-
psnet.ahrq.gov/issue/do-medication-samples-jeopardize-patient-safety
November 16, 2022 - Study
Do medication samples jeopardize patient safety?
Citation Text:
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.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX …
-
psnet.ahrq.gov/node/73398/psn-pdf
June 30, 2021 - water, or air transmission might be
more environmental risk management programs with environmental sampling … to complement clinical
surveillance and sampling for HAIs.
-
psnet.ahrq.gov/sites/default/files/2024-08/spotlight_case_a_fatal_twist_in_pseudohyperkalemia_slides.pptx
January 01, 2024 - collection and handling of blood samples.2
Examples of the latter include traumatic venipuncture, sampling
-
psnet.ahrq.gov/node/36075/psn-pdf
September 28, 2010 - Sample to sample carryover: a source of analytical
laboratory error and its relevance to integrated clinical
chemistry/immunoassay systems.
September 28, 2010
Armbruster DA, Alexander DB. Sample to sample carryover: a source of analytical laboratory error and its
relevance to integrated clinical chemistry/immunoas…
-
psnet.ahrq.gov/node/47603/psn-pdf
March 20, 2019 - Electronic patient identification for sample labeling
reduces wrong blood in tube errors.
March 20, 2019
Kaufman RM, Dinh A, Cohn CS, et al. Electronic patient identification for sample labeling reduces wrong
blood in tube errors. Transfusion (Paris). 2019;59(3):972-980. doi:10.1111/trf.15102.
https://psnet.ahrq.g…
-
psnet.ahrq.gov/issue/observational-study-laterality-errors-sample-clinical-records
April 19, 2011 - Study
An observational study of laterality errors in a sample of clinical records.
Citation Text:
Elghrably I, Fraser SG. An observational study of laterality errors in a sample of clinical records. Eye (Lond). 2008;22(3):340-3.
Copy Citation
Format:
Google Scholar PubMed…
-
psnet.ahrq.gov/node/866618/psn-pdf
December 31, 2024 - psnet.ahrq.gov//#1
https://psnet.ahrq.gov//#2
samples.2 Examples of the latter include traumatic venipuncture, sampling
-
psnet.ahrq.gov/node/33728/psn-pdf
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
-
psnet.ahrq.gov/node/49590/psn-pdf
January 01, 2010 - levels.(6) It is also necessary to verify that all doses have been taken
for 60 hours prior to blood sampling
-
psnet.ahrq.gov/sites/default/files/2020-01/final_spotlight_near_miss_transfusion_01082020_tocme.pdf
January 01, 2020 - Spotlight
Spotlight
“This is the wrong patient’s blood!”:
Evaluating a Near-Miss Wrong
Transfusion Event
Source and Credits
• This presentation is based on the January 2020 AHRQ WebM&M
Spotlight Case
• Commentary by: Sarah Barnhard MD
o Medical Director of Transfusion Services at UC-Davis Health
o Editors in …
-
psnet.ahrq.gov/node/36469/psn-pdf
September 27, 2010 - Evaluating sample medications in primary care: a
practice-based research network study.
September 27, 2010
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.
https://psnet.ahrq.gov/issue…
-
psnet.ahrq.gov/node/49436/psn-pdf
February 26, 2004 - Transfusion "Slip"
February 1, 2004
Kaplan HS. Transfusion "Slip". PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/transfusion-slip
The Case
A married couple, Mr. and Mrs. M, was brought to the emergency department (ED) of a Level 1 trauma
center after a half-ton truck that had skidded out of control struck…
-
psnet.ahrq.gov/issue/impact-sample-size-variation-adverse-events-and-preventable-adverse-events-systematic-review
May 15, 2024 - Review
Impact of sample size on variation of adverse events and preventable adverse events: systematic review on epidemiology and contributing factors.
Citation Text:
Lessing C, Schmitz A, Albers B, et al. Impact of sample size on variation of adverse events and preventable adverse eve…
-
psnet.ahrq.gov/issue/july-effect-analysis-never-events-nationwide-inpatient-sample
November 04, 2020 - Study
Classic
The July effect: an analysis of never events in the nationwide inpatient sample.
Citation Text:
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:1…
-
psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
February 10, 2021 - collection and handling of blood samples. 2 Examples of the latter include traumatic venipuncture, sampling
-
psnet.ahrq.gov/node/837499/psn-pdf
June 22, 2022 - Relationships between pediatric safety indicators across
a national sample of pediatric hospitals: dispelling the
myth of the "safest" hospital.
June 22, 2022
Milliren CE, Bailey G, Graham DA, et al. Relationships between pediatric safety indicators across a national
sample of pediatric hospitals: dispelling the m…
-
psnet.ahrq.gov/web-mm/transfusion-slip
June 14, 2011 - Transfusion "Slip"
Citation Text:
Kaplan HS. Transfusion "Slip". PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
-
psnet.ahrq.gov/node/40117/psn-pdf
March 18, 2011 - Impact of sample size on variation of adverse events and
preventable adverse events: systematic review on
epidemiology and contributing factors.
March 18, 2011
Lessing C, Schmitz A, Albers B, et al. Impact of sample size on variation of adverse events and
preventable adverse events: systematic review on epidemiolo…
-
psnet.ahrq.gov/issue/electronic-patient-identification-sample-labeling-reduces-wrong-blood-tube-errors
September 20, 2012 - Study
Emerging Classic
Electronic patient identification for sample labeling reduces wrong blood in tube errors.
Citation Text:
Kaufman RM, Dinh A, Cohn CS, et al. Electronic patient identification for sample labeling reduces wrong blood in tube errors. Transfus…
-
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…