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psnet.ahrq.gov/issue/should-patients-get-direct-access-their-laboratory-test-results-answer-many-questions
November 13, 2024 - Commentary
Should patients get direct access to their laboratory test results?: An answer with many questions.
Citation Text:
Giardina TD, Singh H. Should patients get direct access to their laboratory test results? An answer with many questions. JAMA. 2011;306(22):2502-2503. doi:10.10…
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psnet.ahrq.gov/issue/frequency-medication-error-pediatric-anesthesia-systematic-review-and-meta-analytic-estimate
December 11, 2024 - Review
Frequency of medication error in pediatric anesthesia: a systematic review and meta-analytic estimate.
Citation Text:
Feinstein MM, Pannunzio AE, Castro P. Frequency of medication error in pediatric anesthesia: A systematic review and meta-analytic estimate. Paediatr Anaesth. 2018…
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psnet.ahrq.gov/issue/acog-committee-opinion-621-patient-safety-and-health-information-technology
May 22, 2019 - Commentary
ACOG Committee Opinion #621: patient safety and health information technology.
Citation Text:
Improvement C on PS and Q, Management C on P. Committee opinion no. 621: Patient safety and health information technology. Obstet Gynecol. 2015;125(1):282-3. doi:10.1097/01.AOG.000045…
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psnet.ahrq.gov/issue/meta-analysis-surgical-safety-checklist-effects-teamwork-communication-morbidity-mortality
April 12, 2017 - Review
Meta-analysis of surgical safety checklist effects on teamwork, communication, morbidity, mortality, and safety.
Citation Text:
Lyons VE, Popejoy LL. Meta-analysis of surgical safety checklist effects on teamwork, communication, morbidity, mortality, and safety. West J Nurs Res.…
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psnet.ahrq.gov/issue/labeling-morphine-milligram-equivalents-opioid-packaging-potential-patient-safety
March 06, 2019 - Review
Labeling morphine milligram equivalents on opioid packaging: a potential patient safety intervention.
Citation Text:
Stone AB, Urman RD, Kaye AD, et al. Labeling Morphine Milligram Equivalents on Opioid Packaging: a Potential Patient Safety Intervention. Curr Pain Headache Rep. 20…
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psnet.ahrq.gov/issue/pharmacy-dispensing-errors-claims-study-emphasizes-need-systematic-vigilance
April 06, 2022 - Newspaper/Magazine Article
Pharmacy dispensing errors: claims study emphasizes need for systematic vigilance.
Citation Text:
Pharmacy dispensing errors: claims study emphasizes need for systematic vigilance. Webb J. Drug Topics. March 10, 2015.
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psnet.ahrq.gov/issue/quality-improvement-medical-education-current-state-and-future-directions
June 09, 2015 - Review
Quality improvement in medical education: current state and future directions.
Citation Text:
Wong BM, Levinson W, Shojania KG. Quality improvement in medical education: current state and future directions. Med Educ. 2012;46(1):107-19. doi:10.1111/j.1365-2923.2011.04154.x.
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psnet.ahrq.gov/issue/simulation-based-adverse-event-reporting-system-development-and-feasibility
July 08, 2020 - Study
Simulation based adverse event reporting system: development and feasibility.
Citation Text:
Mckay M, Sanko JS. Simulation Based Adverse Event Reporting System: Development and Feasibility. Clin Simul Nurs. 2014;10(5). doi:10.1016/j.ecns.2013.12.005.
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psnet.ahrq.gov/issue/organisational-paradoxes-speaking-safety-implications-interprofessional-field
March 08, 2023 - Commentary
Organisational paradoxes in speaking up for safety: implications for the interprofessional field.
Citation Text:
Rowland P. Organisational paradoxes in speaking up for safety: Implications for the interprofessional field. J Interprof Care. 2017;31(5):553-556. doi:10.1080/13561…
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psnet.ahrq.gov/issue/all-consumer-medication-information-not-created-equal-implications-medication-safety
June 15, 2022 - Study
All consumer medication information is not created equal: implications for medication safety.
