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psnet.ahrq.gov/node/38514/psn-pdf
September 29, 2017 - Reportable incidents.
September 29, 2017
Barishansky RM, Glick DE. Reportable incidents. Establishing policies and procedures for when calls go
wrong. EMS magazine. 2009;38(3):43-7.
https://psnet.ahrq.gov/issue/reportable-incidents
This article explains the elements of preparing policies and procedures for reporta…
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psnet.ahrq.gov/node/60597/psn-pdf
June 17, 2020 - Organisational factors associated with safety climate,
patient satisfaction and self-reported medicines
adherence in community pharmacies.
June 17, 2020
Jacobs S, Hann M, Bradley F, et al. Organisational factors associated with safety climate, patient
satisfaction and self-reported medicines adherence in community…
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psnet.ahrq.gov/node/73194/psn-pdf
April 28, 2021 - CLER Report of Findings 2021: Subprotocol for Operative
and Procedural Areas.
April 28, 2021
Kuhn CM, Newton RC, Damewood MD, et al, on behalf of the CLER Evaluation Committee, the CLER
Operative and Procedural Subprotocol National Advisory Group, and the CLER Program. Chicago, IL:
Accreditation Council for Gradua…
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psnet.ahrq.gov/node/46247/psn-pdf
August 08, 2018 - Distractions in the anesthesia work environment: impact
on patient safety? Report of a meeting sponsored by the
Anesthesia Patient Safety Foundation.
August 8, 2018
van Pelt M, Weinger MB. Distractions in the Anesthesia Work Environment: Impact on Patient Safety?
Report of a Meeting Sponsored by the Anesthesia Pat…
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psnet.ahrq.gov/node/41947/psn-pdf
January 30, 2013 - Self-reported patient safety competence among new
graduates in medicine, nursing and pharmacy.
January 30, 2013
Ginsburg LR, Tregunno D, Norton PG. Self-reported patient safety competence among new graduates in
medicine, nursing and pharmacy. BMJ Qual Saf. 2013;22(2):147-54. doi:10.1136/bmjqs-2012-001308.
https://…
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psnet.ahrq.gov/node/38622/psn-pdf
May 13, 2009 - Self-reported adverse events in health care that cause
harm: a population-based survey.
May 13, 2009
Adams RJ, Tucker G, Price K, et al. Self-reported adverse events in health care that cause harm: a
population-based survey. Med J Aust. 2009;190(9):484-8.
https://psnet.ahrq.gov/issue/self-reported-adverse-events-h…
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psnet.ahrq.gov/node/43093/psn-pdf
August 12, 2014 - Identifying systems failures in the pathway to a
catastrophic event: an analysis of national incident report
data relating to vinca alkaloids.
August 12, 2014
Franklin BD, Panesar S, Vincent CA, et al. Identifying systems failures in the pathway to a catastrophic
event: an analysis of national incident report data…
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psnet.ahrq.gov/issue/ismps-guidelines-standard-order-sets
May 11, 2017 - Organizational Policy/Guidelines
ISMP's Guidelines for Standard Order Sets.
Citation Text:
ISMP's Guidelines for Standard Order Sets. Horsham, PA: Institute for Safe Medication Practices; March 2010.
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psnet.ahrq.gov/issue/events-associated-prescribing-dispensing-and-administering-medication-loading-doses
September 18, 2013 - Newspaper/Magazine Article
Events associated with the prescribing, dispensing, and administering of medication loading doses.
Citation Text:
Events associated with the prescribing, dispensing, and administering of medication loading doses. Carson SL, Gaunt MJ. PA-PSRS Patient Saf Adv…
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psnet.ahrq.gov/issue/common-cause-analysis
June 27, 2018 - Newspaper/Magazine Article
Common cause analysis.
Citation Text:
Common cause analysis. Clapper C, Crea K. Patient Saf Qual Healthc. May/June 2010;7:30-35.
