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psnet.ahrq.gov/issue/short-and-long-term-effects-electronic-medication-management-system-paediatric-prescribing
August 28, 2024 - Study
Short- and long-term effects of an electronic medication management system on paediatric prescribing errors.
Citation Text:
Westbrook JI, Li L, Raban MZ, et al. Short- and long-term effects of an electronic medication management system on paediatric prescribing errors. NPJ Digit Me…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.326_slideshow.ppt
June 01, 2014 - PowerPoint Presentation
Spotlight
Wandering Off the Floors: Safety and Security Risks of Patient Wandering
1
This presentation is based on the June 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Thomas A. Smith, CHPA, CPP, President, Healthc…
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psnet.ahrq.gov/node/33606/psn-pdf
December 15, 2024 - Opioid Safety
December 15, 2024
Opioid Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/opioid-safety
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in 2024.
Bac…
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psnet.ahrq.gov/node/836939/psn-pdf
April 27, 2022 - A Virtual Hospitalist Program to Address a Hospital’s
Challenges at the Start of the COVID-19 Pandemic
April 27, 2022
https://psnet.ahrq.gov/innovation/virtual-hospitalist-program-address-hospitals-challenges-start-covid-19-
pandemic
Summary
In the early days of the COVID-19 pandemic, New York Presbyterian Weill …
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psnet.ahrq.gov/perspective/conversation-withsanjay-saint-md-mph
November 01, 2008 - A reminder reduces urinary catheterization in hospitalized patients.
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psnet.ahrq.gov/perspective/conversation-lucian-leape-md
June 12, 2019 - , we should have said one of the criteria for any safety or quality improvement exercise is that it reduces
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psnet.ahrq.gov/node/851971/psn-pdf
July 31, 2023 - this one, many operating teams prefer endotracheal
intubation to procedural sedation alone because it reduces
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psnet.ahrq.gov/node/852807/psn-pdf
August 30, 2023 - Mixing
fewer drugs together or using a local anesthetic alone for spinal injection reduces the chance
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psnet.ahrq.gov/node/73153/psn-pdf
April 28, 2021 - Improving communication at handover and transfer reduces retained
swabs in maternity services.
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psnet.ahrq.gov/node/865655/psn-pdf
April 24, 2024 - Frequent communication between team members about dynamic clinical conditions reduces the risk
of medical
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psnet.ahrq.gov/node/74830/psn-pdf
June 01, 2022 - for
Placement of Peripherally Inserted Central Catheters
(PICCs) Prevents Unnecessary PICC Use and Reduces
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psnet.ahrq.gov/node/33857/psn-pdf
July 01, 2012 - EHRs do have is order entry, and the literature is pretty clear that order entry improves safety and
reduces
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psnet.ahrq.gov/node/33783/psn-pdf
April 01, 2015 - we should have said one of the criteria for any safety or
quality improvement exercise is that it reduces
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psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
January 29, 2021 - Mixing fewer drugs together or using a local anesthetic alone for spinal injection reduces the chance
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psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
November 30, 2021 - versus Pregnancy
July 29, 2020
Use of maternal early warning trigger tool reduces
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psnet.ahrq.gov/node/39082/psn-pdf
January 04, 2010 - Communication practices on 4 Harvard surgical
services: a surgical safety collaborative.
January 4, 2010
Elbardissi AW, Regenbogen SE, Greenberg CC, et al. Communication practices on 4 Harvard surgical
services: a surgical safety collaborative. Ann Surg. 2009;250(6):861-5.
doi:10.1097/SLA.0b013e3181afe0db.
https:…
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psnet.ahrq.gov/node/41526/psn-pdf
April 05, 2013 - Effect of a pharmacist intervention on clinically important
medication errors after hospital discharge: a randomized
trial.
April 5, 2013
Kripalani S, Roumie CL, Dalal A, et al. Effect of a pharmacist intervention on clinically important medication
errors after hospital discharge: a randomized trial. Ann Intern Me…
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psnet.ahrq.gov/node/38902/psn-pdf
November 13, 2009 - Out-of-hospital medication errors: a 6-year analysis of the
national poison data system.
November 13, 2009
Shah K, Barker KA. Out-of-hospital medication errors: a 6-year analysis of the national poison data system.
Pharmacoepidemiol Drug Saf. 2009;18(11):1080-5. doi:10.1002/pds.1823.
https://psnet.ahrq.gov/issue/o…
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psnet.ahrq.gov/node/47531/psn-pdf
June 19, 2019 - Patient Safety.
June 19, 2019
Health Aff (Millwood). 2018;37(11):1723-1908.
https://psnet.ahrq.gov/issue/patient-safety-14
The Institute of Medicine report, To Err Is Human, marked the founding of the patient safety field. This
special issue of Health Affairs, published 20 years after that report, highlights achie…
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psnet.ahrq.gov/node/46843/psn-pdf
June 21, 2018 - Electronic health record reviews to measure diagnostic
uncertainty in primary care.
June 21, 2018
Bhise V, Rajan SS, Sittig DF, et al. Electronic health record reviews to measure diagnostic uncertainty in
primary care. J Eval Clin Pract. 2018;24(3):545-551. doi:10.1111/jep.12912.
https://psnet.ahrq.gov/issue/elect…