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psnet.ahrq.gov/issue/potential-medication-error-risks-investigational-drug-container-labels
March 08, 2021 - Upcoming Meeting/Conference
April 7, 2021
Potential Medication Error Risks with Investigational Drug Container Labels.
Citation Text:
Reagan-Udall Foundation and US Food and Drug Administration. Public Meeting. May 18-19, 2021.
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psnet.ahrq.gov/issue/international-forum-quality-safety-healthcare-asia
May 16, 2018 - Asia Meeting/Conference
International Forum on Quality & Safety in Healthcare--Asia
Citation Text:
British Medical Journal, Institute for Healthcare Improvement. November 25-27, 2021.
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psnet.ahrq.gov/issue/fda-preliminary-public-health-notification-update-information-about-ralstonia-spp-associated
April 17, 2019 - Government Resource
FDA preliminary public health notification: update of information about Ralstonia spp. associated with Vapotherm Respiratory Gas Administration device.
Citation Text:
Food and Drug Administration; FDA.
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psnet.ahrq.gov/issue/patient-safetyquality-improvement-primer-parts-i-ii-and-iii
July 26, 2017 - Special or Theme Issue
Patient Safety/Quality Improvement Primer: Parts I, II and III.
Citation Text:
Otolaryngol Head Neck Surg. 2018-2022.
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psnet.ahrq.gov/node/836756/psn-pdf
March 16, 2022 - Quality and safety outcomes of a hospital merger
following a full integration at a safety net hospital.
March 16, 2022
Wang E, Arnold S, Jones S, et al. Quality and safety outcomes of a hospital merger following a full
integration at a safety net hospital. JAMA Netw Open. 2022;5(1):e2142382.
doi:10.1001/jamanetwor…
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psnet.ahrq.gov/node/37562/psn-pdf
June 14, 2011 - Effectiveness and efficiency of root cause analysis in
medicine.
June 14, 2011
Wu AW. Effectiveness and Efficiency of Root Cause Analysis in Medicine. JAMA. 2008;299(6):685-687.
doi:10.1001/jama.299.6.685.
https://psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine
Application of root c…
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psnet.ahrq.gov/node/61004/psn-pdf
October 07, 2020 - National Nursing Home COVID Action Network.
October 7, 2020
Rockville, MD: Agency for Healthcare Research and Quality; September 2020.
https://psnet.ahrq.gov/issue/national-nursing-home-covid-action-network
Nursing home residents are especially vulnerable to COVID-19 due to their age, and communal living
conditio…
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psnet.ahrq.gov/node/836750/psn-pdf
March 16, 2022 - The source of purchased medications and its impact on
medication mistakes and hospitalizations.
March 16, 2022
Coates MC, Granche J, Sefcik JS, et al. The source of purchased medications and its impact on
medication mistakes and hospitalizations. Res Gerontol Nurs. 2022;15(2):69-75. doi:10.3928/19404921-
20220131-…
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psnet.ahrq.gov/node/865872/psn-pdf
May 15, 2024 - Speaking up and taking action: psychological safety and
joint problem-solving orientation in safety improvement.
May 15, 2024
Bahadurzada H, Kerrissey M, Edmondson AC. Speaking up and taking action: psychological safety and
joint problem-solving orientation in safety improvement. Healthcare (Basel). 2024;12(8):812.…
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psnet.ahrq.gov/node/39579/psn-pdf
June 11, 2014 - Outpatient adverse drug events identified by screening
electronic health records.
June 11, 2014
Gandhi TK, Seger AC, Overhage M, et al. Outpatient adverse drug events identified by screening electronic
health records. J Patient Saf. 2010;6(2):91-6. doi:10.1097/PTS.0b013e3181dcae06.
https://psnet.ahrq.gov/issue/out…
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psnet.ahrq.gov/node/841148/psn-pdf
December 07, 2022 - How does workplace violence-reporting culture affect
workplace violence, nurse burnout, and patient safety?
