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psnet.ahrq.gov/issue/neuromuscular-blocking-agents-reducing-associated-wrong-drug-errors
April 26, 2023 - Newspaper/Magazine Article
Neuromuscular blocking agents: reducing associated wrong-drug errors.
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April 16, 2018
This article discu…
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psnet.ahrq.gov/issue/shakespeare-was-target-dont-be-borrower-or-lender
May 11, 2022 - Newspaper/Magazine Article
Shakespeare was on target—don't be a borrower or lender.
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June 10, 2018
This piece describes the dangers…
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psnet.ahrq.gov/node/38205/psn-pdf
November 12, 2008 - Characteristics of medication errors and adverse drug
events in hospitals participating in the California Pediatric
Patient Safety Initiative.
November 12, 2008
Takata GS, Taketomo CK, Waite S, et al. Characteristics of medication errors and adverse drug events in
hospitals participating in the California Pediatri…
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psnet.ahrq.gov/node/42854/psn-pdf
March 20, 2014 - Medication event huddles: a tool for reducing adverse
drug events.
March 20, 2014
Morvay S, Lewe D, Stewart B, et al. Medication event huddles: a tool for reducing adverse drug events. Jt
Comm J Qual Patient Saf. 2014;40(1):39-45.
https://psnet.ahrq.gov/issue/medication-event-huddles-tool-reducing-adverse-drug-eve…
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psnet.ahrq.gov/web-mm/steroids-and-safety-preventing-medication-adverse-events-during-transitions-care
September 09, 2013 - SPOTLIGHT CASE
Steroids and Safety: Preventing Medication Adverse Events During Transitions of Care
Citation Text:
Lucier DJ, Greenwald JL. Steroids and Safety: Preventing Medication Adverse Events During Transitions of Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu…
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psnet.ahrq.gov/node/49525/psn-pdf
December 01, 2006 - Hidden Heparins: HIT Happens
December 1, 2006
Fogarty PF. Hidden Heparins: HIT Happens. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/hidden-heparins-hit-happens
Case Objectives
Review the presentation of heparin-induced thrombocytopenia (HIT) and its primary complication,
thrombosis.
Discuss the managem…
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psnet.ahrq.gov/node/33811/psn-pdf
June 01, 2016 - Becoming a Certified Professional in Patient Safety—A
Pharmacist's Perspective
June 1, 2016
Khudeira Z. Becoming a Certified Professional in Patient Safety—A Pharmacist's Perspective. PSNet
[internet]. 2016.
https://psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-pharmacists-perspective
…
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psnet.ahrq.gov/issue/personal-protective-equipment-ppe-surgeons-during-covid-19-pandemic-systematic-review
September 23, 2020 - View More
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Mapping the resilience performance of community … pharmacy to maintain patient safety during the Covid-19 pandemic.
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psnet.ahrq.gov/issue/stakeholder-perceptions-and-attitudes-towards-problematic-polypharmacy-and-prescribing
July 10, 2019 - View More
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Ambulatory Care
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psnet.ahrq.gov/issue/patients-experiences-and-perspectives-patient-reported-outcome-measures-clinical-care
October 27, 2021 - October 27, 2021
A systematic review of the effect of telepharmacy services in the community … pharmacy setting on care quality and patient safety.
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psnet.ahrq.gov/issue/implementation-participatory-organizational-change-long-term-care-improve-safety
February 01, 2012 - November 10, 2021
Mapping the resilience performance of community pharmacy to maintain
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psnet.ahrq.gov/issue/discontinuity-chronic-medications-patients-discharged-intensive-care-unit
November 03, 2015 - August 4, 2015
Community pharmacy medication review, death and re-admission after hospital
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psnet.ahrq.gov/issue/adverse-events-and-emergency-department-opioid-prescriptions-adolescents
December 21, 2022 - May 11, 2022
A systematic review of the effect of telepharmacy services in the community … pharmacy setting on care quality and patient safety.
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psnet.ahrq.gov/issue/standardized-assessment-medication-reconciliation-post-acute-care
December 16, 2020 - 28, 2020
The nature, severity and causes of medication incidents from an Australian community … pharmacy incident reporting system: the QUMwatch study.
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psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
September 01, 2016 - Pharmacies should dispense liquid medications that come in bulk bottles in unit-dose cups or oral syringes
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psnet.ahrq.gov/node/861760/psn-pdf
January 31, 2024 - By standardizing
concentrations of high alert medications, hospital pharmacies can provide ready-to-use
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psnet.ahrq.gov/node/72567/psn-pdf
December 16, 2020 - Transforming the medication regimen review process
using telemedicine to prevent adverse events.
December 16, 2020
Kane?Gill SL, Wong A, Culley CM, et al. Transforming the medication regimen review process using
telemedicine to prevent adverse events. J Am Geriatr Soc. 2020;69(2):530-538. doi:10.1111/jgs.16946.
ht…
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psnet.ahrq.gov/node/858171/psn-pdf
December 13, 2023 - Uncovering the risks of anticancer therapy through
incident report analysis using a newly developed medical
oncology incident taxonomy.
December 13, 2023
Jacobson JO, Zerillo JA, Doolin J, et al. Uncovering the risks of anticancer therapy through incident report
analysis using a newly developed medical oncology in…
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psnet.ahrq.gov/node/863747/psn-pdf
March 06, 2024 - "Good care is slow enough to be able to pay attention":
primary care time scarcity and patient safety.
March 6, 2024
Satterwhite S, Nguyen M-LT, Honcharov V, et al. "Good care is slow enough to be able to pay attention":
primary care time scarcity and patient safety. J Gen Intern Med. 2024;39(9):1575-1582.
doi:10.…
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psnet.ahrq.gov/node/41935/psn-pdf
December 19, 2012 - Results of an effort to integrate quality and safety into
medical and nursing school curricula and foster joint
learning.
December 19, 2012
Headrick LA, Barton AJ, Ogrinc G, et al. Results of an effort to integrate quality and safety into medical and
nursing school curricula and foster joint learning. Health Aff (…