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psnet.ahrq.gov/node/49621/psn-pdf
March 01, 2011 - We know that errors in prescribing, dispensing, and administering medications represent a
substantial … solely
responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/node/49461/psn-pdf
September 01, 2004 - Additionally, most adverse
reactions to iodinated contrast material do not represent true allergic reactions … solely
responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
April 01, 2010 - In particular, these events are voluntarily reported and likely represent only a small proportion of … solely responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/web-mm/failure-rescue-mother
September 23, 2020 - During the latter episode, she developed signs suggestive of a transfusion reaction, which may represent … solely responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/web-mm/code-blue-where
March 30, 2020 - Given this standard, it is likely that this case would represent a sentinel event in the Joint Commission's … solely responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
July 08, 2022 - In the metaphorical cheese, hazards are prevented by barriers, but holes in the cheese represent opportunities … solely responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/web-mm/when-taking-sglt2-inhibitor-remember-sstop-stop-sglt2-inhibitor-three-days-bef-o-re
February 01, 2023 - surgery, and, more recently, the use of sodium-glucose co-transporter-2 inhibitors (SGLT2i). 1,2 SGLT2i represent … solely responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/primer/patient-engagement-and-safety
August 30, 2023 - solely responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/issue/impact-traditional-and-smart-pump-infusion-technology-nurse-medication-administration
May 18, 2022 - Study
The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit.
Citation Text:
Trbovich PL, Pinkney S, Cafazzo JA, et al. The impact of traditional and smart pump infusion technology on nurse medication ad…
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psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
January 01, 2014 - solely responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/issue/performance-trigger-tool-identifying-adverse-events-oncology
May 23, 2018 - Study
Performance of a trigger tool for identifying adverse events in oncology.
Citation Text:
Lipitz-Snyderman A, Classen D, Pfister D, et al. Performance of a Trigger Tool for Identifying Adverse Events in Oncology. J Oncol Pract. 2017;13(3). doi:10.1200/jop.2016.016634.
Copy Citatio…
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psnet.ahrq.gov/issue/community-pharmacy-survey-patient-safety-culture-2015-user-comparative-database-report
November 30, 2016 - Book/Report
Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative Database Report.
Citation Text:
Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative Database Report. Famolaro T, Yount N, Sorra J, et al. Rockville, MD: Agency for Healthcare Resea…
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psnet.ahrq.gov/node/60977/psn-pdf
January 08, 2020 - medication safety are among their major goals.3 In particular,
Look-Alike Sound-Alike (LASA) drugs represent … solely
responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/perspective/response-getting-root-matter-june-2005
June 01, 2005 - solely responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/node/49445/psn-pdf
May 01, 2004 - solely
responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/node/60035/psn-pdf
September 22, 2023 - SOPS Medical Office Database.
March 11, 2020
Agency for Healthcare Research and Quality (AHRQ). March 2020.
https://psnet.ahrq.gov/issue/sops-medical-office-database
This website provides a report and data repository representing medical offices that administered the
AHRQ Surveys on Patient Safety Culture™ (SOPS®)…
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psnet.ahrq.gov/node/49409/psn-pdf
July 01, 2003 - solely
responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/node/49861/psn-pdf
May 01, 2019 - Handoffs represent a vulnerable time for patients and inadequate communication can lead to medication … solely
responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/node/841467/psn-pdf
December 14, 2022 - potentially
controversial interventions, such as abortion or end-of-life care, institutional
policies represent … follow-through, is not a clinically valid
reason for refusing to implement a treatment plan, as it does not represent … solely
responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture
November 25, 2020 - Both cases represent failures of timely diagnosis and intervention; permanent loss of muscle tissue and … For example, pain and swelling after operative management of a tibial shaft fracture can represent a … solely responsible for this report’s contents, findings, and conclusions, which do not necessarily represent