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psnet.ahrq.gov/node/40751/psn-pdf
September 07, 2011 - Developing a programme for medication reconciliation at
the time of admission into hospital.
September 7, 2011
Manzorro ÁG, Zoni AC, Rieiro CR, et al. Developing a programme for medication reconciliation at the time
of admission into hospital. Int J Clin Pharm. 2011;33(4):603-9. doi:10.1007/s11096-011-9530-1.
http…
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psnet.ahrq.gov/node/50726/psn-pdf
December 11, 2019 - Toolkit To Improve Antibiotic Use in Acute Care Hospitals
December 11, 2019
Agency for Healthcare Research and Quality. 2019.
https://psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-acute-care-hospitals
Structured processes are important strategies for embedding safe care practices. This tool kit shares
traini…
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psnet.ahrq.gov/node/39693/psn-pdf
July 21, 2010 - Learning accountability for patient outcomes.
July 21, 2010
Pronovost P. Learning accountability for patient outcomes. JAMA. 2010;304(2):204-5.
doi:10.1001/jama.2010.979.
https://psnet.ahrq.gov/issue/learning-accountability-patient-outcomes
This commentary discusses efforts to reduce central line blood stream infe…
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psnet.ahrq.gov/node/41691/psn-pdf
September 19, 2012 - Events associated with the prescribing, dispensing, and
administering of medication loading doses.
September 19, 2012
Carson SL, Gaunt MJ. PA-PSRS Patient Saf Advis. 2012;9:82-88.
https://psnet.ahrq.gov/issue/events-associated-prescribing-dispensing-and-administering-medication-
loading-doses
This article discuss…
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psnet.ahrq.gov/node/37565/psn-pdf
February 27, 2008 - Effect of pharmacists on medication errors in an
emergency department.
February 27, 2008
Brown JN, Barnes CL, Beasley B, et al. Effect of pharmacists on medication errors in an emergency
department. Am J Health Syst Pharm. 2008;65(4):330-3. doi:10.2146/ajhp070391.
https://psnet.ahrq.gov/issue/effect-pharmacists-me…
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psnet.ahrq.gov/node/34137/psn-pdf
February 06, 2018 - Anesthesia Patient Safety Foundation.
February 6, 2018
P.O. Box 6668, Rochester, MN 55903.
https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation
The Anesthesia Patient Safety Foundation's (APSF) mission is to ensure that no patient is harmed by the
effects of anesthesia. To achieve that mission, APSF s…
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psnet.ahrq.gov/node/37173/psn-pdf
January 02, 2017 - Eliminating adverse drug events at Ascension Health.
January 2, 2017
Butler K, Mollo P, Gale JL, et al. Eliminating adverse drug events at Ascension Health. Jt Comm J Qual
Patient Saf. 2007;33(9):527-36.
https://psnet.ahrq.gov/issue/eliminating-adverse-drug-events-ascension-health
The authors describe an initiativ…
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psnet.ahrq.gov/node/36173/psn-pdf
September 29, 2010 - The need for organizational change in patient safety
initiatives.
September 29, 2010
Anderson J, Ramanujam R, Hensel D, et al. The need for organizational change in patient safety initiatives.
Int J Med Inform. 2006;75(12):809-17.
https://psnet.ahrq.gov/issue/need-organizational-change-patient-safety-initiatives
…
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psnet.ahrq.gov/node/42959/psn-pdf
February 19, 2014 - A mislabeling event with batched drugs: the unintended
consequences of practice changes.
February 19, 2014
ISMP Medication Safety Alert! Acute Care Edition. 2014;19:1-3.
https://psnet.ahrq.gov/issue/mislabeling-event-batched-drugs-unintended-consequences-practice-changes
This newsletter article describes how…
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psnet.ahrq.gov/node/42600/psn-pdf
September 18, 2013 - Oral medications inadvertently given via the intravenous
route.
September 18, 2013
Shah-Mohammadi AR, Gaunt MJ. PA-PSRS Patient Saf Advis. September 2013;10:85-91.
https://psnet.ahrq.gov/issue/oral-medications-inadvertently-given-intravenous-route
Analyzing data submitted to the Pennsylvania Patient Safety Reporti…
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psnet.ahrq.gov/node/36312/psn-pdf
October 26, 2010 - The intensive care unit, patient safety, and the Agency for
Healthcare Research and Quality.
