of infection reporting in US nursing home ratings.
Citation Text:
Chen Z, Gleason LJ, Konetzka RT, et al. Accuracy of infection reporting in US nursing home ratings. Health Serv Res. 2023;58(5):1109-1118. doi:10.1111/1475-6773.14195.
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psnet.ahrq.gov/issue/medication-reconciliation-improvement-utilizing-process-redesign-and-clinical-decision
November 16, 2022 - Study
Medication reconciliation improvement utilizing process redesign and clinical decision support.
Citation Text:
Rungvivatjarus T, Kuelbs CL, Miller L, et al. Medication Reconciliation Improvement Utilizing Process Redesign and Clinical Decision Support. Jt Comm J Qual Patient Saf. …
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psnet.ahrq.gov/issue/strategic-solution-preventing-harm-associated-ambulance-handover-delays
July 22, 2020 - Study
A strategic solution to preventing the harm associated with ambulance handover delays.
Citation Text:
Evans C, Da’Costa A. A strategic solution to preventing the harm associated with ambulance handover delays. Emerg Nurse. 2024;32(6):32(6):15-20. doi:10.7748/en.2024.e2199.
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psnet.ahrq.gov/issue/emergency-department-contribution-prescription-opioid-epidemic
June 21, 2016 - Study
Classic
Emergency department contribution to the prescription opioid epidemic.
Citation Text:
Axeen S, Seabury SA, Menchine M. Emergency Department Contribution to the Prescription Opioid Epidemic. Ann Emerg Med. 2018;71(6):659-667.e3. doi:10.1016/j.anneme…
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psnet.ahrq.gov/node/36478/psn-pdf
April 29, 2018 - Pharmaceutical industry and medical device companies:
part of the solution?
April 29, 2018
ISMP Medication Safety Alert! Acute Care Edition. November 16, 2006.
https://psnet.ahrq.gov/issue/pharmaceutical-industry-and-medical-device-companies-part-solution
This article discusses the high percentage of reported erro…
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psnet.ahrq.gov/perspective/conversation-withwilliam-b-weeks-md-mba
May 01, 2009 - WW : That it's a good idea, but thus far my understanding of the percentages is that they're relatively … RW: In your studies of other industries, what percentages are generally necessary to lead to major changes
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psnet.ahrq.gov/node/36645/psn-pdf
January 18, 2011 - Factors influencing doctors' ability to calculate drug
doses correctly.
January 18, 2011
Wheeler DW, Wheeler SJ, Ringrose TR. Factors influencing doctors' ability to calculate drug doses
correctly. Int J Clin Pract. 2007;61(2):189-94.
https://psnet.ahrq.gov/issue/factors-influencing-doctors-ability-calculate-drug-…
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psnet.ahrq.gov/node/73999/psn-pdf
October 27, 2021 - For example, concentrations of
local anesthetics, such as lidocaine, are commonly expressed in percentages
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psnet.ahrq.gov/node/74843/psn-pdf
February 16, 2022 - Association of adverse events in opioid addiction
treatment with quality measure for continuity of
pharmacotherapy.
February 16, 2022
Liu Y, Becker A, Mattke S. Association of adverse events in opioid addiction treatment with quality measure
for continuity of pharmacotherapy. J Healthc Qual. 2022;44(3):e38-e43.
d…
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psnet.ahrq.gov/node/867043/psn-pdf
October 30, 2024 - Recovery from COVID-19-related disruptions in cancer
detection.
October 30, 2024
Kim U, Rose J, Carroll BT, et al. Recovery from COVID-19-related disruptions in cancer detection. JAMA
Netw Open. 2024;7(10):e2439263. doi:10.1001/jamanetworkopen.2024.39263.
https://psnet.ahrq.gov/issue/recovery-covid-19-related-disr…
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psnet.ahrq.gov/node/74271/psn-pdf
January 19, 2022 - Improving shared situation awareness for high-risk
therapies in hospitalized children.
January 19, 2022
Sosa T, Mayer B, Chakkalakkal B, et al. Improving shared situation awareness for high-risk therapies in
hospitalized children. Hosp Pediatr. 2022;12(1):37-46. doi:10.1542/hpeds.2021-006193.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/48122/psn-pdf
August 21, 2019 - ASHP national survey of pharmacy practice in hospital
settings: monitoring and patient education—2018.
August 21, 2019
Pedersen CA, Schneider PJ, Ganio MC, et al. ASHP national survey of pharmacy practice in hospital
settings: Monitoring and patient education-2018. Am J Health Syst Pharm. 2019;76(14):1038-1058.
do…
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psnet.ahrq.gov/node/839310/psn-pdf
December 01, 2019 - The patient perspective on errors in cancer care: results
of a cross-sectional survey.
December 1, 2019
Carey M, Boyes AW, Bryant J, et al. The patient perspective on errors in cancer care: results of a cross-
sectional survey. J Patient Saf. 2019;15(4):322-327. doi:10.1097/pts.0000000000000368.
https://psnet.ahrq…
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psnet.ahrq.gov/node/866315/psn-pdf
July 17, 2024 - Physician specialty differences in unprofessional
behaviors observed and reported by coworkers.
July 17, 2024
Cooper WO, Hickson GB, Dmochowski RR, et al. Physician specialty differences in unprofessional
behaviors observed and reported by coworkers. JAMA Netw Open. 2024;7(6):e2415331.
doi:10.1001/jamanetworkopen.…
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psnet.ahrq.gov/node/867082/psn-pdf
November 06, 2024 - Learning in radiation oncology: 12-month experience with
a new incident learning system.
November 6, 2024
Crouch K, Adamson L, Beldham?Collins R, et al. Learning in radiation oncology: 12?month experience with
a new incident learning system. J Med Radiat Sci. 2024;Epub Sep 15. doi:10.1002/jmrs.823.
https://psnet.a…
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psnet.ahrq.gov/node/34786/psn-pdf
March 28, 2005 - Errors in drug computations during newborn intensive
care.
March 28, 2005
Perlstein PH, Callison C, White M, et al. Errors in Drug Computations During Newborn Intensive Care. Arch
Pediatr Adolesc Med. 1979;133(4):376-379. doi:10.1001/archpedi.1979.02130040030006.
https://psnet.ahrq.gov/issue/errors-drug-computatio…
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psnet.ahrq.gov/node/33932/psn-pdf
May 27, 2011 - Preventable anesthesia mishaps: a study of human
factors.
May 27, 2011
Cooper JB, Newbower RS, Long CD, et al. Preventable anesthesia mishaps: a study of human factors.
Anesthesiology. 1978;49(6):399-406.
https://psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors
This study reports on the ret…
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psnet.ahrq.gov/node/854820/psn-pdf
October 25, 2023 - A multi-method exploratory evaluation of a service
designed to improve medication safety for patients with
monitored dosage systems following hospital discharge.
October 25, 2023
Alqenae FA, Steinke DT, Belither H, et al. A multi-method exploratory evaluation of a service designed to
improve medication safety for …
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psnet.ahrq.gov/node/50750/psn-pdf
January 01, 2020 - Patterns in medication incidents: a 10-yr experience of a
cross-national anaesthesia incident reporting system.
December 18, 2019
Sanduende-Otero Y, Villalón-Coca J, Romero-García E, et al. Patterns in medication incidents: A 10-yr
experience of a cross-national anaesthesia incident reporting system. Br J Anaesth. …