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psnet.ahrq.gov/node/36698/psn-pdf
February 24, 2011 - The impact of duty hours on resident self reports of
errors.
February 24, 2011
Vidyarthi A, Auerbach AD, Wachter R, et al. The impact of duty hours on resident self reports of errors. J
Gen Intern Med. 2007;22(2):205-9.
https://psnet.ahrq.gov/issue/impact-duty-hours-resident-self-reports-errors
Residency programs…
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psnet.ahrq.gov/node/47541/psn-pdf
March 04, 2019 - Health outcomes of deprescribing interventions among
older residents in nursing homes: a systematic review
and meta-analysis.
March 4, 2019
Kua C-H, Mak VSL, Lee SWH. Health Outcomes of Deprescribing Interventions Among Older Residents in
Nursing Homes: A Systematic Review and Meta-analysis. J Amer Med Direct Asso…
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psnet.ahrq.gov/node/74084/psn-pdf
November 17, 2021 - Healthcare failure mode and effect analysis in the
chemotherapy preparation process.
November 17, 2021
Pueyo-López C, Sánchez-Cuervo M, Vélez-Díaz-Pallarés M, et al. Healthcare failure mode and effect
analysis in the chemotherapy preparation process. J Oncol Pharm Pract. 2021;27(7):1588-1595.
doi:10.1177/107815522…
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psnet.ahrq.gov/node/866270/psn-pdf
July 10, 2024 - Identifying and measuring administrative harms
experienced by hospitalists and administrative leaders.
July 10, 2024
Burden M, Astik GJ, Auerbach AD, et al. Identifying and measuring administrative harms experienced by
hospitalists and administrative leaders. JAMA Intern Med. 2024;184(9):1014-1023.
doi:10.1001/jam…
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psnet.ahrq.gov/node/45898/psn-pdf
August 16, 2017 - Estimating hospital-related deaths due to medical error: a
perspective from patient advocates.
August 16, 2017
Kavanagh KT, Saman DM, Bartel R, et al. Estimating Hospital-Related Deaths Due to Medical Error: A
Perspective From Patient Advocates. J Patient Saf. 2017;13(1):1-5. doi:10.1097/PTS.0000000000000364.
http…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-6.html
August 01, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions
Conclusion
Previous Page Next Page
Table of Contents
Pediatric Diagnostic Safety: State of the Science and Future Directions
Introduction
Challenges in Approaching Diagnostic Safety Unique to Children
Pediatric Diagnostic …
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www.ahrq.gov/cpi/about/nac/snac-chin.html
December 01, 2021 - SNAC Member: Marshall H. Chin, M.D.
Richard Parrillo Family Professor of Healthcare Ethics
The University of Chicago Medicine
Marshall H. Chin, M.D., is a practicing general internist and health services researcher who has dedicated his career to reducing health disparities through interventions at individu…
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pso.ahrq.gov/faq/what-are-patient-safety-activities
SHARE:
What are "patient safety activities"?
There are eight patient safety activities that are carried out by, or on behalf of a PSO, or a healthcare provider:
Efforts to improve patient safety and the quality of healthcare delivery
The collection and ana…
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psnet.ahrq.gov/issue/confronting-racism-health-care-moving-proclamations-new-practices
July 31, 2012 - Book/Report
Confronting Racism in Health Care: Moving from Proclamations to New Practices.
Citation Text:
Confronting Racism in Health Care: Moving from Proclamations to New Practices. Hostetter M, Klein S. New York, NY: Commonwealth Fund; October 18, 2021
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psnet.ahrq.gov/issue/transformation-health-care-front-line
July 24, 2017 - Commentary
Transformation of health care at the front line.
Citation Text:
Conway PH, Clancy CM. Transformation of health care at the front line. JAMA. 2009;301(7):763-5. doi:10.1001/jama.2009.103.
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Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML EndN…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0174_10-20-2009.pdf
January 01, 2009 - Effective Health Care
Topic Numbers: 0215 & 0078
Document Completion Date: 6-8-10
1
Results of Topic Selection Process & Next Steps
Physical therapy for knee pain secondary to osteoarthritis of the knee will go forward for refinement as
a systematic review. The scope of this topic, includin…
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psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-and-event-reporting-1
July 03, 2013 - Press Release/Announcement
Common formats for patient safety data collection and event reporting.
Citation Text:
Common formats for patient safety data collection and event reporting. Federal Register. Rockville, MD: Agency for Healthcare Research and Quality. February 18, 2014;79:9214…
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psnet.ahrq.gov/issue/toolkit-engage-high-risk-patients-safe-transitions-across-ambulatory-settings
March 11, 2017 - Toolkit
Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings.
Citation Text:
Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings. Davis K, Collier S, Situ J, et al. Rockville, MD: Agency for Healthcare Research and Quality; D…
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psnet.ahrq.gov/issue/medication-administration-errors-understanding-issues
December 15, 2011 - Review
Medication administration errors: understanding the issues.
Citation Text:
McBride-Henry K, Foureur M. Medication administration errors: understanding the issues. Aust J Adv Nurs. 2006;23(3):33-41.
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psnet.ahrq.gov/issue/patient-safety-achieving-new-standard-care
January 04, 2009 - Book/Report
Patient Safety: Achieving a New Standard for Care.
Citation Text:
Patient Safety: Achieving a New Standard for Care. Aspden P ed, Committee for Data Standards for Patient Safety, Institute of Medicine. Washington DC: National Academies Press; 2004. ISBN 0309090776.
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psnet.ahrq.gov/issue/medication-room-madness-calming-chaos
January 22, 2016 - Commentary
Medication room madness: calming the chaos.
Citation Text:
Conrad C, Fields W, McNamara T, et al. Medication room madness: calming the chaos. J Nurs Care Qual. 2010;25(2):137-144. doi:10.1097/NCQ.0b013e3181c3695d.
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psnet.ahrq.gov/issue/interruptions-and-medication-errors-part-i
January 03, 2017 - Commentary
Interruptions and medication errors: part I.
Citation Text:
Flanders S, Clark AP. Interruptions and medication errors: part I. Clin Nurse Spec. 2010;24(6):281-5. doi:10.1097/NUR.0b013e3181faf78b.
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psnet.ahrq.gov/issue/fda-public-health-notification-unretrieved-device-fragments
June 02, 2021 - Press Release/Announcement
FDA public health notification: unretrieved device fragments.
Citation Text:
FDA public health notification: unretrieved device fragments. Silver Spring MD, Center for Devices and Radiological Health, US Food and Drug Administration; January 15, 2008.
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psnet.ahrq.gov/issue/how-studying-human-factors-improves-patient-safety
July 24, 2024 - Newspaper/Magazine Article
How studying human factors improves patient safety.
Citation Text:
Eggertson L. How studying human factors improves patient safety. The Canadian nurse. 2014;110(2):25-9.
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psnet.ahrq.gov/issue/safety-considerations-mitigate-risks-misconnections-small-bore-connectors-intended-enteral
June 02, 2021 - Regulation
Safety considerations to mitigate the risks of misconnections with small-bore connectors intended for enteral applications.
Citation Text:
Safety considerations to mitigate the risks of misconnections with small-bore connectors intended for enteral applications. Rockville, MD:…