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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.158_slideshow.ppt
September 01, 2007 - Spotlight Case [MONTH] 2003
Spotlight Case September 2007
Medication Reconciliation: Whose Job Is It?
Source and Credits
This presentation is based on the September 2007
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Eric G. Poon, MD, MPH, Ha…
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psnet.ahrq.gov/node/33634/psn-pdf
May 04, 2006 - The Wild West: Patient Safety in Office-Based Anesthesia
May 1, 2006
Kaushal R, Upadhyayula S, Gaba DM, et al. The Wild West: Patient Safety in Office-Based Anesthesia.
PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/wild-west-patient-safety-office-based-anesthesia
Perspective
Over the last decade, sur…
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psnet.ahrq.gov/perspective/weekend-effect
April 01, 2008 - Annual Perspective
The Weekend Effect
Sumant Ranji, MD | January 1, 2017
View more articles from the same authors.
Citation Text:
Ranji SR. The Weekend Effect. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Hea…
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psnet.ahrq.gov/web-mm/if-you-say-so-taking-syringe-face-value-operating-room
January 01, 2015 - If You Say So: Taking a Syringe at Face Value in the Operating Room
Citation Text:
Lyndon A, Lim S. If You Say So: Taking a Syringe at Face Value in the Operating Room. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/web-mm/central-not-epidural
August 28, 2024 - Central, not Epidural
Citation Text:
Simmons D. Central, not Epidural. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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psnet.ahrq.gov/web-mm/fumbled-handoff
September 01, 2006 - Fumbled Handoff
Citation Text:
Vidyarthi A. Fumbled Handoff. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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psnet.ahrq.gov/web-mm/one-ace-too-many
June 21, 2016 - One ACE Too Many
Citation Text:
Juurlink DN. One ACE Too Many. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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psnet.ahrq.gov/issue/preventing-accidents-and-injuries-mri-suite
July 18, 2024 - Press Release/Announcement
Preventing accidents and injuries in the MRI suite.
Citation Text:
Preventing accidents and injuries in the MRI suite. Sentinel Event Alert. 2008;38(38):1-3.
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psnet.ahrq.gov/node/43362/psn-pdf
November 23, 2014 - A systematic review of teamwork in the intensive care
unit: what do we know about teamwork, team tasks, and
improvement strategies?
November 23, 2014
Dietz AS, Pronovost P, Mendez-Tellez PA, et al. A systematic review of teamwork in the intensive care
unit: what do we know about teamwork, team tasks, and improveme…
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psnet.ahrq.gov/node/43857/psn-pdf
August 02, 2015 - A checklist-based intervention to improve surgical
outcomes in Michigan: evaluation of the Keystone
Surgery program.
August 2, 2015
Reames BN, Krell RW, Campbell D, et al. A checklist-based intervention to improve surgical outcomes in
Michigan: evaluation of the Keystone Surgery program. JAMA Surg. 2015;150(3):208…
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psnet.ahrq.gov/issue/preventing-and-managing-impact-anesthesia-awareness
May 27, 2020 - Sentinel Event Alerts
Preventing, and managing the impact of, anesthesia awareness.
Citation Text:
Preventing, and managing the impact of, anesthesia awareness. Sentinel Event Alert. 2004;32:1-3.
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psnet.ahrq.gov/node/47437/psn-pdf
November 02, 2018 - Engaging hospital patients in the medication
reconciliation process using tablet computers.
November 2, 2018
Prey JE, Polubriaginof F, Grossman L, et al. Engaging hospital patients in the medication reconciliation
process using tablet computers. J Am Med Inform Assoc. 2018;25(11):1460-1469.
doi:10.1093/jamia/ocy11…
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psnet.ahrq.gov/node/46822/psn-pdf
April 12, 2019 - Effect of an in-hospital multifaceted clinical pharmacist
intervention on the risk of readmission: a randomized
clinical trial.
April 12, 2019
Ravn-Nielsen LV, Duckert M-L, Lund ML, et al. Effect of an In-Hospital Multifaceted Clinical Pharmacist
Intervention on the Risk of Readmission: A Randomized Clinical Trial…
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psnet.ahrq.gov/node/43802/psn-pdf
August 02, 2015 - Association of the 2011 ACGME resident duty hour
reforms with mortality and readmissions among
hospitalized Medicare patients.
August 2, 2015
Patel MS, Volpp KG, Small DS, et al. Association of the 2011 ACGME resident duty hour reforms with
mortality and readmissions among hospitalized Medicare patients. JAMA. 201…
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psnet.ahrq.gov/node/41461/psn-pdf
April 05, 2013 - Residents' response to duty-hour regulations—a follow-
up national survey.
April 5, 2013
Drolet BC, Christopher DA, Fischer SA. Residents' response to duty-hour regulations--a follow-up national
survey. N Engl J Med. 2012;366(24):e35. doi:10.1056/NEJMp1202848.
https://psnet.ahrq.gov/issue/residents-response-duty-h…
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psnet.ahrq.gov/node/39549/psn-pdf
March 22, 2011 - The impact of traditional and smart pump infusion
technology on nurse medication administration
performance in a simulated inpatient unit.
March 22, 2011
Trbovich PL, Pinkney S, Cafazzo JA, et al. The impact of traditional and smart pump infusion technology on
nurse medication administration performance in a simul…
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psnet.ahrq.gov/node/39438/psn-pdf
March 23, 2011 - Time to listen: a review of methods to solicit patient
reports of adverse events.
March 23, 2011
King A, Daniels J, Lim J, et al. Time to listen: a review of methods to solicit patient reports of adverse
events. Qual Saf Health Care. 2010;19(2):148-57. doi:10.1136/qshc.2008.030114.
https://psnet.ahrq.gov/issue/tim…
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psnet.ahrq.gov/node/41458/psn-pdf
June 19, 2012 - What stops hospital clinical staff from following
protocols? An analysis of the incidence and factors
behind the failure of bedside clinical staff to activate the
rapid response system in a multi-campus Australian
metropolitan healthcare service.
June 19, 2012
Shearer B, Marshall S, Buist MD, et al. What stops ho…
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psnet.ahrq.gov/node/44268/psn-pdf
November 23, 2016 - A patient-initiated voluntary online survey of adverse
medical events: the perspective of 696 injured patients
and families.
November 23, 2016
Southwick FS, Cranley NM, Hallisy JA. A patient-initiated voluntary online survey of adverse medical
events: the perspective of 696 injured patients and families. BMJ Qual …
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psnet.ahrq.gov/node/46405/psn-pdf
October 13, 2018 - Children's hospitals' solutions for patient safety
collaborative impact on hospital-acquired harm.
October 13, 2018
Lyren A, Brilli RJ, Zieker K, et al. Children's Hospitals' Solutions for Patient Safety Collaborative Impact on
Hospital-Acquired Harm. Pediatrics. 2017;140(3). doi:10.1542/peds.2016-3494.
https://ps…