December 7, 2022
Kim S, Lynn MR, Baernholdt MB, et al. How does workplace violence-reporting culture affect Workplace
violence, nurse burnout, and patient safety? J Nurs Care Qual. 2022;38(1):11-18.
doi:10.1…
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psnet.ahrq.gov/node/855433/psn-pdf
November 15, 2023 - Room for resilience: a qualitative study about
accountability mechanisms in the relation between work-
as-done (WAD) and work-as-imagined (WAI) in hospitals.
November 15, 2023
Weenink J-W, Tresfon J, van de Voort I, et al. Room for resilience: a qualitative study about accountability
mechanisms in the relation bet…
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psnet.ahrq.gov/node/843329/psn-pdf
February 01, 2023 - Improving administration and documentation of enteral
nutrition support therapy in a Veteran Affairs health care
system: use of medication administration record and bar
code scanning technology.
February 1, 2023
Chew MM, Rivas S, Chesser M, et al. Improving administration and documentation of enteral nutrition
su…
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psnet.ahrq.gov/node/866404/psn-pdf
July 31, 2024 - Patient and caregiver perspectives on causes and
prevention of ambulatory adverse events: multilingual
qualitative study.
July 31, 2024
Sharma AE, Tran AS, Dy M, et al. Patient and caregiver perspectives on causes and prevention of
ambulatory adverse events: multilingual qualitative study. BMJ Qual Saf. 2024;Epub …
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psnet.ahrq.gov/node/73292/psn-pdf
May 19, 2021 - Redeployment of health care workers in the COVID-19
pandemic: a qualitative study of health system leaders'
strategies.
May 19, 2021
Panda N, Sinyard RD, Henrich N, et al. Redeployment of health care workers in the COVID-19 pandemic: a
qualitative study of health system leaders' strategies. J Patient Saf. 2021;17(…
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psnet.ahrq.gov/node/866078/psn-pdf
June 05, 2024 - Second victim experiences of health care learners and the
influence of the training environment on postevent
adaptation.
June 5, 2024
Huang L, Riggan KA, Torbenson VE, et al. Second victim experiences of health care learners and the
influence of the training environment on postevent adaptation. Mayo Clin Proc Inno…
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psnet.ahrq.gov/node/48163/psn-pdf
July 31, 2019 - The MedSafer Study: a controlled trial of an electronic
decision support tool for deprescribing in acute care.
July 31, 2019
McDonald EG, Wu PE, Rashidi B, et al. The MedSafer Study: A Controlled Trial of an Electronic Decision
Support Tool for Deprescribing in Acute Care. J Am Geriatr Soc. 2019;67(9):1843-1850.
d…
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psnet.ahrq.gov/node/863214/psn-pdf
February 28, 2024 - Appropriate use of medical interpreters in the breast
imaging clinic.
February 28, 2024
Feliciano-Rivera YZ, Yepes MM, Sanchez P, et al. Appropriate use of medical interpreters in the breast
imaging clinic. J Breast Imaging. 2024;27(3):296-303. doi:10.1093/jbi/wbad109.
https://psnet.ahrq.gov/issue/appropriate-use-…
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psnet.ahrq.gov/node/837138/psn-pdf
May 18, 2022 - Association of diagnostic stewardship for blood cultures
in critically ill children with culture rates, antibiotic use,
and patient outcomes: results of the Bright STAR
Collaborative.
May 18, 2022
Woods-Hill CZ, Colantuoni EA, Koontz DW, et al. Association of diagnostic stewardship for blood cultures
in criticall…
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psnet.ahrq.gov/node/46610/psn-pdf
December 06, 2017 - Pragmatic insights on patient safety priorities and
intervention strategies in ambulatory settings.
December 6, 2017
Sarkar U, McDonald KM, Motala A, et al. Pragmatic Insights on Patient Safety Priorities and Intervention
Strategies in Ambulatory Settings. Jt Comm J Qual Patient Saf. 2017;43(12):661-670.
doi:10.10…