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psnet.ahrq.gov/issue/changes-practice-among-physicians-malpractice-claims
February 14, 2017 - August 12, 2009
Medical liability and patient safety: setting the proper course.
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psnet.ahrq.gov/issue/improving-reliability-verbal-communication-between-primary-care-physicians-and-pediatric
November 16, 2015 - 19, 2022
Utilizing improvement science methods to improve physician compliance with proper
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psnet.ahrq.gov/issue/double-gloves-randomized-trial-evaluate-simple-strategy-reduce-contamination-operating-room
November 09, 2015 - February 1, 2023
Patient safety begins with proper planning: a quantitative method to
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psnet.ahrq.gov/issue/spoons-systematically-bias-dosing-liquid-medicine
November 03, 2015 - October 17, 2018
Proper positioning of pharmacy label on Hospira PCA vials will avoid
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psnet.ahrq.gov/issue/creating-highly-reliable-neonatal-intensive-care-unit-through-safer-systems-care
January 12, 2011 - January 12, 2011
Medical liability and patient safety: setting the proper course.
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psnet.ahrq.gov/issue/obstetrician-gynecologists-opinions-about-patient-safety-costs-and-liability-remain-problems
November 25, 2009 - November 25, 2009
Medical liability and patient safety: setting the proper course.
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psnet.ahrq.gov/issue/deploying-six-sigma-health-care-system-work-progress
March 04, 2011 - 30, 2011
Utilizing improvement science methods to improve physician compliance with proper
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psnet.ahrq.gov/issue/effect-implementation-barcode-technology-and-electronic-medication-administration-record
February 24, 2011 - March 13, 2019
Proper positioning of pharmacy label on Hospira PCA vials will avoid interference
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psnet.ahrq.gov/issue/practically-speaking-rethinking-hand-hygiene-improvement-programs-health-care-settings
September 03, 2011 - September 21, 2011
Patient safety begins with proper planning: a quantitative method
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psnet.ahrq.gov/issue/moral-distress-compassion-fatigue-and-perceptions-about-medication-errors-certified-critical
November 09, 2015 - 15, 2023
Utilizing improvement science methods to improve physician compliance with proper
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psnet.ahrq.gov/issue/framework-patient-safety-defense-nuclear-industry-based-high-reliability-model
June 14, 2017 - July 2, 2014
Patient safety begins with proper planning: a quantitative method to improve
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psnet.ahrq.gov/node/42872/psn-pdf
December 30, 2014 - Errors in after-hours phone consultations: a simulation
study.
December 30, 2014
Joffe E, Turley JP, Hwang KO, et al. Errors in after-hours phone consultations: a simulation study. BMJ
Qual Saf. 2014;23(5):398-405. doi:10.1136/bmjqs-2013-002243.
https://psnet.ahrq.gov/issue/errors-after-hours-phone-consultations-s…
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psnet.ahrq.gov/issue/insulin-pump-risks-and-benefits-clinical-appraisal-pump-safety-standards-adverse-event
June 03, 2020 - July 11, 2018
Proper positioning of pharmacy label on Hospira PCA vials will avoid interference
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psnet.ahrq.gov/issue/impact-traditional-and-smart-pump-infusion-technology-nurse-medication-administration
May 18, 2022 - February 13, 2019
Proper positioning of pharmacy label on Hospira PCA vials will avoid
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psnet.ahrq.gov/node/42488/psn-pdf
August 14, 2013 - Lessons learned from implementation of computerized
provider order entry in 5 community hospitals: a
qualitative study.
August 14, 2013
Simon SR, Keohane CA, Amato MG, et al. Lessons learned from implementation of computerized provider
order entry in 5 community hospitals: a qualitative study. BMC Med Inform Decis…
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psnet.ahrq.gov/node/46554/psn-pdf
October 25, 2017 - Severe hyperglycemia in patients incorrectly using insulin
pens at home.
October 25, 2017
National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American
Society of Health-System Pharmacists. October 12, 2017.
https://psnet.ahrq.gov/issue/severe-hyperglycemia-patients-incorrect…
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psnet.ahrq.gov/node/33808/psn-pdf
May 01, 2016 - ref1
https://psnet.ahrq.gov//#ref2
lead placement and change the electrodes daily.(6) In addition, proper … None of these interventions can be successful without proper staff education and
training.
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psnet.ahrq.gov/node/49850/psn-pdf
January 01, 2019 - A
well-designed order set would support selection of proper bolus dosing, correct rate of maintenance … decision support, the order set should have been designed to provide guidance as to how to select the
proper
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psnet.ahrq.gov/node/73062/psn-pdf
January 01, 2022 - Description of the role of pharmacist independent double
checks during cognitive order verification of outpatient
parenteral anti-cancer therapy.
March 25, 2021
Booth JP, Kennerly-Shah JM, Hartman AD. Description of the role of pharmacist independent double
checks during cognitive order verification of outpatient …
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psnet.ahrq.gov/web-mm/result-stopped-here
December 01, 2006 - Proper handling of the result would have led to proper treatment and prevented patient harm. … The timing increased the likelihood of error, since proper handling of the laboratory result required