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psnet.ahrq.gov/issue/medicare-and-medicaid-programs-hospital-and-critical-access-hospital-cah-changes-promote
August 28, 2024 - Regulation
Medicare and Medicaid Programs; Hospital and Critical Access Hospital (CAH) Changes to Promote Innovation, Flexibility, and Improvement in Patient Care; Proposed Rule.
Citation Text:
Medicare and Medicaid Programs; Hospital and Critical Access Hospital (CAH) Changes to Promote…
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psnet.ahrq.gov/issue/preventing-communication-errors-telephone-medicine
December 01, 2004 - Commentary
Preventing communication errors in telephone medicine.
Citation Text:
Reisman AB, Brown KE. Preventing communication errors in telephone medicine. J Gen Intern Med. 2005;20(10):959-63.
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psnet.ahrq.gov/issue/critical-incident-stress-debriefing-after-adverse-patient-safety-events
April 03, 2019 - Review
Critical incident stress debriefing after adverse patient safety events.
Citation Text:
Harrison R, Wu AW. Critical incident stress debriefing after adverse patient safety events. Am J Med Qual. 2017;23(5):310-312.
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psnet.ahrq.gov/issue/government-and-industry-fail-protect-public-when-they-suggest-carefully-following
February 24, 2016 - Newspaper/Magazine Article
Government and industry fail to protect the public when they suggest "carefully following instructions" is enough to prevent vaccine errors.
Citation Text:
Government and industry fail to protect the public when they suggest "carefully following instructions" i…
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psnet.ahrq.gov/issue/adverse-events-0
September 20, 2011 - Multi-use Website
Adverse Events.
Citation Text:
Adverse Events. United States Office of the Inspector General: 2010-2023.
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psnet.ahrq.gov/node/48053/psn-pdf
July 17, 2019 - Review of medication errors that are new or likely to
occur more frequently with electronic medication
management systems.
July 17, 2019
Van de Vreede M, McGrath A, de Clifford J. Review of medication errors that are new or likely to occur
more frequently with electronic medication management systems. Aust Health …
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psnet.ahrq.gov/node/73474/psn-pdf
July 07, 2021 - Resident and family engagement in medication
management in aged care facilities: a systematic review.
July 7, 2021
Manias E, Bucknall T, Hutchinson AM, et al. Resident and family engagement in medication management
in aged care facilities: a systematic review. Expert Opin Drug Saf. 2021:1-19.
doi:10.1080/14740338.…
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psnet.ahrq.gov/node/46872/psn-pdf
May 09, 2018 - Obstetric Care Consensus No. 5: Severe Maternal
Morbidity: Screening and Review.
May 9, 2018
Obstetric Care Consensus No. 5: Severe Maternal Morbidity: Screening and Review. Obstet Gynecol.
2016;128(3):e54-60. doi:10.1097/AOG.0000000000001642.
https://psnet.ahrq.gov/issue/obstetric-care-consensus-no-5-severe-mater…
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psnet.ahrq.gov/node/35207/psn-pdf
December 19, 2009 - Patient safety concerns arising from test results that
return after hospital discharge.
December 19, 2009
Roy CL, Poon EG, Karson A, et al. Patient safety concerns arising from test results that return after hospital
discharge. Ann Intern Med. 2005;143(2):121-128.
https://psnet.ahrq.gov/issue/patient-safety-concer…
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psnet.ahrq.gov/node/43860/psn-pdf
March 25, 2015 - Pharmacy dispensing errors: claims study emphasizes
need for systematic vigilance.
March 25, 2015
Webb J. Drug Topics. March 10, 2015.
https://psnet.ahrq.gov/issue/pharmacy-dispensing-errors-claims-study-emphasizes-need-systematic-
vigilance
Pharmacies can serve as gatekeepers to ensure patients receive the corre…
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psnet.ahrq.gov/node/46154/psn-pdf
June 07, 2017 - Postoperative opioid prescribing and the pain scores on
Hospital Consumer Assessment of Healthcare Providers
and Systems survey.
