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psnet.ahrq.gov/issue/fda-alerts-health-care-providers-compounders-and-patients-dosing-errors-associated-compounded
February 15, 2024 - Press Release/Announcement
FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products.
Citation Text:
FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injecta…
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psnet.ahrq.gov/issue/pursuing-professional-accountability-evidence-based-approach-addressing-residents-behavioral
January 18, 2012 - Commentary
Pursuing professional accountability: an evidence-based approach to addressing residents with behavioral problems.
Citation Text:
Sanfey H, DaRosa DA, Hickson GB, et al. Pursuing professional accountability: an evidence-based approach to addressing residents with behavioral pr…
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psnet.ahrq.gov/issue/i-care-case-review-tool-focused-improving-inpatient-care
February 18, 2011 - Commentary
I-CaRe: a case review tool focused on improving inpatient care.
Citation Text:
Lee JH, Vidyarthi A, Sehgal NL, et al. I-CaRe: a case review tool focused on improving inpatient care. Jt Comm J Qual Patient Saf. 2009;35(2):115-119, 61.
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psnet.ahrq.gov/issue/during-pandemic-aspire-identify-and-prevent-medication-errors-and-avoid-blaming-attitudes
September 07, 2022 - Newspaper/Magazine Article
During the pandemic, aspire to identify and prevent medication errors and to avoid blaming attitudes.
Citation Text:
During the pandemic, aspire to identify and prevent medication errors and to avoid blaming attitudes. ISMP Medication Safety Alert! Acute care e…
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psnet.ahrq.gov/issue/what-if-transforming-diagnostic-research-leveraging-diagnostic-process-map-engage-patients
October 27, 2021 - Book/Report
What if?: Transforming Diagnostic Research by Leveraging a Diagnostic Process Map to Engage Patients in Learning from Errors.
Citation Text:
Sheridan S, Merryweather P, Rusz D, et al. What If?: Transforming Diagnostic Research By Leveraging A Diagnostic Process Map To Engage …
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psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-2017-analysis-part-1-and-part-2
December 27, 2018 - Newspaper/Magazine Article
ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2.
Citation Text:
ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. June 14, 2018,23:1-5. June 28, 2018;…
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psnet.ahrq.gov/issue/safety-issues-related-electronic-medical-record-emr-synthesis-literature-last-decade-2000
January 20, 2016 - Review
Safety issues related to the electronic medical record (EMR): synthesis of the literature from the last decade, 2000–2009.
Citation Text:
Harrington L, Kennerly DA, Johnson C. Safety issues related to the electronic medical record (EMR): synthesis of the literature from the last…
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psnet.ahrq.gov/issue/identifying-safety-hazards-associated-intravenous-vancomycin-through-analysis-patient-safety
January 25, 2023 - Study
Identifying safety hazards associated with intravenous vancomycin through the analysis of patient safety event reports.
Citation Text:
Krukas A, Franklin ES, Bonk C, et al. Identifying safety hazards associated with intravenous vancomycin through the analysis of patient safety even…
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digital.ahrq.gov/sites/default/files/docs/publication/action-fall-prevention-ed-tool.pdf
June 16, 2021 - Preventing Falls and Injury While in the Hospital
Preventing Falls and Injury While in the Hospital
You have one or more health conditions that make it likely that you may either fall or become injured if you
fall. Knowing that you are more likely to fall, we want to work with you to prevent you from fall…
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psnet.ahrq.gov/issue/positive-deviance-new-tool-infection-prevention-and-patient-safety
March 09, 2022 - Commentary
Positive deviance: a new tool for infection prevention and patient safety.
Citation Text:
Marra AR, Santos OFPD, Neto MC, et al. Positive Deviance: A New Tool for Infection Prevention and Patient Safety. Curr Infect Dis Rep. 2013.
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psnet.ahrq.gov/issue/workforce-safety-key-patient-safety
December 09, 2020 - Newspaper/Magazine Article
Workforce safety key to patient safety.
Citation Text:
Workforce safety key to patient safety. McGaffigan P, Gerwig K, Kingston MB. Healthcare Executive. 2020 Nov;35(6):48-50.
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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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digital.ahrq.gov/ahrq-funded-projects/human-factors-home-health-care/annual-summary/2011
January 01, 2011 - Human Factors in Home Health Care - 2011
Project Name
Human Factors in Home Health Care
Principal Investigator
O'Connell, Mary Ellen
Organization
National Research Council
Contract Number
AHR7128
Project Period
September 2009 - October 2011
AHRQ Fundin…
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digital.ahrq.gov/ahrq-funded-projects/human-factors-home-health-care/activity/human-factors-home-health-care/annual-summary/2010
January 01, 2010 - Human Factors in Home Health Care - 2010
Project Name
Human Factors in Home Health Care
Principal Investigator
O'Connell, Mary Ellen
Organization
National Research Council
Contract Number
AHR7128
Project Period
September 2009 – October 2011, Including No-Cos…
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psnet.ahrq.gov/issue/survey-use-time-out-protocols-emergency-medicine
November 30, 2012 - Study
A survey of the use of time-out protocols in emergency medicine.
Citation Text:
Kelly JJ, Farley HL, O'Cain C, et al. A survey of the use of time-out protocols in emergency medicine. Jt Comm J Qual Patient Saf. 2011;37(6):285-288.
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psnet.ahrq.gov/issue/infection-prevention-emergency-department
July 13, 2016 - Review
Infection prevention in the emergency department.
Citation Text:
Liang SY, Theodoro DL, Schuur JD, et al. Infection prevention in the emergency department. Ann Emerg Med. 2014;64(3):299-313. doi:10.1016/j.annemergmed.2014.02.024.
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psnet.ahrq.gov/issue/using-information-technology-improve-quality-and-safety-emergency-care
July 13, 2010 - Commentary
Using information technology to improve the quality and safety of emergency care.
Citation Text:
Handel DA, Wears RL, Nathanson LA, et al. Using Information Technology to Improve the Quality and Safety of Emergency Care. Academic Emergency Medicine. 2011;18(6). doi:10.1111/j…
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psnet.ahrq.gov/issue/distributed-cognition-and-role-nurses-diagnostic-safety-emergency-department
April 13, 2011 - Book/Report
Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department.
Citation Text:
Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department. Manojlovich M, Krein SL, Kronick SL, et al. Rockville, MD: Agency for H…
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psnet.ahrq.gov/issue/effect-barcode-assisted-medication-administration-emergency-department-medication-errors
May 19, 2014 - Study
Effect of barcode-assisted medication administration on emergency department medication errors.
Citation Text:
Bonkowski J, Carnes C, Melucci J, et al. Effect of barcode-assisted medication administration on emergency department medication errors. Acad Emerg Med. 2013;20(8):801-6.…
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psnet.ahrq.gov/issue/chemotherapy-drug-shortages-pediatric-oncology-consensus-statement
March 15, 2017 - Organizational Policy/Guidelines
Chemotherapy drug shortages in pediatric oncology: a consensus statement.
Citation Text:
Decamp M, Joffe S, Fernandez C, et al. Chemotherapy drug shortages in pediatric oncology: a consensus statement. Pediatrics. 2014;133(3):e716-24. doi:10.1542/peds.201…