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psnet.ahrq.gov/issue/chemotherapy-drug-shortages-pediatric-oncology-consensus-statement
March 15, 2017 - Organizational Policy/Guidelines
Chemotherapy drug shortages in pediatric oncology: a consensus statement.
Citation Text:
Decamp M, Joffe S, Fernandez C, et al. Chemotherapy drug shortages in pediatric oncology: a consensus statement. Pediatrics. 2014;133(3):e716-24. doi:10.1542/peds.201…
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psnet.ahrq.gov/issue/label-design-affects-medication-safety-operating-room-crisis-controlled-simulation-study
April 24, 2018 - Study
Label design affects medication safety in an operating room crisis: a controlled simulation study.
Citation Text:
Estock JL, Murray AW, Mizah MT, et al. Label Design Affects Medication Safety in an Operating Room Crisis: A Controlled Simulation Study. J Patient Saf. 2018;14(2):101-…
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psnet.ahrq.gov/issue/self-reported-adverse-events-health-care-cause-harm-population-based-survey
September 20, 2011 - Study
Self-reported adverse events in health care that cause harm: a population-based survey.
Citation Text:
Adams RJ, Tucker G, Price K, et al. Self-reported adverse events in health care that cause harm: a population-based survey. Med J Aust. 2009;190(9):484-8.
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psnet.ahrq.gov/issue/progress-made-towards-improving-opioid-safety-further-efforts-assess-progress-and-reduce-risk
May 16, 2018 - Book/Report
Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed.
Citation Text:
Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed. Washington, DC: United States Gov…
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psnet.ahrq.gov/issue/opioids-medicare-part-d-concerns-about-extreme-use-and-questionable-prescribing
October 29, 2008 - Book/Report
Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing.
Citation Text:
Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing. Office of the Inspector General. Washington, DC: US Department of Health and Human Services…
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psnet.ahrq.gov/issue/safety-checklist-compliance-and-false-sense-safety-new-directions-research
December 29, 2014 - Commentary
Safety checklist compliance and a false sense of safety: new directions for research.
Citation Text:
Rydenfält C, Ek Å, Larsson PA. Safety checklist compliance and a false sense of safety: new directions for research. BMJ Qual Saf. 2014;23(3):183-6. doi:10.1136/bmjqs-2013-0021…
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psnet.ahrq.gov/issue/national-plan-health-workforce-well-being
November 13, 2019 - Book/Report
National Plan for Health Workforce Well-Being.
Citation Text:
National Plan for Health Workforce Well-Being. Dzau VJ, Kirch D, Murthy V, Nasca T, eds; NAM’s Action Collaborative on Clinician Well-Being and Resilience. Washington DC: The National Academies Press; 2022. IS…
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psnet.ahrq.gov/issue/new-technology-new-errors-how-prime-upgrade-insulin-infusion-pump
July 14, 2010 - Commentary
New technology, new errors: how to prime an upgrade of an insulin infusion pump.
Citation Text:
Rule AM, Drincic A, Galt K. New technology, new errors: how to prime an upgrade of an insulin infusion pump. Jt Comm J Qual Patient Saf. 2007;33(3):155-62.
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psnet.ahrq.gov/issue/improving-reporting-outpatient-pediatric-medical-errors
March 14, 2022 - Study
Improving reporting of outpatient pediatric medical errors.
Citation Text:
Neuspiel DR, Stubbs EH, Liggin L. Improving Reporting of Outpatient Pediatric Medical Errors. PEDIATRICS. 2011;128(6). doi:10.1542/peds.2011-0477.
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psnet.ahrq.gov/issue/assessing-accuracy-drug-profiles-electronic-medical-record-system-washington-state-hospital
September 20, 2011 - Study
Assessing the accuracy of drug profiles in an electronic medical record system of a Washington State hospital.
Citation Text:
Platte B, Akinci F, Güç Y. Assessing the accuracy of drug profiles in an electronic medical record system of a Washington state hospital. Am J Manag Care. 2…
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psnet.ahrq.gov/issue/digital-health-and-patient-safety
September 01, 2016 - Commentary
Digital health and patient safety.
