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psnet.ahrq.gov/web-mm/nonsustained-ventricular-tachycardia-after-acute-coronary-syndromes-recognizing-high-risk
September 20, 2011 - BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/web-mm/walking-patient-missing-drain
April 01, 2006 - BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/web-mm/diuretics-and-electrolyte-abnormalities
February 15, 2017 - BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/web-mm/insulin-administration-pen-vs-vial-similar-not-interchangeable
December 20, 2023 - BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/web-mm/hospital-admission-due-high-dose-methotrexate-drug-interaction
October 01, 2003 - BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/node/49444/psn-pdf
May 01, 2004 - Among Colleagues
Reluctance to obtain or provide a complete medical history
Reluctance to obtain or submit
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.368_slideshow.ppt
February 01, 2016 - complications
Then, institutions could focus on the modifiable risk factors
Individual institutions should also submit
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psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable
August 10, 2019 - BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/web-mm/point-care-mixup-1-shot-turns-3
February 14, 2024 - BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/workforce-turnover-crisis.pdf
April 01, 2025 - *Please submit your response in the chat 43
Upcoming Events of Interest
44
Announcing the Next
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psnet.ahrq.gov/node/841768/psn-pdf
December 21, 2022 - Implementation of an online reporting system to identify
unprofessional behaviors and mistreatment directed at
trainees at an academic medical center.
December 21, 2022
Leitman IM, Muller D, Miller S, et al. Implementation of an online reporting system to identify unprofessional
behaviors and mistreatment directed…
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psnet.ahrq.gov/node/74751/psn-pdf
February 09, 2022 - A quality improvement initiative to improve patient safety
event reporting by residents.
February 9, 2022
Herchline D, Rojas C, Shah AA, et al. A quality improvement initiative to improve patient safety event
reporting by residents. Pediatr Qual Saf. 2022;7(1):e519. doi:10.1097/pq9.0000000000000519.
https://psnet.…
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psnet.ahrq.gov/node/837298/psn-pdf
June 01, 2022 - Assessment of bias in patient safety reporting systems
categorized by physician gender, race and ethnicity, and
faculty rank: a qualitative study.
June 1, 2022
doi:https://doi.org/10.1001/jamanetworkopen.2022.13234.
https://psnet.ahrq.gov/issue/assessment-bias-patient-safety-reporting-systems-categorized-physician…
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psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-2017-analysis-part-1-and-part-2
December 27, 2018 - Newspaper/Magazine Article
ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2.
Citation Text:
ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. June 14, 2018,23:1-5. June 28, 2018;…
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psnet.ahrq.gov/node/34113/psn-pdf
December 24, 2008 - MEDMARX 5th Anniversary Data Report: A Chartbook of
2003 Findings and Trends 1999-2003.
December 24, 2008
Hicks RW, Santell JP, Cousins DD, et al. Rockville, MD: USP Center for the Advancement of
Patient Safety; 2004.
https://psnet.ahrq.gov/issue/medmarx-5th-anniversary-data-report-chartbook-2003-fi…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs025005-snyder-final-report-2019.pdf
January 01, 2019 - Pharmacists were asked to submit alert screen shots for five MTP alert categories: 1) indication,
2) … Specifically, each pharmacist was asked to submit alert data for 3 patients, making an
effort to include
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/ny6.jsp
August 01, 2014 - Coronary Procedures Study: An Outline for Labs
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psnet.ahrq.gov/node/37770/psn-pdf
March 10, 2011 - Identifying and quantifying medication errors: evaluation
of rapidly discontinued medication orders submitted to a
computerized physician order entry system.
March 10, 2011
Koppel R, Leonard CE, Localio R, et al. Identifying and quantifying medication errors: evaluation of rapidly
discontinued medication orders su…
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psnet.ahrq.gov/node/47397/psn-pdf
January 09, 2019 - Using patient safety reporting systems to understand the
clinical learning environment: a content analysis.
January 9, 2019
Sellers MM, Berger I, Myers JS, et al. Using Patient Safety Reporting Systems to Understand the Clinical
Learning Environment: A Content Analysis. J Surg Educ. 2018;75(6):e168-e177.
doi:10.10…
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psnet.ahrq.gov/node/43292/psn-pdf
January 07, 2015 - Clinical decision support for atypical orders: detection
and warning of atypical medication orders submitted to a
computerized provider order entry system.
January 7, 2015
Woods AD, Mulherin DP, Flynn AJ, et al. Clinical decision support for atypical orders: detection and
warning of atypical medication orders subm…