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psnet.ahrq.gov/issue/network-collaboration-implementing-technology-improve-medication-dispensing-and
December 15, 2010 - Study
A network collaboration implementing technology to improve medication dispensing and administration in critical access hospitals.
Citation Text:
Wakefield DS, Ward MM, Loes JL, et al. A network collaboration implementing technology to improve medication dispensing and administrati…
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psnet.ahrq.gov/issue/introducing-new-technology-safely
April 01, 2010 - Commentary
Introducing new technology safely.
Citation Text:
Mytton OT, Velazquez A, Banken R, et al. Introducing new technology safely. Qual Saf Health Care. 2010;19 Suppl 2:i9-14. doi:10.1136/qshc.2009.038554.
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psnet.ahrq.gov/issue/drug-shortages-fdas-ability-respond-should-be-strengthened
April 15, 2009 - Congressional Testimony
Drug Shortages: FDA's Ability to Respond Should Be Strengthened.
Citation Text:
Drug Shortages: FDA's Ability to Respond Should Be Strengthened. Testimony before the Committee on Health, Education, Labor, and Pensions, US Senate. US Government Accountability Offic…
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psnet.ahrq.gov/issue/depth-investigation-causes-prescribing-errors-foundation-trainees-relation-their-medical
May 16, 2012 - Book/Report
An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study.
Citation Text:
An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUI…
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psnet.ahrq.gov/issue/design-and-implementation-point-care-computerized-system-drug-therapy-stockholm-metropolitan
October 21, 2010 - Commentary
Design and implementation of a point-of-care computerized system for drug therapy in Stockholm metropolitan health region--bridging the gap between knowledge and practice.
Citation Text:
SJOBORG B, BACKSTROM T, ARVIDSSON L, et al. Design and implementation of a point-of-care…
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psnet.ahrq.gov/issue/what-has-change-management-industry-got-do-improving-patient-safety
April 01, 2010 - Commentary
What has change management in industry got to do with improving patient safety?
Citation Text:
Noble DJ, Lemer C, Stanton E. What has change management in industry got to do with improving patient safety? Postgrad Med J. 2011;87(1027):345-348. doi:10.1136/pgmj.2010.097923.
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psnet.ahrq.gov/issue/should-patients-have-role-patient-safety-safety-engineering-view
June 10, 2009 - Commentary
Should patients have a role in patient safety? A safety engineering view.
Citation Text:
Lyons M. Should patients have a role in patient safety? A safety engineering view. Qual Saf Health Care. 2007;16(2):140-2.
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psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-leadership-needed-hhs-prioritize-prevention
October 15, 2008 - Book/Report
Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on these Infections.
Citation Text:
Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices a…
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psnet.ahrq.gov/issue/impact-care-quality-commission-provider-performance-room-improvement
November 18, 2015 - Book/Report
Impact of the Care Quality Commission on Provider Performance: Room for Improvement?
Citation Text:
Impact of the Care Quality Commission on Provider Performance: Room for Improvement? Smithson R, Richardson E, Roberts J, et al. The King's Fund, Alliance Manchester Business S…
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psnet.ahrq.gov/issue/medication-errors-routines-and-differences-between-perioperative-and-non-perioperative-nurses
June 27, 2018 - Study
Medication errors, routines, and differences between perioperative and non-perioperative nurses.
Citation Text:
Treiber LA, Jones JH. Medication errors, routines, and differences between perioperative and non-perioperative nurses. AORN J. 2012;96(3):285-94. doi:10.1016/j.aorn.201…
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psnet.ahrq.gov/issue/patient-safety-outcomes-small-urban-and-small-rural-hospitals
July 23, 2010 - Study
Patient safety outcomes in small urban and small rural hospitals.
Citation Text:
Vartak S, Ward MM, Vaughn TE. Patient safety outcomes in small urban and small rural hospitals. J Rural Health. 2010;26(1):58-66. doi:10.1111/j.1748-0361.2009.00266.x.
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psnet.ahrq.gov/issue/improving-disclosure-and-management-medical-error-opportunity-transform-surgeons-tomorrow
April 11, 2012 - Review
Improving disclosure and management of medical error—an opportunity to transform the surgeons of tomorrow.
Citation Text:
Tevlin R, Doherty E, Traynor O. Improving disclosure and management of medical error - an opportunity to transform the surgeons of tomorrow. Surgeon. 2013;11…
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psnet.ahrq.gov/issue/bullying-hidden-threat-patient-safety
August 22, 2012 - Commentary
Bullying: a hidden threat to patient safety.
Citation Text:
Longo J, Hain D. Bullying: a hidden threat to patient safety. Nephrol Nurs J. 2014;41(2):193-99; quiz 200.
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psnet.ahrq.gov/web-mm/perils-contrast-media
March 01, 2007 - SPOTLIGHT CASE
The Perils of Contrast Media
Citation Text:
Sadat U, Solomon R. The Perils of Contrast Media. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/issue/patient-safety-examining-adequacy-5-rights-medication-administration
March 02, 2016 - Commentary
Patient safety: examining the adequacy of the 5 rights of medication administration.
Citation Text:
Macdonald M. Patient safety: examining the adequacy of the 5 rights of medication administration. Clin Nurse Spec. 2010;24(4):196-201. doi:10.1097/NUR.0b013e3181e3605f.
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psnet.ahrq.gov/issue/influence-electronic-prescribing-has-medication-errors-and-preventable-adverse-drug-events
August 18, 2010 - Study
The influence that electronic prescribing has on medication errors and preventable adverse drug events: an interrupted time-series study.
Citation Text:
van Doormaal J, van den Bemt PMLA, Zaal RJ, et al. The influence that electronic prescribing has on medication errors and preve…
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psnet.ahrq.gov/issue/implementation-telepharmacy-service-provide-round-clock-medication-order-review-pharmacists
September 22, 2010 - Commentary
Implementation of a telepharmacy service to provide round-the-clock medication order review by pharmacists.
Citation Text:
Wakefield DS, Ward MM, Loes JL, et al. Implementation of a telepharmacy service to provide round-the-clock medication order review by pharmacists. Ameri…
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psnet.ahrq.gov/issue/national-quality-forum-30-safe-practices-priority-and-progress-iowa-hospitals
November 17, 2010 - Study
National Quality Forum 30 safe practices: priority and progress in Iowa hospitals.
Citation Text:
Ward MM, Evans TC, Spies AJ, et al. National Quality Forum 30 safe practices: priority and progress in Iowa hospitals. Am J Med Qual. 2006;21(2):101-8.
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psnet.ahrq.gov/issue/office-based-physicians-are-responding-incentives-and-assistance-adopting-and-using
August 07, 2013 - Study
Office-based physicians are responding to incentives and assistance by adopting and using electronic health records.
Citation Text:
Hsiao C-J, Jha AK, King J, et al. Office-based physicians are responding to incentives and assistance by adopting and using electronic health record…
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psnet.ahrq.gov/issue/optimising-surgical-training-use-feedback-reduce-errors-during-simulated-surgical-procedure
February 19, 2014 - Study
Optimising surgical training: use of feedback to reduce errors during a simulated surgical procedure.
Citation Text:
Boyle E, Al-Akash M, Gallagher AG, et al. Optimising surgical training: use of feedback to reduce errors during a simulated surgical procedure. Postgrad Med J. 201…