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psnet.ahrq.gov/node/49571/psn-pdf
October 01, 2008 - solely
responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/node/33892/psn-pdf
May 03, 2016 - Critical Incident Technique Bibliography—2001.
May 3, 2016
Fivars G; Fitzpatrick R
https://psnet.ahrq.gov/issue/critical-incident-technique-bibliography-2001
A research tool to identify critical requirements for performance in applied areas of psychology and
behavioral science. This technique, used in anesthesia t…
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psnet.ahrq.gov/node/45583/psn-pdf
January 18, 2017 - ASHP IV Adult Continuous Infusions.
January 18, 2017
Bethesda, MD: American Society of Health-System Pharmacists; 2016.
https://psnet.ahrq.gov/issue/ashp-iv-adult-continuous-infusions
Miscalculations of intravenous infusion concentrations can result in patient harm. Representing the first
phase of a standards deve…
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psnet.ahrq.gov/node/36063/psn-pdf
December 23, 2012 - Oversight Hearing on Recent Patient Safety Issues.
December 23, 2012
U.S. Department of Veterans Affairs. Hearing before the Committee on Veterans’ Affairs, House of
Representatives, Subcommittee on Oversight and Investigations. 109 Congress, 2nd sess June 15, 2006.
Washington, DC: US Government Printing Office; 20…
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psnet.ahrq.gov/perspective/response-failure-report-march-2007
June 01, 2007 - solely responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.341_slideshow.ppt
March 01, 2015 - pubmed/20407349
12
Frequency of Wrong-Site Surgery (2)
Yet, these events are self-reported so likely represent
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psnet.ahrq.gov/node/49685/psn-pdf
May 01, 2013 - solely
responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/node/36878/psn-pdf
August 31, 2011 - Potentially inappropriate medication use and healthcare
expenditures in the US community-dwelling elderly.
August 31, 2011
Fu AZ, Jiang JZ, Reeves JH, et al. Potentially inappropriate medication use and healthcare expenditures in
the US community-dwelling elderly. Med Care. 2007;45(5):472-6.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/34783/psn-pdf
March 28, 2005 - The organizational and intraorganizational development
of disasters.
March 28, 2005
Turner BA. The Organizational and Interorganizational Development of Disasters. Adm Sci Q.
1976;21(3):378. doi:10.2307/2391850.
https://psnet.ahrq.gov/issue/organizational-and-intraorganizational-development-disasters
This article…
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psnet.ahrq.gov/node/43612/psn-pdf
August 02, 2015 - Time of day and the decision to prescribe antibiotics.
August 2, 2015
Linder JA, Doctor JN, Friedberg MW, et al. Time of day and the decision to prescribe antibiotics. JAMA
Intern Med. 2014;174(12):2029-31. doi:10.1001/jamainternmed.2014.5225.
https://psnet.ahrq.gov/issue/time-day-and-decision-prescribe-antibiotics…
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psnet.ahrq.gov/perspective/role-national-quality-forum-nqf-quest-transparency-us-hospitals-patient-safety
April 01, 2010 - likely to depend on widespread agreement among health care organizations that NQF-endorsed measures represent … complicated as health care, there has to be awareness on the part of the American public and those who represent … solely responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/perspective/conversation-withjanet-corrigan-phd-mba
April 01, 2010 - complicated as health care, there has to be awareness on the part of the American public and those who represent … likely to depend on widespread agreement among health care organizations that NQF-endorsed measures represent … solely responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/node/34789/psn-pdf
December 23, 2008 - Medication error prevention by pharmacists.
December 23, 2008
Blum K, Abel SR, Urbanski CJ, et al. Medication error prevention by pharmacists. Am J Hosp Pharm.
1988;45(9):1902-3.
https://psnet.ahrq.gov/issue/medication-error-prevention-pharmacists
This study investigated the impact of hospital pharmacists in preve…
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psnet.ahrq.gov/node/36525/psn-pdf
January 07, 2011 - Hallmarks of quality and patient safety recommended
baccalaureate competencies and curricular guidelines to
ensure high-quality and safe patient care.
January 7, 2011
Hallmarks of quality and patient safety: recommended baccalaureate competencies and curricular
guidelines to ensure high-quality and safe patient ca…
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psnet.ahrq.gov/node/40467/psn-pdf
May 25, 2011 - Time trends in pulmonary embolism in the United States:
evidence of overdiagnosis.
May 25, 2011
Wiener RS, Schwartz LM, Woloshin S. Time trends in pulmonary embolism in the United States: evidence
of overdiagnosis. Arch Intern Med. 2011;171(9):831-7. doi:10.1001/archinternmed.2011.178.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/34798/psn-pdf
June 23, 2015 - Costs of medical injuries in Utah and Colorado.
June 23, 2015
Thomas EJ; Studdert DM; Newhouse JP; Zbar BI; Howard KM; Williams EJ; Brennan TA
https://psnet.ahrq.gov/issue/costs-medical-injuries-utah-and-colorado
This study analyzed more than 450 adverse events from a representative hospital sample in order to
est…
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psnet.ahrq.gov/node/35415/psn-pdf
December 21, 2008 - Acting Locally: Working in Clinical Microsystems CD-
ROM.
December 21, 2008
Oakbrook Terrance, IL: Joint Commission Resources; 2005. ISBN 9780866889865.
https://psnet.ahrq.gov/issue/acting-locally-working-clinical-microsystems-cd-rom
This resource represents a collection of special articles published in the Joint …
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psnet.ahrq.gov/node/34625/psn-pdf
July 22, 2013 - National Center for Patient Safety (NCPS).
July 22, 2013
Department of Veterans Affairs. 24 Frank Lloyd Wright Drive, M2100, Post Office Box 486, Ann Arbor, MI
48106-0486. Phone: (734) 930-5890.
https://psnet.ahrq.gov/issue/national-center-patient-safety-ncps
The NCPS represents a unified and cohesive patient safe…
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psnet.ahrq.gov/node/45654/psn-pdf
July 11, 2017 - Hospital prescribing of opioids to Medicare beneficiaries.
July 11, 2017
Jena AB, Goldman D, Karaca-Mandic P. Hospital Prescribing of Opioids to Medicare Beneficiaries. JAMA
Intern Med. 2016;176(7):990-7. doi:10.1001/jamainternmed.2016.2737.
https://psnet.ahrq.gov/issue/hospital-prescribing-opioids-medicare-benefic…
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psnet.ahrq.gov/node/35385/psn-pdf
January 02, 2017 - El Camino Hospital: using health information technology
to promote patient safety.
January 2, 2017
Bukunt S, Hunter C, Perkins S, et al. El Camino Hospital: Using Health Information Technology to Promote
Patient Safety. Jt Comm J Qual Patient Saf. 2016;31(10):561-565. doi:10.1016/s1553-7250(05)31073-7.
https://psn…