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psnet.ahrq.gov/node/864868/psn-pdf
March 27, 2024 - Inpatient Transitions of Care: Challenges and Safety
Practices
March 27, 2024
Satake A, McElroy V. Inpatient Transitions of Care: Challenges and Safety Practices. PSNet [internet].
2024.
https://psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices
Background
Transitions of care occur …
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psnet.ahrq.gov/web-mm/medication-overdose
September 01, 2011 - Medication Overdose
Citation Text:
Kaushal R. Medication Overdose. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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Format:
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psnet.ahrq.gov/web-mm/patient-mix
December 01, 2007 - Patient Mix-Up
Citation Text:
Shojania KG. Patient Mix-Up. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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…
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psnet.ahrq.gov/primer/detection-safety-hazards
March 30, 2022 - Detection of Safety Hazards
Citation Text:
Detection of Safety Hazards. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
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psnet.ahrq.gov/primer/systems-approach
June 15, 2024 - Systems Approach
Citation Text:
Systems Approach. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
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Downl…
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psnet.ahrq.gov/sites/default/files/2020-06/final_june-spotlight_case_slides_06.12.2020.pdf
January 01, 2020 - Microsoft PowerPoint - FINAL June-Spotlight Case Slides_06.12.2020.pptx
Spotlight
When the Indications for Drug
Administration Blur
Source and Credits
• This presentation is based on the June 2020 AHRQ
WebM&M Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
• Commentary by: Julia Munsch,…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4c.html
August 01, 2021 - Cuomo announces agreements with major pharmacies to provide customers with prescription medication instructions … 1990 ; Stone et al., 1998 ).
4 New York State requires translation and interpretation services by pharmacies
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meps.ahrq.gov/data_files/publications/mr30/mr30.pdf
June 01, 2015 - validates information on medical care events reported
in the MEPS-HC by contacting medical providers and pharmacies … The MPC sample includes all hospitals, hospital physicians, home
health agencies, and pharmacies reported
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meps.ahrq.gov/data_files/publications/mr27/mr27.shtml
March 01, 2013 - validates information on medical care events reported in the MEPS-HC by contacting medical providers and pharmacies … The MPC sample includes all hospitals, hospital physicians, home health agencies, and pharmacies reported
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meps.ahrq.gov/data_files/publications/mr27/mr27.pdf
March 01, 2013 - validates information on medical care events reported
in the MEPS-HC by contacting medical providers and pharmacies … The MPC sample includes all hospitals, hospital physicians, home
health agencies, and pharmacies reported
-
meps.ahrq.gov/data_files/publications/mr31/mr31.shtml
July 01, 2018 - validates information on medical care events reported in the MEPS-HC by contacting medical providers and pharmacies … The MPC sample includes all hospitals, hospital physicians, home health agencies, and pharmacies reported
-
meps.ahrq.gov/data_files/publications/mr30/mr30.shtml
June 01, 2015 - validates information on medical care events reported in the MEPS-HC by contacting medical providers and pharmacies … The MPC sample includes all hospitals, hospital physicians, home health agencies, and pharmacies reported
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psnet.ahrq.gov/perspective/accreditation-and-regulation-can-they-help-improve-patient-safety
April 01, 2009 - Commission issued its 1998 Sentinel Alert about keeping concentrated potassium chloride only in hospital pharmacies … ( 11 ) found that delays in receiving dilute solutions from the pharmacy turned ICUs into de facto pharmacies
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digital.ahrq.gov/sites/default/files/docs/publication/r03hs018841-basco-final-report-2013.pdf
January 01, 2013 - Assessment of Pediatric Look-Alike, Sound-Alike (LASA) Substitution Errors - Final Report
Grant Final Report
Grant ID: 5R03HS018841
Assessment of Pediatric Look-Alike, Sound-Alike
(LASA) Substitution Errors
Inclusive Project Dates: 04/01/10 – 03/31/13
Principal Investigator:
William T. B…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/mowebinar_2014/famolaro-0914slides.pdf
January 01, 2014 - Nursing Home Survey on Patient Safety Culture
Medical Office Survey on Patient Safety Culture
Community … Pharmacy Survey on Patient Safety Culture
Surveys and related material available at:
http://www.ahrq.gov
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-ASC_Webcast_2021-Famolaro.pdf
January 01, 2021 - Patient Safety Culture (SOPS)
Westat
SOPS Databases
21
Hospital Nursing
Home
Medical
Office
Community … Pharmacy
Ambulatory
Surgery
Center
SOPS ASC Database
22
• Repository of SOPS ASC
Survey Data
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www.ahrq.gov/sites/default/files/2024-02/kleinman-report.pdf
January 01, 2024 - Final Progress Report: Epidemiology, Exploration, and Evaluation: Addressing potentially dangerous medications in children on Medicaid with a mental health diagnosis
Title of Project
Epidemiology, Exploration, and Evaluation: Addressing
potentially dangerous medications in children on Medicaid with
a mental health…
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www.ahrq.gov/news/newsletters/e-newsletter/908.html
April 01, 2024 - Adapting a community pharmacy intervention to improve medication safety.
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www.ahrq.gov/sites/default/files/publications/files/match.pdf
August 01, 2012 - information include:
■ Patient
■ Family/caregiver
■ Patient’s medication bottles*
■ Patient’s community … pharmacy
■ Patient’s primary care or specialty physicians and their offices or clinics
■ Past medical … ■ Involving community partners, including community physicians, pharmacies, and emergency
medical … obtained from the patient, whenever possible, although other resources (e.g. family, caregivers,
community … pharmacies, past medical records, primary care physician) may need to be contacted
as needed.
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2024.xlsx
January 01, 2024 - Introduction
Introduction-Generic Patient Safety Concern
The tables in this workbook present generic data on Patient Safety Concerns submitted by AHRQ-listed Patient Safety Organizations (PSOs) to the Network of Patient Safety Databases (NPSD) through December 31, 2023. The tables include distributions of events and…