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psnet.ahrq.gov/issue/fixing-patient-safety-are-we-nearly-there-yet
April 14, 2021 - Commentary
Fixing patient safety: are we nearly there yet?
Citation Text:
McCulloch P. Fixing patient safety: are we nearly there yet? BMJ Qual Saf. 2024;33(8):539-542. doi:10.1136/bmjqs-2023-016589.
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psnet.ahrq.gov/issue/impact-short-notice-accreditation-assessments-hospitals-patient-safety-and-quality-culture
January 10, 2024 - Review
Impact of short-notice accreditation assessments on hospitals' patient safety and quality culture--a scoping review.
Citation Text:
Scanlan R, Flenady T, Judd J. Impact of short‐notice accreditation assessments on hospitals' patient safety and quality culture- a scoping review. J …
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psnet.ahrq.gov/issue/elusive-and-illusive-quest-diagnostic-safety-metrics
October 10, 2018 - Commentary
The elusive and illusive quest for diagnostic safety metrics.
Citation Text:
Schiff G, Ruan EL. The Elusive and Illusive Quest for Diagnostic Safety Metrics. J Gen Intern Med. 2018;33(7):983-985. doi:10.1007/s11606-018-4454-2.
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psnet.ahrq.gov/issue/american-geriatrics-society-2023-updated-ags-beers-criteria-potentially-inappropriate
June 12, 2019 - Organizational Policy/Guidelines
American Geriatrics Society 2023 updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults.
Citation Text:
American Geriatrics Society 2023 updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adul…
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psnet.ahrq.gov/issue/start-using-checklist-pronto-recommendation-standard-review-process-chemotherapy-orders
March 04, 2015 - Commentary
Start using a checklist, PRONTO: recommendation for a standard review process for chemotherapy orders.
Citation Text:
Crandell BC, Bates JS, Grgic T. Start using a checklist, PRONTO: Recommendation for a standard review process for chemotherapy orders. J Oncol Pharm Pract. 201…
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psnet.ahrq.gov/issue/medication-safety-initiative-reducing-medication-errors
June 09, 2015 - Study
Medication safety initiative in reducing medication errors.
Citation Text:
Nguyen EE, Connolly PM, Wong V. Medication safety initiative in reducing medication errors. J Nurs Care Qual. 2010;25(3):224-230.
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psnet.ahrq.gov/issue/promoting-patient-safety-perioperative-hand-communication
April 22, 2011 - Commentary
Promoting patient safety with perioperative hand-off communication.
Citation Text:
Robinson NL. Promoting Patient Safety With Perioperative Hand-off Communication. J Perianesth Nurs. 2016;31(3):245-53. doi:10.1016/j.jopan.2014.08.144.
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psnet.ahrq.gov/issue/threats-australian-patient-safety-taps-study-incidence-reported-errors-general-practice
March 05, 2008 - Study
The Threats to Australian Patient Safety (TAPS) study: incidence of reported errors in general practice.
Citation Text:
Makeham MAB, Kidd MR, Saltman DC, et al. The Threats to Australian Patient Safety (TAPS) study: incidence of reported errors in general practice. Med J Aust. 20…
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psnet.ahrq.gov/issue/impact-patient-safety-mandates-medical-education-united-states
June 01, 2011 - Review
Impact of patient safety mandates on medical education in the United States.
Citation Text:
Kane JM, Brannen ML, Kern E. Impact of Patient Safety Mandates on Medical Education in the United States. J Patient Saf. 2008;4(2):93-97. doi:10.1097/pts.0b013e318173f7b5.
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psnet.ahrq.gov/issue/eliminating-adverse-drug-events-ascension-health
August 26, 2020 - Commentary
Eliminating adverse drug events at Ascension Health.
Citation Text:
Butler K, Mollo P, Gale JL, et al. Eliminating adverse drug events at Ascension Health. Jt Comm J Qual Patient Saf. 2007;33(9):527-36.
