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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/instructor.html
October 01, 2014 - Improving Patient Safety in Long-Term Care Facilities
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Table of Contents
Improving Patient Safety in Long-Term Care Facilities
Introduction
Module 1. Detecting Change in a Resident's Condition
Module 2. Communicating Change in a Resident's Condition
Module 3. Falls Prevention
Append…
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psnet.ahrq.gov/issue/health-care-worker-perspectives-their-motivation-reduce-health-care-associated-infections
June 02, 2019 - Study
Health care worker perspectives of their motivation to reduce health care–associated infections.
Citation Text:
McClung L, Obasi C, Knobloch MJ, et al. Health care worker perspectives of their motivation to reduce health care-associated infections. Am J Infect Control. 2017;45(10):…
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psnet.ahrq.gov/issue/adverse-drug-event-reporting-intensive-care-units-survey-current-practices
December 16, 2020 - Study
Adverse drug event reporting in intensive care units: a survey of current practices.
Citation Text:
Kane-Gill SL, Devlin JW. Adverse drug event reporting in intensive care units: a survey of current practices. Ann Pharmacother. 2006;40(7-8):1267-73.
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psnet.ahrq.gov/issue/developing-patient-safety-surveillance-system-identify-adverse-events-intensive-care-unit
February 19, 2014 - Review
Developing a patient safety surveillance system to identify adverse events in the intensive care unit.
Citation Text:
Stockwell DC, Kane-Gill SL. Developing a patient safety surveillance system to identify adverse events in the intensive care unit. Crit Care Med. 2010;38(6 Suppl)…
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psnet.ahrq.gov/issue/are-clinical-instructors-preventing-or-provoking-adverse-events-involving-students
November 15, 2023 - Commentary
Are clinical instructors preventing or provoking adverse events involving students: a contemporary issue.
Citation Text:
Christensen L. Are clinical instructors preventing or provoking adverse events involving students: A contemporary issue. Nurse Educ Today. 2018;70:121-123. …
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psnet.ahrq.gov/issue/unintentionally-retained-foreign-objects-descriptive-study-308-sentinel-events-and
March 20, 2019 - Study
Emerging Classic
Unintentionally retained foreign objects: a descriptive study of 308 sentinel events and contributing factors.
Citation Text:
Steelman VM, Shaw C, Shine L, et al. Unintentionally Retained Foreign Objects: A Descriptive Study of 308 Sentine…
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psnet.ahrq.gov/issue/medication-errors-resulting-computer-entry-nonprescribers
January 02, 2017 - Study
Medication errors resulting from computer entry by nonprescribers.
Citation Text:
Santell JP, Kowiatek JG, Weber RJ, et al. Medication errors resulting from computer entry by nonprescribers. Am J Health Syst Pharm. 2009;66(9):843-53. doi:10.2146/ajhp080208.
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psnet.ahrq.gov/issue/armstrong-institute-residentfellow-scholars-multispecialty-curriculum-train-future-leaders
October 19, 2022 - Commentary
The Armstrong Institute Resident/Fellow Scholars: a multispecialty curriculum to train future leaders in patient safety and quality improvement.
Citation Text:
Rinke ML, Mock CK, Persing NM, et al. The Armstrong Institute Resident/Fellow Scholars: A Multispecialty Curriculum t…
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psnet.ahrq.gov/issue/identifying-modifiable-barriers-medication-error-reporting-nursing-home-setting
March 10, 2011 - Study
Identifying modifiable barriers to medication error reporting in the nursing home setting.
Citation Text:
Handler S, Perera S, Olshansky EF, et al. Identifying modifiable barriers to medication error reporting in the nursing home setting. J Am Med Dir Assoc. 2007;8(9):568-74.
C…
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psnet.ahrq.gov/issue/adverse-drug-events-surgical-patients-observational-multicentre-study
January 18, 2013 - Government Resource
Adverse drug events in surgical patients: an observational multicentre study.
Citation Text:
de Boer M, Boeker EB, Ramrattan MA, et al. Adverse drug events in surgical patients: an observational multicentre study. Int J Clin Pharm. 2013;35(5):744-52. doi:10.1007/s110…
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psnet.ahrq.gov/issue/medication-errors-neonatal-and-paediatric-intensive-care-units
February 03, 2011 - Study
Classic
Medication errors in neonatal and paediatric intensive-care units.
Citation Text:
Raju TN, Kecskes S, Thornton JP, et al. Medication errors in neonatal and paediatric intensive-care units. Lancet. 1989;2(8659):374-6.
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psnet.ahrq.gov/issue/inter-and-intra-rater-reliability-classification-medication-related-events-paediatric
August 20, 2018 - Study
Inter- and intra-rater reliability for classification of medication related events in paediatric inpatients.
Citation Text:
Kunac DL, Reith DM, Kennedy J, et al. Inter- and intra-rater reliability for classification of medication related events in paediatric inpatients. Qual Saf …
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psnet.ahrq.gov/issue/automated-medication-error-studies-audit-supplementation-were-effectively-designed-and
May 18, 2011 - Study
Automated medication error studies with audit supplementation were effectively designed and analyzed by time series.
Citation Text:
Shuster JJ, Winterstein AG. Automated medication error studies with audit supplementation were effectively designed and analyzed by time series. J C…
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psnet.ahrq.gov/issue/lessons-learned-use-event-reporting-nurses-improve-patient-safety-and-quality
May 19, 2013 - Study
Lessons learned: use of event reporting by nurses to improve patient safety and quality.
Citation Text:
Hession-Laband E, Mantell P. Lessons learned: use of event reporting by nurses to improve patient safety and quality. J Pediatr Nurs. 2011;26(2):149-55. doi:10.1016/j.pedn.2010…
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psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system
October 19, 2022 - Study
Impact of a computerized physician order-entry system.
Citation Text:
Stone WM, Smith BE, Shaft JD, et al. Impact of a computerized physician order-entry system. J Am Coll Surg. 2009;208(5):960-7; discussion 967-9. doi:10.1016/j.jamcollsurg.2009.01.042.
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psnet.ahrq.gov/issue/effect-clinical-pharmacists-care-emergency-department-systematic-review
January 16, 2008 - Review
Classic
Effect of clinical pharmacists on care in the emergency department: a systematic review.
Citation Text:
Cohen V, Jellinek SP, Hatch A, et al. Effect of clinical pharmacists on care in the emergency department: a systematic review. Am J Health Sy…
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psnet.ahrq.gov/issue/medication-administration-variances-and-after-implementation-computerized-physician-order
July 19, 2023 - Study
Medication administration variances before and after implementation of computerized physician order entry in a neonatal intensive care unit.
Citation Text:
Taylor JA, Loan LA, Kamara J, et al. Medication administration variances before and after implementation of computerized phy…
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psnet.ahrq.gov/issue/point-care-testing-error-sources-and-amplifiers-taxonomy-prevention-strategies-and-detection
January 08, 2016 - Study
Point-of-care testing error: sources and amplifiers, taxonomy, prevention strategies, and detection monitors.
Citation Text:
Meier FA, Jones BA. Point-of-care testing error: sources and amplifiers, taxonomy, prevention strategies, and detection monitors. Arch Pathol Lab Med. 2005…
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psnet.ahrq.gov/issue/enhanced-detection-blood-bank-sample-collection-errors-centralized-patient-database
March 20, 2019 - Study
Enhanced detection of blood bank sample collection errors with a centralized patient database.
Citation Text:
MacIvor D, Triulzi DJ, Yazer MH. Enhanced detection of blood bank sample collection errors with a centralized patient database. Transfusion (Paris). 2009;49(1):40-3. doi:…
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psnet.ahrq.gov/issue/medication-errors-hiv-infected-hospitalized-patients-pharmacists-impact
November 16, 2022 - Study
Medication errors in HIV-infected hospitalized patients: a pharmacist's impact.
Citation Text:
Eginger KH, Yarborough LL, Inge LDV, et al. Medication errors in HIV-infected hospitalized patients: a pharmacist's impact. Ann Pharmacother. 2013;47(7-8):953-60. doi:10.1345/aph.1R773.…