Citation Text:
Monkman H, Kushniruk AW. All Consumer Medication Information Is Not Created Equal: Implications for Medication Safety. Stud Health Technol Inform. 2017;234:233-237.
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psnet.ahrq.gov/issue/implementation-protocol-reduce-occurrence-retained-sponges-after-vaginal-delivery
May 18, 2022 - Commentary
Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery.
Citation Text:
Lutgendorf MA, Schindler LL, Hill JB, et al. Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Mil Med. 2011;176(6):702-704.…
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psnet.ahrq.gov/issue/intolerance-error-and-culture-blame-drive-medical-excess
March 24, 2017 - Commentary
Intolerance of error and culture of blame drive medical excess.
Citation Text:
Hoffman JR, Kanzaria HK. Intolerance of error and culture of blame drive medical excess. BMJ. 2014;349(oct14 3). doi:10.1136/bmj.g5702.
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psnet.ahrq.gov/issue/role-surgeon-error-withdrawal-postoperative-life-support
July 03, 2014 - Study
The role of surgeon error in withdrawal of postoperative life support.
Citation Text:
Schwarze ML, Redmann AJ, Brasel KJ, et al. The role of surgeon error in withdrawal of postoperative life support. Ann Surg. 2012;256(1):10-5. doi:10.1097/SLA.0b013e3182580de5.
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psnet.ahrq.gov/issue/sources-and-types-discrepancies-between-electronic-medical-records-and-actual-outpatient
July 19, 2023 - Study
Sources and types of discrepancies between electronic medical records and actual outpatient medication use.
Citation Text:
Orrico KB. Sources and types of discrepancies between electronic medical records and actual outpatient medication use. J Manag Care Pharm. 2008;14(7):626-631…
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psnet.ahrq.gov/issue/parenteral-opioid-shortage-treating-pain-during-opioid-overdose-epidemic
January 31, 2024 - Commentary
Emerging Classic
Parenteral opioid shortage—treating pain during the opioid-overdose epidemic.
Citation Text:
Bruera E. Parenteral Opioid Shortage - Treating Pain during the Opioid-Overdose Epidemic. N Engl J Med. 2018;379(7):601-603. doi:10.1056/NEJM…
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psnet.ahrq.gov/issue/using-advanced-practice-nursing-model-rapid-response-team
August 18, 2021 - Commentary
Using an advanced practice nursing model for a rapid response team.
Citation Text:
Benson L, Mitchell C, Link M, et al. Using an advanced practice nursing model for a rapid response team. Jt Comm J Qual Patient Saf. 2008;34(12):743-7.
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psnet.ahrq.gov/issue/veterans-affairs-national-quality-scholars-program-model-interprofessional-education-quality
May 02, 2012 - Commentary
The Veterans Affairs National Quality Scholars Program: a model for interprofessional education in quality and safety.
Citation Text:
Patrician PA, Dolansky MA, Pair V, et al. The Veterans Affairs National Quality Scholars program: a model for interprofessional education in …
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psnet.ahrq.gov/issue/nurse-pharmacist-collaboration-medication-reconciliation-prevents-potential-harm
August 08, 2018 - Study
Nurse–pharmacist collaboration on medication reconciliation prevents potential harm.
Citation Text:
Feldman LS, Costa LL, Feroli R, et al. Nurse-pharmacist collaboration on medication reconciliation prevents potential harm. J Hosp Med. 2012;7(5):396-401. doi:10.1002/jhm.1921.
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psnet.ahrq.gov/issue/sentara-norfolk-general-hospital-accelerating-improvement-focusing-building-culture-safety
June 08, 2010 - Commentary
Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety.
Citation Text:
Yates GR, Hochman RF, Sayles SM, et al. Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety. Jt Comm J Qu…
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psnet.ahrq.gov/issue/assessment-dod-wounded-warrior-matters-managing-risks-multiple-medications
March 16, 2022 - Government Resource
Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple Medications.
Citation Text:
Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple Medications. Alexandria, VA: Department of Defense, Office of the Inspector General; February 21…