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psnet.ahrq.gov/node/40006/psn-pdf
November 17, 2010 - Impact of health information technology on detection of
potential adverse drug events at the ordering stage.
November 17, 2010
Roberts LL, Ward MM, Brokel JM, et al. Impact of health information technology on detection of potential
adverse drug events at the ordering stage. Am J Health Syst Pharm. 2010;67(21):1838-…
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psnet.ahrq.gov/node/44486/psn-pdf
January 06, 2016 - The effect of a staged, emergency department specific
rapid response system on reporting of clinical
deterioration.
January 6, 2016
Considine J, Rawet J, Currey J. The effect of a staged, emergency department specific rapid response
system on reporting of clinical deterioration. Australas Emerg Nurs J. 2015;18(4):…
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psnet.ahrq.gov/node/49387/psn-pdf
February 01, 2003 - In one large
study of medication errors and adverse drug events, the stages of serious medication errors
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psnet.ahrq.gov/node/47440/psn-pdf
April 07, 2019 - Improving inpatient mental health medication safety
through the process of obtaining HIMSS Stage 7: a case
report.
April 7, 2019
Sulkers H, Tajirian T, Paterson J, et al. JAMIA Open. 2019;2:35–39.
https://psnet.ahrq.gov/issue/improving-inpatient-mental-health-medication-safety-through-process-
obtaining-himss-sta…
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psnet.ahrq.gov/node/44158/psn-pdf
September 30, 2015 - Meaningful Use stage 2 e-prescribing threshold and
adverse drug events in the Medicare Part D population
with diabetes.
September 30, 2015
Powers C, Gabriel MH, Encinosa W, et al. Meaningful use stage 2 e-prescribing threshold and adverse
drug events in the Medicare Part D population with diabetes. J Am Med Inform…
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psnet.ahrq.gov/node/36565/psn-pdf
December 06, 2011 - Hearing on Patient Safety and Quality Issues in End Stage
Renal Disease Treatment.
December 6, 2011
House Committee on Ways and Means. 109th Congress, 2nd Sess (December 6, 2006).
https://psnet.ahrq.gov/issue/hearing-patient-safety-and-quality-issues-end-stage-renal-disease-treatment
This hearing focused on…
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psnet.ahrq.gov/issue/ahrq-safety-program-end-stage-renal-disease-facilities-toolkit
December 24, 2008 - Government Resource
AHRQ Safety Program for End-Stage Renal Disease Facilities—Toolkit.
Citation Text:
AHRQ Safety Program for End-Stage Renal Disease Facilities—Toolkit. Rockville, MD: Agency for Healthcare Research and Quality; January 2015.
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psnet.ahrq.gov/node/35230/psn-pdf
January 02, 2017 - A morning briefing: setting the stage for a clinically and
operationally good day.
January 2, 2017
Thompson DA, Holzmueller CG, Hunt D, et al. A morning briefing: setting the stage for a clinically and
operationally good day. Jt Comm J Qual Patient Saf. 2005;31(8):476-9.
https://psnet.ahrq.gov/issue/morning-briefi…
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psnet.ahrq.gov/node/43873/psn-pdf
February 04, 2015 - AHRQ Safety Program for End-Stage Renal Disease
Facilities—Toolkit.
February 4, 2015
Rockville, MD: Agency for Healthcare Research and Quality; January 2015.
https://psnet.ahrq.gov/issue/ahrq-safety-program-end-stage-renal-disease-facilities-toolkit
Health care–associated infections are a known contributor to adve…
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psnet.ahrq.gov/node/33711/psn-pdf
May 01, 2011 - During iterative analyses, we identified six stages that described the second victim
recovery process … reviewed the proposed recovery trajectory and validated that they had
indeed experienced the identified stages
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psnet.ahrq.gov/periodic-issue/periodic-issue-469
December 31, 2024 - Consumers were involved in the planning and engagement stages of most studies, but less frequently involved … in other stages, such as making decisions on the final product or outcomes.
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psnet.ahrq.gov/node/33759/psn-pdf
October 01, 2012 - Patient safety research occurs in several stages. … 1999, the agency's Patient Safety Research
Portfolio has focused on the most fundamental of these stages—the … Projects at more advanced research stages have examined the design and
development of approaches to
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psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
December 15, 2024 - widespread use of electronic health records has helped avert errors at the ordering and transcribing stages
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psnet.ahrq.gov/issue/hearing-patient-safety-and-quality-issues-end-stage-renal-disease-treatment
December 23, 2012 - Congressional Testimony
Hearing on Patient Safety and Quality Issues in End Stage Renal Disease Treatment.
Citation Text:
Hearing on Patient Safety and Quality Issues in End Stage Renal Disease Treatment. House Committee on Ways and Means. 109th Congress, 2nd Sess (December 6, 2006).…
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psnet.ahrq.gov/web-mm/patient-mix
December 01, 2007 - In one large study of medication errors and adverse drug events, the stages of serious medication errors
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psnet.ahrq.gov/node/33609/psn-pdf
March 15, 2025 - prevent prescribing errors (although current systems are not effective at
preventing errors at other stages
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psnet.ahrq.gov/node/47888/psn-pdf
May 11, 2019 - Achieving dialysis safety: the critical role of higher-
functioning teams.
May 11, 2019
Wong LP. Achieving dialysis safety: The critical role of higher-functioning teams. Semin Dial.
2019;32(3):266-273. doi:10.1111/sdi.12778.
https://psnet.ahrq.gov/issue/achieving-dialysis-safety-critical-role-higher-functioning-t…
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psnet.ahrq.gov/node/36592/psn-pdf
May 08, 2018 - Anticoagulant safety takes center stage in 2007.
May 8, 2018
ISMP Medication Safety Alert! Acute Care Edition. January 11, 2007;12:1-3.
https://psnet.ahrq.gov/issue/anticoagulant-safety-takes-center-stage-2007
This article, which launches a series focusing on high-alert medications, discusses issues related to
hep…
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psnet.ahrq.gov/perspective/conversation-witheric-g-poon-md-mph
September 01, 2008 - two-thirds of serious medication errors occur during the transcription, dispensing, and administration stages … lot of incident reports reflected failure points in the transcription, dispensing, and administration stages … successful execution of a complex system of scores of individual tasks that can be categorized into five stages … administration record (eMAR) targets errors that occur at the drug dispensing, transcription, and administration stages
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psnet.ahrq.gov/node/37921/psn-pdf
June 17, 2014 - High Quality Care for All: NHS Next Stage Review Final
Report.
June 17, 2014
Darzi A. National Health Service. London, England: Crown Publishing; June 2008. ISBN: 9780101743228.
https://psnet.ahrq.gov/issue/high-quality-care-all-nhs-next-stage-review-final-report
This report outlines several strategies to improve …