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psnet.ahrq.gov/web-mm/code-status-vs-care-status
September 30, 2020 - There are evidence-based resident-resident handoff tools being implemented, including the I-PASS bundle … Association between do not resuscitate/do not intubate status and resident physician decision-making.
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psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety
October 24, 2021 - The Role of Community Pharmacists in Patient Safety
October 24, 2021
Also Read the Conversation
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Luchen GG, Hall KK, Hough KR. The Role of Community Pharmacists in Patient Safety . PSNet [internet]. Rockv…
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psnet.ahrq.gov/issue/case-study-webinar-series-clinician-burnout-ohio-state-university
September 28, 2022 - Webinar
Case Study Webinar Series on Clinician Burnout: The Ohio State University
Citation Text:
Case Study Webinar Series on Clinician Burnout: The Ohio State University NAM Action Collaborative on Clinician Well-Being and Resilience. Case Study Webinar Series on Clinician Burnout: The …
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psnet.ahrq.gov/issue/coronavirus-commission-safety-and-quality-nursing-homes
May 26, 2021 - Book/Report
Coronavirus Commission for Safety and Quality in Nursing Homes.
Citation Text:
Coronavirus Commission for Safety and Quality in Nursing Homes. Centers for Medicare and Medicaid Services. McLean, VA: MITRE Corporation; September 2020.
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psnet.ahrq.gov/issue/nursing-home-workers-warned-government-about-safety-violations-covid-19-outbreaks-and-deaths
September 15, 2021 - Newspaper/Magazine Article
Nursing home workers warned government about safety violations before COVID-19 outbreaks and deaths.
Citation Text:
Nursing home workers warned government about safety violations before COVID-19 outbreaks and deaths. Ellis B, Hicken M. CNN. May 14, 2020.
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psnet.ahrq.gov/issue/considerative-checklist-ensure-safe-daily-patient-review
June 08, 2011 - Commentary
A considerative checklist to ensure safe daily patient review.
Citation Text:
Mohan N, Caldwell G. A Considerative Checklist to ensure safe daily patient review. Clin Teach. 2013;10(4):209-13. doi:10.1111/tct.12023.
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psnet.ahrq.gov/issue/multifaceted-approach-improve-patient-safety-prevent-medical-errors-and-resolve-professional
June 12, 2008 - Commentary
A multifaceted approach to improve patient safety, prevent medical errors and resolve the professional liability crisis.
Citation Text:
Weinstein L. A multifacited approach to improve patient safety, prevent medical errors and resolve the professional liability crisis. Am J …
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psnet.ahrq.gov/issue/future-nursing-2020-2030-charting-path-achieve-health-equity
September 12, 2018 - Book/Report
The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity.
Citation Text:
The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. National Academies of Sciences, Engineering, and Medicine. Washington DC: National Academies Press; …
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psnet.ahrq.gov/issue/medicare-takes-aim-boomerang-hospitalizations-nursing-home-patients
December 12, 2018 - Newspaper/Magazine Article
Medicare takes aim at boomerang hospitalizations of nursing home patients.
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Medicare takes aim at boomerang hospitalizations of nursing home patients. Rau J. Kaiser Health News. June 13, 2018.
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psnet.ahrq.gov/issue/antimicrobial-stewardship-and-patient-safety
May 15, 2024 - Commentary
Antimicrobial stewardship and patient safety.
Citation Text:
Zukowski CM. Antimicrobial Stewardship and Patient Safety. AORN J. 2016;104(4):354-356. doi:10.1016/j.aorn.2016.08.002.
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psnet.ahrq.gov/issue/should-medical-malpractice-prevention-be-considered-separately-or-integral-part-comprehensive
March 19, 2019 - Commentary
Should medical malpractice prevention be considered separately or as an integral part of comprehensive health care safety improvement?
Citation Text:
Enbom JA. Should medical malpractice prevention be considered separately or as an integral part of comprehensive health care sa…
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psnet.ahrq.gov/issue/event-reporting-value-nonpunitive-approach
June 16, 2011 - Commentary
Event reporting: the value of a nonpunitive approach.
Citation Text:
Youngberg BJ. Event reporting: the value of a nonpunitive approach. Clin Obstet Gynecol. 2008;51(4):647-55. doi:10.1097/GRF.0b013e3181899a05.
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psnet.ahrq.gov/issue/11-medicine-mistakes-avoid
March 20, 2024 - Newspaper/Magazine Article
11 medicine mistakes to avoid.
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Crouch M. 11 medicine mistakes to avoid. AARP. August 06, 2024;
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psnet.ahrq.gov/issue/manic-medication-safety-bar-codes-and-drug-information-databases-are-helping-reduce
October 19, 2010 - Newspaper/Magazine Article
Manic for medication safety: bar codes and drug information databases are helping to reduce medication errors.
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Rogoski RR. Manic for medication safety. Health management technology. 2007;28(2):14, 16-8.
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psnet.ahrq.gov/issue/disclosure-and-apology-nursing-and-risk-management-working-together
August 21, 2015 - Commentary
Disclosure and apology: nursing and risk management working together.
Citation Text:
Russell D. Disclosure and apology: Nursing and risk management working together. Nurs Manage. 2018;49(6):17-19. doi:10.1097/01.NUMA.0000533773.14544.e2.
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psnet.ahrq.gov/issue/effectiveness-computerized-system-intravenous-heparin-administration-using-information
February 27, 2009 - Study
Effectiveness of a computerized system for intravenous heparin administration: using information technology to improve patient care and patient safety.
Citation Text:
Oyen LJ, Nishimura RA, Ou NN, et al. Effectiveness of a computerized system for intravenous heparin administration…
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psnet.ahrq.gov/issue/misinformation-medical-literature-what-role-do-error-and-fraud-play
November 02, 2011 - Commentary
Misinformation in the medical literature: what role do error and fraud play?
Citation Text:
Steen G. Misinformation in the medical literature: what role do error and fraud play? J Med Ethics. 2011;37(8):498-503. doi:10.1136/jme.2010.041830.
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psnet.ahrq.gov/issue/deconstructing-intraoperative-communication-failures
July 25, 2012 - Study
Deconstructing intraoperative communication failures.
Citation Text:
Hu Y-Y, Arriaga AF, Peyre S, et al. Deconstructing intraoperative communication failures. J Surg Res. 2012;177(1):37-42. doi:10.1016/j.jss.2012.04.029.
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psnet.ahrq.gov/issue/you-make-big-decision
March 05, 2025 - Commentary
Before you make that big decision...
Citation Text:
Kahneman D, Lovallo D, Sibony O. Before you make that big decision.. Harv Bus Rev. 2011;89(6):50-60, 137.
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psnet.ahrq.gov/issue/hospital-mortality-when-failure-not-good-measure-success
December 22, 2010 - Commentary
Hospital mortality: when failure is not a good measure of success.
Citation Text:
Shojania KG, Forster AJ. Hospital mortality: when failure is not a good measure of success. CMAJ. 2008;179(2):153-7. doi:10.1503/cmaj.080010.
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