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psnet.ahrq.gov/perspective/conversation-charles-vincent-mphil-phd
July 10, 2024 - When I first started to think about reporting, like everyone else, I thought about how do you get the … I'm not familiar enough with all of them, but they have started putting training on.
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psnet.ahrq.gov/issue/inappropriate-prescribing-defined-stopp-and-start-criteria-and-its-association-adverse-drug
July 05, 2023 - Study
Inappropriate prescribing defined by STOPP and START criteria and its association with adverse drug events among hospitalized older patients: a multicentre, prospective study.
Citation Text:
Fahrni ML, Azmy MT, Usir E, et al. Inappropriate prescribing defined by STOPP and START cri…
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psnet.ahrq.gov/node/50838/psn-pdf
January 29, 2020 - Start the new year off right by preventing these top 10
medication errors and hazards.
January 29, 2020
ISMP Medication Safety Alert! Acute care edition. January 16, 2020;26(2):1-6.
https://psnet.ahrq.gov/issue/start-new-year-right-preventing-these-top-10-medication-errors-and-hazards
Medication errors routinely c…
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psnet.ahrq.gov/node/39322/psn-pdf
February 24, 2010 - Complications and death at the start of the new academic
year: is there a July phenomenon?
February 24, 2010
Inaba K, Recinos G, Teixeira PGR, et al. Complications and death at the start of the new academic year: is
there a July phenomenon? J Trauma. 2010;68(1):19-22. doi:10.1097/TA.0b013e3181b88dfe.
https://psnet…
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psnet.ahrq.gov/node/72733/psn-pdf
February 10, 2021 - Start the year off right by preventing these top 10
medication errors and hazards from 2020.
February 10, 2021
ISMP Medication Safety Alert! Acute care edition. January 27, 2021;26(2).
https://psnet.ahrq.gov/issue/start-year-right-preventing-these-top-10-medication-errors-and-hazards-2020
Medication safety is chal…
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psnet.ahrq.gov/node/74762/psn-pdf
February 09, 2022 - Start the year off right by addressing these top 10
medication safety concerns from 2021.
February 9, 2022
ISMP Medication Safety Alert! Acute care edition. January 27, 2022;27(2):1-6.
https://psnet.ahrq.gov/issue/start-year-right-addressing-these-top-10-medication-safety-concerns-2021
Medication errors are a cons…
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psnet.ahrq.gov/node/837744/psn-pdf
July 27, 2022 - Medication orders with future start dates: how far away is
too far?
July 27, 2022
ISMP Medication Safety Alert! Acute care edition. July 14, 2022:27(14):1-4.
https://psnet.ahrq.gov/issue/medication-orders-future-start-dates-how-far-away-too-far
Human errors that occur while interacting with electronic health recor…
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psnet.ahrq.gov/node/851870/psn-pdf
July 31, 2023 - I started working at the Pennsylvania Patient Safety Authority almost 11 years ago as a patient safety
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psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned
September 01, 2017 - Wachter : When you started using health information technology (IT) as a clinically practicing intensivist … I started practice when we had paper lab slips. … getting our software configured, then making sure our clinicians played with the systems more before they started … RW : Let's turn to your role in the ONC and maybe go back to the beginning of the ONC, which started
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psnet.ahrq.gov/perspective/conversation-charles-ornstein
October 01, 2009 - CO: As I started on the health care beat, I became familiar with forms that both the state and federal … How did you first hear about it and did you have the sense that this would be a huge story when you started … But we felt continuously from the moment we started writing about the hospital that there had to be a … learn about patient safety and medical errors from covering King/Drew that you didn't know when you started
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psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd
May 22, 2017 - RW : When do you think things started to change in terms of opioid prescribing patterns, and what were … DJ : It's multifactorial, but it started in the mid to late 1990s. I'll give you some context. … When we started to hear in the mid to late 1990s that we could use opioids more safely than we thought—we … A typical story is somebody who started opioids for a bad hip or back.
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psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
October 01, 2009 - CO: As I started on the health care beat, I became familiar with forms that both the state and federal … How did you first hear about it and did you have the sense that this would be a huge story when you started … But we felt continuously from the moment we started writing about the hospital that there had to be a … learn about patient safety and medical errors from covering King/Drew that you didn't know when you started
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psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
May 01, 2017 - RW : When do you think things started to change in terms of opioid prescribing patterns, and what were … DJ : It's multifactorial, but it started in the mid to late 1990s. I'll give you some context. … When we started to hear in the mid to late 1990s that we could use opioids more safely than we thought—we … A typical story is somebody who started opioids for a bad hip or back.
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psnet.ahrq.gov/perspective/conversation-andrew-gettinger-md
September 01, 2017 - Wachter : When you started using health information technology (IT) as a clinically practicing intensivist … I started practice when we had paper lab slips. … getting our software configured, then making sure our clinicians played with the systems more before they started … RW : Let's turn to your role in the ONC and maybe go back to the beginning of the ONC, which started
-
psnet.ahrq.gov/node/50611/psn-pdf
October 30, 2019 - The Lost Start Date: an Unknown Risk of E-prescribing
October 30, 2019
Wright A, Schiff G. The Lost Start Date: an Unknown Risk of E-prescribing. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/lost-start-date-unknown-risk-e-prescribing
Case Objectives
List the most common errors associated with computerized…
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psnet.ahrq.gov/node/33637/psn-pdf
August 01, 2006 - I was writing a review on
unnecessary surgery, which I started at Rand, but I wasn't involved in any … I started
to read them and discovered James Reason and Jens Rasmussen and all those people.
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psnet.ahrq.gov/node/33622/psn-pdf
November 01, 2005 - I
https://psnet.ahrq.gov/perspective/conversation-withdonald-m-berwick-md-mpp
started what became … The minute we knew we were going to do this, I started getting on the phone to the Joint
Commission,
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psnet.ahrq.gov/web-mm/one-dose-two-errors
September 29, 2017 - The patient was immediately started on treatment with intravenous (IV) amphotericin (an antifungal drug … The other patient—who should have been started on amphotericin—did not experience any adverse consequences
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psnet.ahrq.gov/node/33769/psn-pdf
June 01, 2014 - alongside it, stretching back at least into the 1970s,
when the Boston Women's Health Book Collective kick-started … Internet users had sought medical information online.(27) A new type of patient advocate, the
e-Patient, started
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psnet.ahrq.gov/web-mm/code-status-confusion
September 01, 2006 - you were sick with a terminal illness ... if you had something that could never be cured ... and you started … In an effort to respect the patient’s preference to avoid invasive ventilation, she was started on noninvasive