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psnet.ahrq.gov/issue/electronically-generated-medication-administration-and-electronic-medication-administration
May 25, 2016 - Book/Report
Electronically Generated Medication Administration and Electronic Medication Administration Records for the Prevention of Medication Transcription Errors: Review of Clinical Effectiveness and Safety.
Citation Text:
Electronically Generated Medication Administration and Electr…
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psnet.ahrq.gov/issue/medmarx-data-report-chartbook-medication-error-findings-perioperative-settings-1998-2005
August 24, 2015 - Book/Report
Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative Settings from 1998-2005.
Citation Text:
Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative Settings from 1998-2005. Hicks RW, Becker SC, Cousins DD. Rock…
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psnet.ahrq.gov/issue/medmarx-data-report-report-relationship-drug-names-and-medication-errors-response-institute
March 21, 2007 - Press Release/Announcement
MEDMARX Data Report: A Report on the Relationship of Drug Names and Medication Errors in Response to the Institute of Medicine's Call to Action (2003-2006 Findings and Trends 2002-2006).
Citation Text:
MEDMARX Data Report: A Report on the Relationship of Drug N…
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psnet.ahrq.gov/issue/systematic-review-evidence-publishing-patient-care-performance-data-improves-quality-care
September 06, 2017 - Review
Systematic review: the evidence that publishing patient care performance data improves quality of care.
Citation Text:
Fung CH, Lim Y-W, Mattke S, et al. Systematic review: the evidence that publishing patient care performance data improves quality of care. Ann Intern Med. 2008;…
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psnet.ahrq.gov/issue/temporarily-holding-medication-orders-safely-order-prevent-patient-harm
March 14, 2023 - Newspaper/Magazine Article
Temporarily holding medication orders safely in order to prevent patient harm.
Citation Text:
Temporarily holding medication orders safely in order to prevent patient harm. ISMP Medication Safety Alert! Acute care edition. October 19, 2023;28(21):1-4.
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psnet.ahrq.gov/issue/vaught-says-some-system-practices-contributed-fatal-mistake
September 29, 2021 - Newspaper/Magazine Article
RaDonda Vaught says some system practices contributed to fatal mistake.
Citation Text:
RaDonda Vaught says some system practices contributed to fatal mistake. Clark C. MedPage Today. March 14, 2024.
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psnet.ahrq.gov/issue/medical-errors-kill-thousands-people-each-year-are-hospitals-getting-any-safer
June 17, 2020 - Newspaper/Magazine Article
Medical errors kill thousands of people each year. But are hospitals getting any safer?
Citation Text:
Medical errors kill thousands of people each year. But are hospitals getting any safer? Weintraub K. USA Today. May 3, 2023.
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psnet.ahrq.gov/issue/using-information-external-errors-signal-clear-and-present-danger
March 14, 2023 - Newspaper/Magazine Article
Using information from external errors to signal a "clear and present danger."
Citation Text:
Using information from external errors to signal a "clear and present danger." ISMP Medication Safety Alert! Acute care edition. February 9, 2017;22:1-5.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0261_07-16-2010.pdf
January 01, 2010 - Effective Health Care
Topic Number: 0280
Document Completion Date: 3-23-11
1
Results of Topic Selection Process & Next Steps
Interventions to modify physicians’ and other providers’ adherence to asthma guidelines will go forward
for refinement as a systematic review. The scope of this topic,…
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psnet.ahrq.gov/issue/surveillance-strategy-improving-patient-safety-acute-and-critical-care-units
September 27, 2016 - Commentary
Surveillance: a strategy for improving patient safety in acute and critical care units.
Citation Text:
Henneman EA, Gawlinski A, Giuliano KK. Surveillance: A strategy for improving patient safety in acute and critical care units. Crit Care Nurse. 2012;32(2):e9-18. doi:10.403…
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psnet.ahrq.gov/issue/tragic-death-shows-how-ers-fail-patients-who-struggle-addiction
August 07, 2024 - Newspaper/Magazine Article
A tragic death shows how ERs fail patients who struggle with addiction.