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psnet.ahrq.gov/node/43688/psn-pdf
November 30, 2016 - AHRQ Nursing Home Survey on Patient Safety Culture:
2014 User Comparative Database Report.
November 30, 2016
Sorra J, Famolaro T, Yount N, Burns W, Liu H, Shyy M. Rockville, MD: Agency for Healthcare Research
and Quality; November 2014. AHRQ Publication No. 15-0004-EF.
https://psnet.ahrq.gov/issue/ahrq-nursing-hom…
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psnet.ahrq.gov/issue/ahrq-health-information-technology-divisions-2017-annual-report
May 02, 2018 - Book/Report
AHRQ Health Information Technology Division's 2017 Annual Report.
Citation Text:
AHRQ Health Information Technology Division's 2017 Annual Report. Rockville, MD: Agency for Healthcare Research and Quality; April 2018. AHRQ Publication No. 18-0028-EF.
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psnet.ahrq.gov/issue/medication-related-malpractice-risks-2016-crico-strategies-national-cbs-report
July 18, 2018 - Book/Report
Medication-related Malpractice Risks. 2016 CRICO Strategies National CBS Report.
Citation Text:
Medication-related Malpractice Risks. 2016 CRICO Strategies National CBS Report. Boston, MA: CRICO Strategies; 2017.
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psnet.ahrq.gov/issue/origins-and-solutions-neonatal-medication-dispensing-errors
July 21, 2009 - Study
Origins of and solutions for neonatal medication-dispensing errors.
Citation Text:
Sauberan JB, Dean LM, Fiedelak J, et al. Origins of and solutions for neonatal medication-dispensing errors. Am J Health Syst Pharm. 2010;67(1):49-57. doi:10.2146/ajhp090122.
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psnet.ahrq.gov/issue/safety-maternity-services-england
February 04, 2015 - Book/Report
The Safety of Maternity Services in England.
Citation Text:
The Safety of Maternity Services in England. Fourth Report of Session 2021–22. House of Commons Health Committee. London, England: The Stationery Office; July 6, 2021. Publication HC 19.
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psnet.ahrq.gov/issue/characteristics-weekday-and-weekend-hospital-admissions-2007
September 15, 2010 - Book/Report
Characteristics of Weekday and Weekend Hospital Admissions, 2007.
Citation Text:
Characteristics of Weekday and Weekend Hospital Admissions, 2007. Ryan K, Levit K, Davis PH. HCUP Statistical Brief #87. Rockville, MD: Agency for Healthcare Research and Quality; March 2010.…
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psnet.ahrq.gov/issue/intravenous-admixture-preparation-considerations-parts-9-and-9-b-error-prevention-intravenous
December 22, 2021 - Special or Theme Issue
Intravenous admixture preparation considerations, Parts 9-A and 9-B: error prevention in intravenous admixture preparation.
Citation Text:
Intravenous admixture preparation considerations, Parts 9-A and 9-B: error prevention in intravenous admixture preparation. Al…
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psnet.ahrq.gov/issue/listen-carefully-risk-error-spoken-medication-orders
November 16, 2022 - Study
Listen carefully: the risk of error in spoken medication orders.
Citation Text:
Lambert BL, Dickey LW, Fisher WM, et al. Listen carefully: the risk of error in spoken medication orders. Soc Sci Med. 2010;70(10):1599-608. doi:10.1016/j.socscimed.2010.01.042.
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psnet.ahrq.gov/issue/using-preprinted-medication-order-forms-improve-safety-investigational-drug-use
April 24, 2024 - Commentary
Using preprinted medication order forms to improve the safety of investigational drug use.
Citation Text:
Tamer H, Shehab N. Using preprinted medication order forms to improve the safety of investigational drug use. Am J Health Syst Pharm. 2006;63(11):1022, 1025-1026, 1028. …
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psnet.ahrq.gov/issue/improving-medication-safety-high-risk-medicare-beneficiaries-toolkit
October 23, 2019 - Government Resource
Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit.
Citation Text:
Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit. Touchette DR, Stubbings J, Schumock G. Effective Healthcare Research Report No. 38. Rockville, MD: Agen…