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psnet.ahrq.gov/issue/adverse-drug-reactions-and-therapeutic-errors-older-adults-hazard-factor-analysis-poison
September 09, 2013 - Study
Adverse drug reactions and therapeutic errors in older adults: a hazard factor analysis of poison center data.
Citation Text:
Cobaugh DJ, Krenzelok EP. Adverse drug reactions and therapeutic errors in older adults: a hazard factor analysis of poison center data. Am J Health Syst …
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psnet.ahrq.gov/issue/integrating-knowledge-based-resources-electronic-health-record-history-current-status-and
July 19, 2023 - Commentary
Integrating knowledge-based resources into the electronic health record: history, current status, and role of librarians.
Citation Text:
Albert KM. Integrating knowledge-based resources into the electronic health record: history, current status, and role of librarians. Med R…
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psnet.ahrq.gov/issue/patient-safety-perceptions-survey-iowa-physicians-pharmacists-and-nurses
February 01, 2012 - Study
Patient safety perceptions: a survey of Iowa physicians, pharmacists, and nurses.
Citation Text:
Durbin J, Hansen MM, Sinkowitz-Cochran R, et al. Patient safety perceptions: a survey of Iowa physicians, pharmacists, and nurses. Am J Infect Control. 2006;34(1):25-30.
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psnet.ahrq.gov/issue/development-infusion-pump-safety-score
January 06, 2017 - Commentary
Development of an "infusion pump safety score".
Citation Text:
Carlson R, Johnson B, Ensign RH. Development of an "infusion pump safety score". Am J Health Syst Pharm. 2015;72(10):777-9. doi:10.2146/ajhp140421.
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psnet.ahrq.gov/issue/caregiver-advise-record-enable-care-act
March 15, 2017 - Commentary
The Caregiver Advise, Record, Enable (CARE) act.
Citation Text:
Anthony M. The Caregiver Advise, Record, Enable (CARE) Act. Home Healthc Now. 2018;36(2):69-70. doi:10.1097/nhh.0000000000000655.
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psnet.ahrq.gov/issue/cost-medication-related-problems-university-hospital
January 13, 2021 - Study
Classic
Cost of medication-related problems at a university hospital.
Citation Text:
Cost of medication-related problems at a university hospital. Schneider PJ; Gift MG; Lee YP; Rothermich EA; Sill BE
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psnet.ahrq.gov/issue/improving-oversight-graduate-medical-education-enterprise-one-institutions-strategies-and
September 21, 2009 - Study
Improving oversight of the graduate medical education enterprise: one institution's strategies and tools.
Citation Text:
Afrin LB, Arana GW, Medio FJ, et al. Improving Oversight of the Graduate Medical Education Enterprise: One Institution???s Strategies and Tools. Academic Medic…
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psnet.ahrq.gov/issue/perspective-beyond-counting-hours-importance-supervision-professionalism-transitions-care-and
September 20, 2011 - Commentary
Perspective: beyond counting hours: the importance of supervision, professionalism, transitions of care, and workload in residency training.
Citation Text:
Schumacher D, Slovin SR, Riebschleger MP, et al. Perspective. Academic Medicine. 2012;87(7). doi:10.1097/acm.0b013e318257…
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psnet.ahrq.gov/issue/alarm-fatigue-use-evidence-based-alarm-management-strategy
July 24, 2024 - Commentary
Alarm fatigue: use of an evidence-based alarm management strategy.
Citation Text:
Turmell JW, Coke L, Catinella R, et al. Alarm Fatigue. J Nurs Care Qual. 2016;32(1):47-54. doi:10.1097/ncq.0000000000000223.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-135-graphics-section-5.pdf
November 26, 2013 - Graphics for Section 5. Evidence or Other Justification for the Focus of the Measure
Q‐METRIC Sickle Cell Disease Measure 2: Timeliness of Antibiotic …
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psnet.ahrq.gov/issue/fool-me-twice-delayed-diagnoses-radiology-emphasis-perpetuated-errors
July 08, 2020 - Study
Fool me twice: delayed diagnoses in radiology with emphasis on perpetuated errors.
Citation Text:
Kim YW, Mansfield LT. Fool me twice: delayed diagnoses in radiology with emphasis on perpetuated errors. AJR Am J Roentgenol. 2014;202(3):465-70. doi:10.2214/AJR.13.11493.
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psnet.ahrq.gov/issue/managing-patients-identical-names-same-ward
November 16, 2022 - Study
Managing patients with identical names in the same ward.
Citation Text:
Lee ACW, Leung M, So KT. Managing patients with identical names in the same ward. Int J Health Care Qual Assur Inc Leadersh Health Serv. 2005;18(1):15-23.
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-overview-qi
November 08, 2023 - Commentary
Patient safety and quality improvement: an overview of QI.
Citation Text:
Schriefer J, Leonard M. Patient safety and quality improvement: an overview of QI. Pediatr Rev. 2012;33(8):353-9; quiz 359-60. doi:10.1542/pir.33-8-353.
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psnet.ahrq.gov/issue/it-vulnerabilities-highlighted-errors-malfunctions-veterans-medical-centers
January 31, 2024 - Commentary
IT vulnerabilities highlighted by errors, malfunctions at veterans' medical centers.
Citation Text:
Kuehn BM. IT Vulnerabilities Highlighted by Errors, Malfunctions at Veterans’ Medical Centers. JAMA. 2009;301(9):919. doi:10.1001/jama.2009.239.
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psnet.ahrq.gov/issue/disclosure-patient-safety-incidents-comprehensive-review
November 10, 2010 - Review
Disclosure of patient safety incidents: a comprehensive review.
Citation Text:
O'Connor E, Coates HM, Yardley I, et al. Disclosure of patient safety incidents: a comprehensive review. Int J Qual Health Care. 2010;22(5):371-9. doi:10.1093/intqhc/mzq042.
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psnet.ahrq.gov/issue/va-health-care-steps-taken-improve-practitioner-screening-facility-compliance-screening
September 28, 2010 - Government Resource
VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility Compliance with Screening Requirements is Poor.
Citation Text:
VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility Compliance with Screening Requirements is Poor. W…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast3-gandhi.pdf
January 01, 2018 - New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - Optimizing (Gandhi)
Optimizing
the Use of HIT
to Improve
Safety
Tejal Gandhi
Handwriting
16
Ways IT Can Improve Safety
• Prevent errors and adverse events
• Facilitating a more rapid response after an
…
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psnet.ahrq.gov/issue/rural-hospital-patient-safety-systems-implementation-two-states
February 03, 2011 - Study
Rural hospital patient safety systems implementation in two states.
Citation Text:
Longo DR, Hewett JE, Ge B, et al. Rural Hospital Patient Safety Systems Implementation in Two States. The Journal of Rural Health. 2007;23(3). doi:10.1111/j.1748-0361.2007.00090.x.
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psnet.ahrq.gov/issue/your-code-cart-ready
August 30, 2017 - Newspaper/Magazine Article
Is your code cart ready?
Citation Text:
Cohen ML. Is your code cart ready? Medical economics. 2005;82(18):45-6, 48.
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psnet.ahrq.gov/issue/human-factors-considerations-relevant-cpoe-implementations
October 23, 2024 - Review
Human factors considerations relevant to CPOE implementations.
Citation Text:
Saathoff A. Human factors considerations relevant to CPOE implementations. J Healthc Inf Manag. 2005;19(3):71-8.
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