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psnet.ahrq.gov/issue/preventable-adverse-drug-events-causing-hospitalisation-identifying-root-causes-and
March 05, 2008 - Literacy in Patient Safety
March 1, 2009
To protect against drug errors, ask questions
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psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters
September 29, 2017 - Five key questions.
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psnet.ahrq.gov/issue/we-want-know-mixed-methods-evaluation-comprehensive-program-designed-detect-and-address
October 17, 2018 - May 18, 2022
Assessing and supporting late career practitioners: four key questions.
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psnet.ahrq.gov/issue/evaluation-accuracy-ihi-trigger-tool-identifying-adverse-drug-events-prospective
October 18, 2023 - Study
Evaluation of accuracy of IHI Trigger Tool in identifying adverse drug events: a prospective observational study.
Citation Text:
Silva M das DG, Martins MAP, Viana L de G, et al. Evaluation of accuracy of IHI Trigger Tool in identifying adverse drug events: a prospective observatio…
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psnet.ahrq.gov/web-mm/tale-two-falls
March 27, 2024 - clear transfer of responsibility and allows the receiver to confirm their understanding and to ask questions … Implement evidenced-based handoffs to ensure opportunities to discuss and ask questions about the patient's
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psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety
October 24, 2021 - medications. 4 Community pharmacists are equipped to provide education and counseling to patients to address questions … , through to the collaboration between the pharmacist and the nurse or the physician to discuss any questions … This means that the time the pharmacist spends conducting the therapeutic review, clarifying questions
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psnet.ahrq.gov/issue/pridx-framework-engage-payers-reducing-diagnostic-errors-healthcare
January 22, 2025 - Commentary
The PRIDx framework to engage payers in reducing diagnostic errors in healthcare.
Citation Text:
Ali KJ, Goeschel CA, DeLia DM, et al. The PRIDx framework to engage payers in reducing diagnostic errors in healthcare. Diagnosis (Berl). 2024;11(1):17-24. doi:10.1515/dx-2023-0042…
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psnet.ahrq.gov/issue/nursing-2006-patient-safety-survey-report
March 01, 2023 - Study
Nursing 2006 Patient-safety survey report.
Citation Text:
Manno M, Hogan P, Heberlein V, et al. Nursing 2006. Patient-safety survey report. Nursing (Brux). 2006;36(5):54-64.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…
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psnet.ahrq.gov/issue/new-cms-hospital-quality-star-ratings-stars-are-not-aligned
May 26, 2021 - Commentary
The new CMS hospital quality star ratings: the stars are not aligned.
Citation Text:
Bilimoria KY, Barnard C. The New CMS Hospital Quality Star Ratings: The Stars Are Not Aligned. JAMA. 2016;316(17):1761-1762. doi:10.1001/jama.2016.13679.
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DO…
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psnet.ahrq.gov/web-mm/right-left-neither
November 16, 2022 - SPOTLIGHT CASE
Right? Left? Neither!
Citation Text:
Chassin MR, Howell EA. Right? Left? Neither!. 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/node/33569/psn-pdf
June 15, 2024 - and their families) must understand their diagnosis, their follow-up
needs, and whom to contact with questions
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psnet.ahrq.gov/node/33567/psn-pdf
June 15, 2024 - status, often in an "if—then" format
Synthesis by receiver: an opportunity for the receiver to ask questions
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psnet.ahrq.gov/perspective/overuse-patient-safety-problem
September 01, 2014 - When I give talks I ask two questions, have you or someone you know ever had medical care that you or … conversation taught me that we can help people examine their own patterns of health care use and begin to ask questions
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psnet.ahrq.gov/web-mm/wrong-route-nutrients
September 04, 2010 - Wrong Route for Nutrients
Citation Text:
Scott-Cawiezell JR. Wrong Route for Nutrients. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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psnet.ahrq.gov/issue/tackling-ambulatory-safety-risks-through-patient-engagement-what-10000-patients-and-families
March 20, 2017 - : An answer with many questions.
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psnet.ahrq.gov/issue/covering-health-patient-safety
August 09, 2023 - Special or Theme Issue
Covering Health: Patient Safety.
Citation Text:
Covering Health: Patient Safety. Jaklevic MC. HealthJournalism.org. Columbia, MO: Association of Health Care Journalists; 2010-2025.
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psnet.ahrq.gov/web-mm/code-status-confusion
September 01, 2006 - conversations speaking nearly three-fourths of the time, giving patients little opportunity to ask questions
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psnet.ahrq.gov/issue/neonatal-near-miss-audits-systematic-review-and-call-action
August 04, 2021 - Review
Neonatal near-miss audits: a systematic review and a call to action.
Citation Text:
Medeiros PB, Bailey C, Pollock D, et al. Neonatal near-miss audits: a systematic review and a call to action. BMC Pediatr. 2023;23(1):573. doi:10.1186/s12887-023-04383-6.
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psnet.ahrq.gov/issue/poor-resident-attending-intraoperative-communication-may-compromise-patient-safety
September 23, 2020 - Study
Poor resident–attending intraoperative communication may compromise patient safety.
Citation Text:
Belyansky I, Martin TR, Prabhu AS, et al. Poor resident-attending intraoperative communication may compromise patient safety. J Surg Res. 2011;171(2):386-94. doi:10.1016/j.jss.2011.…
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psnet.ahrq.gov/issue/when-water-breaks
February 06, 2019 - Newspaper/Magazine Article
When the water breaks.
Citation Text:
When the water breaks. Jones LA. The Philadelphia Inquirer. July 17, 2022.
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