Citation Text:
Agboola SO, Bates DW, Kvedar JC. Digital Health and Patient Safety. JAMA. 2016;315(16):1697-1698. doi:10.1001/jama.2016.2402.
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psnet.ahrq.gov/issue/effective-strategies-increase-reporting-medication-errors-hospitals
October 19, 2010 - Commentary
Effective strategies to increase reporting of medication errors in hospitals.
Citation Text:
Force MVO, Deering L, Hubbe J, et al. Effective strategies to increase reporting of medication errors in hospitals. J Nurs Adm. 2006;36(1):34-41.
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psnet.ahrq.gov/issue/call-systems-thinking-approach-medication-adherence-stop-blaming-patient
November 09, 2022 - Commentary
A call for a systems-thinking approach to medication adherence: stop blaming the patient.
Citation Text:
Lauffenburger JC, Choudhry NK. A Call for a Systems-Thinking Approach to Medication Adherence: Stop Blaming the Patient. JAMA Intern Med. 2018;178(7):950-951. doi:10.1001/j…
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psnet.ahrq.gov/issue/effects-integrated-clinical-information-system-medication-safety-multi-hospital-setting
November 29, 2023 - Study
Effects of an integrated clinical information system on medication safety in a multi-hospital setting.
Citation Text:
Mahoney CD, Berard-Collins CM, Coleman R, et al. Effects of an integrated clinical information system on medication safety in a multi-hospital setting. Am J Health …
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psnet.ahrq.gov/issue/near-miss-medication-errors-provide-wake-call
January 24, 2024 - Commentary
Near-miss medication errors provide a wake-up call.
Citation Text:
Claffey C. Near-miss medication errors provide a wake-up call. Nursing (Brux). 2018;48(1):53-55. doi:10.1097/01.NURSE.0000527615.45031.9e.
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psnet.ahrq.gov/issue/huddles-and-debriefings-improving-communication-labor-and-delivery
February 13, 2013 - Review
Huddles and debriefings: improving communication on labor and delivery.
Citation Text:
McQuaid-Hanson E, Pian-Smith MCM. Huddles and Debriefings: Improving Communication on Labor and Delivery. Anesthesiol Clin. 2017;35(1):59-67. doi:10.1016/j.anclin.2016.09.006.
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psnet.ahrq.gov/issue/characteristics-medication-errors-parenteral-cytotoxic-drugs
July 01, 2017 - Study
Characteristics of medication errors with parenteral cytotoxic drugs.
Citation Text:
Fyhr A, Akselsson R. Characteristics of medication errors with parenteral cytotoxic drugs. Eur J Cancer Care (Engl). 2012;21(5):606-613. doi:10.1111/j.1365-2354.2012.01331.x.
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psnet.ahrq.gov/issue/no-interruptions-please-impact-no-interruption-zone-medication-safety-intensive-care-units
July 19, 2023 - Study
No interruptions please: impact of a no interruption zone on medication safety in intensive care units.
Citation Text:
Anthony K, Wiencek C, Bauer C, et al. No interruptions please: impact of a No Interruption Zone on medication safety in intensive care units. Crit Care Nurse. 2010…
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psnet.ahrq.gov/issue/effects-stress-and-coping-surgical-performance-during-simulations
February 16, 2011 - Study
The effects of stress and coping on surgical performance during simulations.
Citation Text:
Wetzel CM, Black SA, Hanna GB, et al. The effects of stress and coping on surgical performance during simulations. Ann Surg. 2010;251(1):171-6. doi:10.1097/SLA.0b013e3181b3b2be.
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psnet.ahrq.gov/issue/occupational-health-and-organizational-culture-within-healthcare-setting-challenges
December 08, 2021 - Book/Report
Occupational Health and Organizational Culture within a Healthcare Setting: Challenges, Complexities, and Dynamics.
Citation Text:
Occupational Health and Organizational Culture within a Healthcare Setting: Challenges, Complexities, and Dynamics. Tran Y, Ellis LA, Clay-Willia…