October 26, 2010
Clancy CM. The intensive care unit, patient safety, and the Agency for Healthcare Research and Quality.
Am J Med Qual. 2006;21(5):348-51.
https://psnet.ahrq.gov/issue/intensive-care-unit-patient-safety-and…
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psnet.ahrq.gov/node/40813/psn-pdf
July 19, 2017 - How to develop an effective obstetric checklist.
July 19, 2017
Fausett B, Propst A, Van Doren K, et al. How to develop an effective obstetric checklist. Am J Obstet
Gynecol. 2011;205(3):165-70. doi:10.1016/j.ajog.2011.06.003.
https://psnet.ahrq.gov/issue/how-develop-effective-obstetric-checklist
This commentary di…
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psnet.ahrq.gov/node/38984/psn-pdf
September 30, 2009 - Hospitalist handoffs: a systematic review and task force
recommendations.
September 30, 2009
Arora VM, Manjarrez E, Dressler DD, et al. Hospitalist handoffs: A systematic review and task force
recommendations. J Hosp Med. 2009;4(7). doi:10.1002/jhm.573.
https://psnet.ahrq.gov/issue/hospitalist-handoffs-systematic-…
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psnet.ahrq.gov/node/38209/psn-pdf
June 02, 2010 - The effects of emergency department staff rounding on
patient safety and satisfaction.
June 2, 2010
Meade CM, Kennedy J, Kaplan J. The effects of emergency department staff rounding on patient safety
and satisfaction. J Emerg Med. 2010;38(5):666-74. doi:10.1016/j.jemermed.2008.03.042.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/35954/psn-pdf
August 02, 2010 - Decreasing errors in pediatric continuous intravenous
infusions.
August 2, 2010
Lehmann CU, Kim G, Gujral R, et al. Decreasing errors in pediatric continuous intravenous infusions.
Pediatr Crit Care Med. 2006;7(3):225-30.
https://psnet.ahrq.gov/issue/decreasing-errors-pediatric-continuous-intravenous-infusions
Th…
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psnet.ahrq.gov/node/39272/psn-pdf
February 03, 2010 - Patient safety and diagnostic error: tips for your next
shift.
February 3, 2010
Sinclair D, Croskerry P. Patient safety and diagnostic error: tips for your next shift. Can Fam Physician.
2010;56(1):28-30.
https://psnet.ahrq.gov/issue/patient-safety-and-diagnostic-error-tips-your-next-shift
Through case examples, …
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psnet.ahrq.gov/node/42176/psn-pdf
April 17, 2013 - Checklists improve experts' diagnostic decisions.
April 17, 2013
Sibbald M, de Bruin A, van Merrienboer JJG. Checklists improve experts' diagnostic decisions. Med Educ.
2013;47(3):301-8. doi:10.1111/medu.12080.
https://psnet.ahrq.gov/issue/checklists-improve-experts-diagnostic-decisions
Checklists have recently be…
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psnet.ahrq.gov/node/40521/psn-pdf
June 14, 2011 - Johns Hopkins receives $10 million to open patient safety
institute.
June 14, 2011
Cohn M. Baltimore Sun. May 27, 2011:A1.
https://psnet.ahrq.gov/issue/johns-hopkins-receives-10-million-open-patient-safety-institute
This newspaper article reports on plans to develop the Armstrong Institute for Patient Safety…
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psnet.ahrq.gov/node/37623/psn-pdf
April 18, 2011 - Human factors in anaesthetic practice: insights from a
task analysis.
April 18, 2011
Phipps D, Meakin GH, Beatty PCW, et al. Human factors in anaesthetic practice: insights from a task
analysis. Br J Anaesth. 2008;100(3):333-43. doi:10.1093/bja/aem392.
https://psnet.ahrq.gov/issue/human-factors-anaesthetic-practic…
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psnet.ahrq.gov/node/41617/psn-pdf
August 22, 2012 - Medical devices and patient safety.
August 22, 2012
Mattox E. Medical devices and patient safety. Crit Care Nurse. 2012;32(4):60-8. doi:10.4037/ccn2012925.
https://psnet.ahrq.gov/issue/medical-devices-and-patient-safety
This commentary discusses errors associated with medical device use in intensive care environmen…