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psnet.ahrq.gov/issue/using-nurses-and-office-staff-report-prescribing-errors-primary-care
May 04, 2010 - Study
Using nurses and office staff to report prescribing errors in primary care.
Citation Text:
Kennedy AG, Littenberg B, Senders JW. Using nurses and office staff to report prescribing errors in primary care. Int J Qual Health Care. 2008;20(4):238-45. doi:10.1093/intqhc/mzn015.
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psnet.ahrq.gov/issue/next-kin-involvement-regulatory-investigations-adverse-events-caused-patient-death-process
March 02, 2022 - Study
Next of kin involvement in regulatory investigations of adverse events that caused patient death: a process evaluation.
Citation Text:
Next of kin involvement in regulatory investigations of adverse events that caused patient death: a process evaluation. Wiig S, Haraldseid-Driftlan…
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psnet.ahrq.gov/issue/patient-errors-use-injectable-antidiabetic-medications-need-improved-clinic-based-education
March 17, 2021 - Commentary
Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education.
Citation Text:
Wei ET, Koh E, Kelly MS, et al. Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education. J Am Pharm Assoc (…
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psnet.ahrq.gov/issue/im-smiling-under-here-masks-plexiglass-and-questions-norm-hospitals-lure-patients-back-covid
June 24, 2020 - Newspaper/Magazine Article
'I'm smiling under here': Masks, plexiglass and questions the norm as hospitals lure patients back in COVID-19 era.
Citation Text:
Weintraub K. 'I'm smiling under here': Masks, plexiglass and questions the norm as hospitals lure patients back in COVID-19 era. U…
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psnet.ahrq.gov/issue/medication-errors-resulting-confusion-between-risperidone-risperdal-and-ropinirole-requip
December 16, 2020 - Press Release/Announcement
Medication errors resulting from confusion between risperidone (Risperdal) and ropinirole (Requip).
Citation Text:
Medication errors resulting from confusion between risperidone (Risperdal) and ropinirole (Requip). MedWatch Safety Alert, FDA Drug Safety Com…
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psnet.ahrq.gov/issue/move-toward-full-use-metric-dosing-eliminate-dosage-cups-measure-liquids-fluid-drams-use-cups
April 01, 2015 - Press Release/Announcement
Move toward full use of metric dosing: eliminate dosage cups that measure liquids in fluid drams. Use cups that measure mL.
Citation Text:
Move toward full use of metric dosing: eliminate dosage cups that measure liquids in fluid drams. Use cups that measure mL…
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psnet.ahrq.gov/issue/adverse-events-skilled-nursing-facilities-national-incidence-among-medicare-beneficiaries
February 15, 2017 - Book/Report
Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries.
Citation Text:
Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. Levinson DR. Washington, DC: US Department of Health and Human Services…
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psnet.ahrq.gov/issue/selected-medication-safety-risks-can-easily-fall-radar-screen-part-1-part-2-and-part-3
March 01, 2008 - Commentary
Selected medication safety risks that can easily fall off the radar screen—part 1, part 2, and part 3.
Citation Text:
Grissinger M. Selected Medication Safety Risks That Can Easily Fall Off the Radar Screen. P T. 2018;43(11):645-666.
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psnet.ahrq.gov/issue/developing-and-pilot-testing-practical-measures-preanalytic-surgical-specimen-identification
June 16, 2011 - Study
Developing and pilot testing practical measures of preanalytic surgical specimen identification defects.
Citation Text:
Bixenstine PJ, Zarbo RJ, Holzmueller CG, et al. Developing and pilot testing practical measures of preanalytic surgical specimen identification defects. Am J M…
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psnet.ahrq.gov/issue/risk-factors-retained-surgical-items-meta-analysis-and-proposed-risk-stratification-system
January 18, 2013 - Study
Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system.
Citation Text:
Moffatt-Bruce SD, Cook CH, Steinberg SM, et al. Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. J Surg Res. 2014;190(…
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psnet.ahrq.gov/issue/persistent-noncompliance-work-hour-regulation
February 08, 2023 - Study
Persistent noncompliance with the work-hour regulation.
Citation Text:
Tabrizian P, Rajhbeharrysingh U, Khaitov S, et al. Persistent noncompliance with the work-hour regulation. Arch Surg. 2011;146(2):175-8. doi:10.1001/archsurg.2010.337.
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psnet.ahrq.gov/issue/patient-safety-and-error-reduction-surgical-pathology
January 08, 2016 - Review
Patient safety and error reduction in surgical pathology.
Citation Text:
Nakhleh RE. Patient safety and error reduction in surgical pathology. Arch Pathol Lab Med. 2008;132(2):181-185. doi:10.1043/1543-2165(2008)132[181:PSAERI]2.0.CO;2.
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psnet.ahrq.gov/issue/improving-patient-safety-five-years-after-iom-report
February 18, 2011 - Commentary
Classic
Improving patient safety—five years after the IOM report.
Citation Text:
Altman DE, Clancy CM, Blendon RJ. Improving Patient Safety — Five Years after the IOM Report. New Engl J Med. 2004;351(20):2041-2043. doi:10.1056/nejmp048243.
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psnet.ahrq.gov/issue/psychosocial-factors-and-safety-high-risk-industries-systematic-literature-review
July 15, 2020 - Review
Psychosocial factors and safety in high-risk industries: a systematic literature review.
Citation Text:
Derdowski LA, Mathisen GE. Psychosocial factors and safety in high-risk industries: a systematic literature review. Safety Sci. 2022;157:105948. doi:10.1016/j.ssci.2022.105948. …
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psnet.ahrq.gov/issue/acgme-summary-report-pursuing-excellence-pathway-leaders-patient-safety-collaborative
October 18, 2017 - Book/Report
ACGME Summary Report: The Pursuing Excellence Pathway Leaders Patient Safety Collaborative.
Citation Text:
ACGME Summary Report: The Pursuing Excellence Pathway Leaders Patient Safety Collaborative. Passiment M, Wagner R, Weiss KB for the Pursuing Excellence in Clinical Learn…
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psnet.ahrq.gov/issue/medicare-and-medicaid-programs-reform-requirements-long-term-care-facilities-proposed-rule
October 21, 2015 - Government Resource
Medicare and Medicaid programs; reform of requirements for long-term care facilities; proposed rule.
Citation Text:
Medicare and Medicaid programs; reform of requirements for long-term care facilities; proposed rule. Washington, DC: US Department of Health and Human S…
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psnet.ahrq.gov/node/49669/psn-pdf
November 01, 2012 - guidelines on red blood cell transfusions in 2012.(6) In stable,
hospitalized patients, these guidelines recommend … Due
to a lack of evidence, the AABB could not recommend for or against a liberal or restrictive transfusion … We recommend using the AABB guidelines, which integrate the latest and best-quality evidence.
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psnet.ahrq.gov/issue/between-surveillance-and-subjectification-professionals-and-governance-quality-and-patient
April 21, 2015 - qualitative study of concerns that influence the willingness of English National Health Service staff to recommend
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psnet.ahrq.gov/issue/safety-measurement-and-monitoring-healthcare-framework-guide-clinical-teams-and-healthcare
September 24, 2018 - qualitative study of concerns that influence the willingness of English National Health Service staff to recommend
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psnet.ahrq.gov/issue/giving-voice-quality-and-safety-matters-board-level-qualitative-study-experiences-executive
August 12, 2014 - qualitative study of concerns that influence the willingness of English National Health Service staff to recommend