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psnet.ahrq.gov/issue/paramedics-and-effects-shift-work-sleep-literature-review
July 24, 2017 - Review
Paramedics and the effects of shift work on sleep: a literature review.
Citation Text:
Sofianopoulos S, Williams B, Archer F. Paramedics and the effects of shift work on sleep: a literature review. