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psnet.ahrq.gov/node/36943/psn-pdf
May 08, 2018 - Remote CPOE error—a situation that's more than
remotely possible.
May 8, 2018
ISMP Medication Safety Alert! Acute Care Edition. May 31, 2007;12:1-3.
https://psnet.ahrq.gov/issue/remote-cpoe-error-situation-thats-more-remotely-possible
This article describes a wrong-patient drug error that was prescribed using a co…
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psnet.ahrq.gov/node/36392/psn-pdf
July 14, 2010 - Airway carts: a systems-based approach to airway safety.
July 14, 2010
Kane BG, Bond WF, Worrilow CC, et al. Airway Carts. J Patient Saf. 2008;2(3).
doi:10.1097/01.jps.0000242995.09037.07.
https://psnet.ahrq.gov/issue/airway-carts-systems-based-approach-airway-safety
The authors describe the development of an airw…
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psnet.ahrq.gov/node/37316/psn-pdf
January 04, 2012 - Health information exchange and patient safety.
January 4, 2012
Kaelber DC, Bates DW. Health information exchange and patient safety. J Biomed Inform. 2007;40(6
Suppl):S40-5.
https://psnet.ahrq.gov/issue/health-information-exchange-and-patient-safety
This review spotlights specific areas in which health informatio…
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psnet.ahrq.gov/node/37554/psn-pdf
February 15, 2010 - Patient safety and error reduction in surgical pathology.
February 15, 2010
Nakhleh RE. Patient safety and error reduction in surgical pathology. Arch Pathol Lab Med.
2008;132(2):181-185. doi:10.1043/1543-2165(2008)132[181:PSAERI]2.0.CO;2.
https://psnet.ahrq.gov/issue/patient-safety-and-error-reduction-surgical-pat…
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psnet.ahrq.gov/node/35435/psn-pdf
June 14, 2011 - Drill down with root cause analysis.
June 14, 2011
McDonald A, Leyhane T. Drill down with root cause analysis. Nurs Manage. 2005;36(10):26-32.
https://psnet.ahrq.gov/issue/drill-down-root-cause-analysis
The authors outline a six-step process for root cause analysis and highlight the importance of
understanding sta…
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psnet.ahrq.gov/node/39081/psn-pdf
September 27, 2016 - Medication room madness: calming the chaos.
September 27, 2016
Conrad C, Fields W, McNamara T, et al. Medication room madness: calming the chaos. J Nurs Care Qual.
2010;25(2):137-144. doi:10.1097/NCQ.0b013e3181c3695d.
https://psnet.ahrq.gov/issue/medication-room-madness-calming-chaos
Through space and process desi…
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psnet.ahrq.gov/node/35948/psn-pdf
August 02, 2010 - Perioperative patient safety: a multisite qualitative
analysis.
August 2, 2010
Chappy S. Perioperative patient safety: a multisite qualitative analysis. AORN J. 2006;83(4):871-4, 877-88,
891-7.
https://psnet.ahrq.gov/issue/perioperative-patient-safety-multisite-qualitative-analysis
The author identified the most …
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www.ahrq.gov/patient-safety/reports/issue-briefs/healthit-ed-figure1.html
February 01, 2021 - Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments
Figure 1. Potential applications of health technology and patient engagement in the ED diagnostic process
Previous Page Next Page
Table of Contents
Health Information Technology for Engaging Pa…
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psnet.ahrq.gov/node/39147/psn-pdf
January 13, 2010 - Following the patient journey to improve medicines
management and reduce errors.
January 13, 2010
Crocker C. Following the patient journey to improve medicines management and reduce errors. Nursing
times. 2009;105(46):12-5.
https://psnet.ahrq.gov/issue/following-patient-journey-improve-medicines-management-and-red…
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psnet.ahrq.gov/node/36642/psn-pdf
January 14, 2011 - Appropriate prescribing of medications: an eight-step
approach.
January 14, 2011
Pollock M, Bazaldua O, Dobbie AE. Appropriate prescribing of medications: an eight-step approach. Am
Fam Physician. 2007;75(2):231-236.
https://psnet.ahrq.gov/issue/appropriate-prescribing-medications-eight-step-approach
The authors …
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psnet.ahrq.gov/node/38360/psn-pdf
March 18, 2010 - Medication errors occurring with the use of bar-code
administration technology.
March 18, 2010
PA-PSRS Patient Saf Advis. December 2008;5:122-126.
https://psnet.ahrq.gov/issue/medication-errors-occurring-use-bar-code-administration-technology
This article describes errors associated with bar coded medication admin…
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psnet.ahrq.gov/node/35833/psn-pdf
July 23, 2010 - Medication administration errors: understanding the
issues.
July 23, 2010
McBride-Henry K, Foureur M. Medication administration errors: understanding the issues. Aust J Adv Nurs.
2006;23(3):33-41.
https://psnet.ahrq.gov/issue/medication-administration-errors-understanding-issues
The authors review the literature …
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psnet.ahrq.gov/node/35367/psn-pdf
July 20, 2009 - Reducing adverse events in blood transfusion.
July 20, 2009
Stainsby D, Russell J, Cohen H, et al. Reducing adverse events in blood transfusion. Br J Haematol.
2005;131(1). doi:10.1111/j.1365-2141.2005.05702.x.
https://psnet.ahrq.gov/issue/reducing-adverse-events-blood-transfusion
The authors discuss how errors ca…
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www.ahrq.gov/nursing-home/resources/testing-vendors-covid.html
July 01, 2022 - COVID-19 Testing Vendors for Long-Term Care
Resource: COVID-19 Testing Vendors for Long-Term Care
This document provides a list of COVID-19 testing vendors for long term care. The list contains the vendor's name, company details, testing process description, turnaround time, test and billing information, s…
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psnet.ahrq.gov/node/35810/psn-pdf
December 15, 2009 - Quality and patient safety. Engaging your board to take
the lead.
December 15, 2009
Bader BS. Quality and patient safety. Engaging your board to take the lead. Healthcare executive.
2006;21(2):64, 66-7.
https://psnet.ahrq.gov/issue/quality-and-patient-safety-engaging-your-board-take-lead
The author discusses why…
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psnet.ahrq.gov/node/38919/psn-pdf
January 28, 2011 - Setting priorities for patient safety: ethics, accountability,
and public engagement.
January 28, 2011
Pronovost P, Faden RR. Setting priorities for patient safety: ethics, accountability, and public engagement.
JAMA. 2009;302(8):890-1. doi:10.1001/jama.2009.1177.
https://psnet.ahrq.gov/issue/setting-priorities-pa…
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psnet.ahrq.gov/node/37645/psn-pdf
March 26, 2008 - Implementing a rapid response team: a practical guide.
March 26, 2008
Garretson S; Dip HE; Rauzi MB.
https://psnet.ahrq.gov/issue/implementing-rapid-response-team-practical-guide
This article discusses how one hospital implemented a rapid response team consisting of a hospitalist,
advance practice nurse, and respi…
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psnet.ahrq.gov/node/35963/psn-pdf
August 10, 2010 - Measuring perinatal patient safety: review of current
methods.
August 10, 2010
Simpson KR. Measuring perinatal patient safety: review of current methods. J Obstet Gynecol Neonatal
Nurs. 2006;35(3):432-42.
https://psnet.ahrq.gov/issue/measuring-perinatal-patient-safety-review-current-methods
The author discusses f…
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psnet.ahrq.gov/node/39835/psn-pdf
December 27, 2018 - Advancement toward High Reliability in Healthcare
Awards.
December 27, 2018
Department of Defense Patient Safety Program; DoD PSP; DoD
https://psnet.ahrq.gov/issue/advancement-toward-high-reliability-healthcare-awards
This award recognizes outstanding high reliability improvement work in the Military Health System…
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psnet.ahrq.gov/node/34598/psn-pdf
November 15, 2011 - Complexity and the Adoption of Innovation in Health
Care.
November 15, 2011
Plsek P. Washington DC: National Institute for Health Care Management Foundation and National
Committee for Quality Health Care; 2003.
https://psnet.ahrq.gov/issue/complexity-and-adoption-innovation-health-care
In discussing the complexit…