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psnet.ahrq.gov/node/44235/psn-pdf
January 22, 2016 - Interventions to reduce nurses' medication administration
errors in inpatient settings: a systematic review and meta-
analysis.
January 22, 2016
Berdot S, Roudot M, Schramm C, et al. Interventions to reduce nurses' medication administration errors in
inpatient settings: A systematic review and meta-analysis. Int J…
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section9.html
October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections
Plan To Help Incorporate the Role of Champions for Resident Physicians
Previous Page Next Page
Table of Contents
Resident Physicians as Champions in Preventing Device-Associated Infections
Preamble and Summary
Epidemiolo…
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psnet.ahrq.gov/node/60575/psn-pdf
June 10, 2020 - Applying principles from aviation safety investigations to
root cause analysis of a critical incident during a
simulated emergency.
June 10, 2020
Imach S, Eppich W, Zech A, et al. Applying principles from aviation safety investigations to root cause
analysis of a critical incident during a simulated emergency. Sim…
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www.ahrq.gov/es/patient-safety/settings/hospital/match/table-5.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table 5: Identifying Challenges and Addressing Barriers
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Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introducti…
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psnet.ahrq.gov/node/45331/psn-pdf
August 03, 2016 - Health information technologies: from hazardous to the
dark side.
August 3, 2016
Saunders C, Rutkowski AF, Pluyter J, et al. Health information technologies: From hazardous to the dark
side. J Assoc Inf Sci Technol. 2016;67(7). doi:10.1002/asi.23671.
https://psnet.ahrq.gov/issue/health-information-technologies-haz…
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psnet.ahrq.gov/node/44611/psn-pdf
November 04, 2015 - Enhancing patient safety in pediatric primary care:
implementing a patient safety curriculum.
November 4, 2015
Zenlea IS, Scheff E, Szeidler B, et al. Enhancing Patient Safety in Pediatric Primary Care: Implementing a
Patient Safety Curriculum. Clin Pediatr (Phila). 2015;54(11):1094-101. doi:10.1177/000992281558492…
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psnet.ahrq.gov/node/840167/psn-pdf
November 16, 2022 - 'Reading the Signals' : Maternity and Neonatal Services in
East Kent – the Report of the Independent Investigation.
November 16, 2022
Kirkup B. Department of Health and Social Care. London, England: Crown Copyright; 2022. ISBN:
9781528636759.
https://psnet.ahrq.gov/issue/reading-signals-maternity-and-neonata…
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psnet.ahrq.gov/node/46425/psn-pdf
September 13, 2017 - Optimizing Crisis Resource Management to Improve
Patient Safety and Team Performance--A Handbook for
Acute Care Health Professionals.
September 13, 2017
Brindley P, Cardinal P, eds. Ottawa, ON, Canada: Royal College of Physicians and Surgeons of Canada;
2017. ISBN: 9781926588414.
https://psnet.ahrq.gov/issue/opti…
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psnet.ahrq.gov/node/73086/psn-pdf
January 01, 2022 - Barriers to incident reporting among nurses: a qualitative
systematic review.
March 31, 2021
Hamed MMM, Konstantinidis S. Barriers to incident reporting among nurses: a qualitative systematic
review. West J Nurs Res. 2022;44(5):506-523. doi:10.1177/0193945921999449.
https://psnet.ahrq.gov/issue/barriers-incident-r…
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psnet.ahrq.gov/node/43854/psn-pdf
February 11, 2015 - Medicare’s Oversight of Compounded Pharmaceuticals
Used in Hospitals.
February 11, 2015
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector
General; January 2015. Report No. OEI-01-13-00400.
https://psnet.ahrq.gov/issue/medicares-oversight-compounded-pharmaceuticals-use…
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psnet.ahrq.gov/training-catalog/ihi-patient-safety-and-quality-emerging-leaders
March 03, 2025 - IHI Patient Safety and Quality for Emerging Leaders
Save
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Organization:
Organization
Institute for Healthcare Improvement (IHI)
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_8_PrtpntIntrsts_508.pdf
June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 8)
My Participation Interests
Contact Information
Name (First and Last): ___________________________________________________________________________________
Street Address: ____________________________________________________________________…
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psnet.ahrq.gov/node/867136/psn-pdf
November 13, 2024 - Detecting clinical medication errors with AI enabled
wearable cameras.
November 13, 2024
Chan J, Nsumba S, Wortsman M, et al. Detecting clinical medication errors with AI enabled wearable
cameras. NPJ Dig Med. 2024;7(1):287. doi:10.1038/s41746-024-01295-2.
https://psnet.ahrq.gov/issue/detecting-clinical-medication…
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psnet.ahrq.gov/node/40770/psn-pdf
September 14, 2011 - 'August is always a nightmare': results of the Royal
College of Physicians of Edinburgh and Society of Acute
Medicine August transition survey.
September 14, 2011
Vaughan L, McAlister G, Bell D. 'August is always a nightmare': results of the Royal College of Physicians
of Edinburgh and Society of Acute Medicine Au…
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www.ahrq.gov/patient-safety/settings/labor-delivery/index.html
July 01, 2023 - AHRQ's Quality & Patient Safety Programs by Setting: Hospital Labor and Delivery Units
AHRQ Safety Program for Perinatal Care – I aims to improve the patient safety culture of labor and delivery (L&D) units and decrease maternal and neonatal adverse events resulting from poor communication and system failures.…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults4.html
September 01, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults
Conclusion
Previous Page Next Page
Table of Contents
State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults
Introduction
Unique Challenges in Approaching Diagnostic Safety in …
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psnet.ahrq.gov/node/46016/psn-pdf
May 09, 2017 - Resident duty hours and medical education
policy—raising the evidence bar.
May 9, 2017
Asch DA, Bilimoria KY, Desai S. Resident Duty Hours and Medical Education Policy - Raising the Evidence
Bar. N Engl J Med. 2017;376(18):1704-1706. doi:10.1056/NEJMp1703690.
https://psnet.ahrq.gov/issue/resident-duty-hours-and-me…
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psnet.ahrq.gov/node/47945/psn-pdf
August 28, 2019 - Individual and team-based medical error disclosure:
dialectical tensions among health care providers.
August 28, 2019
Jones M, Scarduzio J, Mathews E, et al. Individual and Team-Based Medical Error Disclosure: Dialectical
Tensions Among Health Care Providers. Qual Health Res. 2019;29(8):1096-1108.
doi:10.1177/1049…
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psnet.ahrq.gov/node/47355/psn-pdf
September 05, 2018 - Preventing medication errors in the information age.
September 5, 2018
Godshall M, Riehl M. Preventing medication errors in the information age. Nursing (Brux). 2018;48(9):56-
58. doi:10.1097/01.NURSE.0000544230.51598.38.
https://psnet.ahrq.gov/issue/preventing-medication-errors-information-age
Failure to consider…
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psnet.ahrq.gov/node/45941/psn-pdf
March 08, 2017 - Medication errors associated with transition from insulin
pens to insulin vials.
March 8, 2017
Trimble AN, Bishop B, Rampe N. Medication errors associated with transition from insulin pens to insulin
vials. Am J Health Syst Pharm. 2017;74(2):70-75. doi:10.2146/ajhp150726.
https://psnet.ahrq.gov/issue/medication-er…