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psnet.ahrq.gov/node/50836/psn-pdf
January 29, 2020 - Developing a cancer-specific trigger tool to identify
treatment-related adverse events using administrative
data.
January 29, 2020
Weingart SN, Nelson J, Koethe B, et al. Developing a cancer?specific trigger tool to identify treatment?
related adverse events using administrative data. Cancer Med. 2020;9(4):1462-14…
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psnet.ahrq.gov/node/47582/psn-pdf
December 12, 2018 - Success in hospital-acquired pressure ulcer prevention: a
tale in two data sets.
December 12, 2018
Smith S, Snyder A, McMahon LF, et al. Success In Hospital-Acquired Pressure Ulcer Prevention: A Tale In
Two Data Sets. Health Aff (Millwood). 2018;37(11):1787-1796. doi:10.1377/hlthaff.2018.0712.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/44922/psn-pdf
March 01, 2017 - Mobilising a team for the WHO Surgical Safety Checklist:
a qualitative video study.
March 1, 2017
Korkiakangas T. Mobilising a team for the WHO Surgical Safety Checklist: a qualitative video study. BMJ
Qual Saf. 2017;26(3):177-188. doi:10.1136/bmjqs-2015-004887.
https://psnet.ahrq.gov/issue/mobilising-team-who-sur…
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psnet.ahrq.gov/issue/relationships-among-clinician-delay-diagnosis-breast-cancer-and-tumor-size-nodal-status-and
March 08, 2017 - Study
The relationships among clinician delay of diagnosis of breast cancer and tumor size, nodal status, and stage.
Citation Text:
Hardin C, Pommier S, Pommier RF. The relationships among clinician delay of diagnosis of breast cancer and tumor size, nodal status, and stage. Am J Surg.…
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psnet.ahrq.gov/node/49767/psn-pdf
August 21, 2016 - the form of increasingly robust
Meaningful Use criteria, and interoperability was deferred to later stages
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psnet.ahrq.gov/node/45965/psn-pdf
April 19, 2017 - Measuring harm and informing quality improvement in the
Welsh NHS: the longitudinal Welsh national adverse
events study.
April 19, 2017
Mayor S, Baines E, Vincent CA, et al. Measuring Harm And Informing Quality Improvement In The Welsh
Nhs: The Longitudinal Welsh National Adverse Events Study. Southampton, UK: NIH…
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psnet.ahrq.gov/node/44393/psn-pdf
August 12, 2015 - FDA Drug Safety Communication: FDA warns about
prescribing and dispensing errors resulting from brand
name confusion with antidepressant Brintellix
(vortioxetine) and antiplatelet Brilinta (ticagrelor).
August 12, 2015
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; July 30, 2015.
https…
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psnet.ahrq.gov/node/850161/psn-pdf
June 07, 2023 - Analysis of the nature and contributory factors of
medication safety incidents following hospital discharge
using National Reporting and Learning System (NRLS)
data from England and Wales: a multi-method study.
June 7, 2023
Alqenae FA, Steinke DT, Carson-Stevens A, et al. Analysis of the nature and contributory fa…
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psnet.ahrq.gov/issue/patient-safety-tools-improving-safety-point-care-0
September 08, 2021 - Multi-use Website
Patient Safety Tools: Improving Safety at the Point of Care.
Save
Save to your library
Print
Download PDF
Share
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November 14, 2011
Produced in conjunction with it…
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psnet.ahrq.gov/node/34795/psn-pdf
December 23, 2008 - Preventable adverse drug events in hospitalized patients:
a comparative study of intensive care and general care
units.
December 23, 2008
Cullen DJ, Sweitzer BJ, Bates DW, et al. Preventable adverse drug events in hospitalized patients. Crit
Care Med. 1997;25(8):1289-1297. doi:10.1097/00003246-199708000-00014.
ht…
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psnet.ahrq.gov/node/37992/psn-pdf
August 20, 2008 - Medication errors reported by US family physicians and
their office staff.
August 20, 2008
Kuo GM, Phillips RL, Graham D, et al. Medication errors reported by US family physicians and their office
staff. Quality and Safety in Health Care. 2008;17(4). doi:10.1136/qshc.2007.024869.
https://psnet.ahrq.gov/issue/medic…
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psnet.ahrq.gov/web-mm/undiagnosed-vaginal-bleeding
July 06, 2022 - Undiagnosed Vaginal Bleeding
Citation Text:
Mandelblatt J. Undiagnosed Vaginal Bleeding . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML En…
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psnet.ahrq.gov/node/33735/psn-pdf
August 01, 2012 - associated with
preventable drug-related injuries occurred most often at the ordering and monitoring stages
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psnet.ahrq.gov/web-mm/dangerous-dialysis
June 12, 2024 - SPOTLIGHT CASE
Dangerous Dialysis
Citation Text:
Holley JL. Dangerous Dialysis . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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Format:
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psnet.ahrq.gov/node/49434/psn-pdf
February 01, 2004 - Undiagnosed Vaginal Bleeding
February 1, 2004
Mandelblatt J. Undiagnosed Vaginal Bleeding . PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/undiagnosed-vaginal-bleeding
The Case
The patient is a 34-year-old gravida 3, para 3 woman with a 2-year history of increasingly profuse vaginal
bleeding. Over the past…
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psnet.ahrq.gov/node/73146/psn-pdf
April 28, 2021 - Patient Safety in Home Dialysis
April 28, 2021
Morfín JA, Fitall E, Hall KK, et al. Patient Safety in Home Dialysis. PSNet [internet]. 2021.
https://psnet.ahrq.gov/perspective/patient-safety-home-dialysis
Dialysis Care and Patient Safety Concerns
In patients with chronic kidney disease, kidney function declines ov…
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psnet.ahrq.gov/web-mm/painful-dilemma
September 01, 2013 - A Painful Dilemma
Citation Text:
Davison SN. A Painful Dilemma. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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…
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psnet.ahrq.gov/issue/safe-critical-care-project-testing-improvement-strategies
January 30, 2008 - Tools/Toolkit
Published January 30, 2008
Safe Critical Care Project: Testing Improvement Strategies.
Hospital Corporation of America; HCA.
Topics
Approach to Improving Safety
Quality Improvement Strategies
Re…
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psnet.ahrq.gov/node/40807/psn-pdf
September 01, 2016 - Prevalence of medication administration errors in two
medical units with automated prescription and
dispensing.
September 1, 2016
Rodriguez-Gonzalez CG, Herranz-Alonso A, Martin-Barbero ML, et al. Prevalence of medication
administration errors in two medical units with automated prescription and dispensing. J Am M…
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psnet.ahrq.gov/node/38758/psn-pdf
July 08, 2009 - An international review of patient safety measures in
radiotherapy practice.
July 8, 2009
Shafiq J, Barton M, Noble DJ, et al. An international review of patient safety measures in radiotherapy
practice. Radiother Oncol. 2009;92(1):15-21. doi:10.1016/j.radonc.2009.03.007.
https://psnet.ahrq.gov/issue/international…