June 7, 2017
Lee JS, Hu HM, Brummett CM, et al. Postoperative Opioid Prescribing and the Pain Scores on Hospital
Consumer Assessment of Healthcare Providers and Systems Survey. JAMA. 201…
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psnet.ahrq.gov/node/34881/psn-pdf
January 05, 2017 - Communicating critical test results: safe practice
recommendations.
January 5, 2017
Hanna D, Griswold P, Leape L, et al. Communicating critical test results: safe practice recommendations. Jt
Comm J Qual Patient Saf. 2005;31(2):68-80.
https://psnet.ahrq.gov/issue/communicating-critical-test-results-safe-practice-r…
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psnet.ahrq.gov/node/73968/psn-pdf
October 13, 2021 - Institution of just culture physician peer review in an
academic medical center.
October 13, 2021
Volkar JK, Phrampus P, English D, et al. Institution of just culture physician peer review in an academic
medical center. J Patient Saf. 2021;17(7):e689-e693. doi:10.1097/pts.0000000000000449.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/866275/psn-pdf
July 10, 2024 - Advanced practice nurses' experiences of patient safety:
a focus group study.
July 10, 2024
Glarcher M, Rihari-Thomas J, Duffield C, et al. Advanced practice nurses’ experiences of patient safety: a
focus group study. Contemp Nurse. 2024;Epub Jun 11. doi:10.1080/10376178.2024.2363911.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/44801/psn-pdf
June 22, 2016 - Safety for all: integrated design for inpatient units.
June 22, 2016
Hunt JM, Sine DM. Patient Saf Qual Healthc. May/June 2016;13:20-28.
https://psnet.ahrq.gov/issue/safety-all-integrated-design-inpatient-units
Design is emerging as an important tactic to augment safe care delivery. Hospitals that provide care for
…
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psnet.ahrq.gov/node/44705/psn-pdf
January 01, 2017 - Team dynamics, clinical work satisfaction, and patient
care coordination between primary care providers: a
mixed methods study.
December 7, 2016
Song H, Ryan M, Tendulkar S, et al. Team dynamics, clinical work satisfaction, and patient care
coordination between primary care providers: A mixed methods study. Health…
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psnet.ahrq.gov/node/867077/psn-pdf
November 20, 2023 - Interprofessional Education Collaborative Core
Competencies for Interprofessional Collaborative Practice
November 20, 2023
Interprofessional Education Collaborative Core Competencies For Interprofessional Collaborative Practice.
Washington DC: Interprofessional Education Collaborative; 2023.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/44677/psn-pdf
June 07, 2016 - Computerised prescribing for safer medication ordering:
still a work in progress.
June 7, 2016
Schiff G, Hickman T-TT, Volk LA, et al. Computerised prescribing for safer medication ordering: still a work
in progress. BMJ Qual Saf. 2016;25(5):315-9. doi:10.1136/bmjqs-2015-004677.
https://psnet.ahrq.gov/issue/comput…
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psnet.ahrq.gov/node/46176/psn-pdf
October 04, 2017 - Incidence and severity of prescribing errors in parenteral
nutrition for pediatric inpatients at a neonatal and
pediatric intensive care unit.
October 4, 2017
Hermanspann T, Schoberer M, Robel-Tillig E, et al. Incidence and Severity of Prescribing Errors in
Parenteral Nutrition for Pediatric Inpatients at a Neonat…
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psnet.ahrq.gov/node/44210/psn-pdf
September 09, 2015 - The future of graduate medical education: a systems-
based approach to ensure patient safety.
September 9, 2015
Bagian JP. The Future of Graduate Medical Education: A Systems-Based Approach to Ensure Patient
Safety. Acad Med. 2015;90(9):1199-202. doi:10.1097/ACM.0000000000000824.
https://psnet.ahrq.gov/issue/futur…