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psnet.ahrq.gov/node/44298/psn-pdf
July 08, 2015 - Preparing challenging medications for barcode scanning.
July 8, 2015
Waxlax TJ. Preparing challenging medications for barcode scanning. Am J Health Syst Pharm.
2015;72(13):1089-90. doi:10.2146/ajhp140454.
https://psnet.ahrq.gov/issue/preparing-challenging-medications-barcode-scanning
Barcode scanning can reduce me…
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psnet.ahrq.gov/node/60288/psn-pdf
April 29, 2020 - Do some surgical implants do more harm than good?
April 29, 2020
Groopman J. New Yorker Online. April 13, 2020.
https://psnet.ahrq.gov/issue/do-some-surgical-implants-do-more-harm-good
Medical devices support quality of life but must be designed appropriately and managed carefully to ensure
safety over time.…
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psnet.ahrq.gov/node/46943/psn-pdf
November 16, 2018 - A piece of my mind. The art of constructive worrying.
November 16, 2018
John CC. The Art of Constructive Worrying. JAMA. 2018;319(22):2273-2274. doi:10.1001/jama.2018.6670.
https://psnet.ahrq.gov/issue/piece-my-mind-art-constructive-worrying
Both organizational culture and individual accountability are key to admit…
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psnet.ahrq.gov/node/41378/psn-pdf
March 04, 2015 - Clinically missed cancer: how effectively can radiologists
use computer-aided detection?
March 4, 2015
Nishikawa RM, Schmidt RA, Linver MN, et al. Clinically Missed Cancer: How Effectively Can Radiologists
Use Computer-Aided Detection? American Journal of Roentgenology. 2012;198(3).
doi:10.2214/ajr.11.6423.
https…
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psnet.ahrq.gov/node/866567/psn-pdf
August 21, 2024 - A daily dose of communication to improve quality and
safety outcomes.
August 21, 2024
Halm MA. A daily dose of communication to improve quality and safety outcomes. Am J Crit Care.
2024;33(4):305-310. doi:10.4037/ajcc2024318.
https://psnet.ahrq.gov/issue/daily-dose-communication-improve-quality-and-safety-outcomes…
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psnet.ahrq.gov/node/43234/psn-pdf
June 04, 2014 - Independent double-checks for high-alert medications:
essential practice.
June 4, 2014
Baldwin K, Walsh V. Independent double-checks for high-alert medications: essential practice. Nursing
(Brux). 2014;44(4):65-7. doi:10.1097/01.NURSE.0000444547.64972.dc.
https://psnet.ahrq.gov/issue/independent-double-checks-high…
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psnet.ahrq.gov/node/43763/psn-pdf
April 22, 2015 - The nurse's role in medication safety.
April 22, 2015
Durham B. The nurse's role in medication safety. Nursing (Brux). 2015;45(4).
doi:10.1097/01.NURSE.0000461850.24153.8b.
https://psnet.ahrq.gov/issue/nurses-role-medication-safety-0
Nurses perform a critical role in preventing medication errors. This commentary e…
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psnet.ahrq.gov/node/48145/psn-pdf
July 17, 2019 - Mental mayhem: the peril of multitasking in medicine.
July 17, 2019
Joseph R; Harry E.
https://psnet.ahrq.gov/issue/mental-mayhem-peril-multitasking-medicine
Multitasking can negatively affect cognitive load and diminish safety. This magazine article reports on how
multitasking can contribute to surgeon fatigue, b…
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psnet.ahrq.gov/node/38559/psn-pdf
June 16, 2009 - Regional surveillance of emergency-department visits for
outpatient adverse drug events.
June 16, 2009
Capuano A, Irpino A, Gallo M, et al. Regional surveillance of emergency-department visits for outpatient
adverse drug events. Eur J Clin Pharmacol. 2009;65(7):721-8. doi:10.1007/s00228-009-0641-8.
https://psnet.a…
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psnet.ahrq.gov/node/34585/psn-pdf
March 07, 2005 - John M. Eisenberg Patient Safety Awards. Research:
David W. Bates, MD, MSc, Brigham and Women's
Hospital.
March 7, 2005
Bates DW. John M. Eisenberg Patient Safety Awards. Research: David W. Bates, MD, MSc, Brigham and
Women's Hospital. Interview by Steven Berman. Jt Comm J Qual Improv. 2002;28(12):651-659, 633.
h…
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psnet.ahrq.gov/node/47112/psn-pdf
May 09, 2018 - 34 ways to survive your next trip to the hospital.
May 9, 2018
Crouch M. Reader's Digest. April 2018.
https://psnet.ahrq.gov/issue/34-ways-survive-your-next-trip-hospital
Involving patients in their care can help improve safety. This magazine article provides 34 tips from leading
patient safety experts to assist p…
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psnet.ahrq.gov/node/40287/psn-pdf
March 16, 2011 - The influence of 'Tall Man' lettering on errors of visual
perception in the recognition of written drug names.
March 16, 2011
Darker IT, Gerret D, Filik R, et al. The influence of 'Tall Man' lettering on errors of visual perception in the
recognition of written drug names. Ergonomics. 2011;54(1):21-33. doi:10.1080/…
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psnet.ahrq.gov/perspective/overuse-patient-safety-problem
September 01, 2014 - Overuse as a Patient Safety Problem
Christopher Moriates, MD | September 1, 2014
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Moriates C. Overuse as a Patient Safety Problem. PSNet [internet]. Rockville (MD): Agency for Heal…
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psnet.ahrq.gov/web-mm/tale-two-falls
March 27, 2024 - A Tale of Two Falls
Citation Text:
Jackson V, Satake A. A Tale of Two Falls. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
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psnet.ahrq.gov/perspective/conversation-rosemary-gibson-msc
September 01, 2014 - In Conversation With… Rosemary Gibson, MSc
September 1, 2014
Also Read an Essay
Citation Text:
In Conversation With… Rosemary Gibson, MSc. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…
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psnet.ahrq.gov/web-mm/diagnosing-hiv-it-doesnt-take-brain-surgeon
January 01, 2018 - SPOTLIGHT CASE
Diagnosing HIV-It Doesn't Take a Brain Surgeon
Citation Text:
Chou R. Diagnosing HIV-It Doesn't Take a Brain Surgeon. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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psnet.ahrq.gov/node/867035/psn-pdf
October 30, 2024 - A Tale of Two Falls
October 30, 2024
Jackson V, Satake A. A Tale of Two Falls. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/tale-two-falls
The Cases
Case #1: A 79-year-old woman with a history of impaired cognition at baseline was brought from a skilled
nursing facility to the emergency department (ED) f…
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psnet.ahrq.gov/primer/discharge-planning-and-transitions-care
June 15, 2024 - Discharge Planning and Transitions of Care
Citation Text:
Bajorek SA, McElroy V. Discharge Planning and Transitions of Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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psnet.ahrq.gov/web-mm/home-medications-contribute-unique-opportunity-error-discharge-hospital
May 16, 2022 - Home Medications Contribute to a Unique Opportunity for Error on Discharge from the Hospital
Citation Text:
Agrawal G, Nguyen DM. Home Medications Contribute to a Unique Opportunity for Error on Discharge from the Hospital.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US De…
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psnet.ahrq.gov/web-mm/milliliters-vs-milligrams
September 01, 2004 - Milliliters vs. Milligrams
Citation Text:
Poole RL, Dixon T. Milliliters vs. Milligrams. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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