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psnet.ahrq.gov/node/34683/psn-pdf
February 10, 2011 - highly accepting of the pharmacist’s participation, with physicians accepting 99% of the pharmacist’s
suggestions
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psnet.ahrq.gov/node/36407/psn-pdf
April 19, 2011 - Healthcare Research and Quality (AHRQ) WebM&M discusses the issue of
intrahospital transport with suggestions
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psnet.ahrq.gov/issue/who-draft-guidelines-adverse-event-reporting-and-learning-systems
October 21, 2010 - background on the development of incident reporting systems, list their functional elements, and provide suggestions
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psnet.ahrq.gov/issue/pregnancy-related-deaths-saving-womens-lives-during-and-after-delivery
September 07, 2016 - It reports that 60% of these deaths are preventable and provides suggestions for families, clinicians
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psnet.ahrq.gov/issue/skin-tears-clinical-challenge
March 18, 2010 - discusses the Pennsylvania Patient Safety Reporting System (PA-PSRS) reports of skin tears and provides suggestions
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psnet.ahrq.gov/issue/medication-safety-look-alikesound-alike-drugs-home-care
February 03, 2021 - reviews the National Patient Safety Goal (NPSG) for 2005 on look-alike/sound-alike medications and makes suggestions
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psnet.ahrq.gov/issue/achieving-excellence-cancer-diagnosis
May 11, 2022 - This workshop reviewed the evidence base examining challenges in cancer diagnosis, discussed suggestions
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psnet.ahrq.gov/issue/retained-surgical-items-and-minimally-invasive-surgery
April 28, 2021 - This commentary discusses retained surgical objects as a systems issue and provides suggestions to
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psnet.ahrq.gov/issue/top-medication-errors-reported-ismp-2020
December 23, 2020 - This webinar will summarize results from a national medication error reporting program to provide suggestions
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psnet.ahrq.gov/node/39931/psn-pdf
April 24, 2011 - The
authors offer several suggestions for identifying and minimizing harm among patients and physicians
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psnet.ahrq.gov/node/44762/psn-pdf
March 15, 2016 - 11
Quality and Safety Topic Advisory Group, advancing specific frameworks to address many of these
suggestions
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psnet.ahrq.gov/node/37873/psn-pdf
June 16, 2009 - The study authors provide suggestions for system improvements to
prevent and ameliorate adverse events
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psnet.ahrq.gov/issue/many-people-color-worry-good-health-care-tied-their-appearance
September 20, 2023 - stereotypical assessments made by practitioners that affect diagnosis, communication , and treatment suggestions
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psnet.ahrq.gov/issue/sentinel-event-alert-67-preserving-patient-safety-after-cyberattack
March 13, 2024 - November 8, 2023
Value assessment of deprescribing interventions: suggestions for improvement
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psnet.ahrq.gov/issue/improving-diagnosis-medicine-change-package
May 06, 2015 - includes case studies that illustrate implementation challenges and provides infrastructure enhancement suggestions
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psnet.ahrq.gov/issue/ambulatory-surgery-facilities-comprehensive-review-medication-error-reports-pennsylvania
April 17, 2017 - medication errors in ambulatory surgery centers, this article discusses common error types and provides suggestions
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psnet.ahrq.gov/issue/doctors-say-patients-who-lie-may-put-their-health-risk
March 06, 2005 - This article describes how and why patients lie to their physicians and shares suggestions for communication
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psnet.ahrq.gov/node/36697/psn-pdf
February 03, 2011 - Based
on this review, the authors provide suggestions for standardizing information transfer at discharge
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psnet.ahrq.gov/issue/frustrating-case-incident-reporting-systems
June 22, 2022 - This commentary discusses the limitations of incident reporting systems and provides suggestions for
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psnet.ahrq.gov/issue/oversedation-patient-obstructive-sleep-apnea-prior-imaging
September 02, 2020 - The authors explore root causes and provide suggestions for improving the safety of care for patients