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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/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/prevent-medication-errors-new-years-resolution-teaching-patients-about-their-medications
January 18, 2011 - The author summarizes suggestions from the 2006 Institute of Medicine report on medication error to
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psnet.ahrq.gov/issue/follow-tips-safe-efficient-practice
July 23, 2010 - This article provides suggestions for physicians to ensure reliable follow-up on test results, including
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psnet.ahrq.gov/issue/medication-errors-involving-pediatric-patients
January 02, 2017 - Medmarx data from 2001 through 2003, the authors analyze pediatric medication errors and provide suggestions
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psnet.ahrq.gov/issue/employee-discipline-solution-patient-safety
September 15, 2011 - The author provides suggestions on how to support a blame-free culture and encourage medical error reporting
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psnet.ahrq.gov/issue/studying-organisational-cultures-and-their-effects-safety
April 20, 2014 - The author shares examples of cultural analyses and provides suggestions for effective research on safety
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psnet.ahrq.gov/issue/medical-errors-should-you-apologize
August 13, 2010 - This article discusses disclosure of adverse events from various perspectives and provides suggestions
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psnet.ahrq.gov/issue/better-not-knowing-improving-clinical-care-limiting-physician-access-unsolicited-diagnostic
November 29, 2017 - This commentary explores how extraneous test findings can affect patient safety, and offers suggestions
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psnet.ahrq.gov/issue/coordination-between-emergency-and-primary-care-physicians
August 13, 2014 - report analyzes communication practices between emergency and primary care physicians and provides suggestions
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psnet.ahrq.gov/issue/safety-first-top-your-boards-agenda-100-day-challenge-survey-report
December 04, 2016 - The report closes with suggestions to support board-level engagement in this work.
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psnet.ahrq.gov/issue/prevention-better-cure-learning-adverse-events-healthcare
February 23, 2018 - This publication uses a case-based format to describe problems in care delivery, provides suggestions
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psnet.ahrq.gov/issue/actively-caring-safety-overcoming-bystander-apathy
December 03, 2014 - This article provides suggestions to help individuals counteract the tendency for group inertia.
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psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition
January 09, 2019 - The authors discuss the development and methodology of the tool, suggestions for training, and the experiences
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psnet.ahrq.gov/issue/death-inside-lemuel-shattuck-hospital-case-study-medical-treatment-persons-mental-health
May 03, 2023 - Suggestions for improvement included conducting a root cause analysis to identify systemic problems,
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psnet.ahrq.gov/issue/creating-culture-caregiver-support
May 18, 2022 - This article explores factors that prevent clinicians from seeking support and provides suggestions for
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psnet.ahrq.gov/issue/opioid-epidemic-what-can-surgeons-do-about-it
March 27, 2019 - This commentary provides suggestions for surgeons at preoperative, postoperative, and outpatient care
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psnet.ahrq.gov/issue/sleep-science-schedules-and-safety-hospitals-challenges-and-solutions-pediatric-providers
November 16, 2022 - The authors provide suggestions to redesign work schedules to improve handoffs and other processes
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psnet.ahrq.gov/issue/policy-positions-and-guidelines
July 10, 2019 - Related Resources From the Same Author(s)
Injectable Opioid Shortages: Suggestions
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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