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psnet.ahrq.gov/issue/hospital-checklists-are-meant-save-lives-so-why-do-they-often-fail
July 31, 2013 - Newspaper/Magazine Article
Hospital checklists are meant to save lives—so why do they often fail?
Citation Text:
Anthes E. Hospital checklists are meant to save lives - so why do they often fail? Nature. 2015;523(7562):516-8. doi:10.1038/523516a.
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psnet.ahrq.gov/issue/effects-implementation-preventive-interventions-program-reduction-medication-errors
March 09, 2022 - Study
Effects of the implementation of a preventive interventions program on the reduction of medication errors in critically ill adult patients.
Citation Text:
Romero CM, Salazar N, Rojas L, et al. Effects of the implementation of a preventive interventions program on the reduction o…
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psnet.ahrq.gov/issue/improving-accuracy-patient-identification-medication-use-process
May 09, 2014 - Commentary
Improving the accuracy of patient identification in the medication-use process.
Citation Text:
Trapskin PJ, White L, Armitstead JA. Improving the accuracy of patient identification in the medication-use process. Am J Health Syst Pharm. 2006;63(3):218, 220-2.
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psnet.ahrq.gov/issue/faces-errors-case-based-approach-educating-providers-policy-makers-and-public-about-patient
March 13, 2013 - Commentary
The faces of errors: a case-based approach to educating providers, policy makers, and the public about patient safety.
Citation Text:
Wachter R, Shojania KG. The faces of errors: a case-based approach to educating providers, policymakers, and the public about patient safety. J…
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psnet.ahrq.gov/issue/model-medication-safety-event-detection
May 14, 2008 - Commentary
A model for medication safety event detection.
Citation Text:
Snyder RA, Fields W. A model for medication safety event detection. Int J Qual Health Care. 2010;22(3):179-86. doi:10.1093/intqhc/mzq014.
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psnet.ahrq.gov/issue/role-information-technology-healthcare-communications-efficiency-and-patient-safety
October 19, 2022 - Commentary
The role of information technology in healthcare communications, efficiency, and patient safety: application and results.
Citation Text:
Prince SB, Herrin DM. The role of information technology in healthcare communications, efficiency, and patient safety: application and res…
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psnet.ahrq.gov/issue/ncpdp-recommendations-and-guidance-standardizing-dosing-designations-prescription-container
September 09, 2020 - Book/Report
NCPDP Recommendations and Guidance for Standardizing the Dosing Designations on Prescription Container Labels of Oral Liquid Medications Version 1.0.
Citation Text:
NCPDP Recommendations and Guidance for Standardizing the Dosing Designations on Prescription Container Labels o…
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psnet.ahrq.gov/issue/severity-medication-administration-errors-detected-bar-code-medication-administration-system
June 17, 2010 - Study
Severity of medication administration errors detected by a bar-code medication administration system.
Citation Text:
Sakowski J, Newman JM, Dozier K. Severity of medication administration errors detected by a bar-code medication administration system. Am J Health Syst Pharm. 2008…
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psnet.ahrq.gov/issue/ashp-guidelines-remote-medication-order-processing
April 19, 2013 - Commentary
ASHP guidelines on remote medication order processing.
Citation Text:
Processing ASHPEP on RMO, Thompson B, Conrad G, et al. ASHP guidelines on remote medication order processing. Am J Health Syst Pharm. 2010;67(8):672-7. doi:10.2146/sp100003.
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psnet.ahrq.gov/issue/automated-dispensing-cabinets-and-their-impact-rate-omitted-and-delayed-doses-systematic
October 12, 2022 - Review
Automated dispensing cabinets and their impact on the rate of omitted and delayed doses: a systematic review.
Citation Text:
Jeffrey E, Dalby M, Walsh Á, et al. Automated dispensing cabinets and their impact on the rate of omitted and delayed doses: a systematic review. Explor Res…