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psnet.ahrq.gov/issue/evaluating-sample-medications-primary-care-practice-based-research-network-study
July 12, 2010 - Study
Evaluating sample medications in primary care: a practice-based research network study.
Citation Text:
Hansen LB, Saseen JJ, Westfall JM, et al. Evaluating sample medications in primary care: a practice-based research network study. Jt Comm J Qual Patient Saf. 2006;32(12):688-692…
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psnet.ahrq.gov/node/38372/psn-pdf
April 09, 2009 - Do medication samples jeopardize patient safety?
April 9, 2009
Franks AS, Ray S' M, Wallace LS, et al. Do medication samples jeopardize patient safety? Ann
Pharmacother. 2009;43(1):51-6. doi:10.1345/aph.1L362.
https://psnet.ahrq.gov/issue/do-medication-samples-jeopardize-patient-safety
Prior research has demonstra…
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psnet.ahrq.gov/node/38417/psn-pdf
February 18, 2009 - Enhanced detection of blood bank sample collection
errors with a centralized patient database.
February 18, 2009
MacIvor D, Triulzi DJ, Yazer MH. Enhanced detection of blood bank sample collection errors with a
centralized patient database. Transfusion (Paris). 2009;49(1):40-3. doi:10.1111/j.1537-2995.2008.01923.x.…
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psnet.ahrq.gov/node/49421/psn-pdf
October 01, 2003 - Urine a Tough Position
October 1, 2003
Gandhi TK. Urine a Tough Position. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/urine-tough-position
The Case
A 22-year-old unmarried woman came to her doctor’s office worried that she might be pregnant. Although
she did not want to have a baby at that time, she sta…
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psnet.ahrq.gov/node/43342/psn-pdf
July 16, 2014 - Prevalence and severity of patient harm in a sample of
UK-hospitalised children detected by the Paediatric
Trigger Tool.
July 16, 2014
Chapman SM, Fitzsimons J, Davey N, et al. Prevalence and severity of patient harm in a sample of UK-
hospitalised children detected by the Paediatric Trigger Tool. BMJ Open. 2014;4…
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psnet.ahrq.gov/node/50949/psn-pdf
February 26, 2020 - Pre-analytical pitfalls: Missing and mislabeled specimens
February 26, 2020
Tran NK, Liu Y. Pre-analytical pitfalls: Missing and mislabeled specimens . PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
The Case
Case #1:
A 56-year-old man was admitted to…
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psnet.ahrq.gov/node/40873/psn-pdf
November 26, 2014 - Inappropriate medication in a national sample of US
elderly patients receiving home health care.
November 26, 2014
Bao Y, Shao H, Bishop TF, et al. Inappropriate medication in a national sample of US elderly patients
receiving home health care. J Gen Intern Med. 2012;27(3):304-310. doi:10.1007/s11606-011-1905-4.
h…
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psnet.ahrq.gov/node/44713/psn-pdf
January 20, 2016 - Are surgeons and anesthesiologists lying to each other or
gaming the system? A national random sample survey
about "truth-telling practices" in the perioperative setting
in the United States.
January 20, 2016
Nurok M, Lee Y-Y, Ma Y, et al. Are surgeons and anesthesiologists lying to each other or gaming the
syste…
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psnet.ahrq.gov/issue/patients-admitted-weekends-have-higher-hospital-mortality-those-admitted-weekdays-analysis
January 26, 2022 - Study
Patients admitted on weekends have higher in-hospital mortality than those admitted on weekdays: analysis of national inpatient sample.
Citation Text:
Manadan A, Arora S, Whittier M, et al. Patients admitted on weekends have higher in-hospital mortality than those admitted on weekd…
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psnet.ahrq.gov/node/37672/psn-pdf
April 09, 2008 - An observational study of laterality errors in a sample of
clinical records.
April 9, 2008
Elghrably I, Fraser SG. An observational study of laterality errors in a sample of clinical records. Eye
(Lond). 2008;22(3):340-3.
https://psnet.ahrq.gov/issue/observational-study-laterality-errors-sample-clinical-records
C…
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psnet.ahrq.gov/node/44064/psn-pdf
November 03, 2015 - The July effect: an analysis of never events in the
nationwide inpatient sample.
November 3, 2015
Wen T, Attenello FJ, Wu B, et al. The July effect: an analysis of never events in the nationwide inpatient
sample. J Hosp Med. 2015;10(7):432-438. doi:10.1002/jhm.2352.
https://psnet.ahrq.gov/issue/july-effect-analysi…
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psnet.ahrq.gov/web-mm/urine-tough-position
January 01, 2009 - Urine a Tough Position
Citation Text:
Gandhi TK. Urine a Tough Position. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…
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psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-patient-safety
May 01, 2012 - per 100 admissions or per 1000 patient days)• Focuses on harm, but includes errors as well• Allows sampling … DC : At a national level, it's incredibly important because then it allows us to move from sampling a … retrospectively, which is how the IHI Global Trigger Tool is currently used, to actually doing 100% of sampling
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psnet.ahrq.gov/perspective/conversation-withdavid-c-classen-md-ms
May 01, 2012 - DC : At a national level, it's incredibly important because then it allows us to move from sampling a … retrospectively, which is how the IHI Global Trigger Tool is currently used, to actually doing 100% of sampling … per 100 admissions or per 1000 patient days)• Focuses on harm, but includes errors as well• Allows sampling
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psnet.ahrq.gov/node/50841/psn-pdf
January 29, 2020 - “This is the wrong patient's blood!”: Evaluating a Near-
Miss Wrong Transfusion Event
January 29, 2020
Barnhard S. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-…
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psnet.ahrq.gov/node/60273/psn-pdf
April 29, 2020 - Potential preanalytical and analytical vulnerabilities in the
laboratory diagnosis of coronavirus disease 2019 (COVID-
19).
April 29, 2020
Lippi G, Simundic A-M, Plebani M. Potential preanalytical and analytical vulnerabilities in the laboratory
diagnosis of coronavirus disease 2019 (COVID-19). Clin Chem Lab Med. …
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psnet.ahrq.gov/node/49680/psn-pdf
March 01, 2013 - often exists on whether a given pathology error was secondary to misinterpretation or poor clinical
sampling
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psnet.ahrq.gov/web-mm/admission-drug-dose-too-low
September 01, 2011 - levels.( 6 ) It is also necessary to verify that all doses have been taken for 60 hours prior to blood sampling
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psnet.ahrq.gov/node/49673/psn-pdf
December 01, 2012 - artery disease (e.g., untreated
hypertension, cigarette smoking, and premature family history), serial sampling
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psnet.ahrq.gov/web-mm/making-do
September 05, 2018 - this case, since the patient experienced postmenopausal bleeding, thorough inspection and endometrial sampling