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psnet.ahrq.gov/node/35218/psn-pdf
August 07, 2018 - Building a Memory: Preventing Harm, Reducing Risks and
Improving Patient Safety.
August 7, 2018
Scobie S, Thomson R. London, UK : National Patient Safety Agency; 2005.
https://psnet.ahrq.gov/issue/building-memory-preventing-harm-reducing-risks-and-improving-patient-safety
Created in 2001 to institute changes in he…
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psnet.ahrq.gov/node/861882/psn-pdf
January 31, 2024 - Patient Safety in Office-Based Care Settings
January 31, 2024
Ricciardi R, Lee M, Mossburg S. Patient Safety in Office-Based Care Settings. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/patient-safety-office-based-care-settings
The Institute of Medicine’s 2000 publication To Err Is Human summarized res…
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psnet.ahrq.gov/node/50930/psn-pdf
February 21, 2020 - Pharmacist Role in Patient Safety
February 21, 2020
Dopp AL, Hall KK. Pharmacist Role in Patient Safety. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/pharmacist-role-patient-safety
Background: The Evolving Role of the Pharmacist
Medication errors are highly pervasive across all settings of care,[1] w…
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psnet.ahrq.gov/node/44975/psn-pdf
November 09, 2017 - Safe injection, infusion, and medication vial practices in
health care (2016).
November 9, 2017
Dolan SA, Arias KM, Felizardo G, et al. APIC position paper: Safe injection, infusion, and medication vial
practices in health care. American journal of infection control. 2016;44(7):750-7.
doi:10.1016/j.ajic.2016.02.03…
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psnet.ahrq.gov/node/46092/psn-pdf
July 11, 2017 - Development of a research agenda to identify evidence-
based strategies to improve physician wellness and
reduce burnout.
July 11, 2017
Dyrbye LN, Trockel M, Frank E, et al. Development of a Research Agenda to Identify Evidence-Based
Strategies to Improve Physician Wellness and Reduce Burnout. Ann Intern Med. 2017…
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psnet.ahrq.gov/node/867390/psn-pdf
December 18, 2024 - Quality of care and quality of life: balancing patient safety
and physician burnout.
December 18, 2024
Minkoff H, O'Brien J, Berkowitz R. Quality of care and quality of life: balancing patient safety and physician
burnout. Obstet Gynecol. 2024;144(3):e50-e55. doi:10.1097/aog.0000000000005681.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/34709/psn-pdf
February 18, 2011 - Views of practicing physicians and the public on medical
errors.
February 18, 2011
Blendon RJ, DesRoches CM, Brodie M, et al. Views of practicing physicians and the public on medical
errors. N Engl J Med. 2002;347(24):1933-40.
https://psnet.ahrq.gov/issue/views-practicing-physicians-and-public-medical-errors
In r…
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psnet.ahrq.gov/node/47046/psn-pdf
April 18, 2018 - Smart pumps in practice: survey results reveal
widespread use, but optimization is challenging.
April 18, 2018
ISMP Medication Safety Alert! Acute Care Edition. April 5, 2018;23:1-5.
https://psnet.ahrq.gov/issue/smart-pumps-practice-survey-results-reveal-widespread-use-optimization-
challenging
Smart pumps are co…
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psnet.ahrq.gov/node/61119/psn-pdf
November 11, 2020 - Misdiagnosis and failure to diagnose in emergency care:
causes and empathy as a solution.
November 11, 2020
Pelaccia T, Messman AM, Kline JA. Misdiagnosis and failure to diagnose in emergency care: causes and
empathy as a solution. Patient Edu Couns. 2020;103(8):1650-1656. doi:10.1016/j.pec.2020.02.039.
https://ps…
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psnet.ahrq.gov/node/47618/psn-pdf
January 30, 2019 - Making care better in the pediatric intensive care unit.
January 30, 2019
Wolfe HA, Mack EH. Making care better in the pediatric intensive care unit. Transl Pediatr. 2018;7(4):267-
274. doi:10.21037/tp.2018.09.10.
https://psnet.ahrq.gov/issue/making-care-better-pediatric-intensive-care-unit
Pediatric critical care…
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psnet.ahrq.gov/issue/interference-between-ct-and-electronic-medical-devices
May 04, 2015 - Government Resource
Interference between CT and Electronic Medical Devices.
Citation Text:
Interference between CT and Electronic Medical Devices. Center for Devices and Radiological Health; CDER; Food and Drug Administration; FDA.
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psnet.ahrq.gov/issue/medication-errors-2018-year-review
October 23, 2019 - Newspaper/Magazine Article
Medication errors 2018: the year in review.
Citation Text:
Medication errors 2018: the year in review. Valentine D, Ingram V, Fobi BNN, Brahmbhatt V. Pharmacy Practice News. April 4, 2018.
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psnet.ahrq.gov/issue/patient-safety-initiative-hospital-executive-and-physician-leadership-strategies
November 27, 2018 - Toolkit
Patient Safety Initiative: Hospital Executive and Physician Leadership Strategies.
Citation Text:
Patient Safety Initiative: Hospital Executive and Physician Leadership Strategies. Oakbrook, IL: Joint Commission Resources; January 2014.
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psnet.ahrq.gov/issue/health-services-safety-investigations-body
February 04, 2015 - Multi-use Website
Health Services Safety Investigations Body.
Citation Text:
Health Services Safety Investigations Body. Lytchett House, 13 Freeland Park, Wareham Road, Poole, Dorset, BH16 6FA.
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psnet.ahrq.gov/issue/ana-cauti-prevention-tool
September 14, 2016 - Toolkit
ANA CAUTI Prevention Tool.
Citation Text:
ANA CAUTI Prevention Tool. Silver Spring, MD: American Nurses Association; 2015.
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psnet.ahrq.gov/issue/medical-mistakes-no-longer-billable-bold-steps-taken-state-reduce-hospital-errors
August 06, 2008 - Newspaper/Magazine Article
Medical mistakes no longer billable: bold steps taken by state to reduce hospital errors.
Citation Text:
Medical mistakes no longer billable: bold steps taken by state to reduce hospital errors. Smith S.
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psnet.ahrq.gov/issue/implementing-robust-process-improvement-program-neonatal-intensive-care-unit-reduce-harm
March 23, 2022 - Study
Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm.
Citation Text:
Nether KG, Thomas EJ, Khan A, et al. Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. J Healthc Qual. 2022;44(1)…
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psnet.ahrq.gov/issue/initiative-reduce-insulin-related-adverse-drug-events-childrens-hospital
March 24, 2021 - Study
An initiative to reduce insulin-related adverse drug events in a children's hospital.
Citation Text:
Lawson SA, Hornung LN, Lawrence M, et al. An initiative to reduce insulin-related adverse drug events in a children's hospital. Pediatrics. 2022;149(1):e2020004937. doi:10.1542/peds…
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psnet.ahrq.gov/issue/early-prescribing-outcomes-after-exporting-equipped-medication-safety-improvement-programme
September 09, 2020 - Study
Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme.
Citation Text:
Vaughan CP, Hwang U, Vandenberg AE, et al. Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme. BMJ Open Qual. 2021;10(4):e001…
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psnet.ahrq.gov/issue/impact-extended-duration-shifts-medical-errors-adverse-events-and-attentional-failures
February 02, 2011 - Study
Impact of extended-duration shifts on medical errors, adverse events, and attentional failures.
Citation Text:
Barger LK, Ayas N, Cade BE, et al. Impact of extended-duration shifts on medical errors, adverse events, and attentional failures. PLoS Med. 2006;3(12):e487.
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