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psnet.ahrq.gov/issue/fdaismp-safe-medication-management-fellowship-program
January 26, 2023 - Press Release/Announcement
FDA/ISMP Safe Medication Management Fellowship Program.
Citation Text:
FDA/ISMP Safe Medication Management Fellowship Program. Food and Drug Administration, Institute for Safe Medication Practices.
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psnet.ahrq.gov/issue/mismatch-made-america
December 31, 2018 - Newspaper/Magazine Article
A mismatch made in America.
Citation Text:
A mismatch made in America. Butcher L. Managed Care. June 2019;28:37-39.
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psnet.ahrq.gov/issue/understanding-patient-safety-third-edition
November 03, 2015 - Book/Report
Classic
Understanding Patient Safety, Third Edition.
Citation Text:
Understanding Patient Safety, Third Edition. Wachter RM, Gupta K. New York, NY: McGraw-Hill Professional; 2017. ISBN: 9781259860249.
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psnet.ahrq.gov/issue/strategies-hospitals-improve-patient-safety-review-literature
May 20, 2020 - Book/Report
Strategies for Hospitals to Improve Patient Safety: A Review of the Literature.
Citation Text:
Strategies for Hospitals to Improve Patient Safety: A Review of the Literature. Wong J, Beglaryan H. Toronto, ON: The Change Foundation; February 2004.
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psnet.ahrq.gov/web-mm/discharged-blindly
October 26, 2022 - Discharged Blindly
Citation Text:
Iezzoni LI. Discharged Blindly. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.179_slideshow.ppt
July 01, 2008 - Spotlight Case July 2008
Spotlight Case July 2008
Dependence vs. Pain
Source and Credits
This presentation is based on the July 2008
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Adam J. Gordon, MD, MPH University of Pittsburgh School of M…
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psnet.ahrq.gov/web-mm/communication-consultants
October 01, 2018 - Communication With Consultants
Citation Text:
Cohn SL. Communication With Consultants. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/node/73106/psn-pdf
April 01, 2021 - Strategies and Approaches for Tracking Improvements in
Patient Safety
April 1, 2021
Shaikh U. Strategies and Approaches for Tracking Improvements in Patient Safety . PSNet [internet]. 2021.
https://psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety
Background
An essential aspect …
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psnet.ahrq.gov/node/867004/psn-pdf
October 30, 2024 - Critical Radiology Alert Process
October 30, 2024
https://psnet.ahrq.gov/innovation/critical-radiology-alert-process
Summary
Vanderbilt University Medical Center developed an electronic trigger tool that alerts the care team of
unrelated abnormal findings and provides a companion follow-up process, with the goal o…
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psnet.ahrq.gov/node/34740/psn-pdf
November 29, 2017 - Through the Patient’s Eyes: Understanding and
Promoting Patient-Centered Care.
November 29, 2017
Gerteis M, Edgman-Levitan S, Daley J, et al. San Francisco: Jossey-Bass; 1993. ISBN: 9781555425449
https://psnet.ahrq.gov/issue/through-patients-eyes-understanding-and-promoting-patient-centered-care
Authored by severa…
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psnet.ahrq.gov/node/837850/psn-pdf
August 17, 2022 - Shared understanding of resilient practices in the context
of inpatient suicide prevention: a narrative synthesis.
August 17, 2022
Berg SH, Rørtveit K, Walby FA, et al. Shared understanding of resilient practices in the context of inpatient
suicide prevention: a narrative synthesis. BMC Health Serv Res. 2022;22(1):…
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psnet.ahrq.gov/node/39121/psn-pdf
March 04, 2011 - The influence that electronic prescribing has on
medication errors and preventable adverse drug events:
an interrupted time-series study.
March 4, 2011
van Doormaal J, van den Bemt PMLA, Zaal RJ, et al. The influence that electronic prescribing has on
medication errors and preventable adverse drug events: an inter…
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psnet.ahrq.gov/node/35017/psn-pdf
August 24, 2017 - The Field Guide to Human Error Investigations, Third
Edition.
August 24, 2017
Dekker S. Boca Baton, FL: CRC Press; 2017.
https://psnet.ahrq.gov/issue/field-guide-human-error-investigations-third-edition
This revised and reorganized book provides a primer on how human error causes mishaps and often
illustrates dee…
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psnet.ahrq.gov/node/35440/psn-pdf
May 27, 2011 - Computerized physician order entry with clinical decision
support in the long-term care setting: insights from the
Baycrest Centre for Geriatric Care.
May 27, 2011
Rochon P, Field T, Bates DW, et al. Computerized physician order entry with clinical decision support in the
long-term care setting: insights from the …
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psnet.ahrq.gov/node/44749/psn-pdf
December 27, 2018 - Southern Baptist Hospital of Florida v. Charles.
December 27, 2018
Fla Ct App, 1st Dist. October 28, 2015.
https://psnet.ahrq.gov/issue/southern-baptist-hospital-florida-v-charles
The Patient Safety and Quality Improvement Act (PSQIA) provides federal protection of adverse event
reports voluntarily submitted to pa…
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psnet.ahrq.gov/node/42723/psn-pdf
January 15, 2014 - 'Not another safety culture survey': using the Canadian
patient safety climate survey (Can-PSCS) to measure
provider perceptions of PSC across health settings.
January 15, 2014
Ginsburg LR, Tregunno D, Norton PG, et al. 'Not another safety culture survey': using the Canadian patient
safety climate survey (Can-PSCS…
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psnet.ahrq.gov/node/38668/psn-pdf
June 10, 2009 - User satisfaction with computerized order entry system
and its effect on workplace level of stress.
June 10, 2009
Ghahramani N, Lendel I, Haque R, et al. User satisfaction with computerized order entry system and its
effect on workplace level of stress. J Med Syst. 2009;33(3):199-205.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/44785/psn-pdf
January 27, 2016 - Reducing Adverse Drug Events Related to Opioids
Implementation Guide.
January 27, 2016
Frederickson TW. Gordon DB, De Pinto M, et al. Philadelphia, PA: Society of Hospital Medicine; 2015.
https://psnet.ahrq.gov/issue/reducing-adverse-drug-events-related-opioids-implementation-guide
Opioids are high-risk medication…
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psnet.ahrq.gov/node/837431/psn-pdf
June 15, 2022 - Anesthesiologist group says hospitals can prevent fatal
errors like Vanderbilt's.
June 15, 2022
Clark C. MedPage Today. June 2, 2022
https://psnet.ahrq.gov/issue/anesthesiologist-group-says-hospitals-can-prevent-fatal-errors-vanderbilts
Transparency and discussion of errors is a hallmark of the culture needed to i…
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psnet.ahrq.gov/node/41917/psn-pdf
May 04, 2022 - ISMP Guidelines for Sterile Compounding and the Safe
Use of Sterile Compounding Technology.
May 4, 2022
Plymouth Meeting, PA: Institute for Safe Medication Practices; 2022.
https://psnet.ahrq.gov/issue/ismp-guidelines-sterile-compounding-and-safe-use-sterile-compounding-
technology
This updated report describes b…