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psnet.ahrq.gov/node/49839/psn-pdf
August 01, 2018 - The
patient had no history of diabetes, which likely suggested a pharmacy filling error.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.398_slideshow.ppt
February 01, 2017 - , and can guide best practices
Yet, checklists can encourage providers to automatically accept the suggested
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psnet.ahrq.gov/node/33749/psn-pdf
April 01, 2013 - hour limits were synthesized in 2004 (10,11) and again
in 2010.(12,13) At both times, the evidence suggested
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psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
January 01, 2014 - A cost-utility analysis published this year suggested that CPOE implementation could generate more
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psnet.ahrq.gov/issue/ashp-statement-bar-code-verification-during-inventory-preparation-and-dispensing-medications
June 17, 2014 - Organizational Policy/Guidelines
ASHP statement on bar-code verification during inventory, preparation, and dispensing of medications.
Citation Text:
ASHP statement on bar-code verification during inventory, preparation, and dispensing of medications. Am J Health-Syst Pharm. 2011;68:44…
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psnet.ahrq.gov/web-mm/lethal-vertigo
September 20, 2011 - Lethal Vertigo
Citation Text:
Furman JM. Lethal Vertigo. 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 Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/issue/five-rights-destination-without-map
September 14, 2016 - Newspaper/Magazine Article
The five rights: a destination without a map.
Citation Text:
The five rights: a destination without a map. ISMP Medication Safety Alert! Acute care edition. January 25, 2007.
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Downlo…
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psnet.ahrq.gov/issue/mislabeling-event-batched-drugs-unintended-consequences-practice-changes
May 07, 2014 - Newspaper/Magazine Article
A mislabeling event with batched drugs: the unintended consequences of practice changes.
Citation Text:
A mislabeling event with batched drugs: the unintended consequences of practice changes. ISMP Medication Safety Alert! Acute Care Edition. 2014;19:1-3.&nbs…
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psnet.ahrq.gov/node/49552/psn-pdf
January 01, 2008 - Suggested forums for processing errors include case reviews, which may occur informally in small groups
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psnet.ahrq.gov/node/43688/psn-pdf
November 30, 2016 - AHRQ Nursing Home Survey on Patient Safety Culture:
2014 User Comparative Database Report.
November 30, 2016
Sorra J, Famolaro T, Yount N, Burns W, Liu H, Shyy M. Rockville, MD: Agency for Healthcare Research
and Quality; November 2014. AHRQ Publication No. 15-0004-EF.
https://psnet.ahrq.gov/issue/ahrq-nursing-hom…
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psnet.ahrq.gov/node/49715/psn-pdf
August 21, 2014 - In this case, additional studies may have suggested systemic disease
beyond the liver that might have
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psnet.ahrq.gov/web-mm/turn-other-cheek
October 26, 2010 - Unfortunately, a recent study suggested that Mohs surgeons incorrectly identify biopsy sites 5.9% of
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psnet.ahrq.gov/perspective/response-getting-root-matter-june-2005
June 01, 2005 - In response to “Getting to the Root of the Matter” (June 2005)
September 1, 2005
View more articles from the same authors.
Citation Text:
Grondin L, Saint S, Flanders S, et al. In response to “Getting to the Root of the Matter” (June 2005). PSNet [internet]. Rockv…
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psnet.ahrq.gov/issue/follow-ismp-guidelines-safeguard-design-and-use-automated-dispensing-cabinets-adcs
May 07, 2018 - Newspaper/Magazine Article
Follow ISMP guidelines to safeguard the design and use of automated dispensing cabinets (ADCs).
Citation Text:
Follow ISMP guidelines to safeguard the design and use of automated dispensing cabinets (ADCs). ISMP Medication Safety Alert! Acute Care Edition. Febr…
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psnet.ahrq.gov/webmm/submit-case
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psnet.ahrq.gov/node/49658/psn-pdf
July 01, 2012 - and apply the results or prompts (e.g.,
stop to consider alternative diagnoses or decide which newly suggested
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psnet.ahrq.gov/node/49448/psn-pdf
June 01, 2004 - It has been suggested that a properly performed "time out"
would have prevented 85% of the errors, proper
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psnet.ahrq.gov/node/49404/psn-pdf
June 01, 2003 - Community-based obstetrical ultrasound reports:
documentation of compliance with suggested minimum standards
-
psnet.ahrq.gov/node/49766/psn-pdf
August 21, 2016 - 10,190 pages (14%) were sent to the incorrect provider.(5) A review of pages sent to the wrong provider
suggested
-
psnet.ahrq.gov/node/49700/psn-pdf
February 01, 2014 - Research conducted in the 1970s and 1980s suggested that NSVT after ACS is benign and is not
associated