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psnet.ahrq.gov/issue/reducing-risk-adverse-drug-events-older-adults
November 21, 2021 - Commentary
Reducing the risk of adverse drug events in older adults.
Citation Text:
Pretorius RW, Gataric G, Swedlund SK, et al. Reducing the risk of adverse drug events in older adults. Am Fam Physician. 2013;87(5):331-6.
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psnet.ahrq.gov/issue/safety-and-quality-parenteral-nutrition-translating-guidelines-clinical-practice-considering
October 20, 2021 - Special or Theme Issue
Safety and Quality of Parenteral Nutrition: Translating Guidelines into Clinical Practice Considering Different Organizational Settings.
Citation Text:
Safety and Quality of Parenteral Nutrition: Translating Guidelines into Clinical Practice Considering Different O…
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psnet.ahrq.gov/issue/organizational-resilience-paradox-management-systematic-review-literature
February 15, 2017 - Review
Organizational resilience as paradox management: a systematic review of the literature.
Citation Text:
Tekletsion BF, Gomes JFDS, Tefera B. Organizational resilience as paradox management: a systematic review of the literature. J Contingencies Crisis Manage. 2024;32(1):e12495. doi…
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psnet.ahrq.gov/issue/misdiagnosis-and-missed-diagnoses-foster-and-adopted-children-prenatal-alcohol-exposure
June 27, 2018 - Study
Misdiagnosis and missed diagnoses in foster and adopted children with prenatal alcohol exposure.
Citation Text:
Chasnoff IJ, Wells AM, King L. Misdiagnosis and missed diagnoses in foster and adopted children with prenatal alcohol exposure. Pediatrics. 2015;135(2):264-70. doi:10.154…
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psnet.ahrq.gov/issue/how-experiencing-preventable-medical-problems-changed-patients-interactions-primary-health
December 13, 2023 - Study
How experiencing preventable medical problems changed patients' interactions with primary health care.
Citation Text:
Elder NC, Jacobson J, Zink T, et al. How experiencing preventable medical problems changed patients' interactions with primary health care. Ann Fam Med. 2005;3(6)…
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psnet.ahrq.gov/issue/fighting-against-covid-19-innovative-strategies-clinical-pharmacists
March 24, 2019 - Commentary
Fighting against COVID-19: innovative strategies for clinical pharmacists.
Citation Text:
Li H, Zheng S, Liu F, et al. Fighting against COVID-19: innovative strategies for clinical pharmacists. Res Social Adm Pharm. 2020. doi:10.1016/j.sapharm.2020.04.003.
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psnet.ahrq.gov/issue/partnership-patients
October 30, 2019 - Government Resource
Partnership for Patients.
Citation Text:
Partnership for Patients. Washington, DC: US Department of Health and Human Services.
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psnet.ahrq.gov/issue/resident-safety-practices-nursing-home-settings
July 27, 2018 - Book/Report
Resident Safety Practices in Nursing Home Settings.
Citation Text:
Resident Safety Practices in Nursing Home Settings. Simmons S, Schnelle J, Slagle J, et al. Technical Brief No. 24. Rockville, MD: Agency for Healthcare Research and Quality; May 2016. AHRQ Publication No. 16-…
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psnet.ahrq.gov/issue/pharmacist-staffing-technology-use-and-implementation-medication-safety-practices-rural
September 27, 2010 - Study
Pharmacist staffing, technology use, and implementation of medication safety practices in rural hospitals.
Citation Text:
Casey M, Moscovice I, Davidson G. Pharmacist staffing, technology use, and implementation of medication safety practices in rural hospitals. J Rural Health. 2…
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psnet.ahrq.gov/issue/experience-wrong-site-surgery-and-surgical-marking-practices-among-clinicians-uk
October 20, 2010 - Study
Experience of wrong site surgery and surgical marking practices among clinicians in the UK.
Citation Text:
Giles SJ, Rhodes P, Clements G, et al. Experience of wrong site surgery and surgical marking practices among clinicians in the UK. Qual Saf Health Care. 2006;15(5):363-8.
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psnet.ahrq.gov/issue/introduction-discharge-plan-reduce-adverse-events-within-72-hours-discharge-icu
September 16, 2020 - Study
Introduction of discharge plan to reduce adverse events within 72 hours of discharge from the ICU.
Citation Text:
Williams TA, Leslie GD, Elliott N, et al. Introduction of discharge plan to reduce adverse events within 72 hours of discharge from the ICU. J Nurs Care Qual. 2010;25…
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psnet.ahrq.gov/issue/processes-disciplining-nurses-unprofessional-conduct-serious-nature-critique
June 29, 2011 - Study
Processes for disciplining nurses for unprofessional conduct of a serious nature: a critique.
Citation Text:
Johnstone M-J, Kanitsaki O. Processes for disciplining nurses for unprofessional conduct of a serious nature: a critique. J Adv Nurs. 2005;50(4):363-71.
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psnet.ahrq.gov/issue/team-structure-and-adverse-events-home-health-care
February 03, 2011 - Study
Team structure and adverse events in home health care.
Citation Text:
Feldman PH, Bridges J, Peng T. Team structure and adverse events in home health care. Med Care. 2007;45(6):553-61.
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psnet.ahrq.gov/issue/measuring-safety-climate-elderly-homes
March 29, 2023 - Study
Measuring safety climate in elderly homes.
Citation Text:
Yeung K-C, Chan CC. Measuring safety climate in elderly homes. J Safety Res. 2012;43(1):9-20. doi:10.1016/j.jsr.2011.10.009.
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psnet.ahrq.gov/issue/error-medicine
November 02, 2014 - Commentary
Classic
Error in medicine.
Citation Text:
Leape L. Error in medicine. JAMA. 1994;272(23):1851-1857.
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psnet.ahrq.gov/issue/adverse-events-hospitals-quarter-medicare-patients-experienced-harm-october-2018
February 01, 2023 - Book/Report
Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018.
Citation Text:
Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018. Grimm CA. Washington DC: Office of the Inspector General; May 2022. Repor…
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hcup-us.ahrq.gov/db/vars/disp_ip/nedsnote.jsp
May 01, 2015 - Healthcare Cost and Utilization Project (HCUP) NEDS Notes
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psnet.ahrq.gov/issue/nurse-staffing-levels-and-patient-reported-missed-nursing-care
September 27, 2017 - Study
Nurse staffing levels and patient-reported missed nursing care.
Citation Text:
Dabney BW, Kalisch BJ. Nurse Staffing Levels and Patient-Reported Missed Nursing Care. J Nurs Care Qual. 2015;30(4):306-12. doi:10.1097/NCQ.0000000000000123.
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psnet.ahrq.gov/issue/problem-never-events
July 12, 2023 - Commentary
The problem with 'never events'.
Citation Text:
Zaslow J, Fortier J, Garber G. The problem with ‘never events’. BMJ Qual Saf. 2024;33(9):613-616. doi:10.1136/bmjqs-2023-016981.
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psnet.ahrq.gov/issue/duplication-surgical-site-marking
November 18, 2016 - Commentary
Duplication of surgical site marking.
Citation Text:
Davis JS, Karmacharya J, Schulman C. Duplication of surgical site marking. J Patient Saf. 2012;8(4):151-2. doi:10.1097/PTS.0b013e3182699a01.
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