Citation Text:
A tragic death shows how ERs fail patients who struggle with addiction. Pattani A. Health Shots. National Public Radio. July 14, 2021.
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psnet.ahrq.gov/issue/families-are-struggling-use-medicines-home-we-must-truly-involve-them-their-own-safety
February 02, 2022 - Newspaper/Magazine Article
Families are struggling to use medicines at home — we must truly involve them in their own safety.
Citation Text:
Families are struggling to use medicines at home — we must truly involve them in their own safety. Morris S, O’Hara J. Pharmacuetical Journal.…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Carayon.pdf
January 01, 2004 - Observing Nurse Interaction with Infusion Pump Technologies
349
Observing Nurse Interaction with
Infusion Pump Technologies
Pascale Carayon, Tosha B. Wetterneck, Ann Schoofs Hundt,
Mustafa Ozkaynak, Prashant Ram, Joshua DeSilvey, Brian Hicks,
Tanita L. Robert, Myra Enloe, Rupa Sheth, Sade Sobande
Abstract…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/SOPS101_Webcast_Transcript.pdf
June 01, 2022 - We also have four more SOPS surveys and those are for nursing homes, medical
offices, community pharmacies … to just say to you include data from 630 hospitals,
191 nursing homes, 2,437 medical offices, 331 community … pharmacies, and 282 ambulatory surgery centers, or
for short, ASCs. … Just as noted in this schedule, we do not have any upcoming plans for the SOPS Community
Pharmacy Database
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast-transcript.pdf
July 25, 2018 - worked extensively in analyzing and exploring data from the Hospital, Nursing Home, Medical Office, and
Community … Pharmacy Surveys on Patient Safety Culture. … more four more SOPS surveys that are available for the nursing home setting, medical offices,
also community … pharmacies, and finally the most recent in 2015 ambulatory surgery centers. … For example, hospital or medical
office, nursing homes, pharmacies.
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www.ahrq.gov/sites/default/files/2024-01/kazi-report.pdf
January 01, 2024 - Final Progress Report: A Memory-Based Approach to Reducing Medication Errors
A Memory-Based Approach to Reducing
Medication Errors
Project Final Report
June 26th, 2023
Principal Investigator:
Sadaf Kazi, PhD
Team Members:
Raj Ratwani, PhD
Ella Franklin, MSN, RN
Deanna-Nicole Busog
Organization:
MedSta…
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www.ahrq.gov/patient-safety/reports/liability/neumiller.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home
Previous Page
Table of Contents
Advances in Patient Safety and Medical Liability
Preface
Acknowledgments
Prologue
Silence A Commentary
…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/3-sorra-sops-hospital-survey-2-0-webcast.pdf
July 20, 2020 - organizational culture supports patient safety
Hospital
(2004)
Nursing
Home
(2008)
Medical
Office
(2009)
Community … Pharmacy
(2012)
Ambulatory
Surgery
Center
(2015)
How are SOPS surveys used? … For research purposes only
• De-identified Data Requests
► Hospital, medical office, nursing home, community … pharmacy, and ambulatory
surgery database data are available
• Hospital-Identifiable Data Requests—SOPS
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www.ahrq.gov/sites/default/files/2024-11/becker-bix-report.pdf
January 01, 2024 - Final Progress Report: Optimizing OTC labels for older adults
AHRQ Grant Final Progress Report
Optimizing OTC labels for older adults: Empirical evaluation of labels designed to provide older users the
information they need to minimize adverse drug events
Principal Investigators:
Mark W. Becker, Ph…
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digital.ahrq.gov/sites/default/files/docs/medicaid/ComprehensivePatientScenario.docx
June 16, 2021 - Comprehensive Patient Scenario
for PMS and EHR Selection
Please tailor the presentation of your product to demonstrate the below patient scenario. This scenario will be used to evaluate your product and compare between various companies.
Component
Scenario
Appointments
1. An established patient calls …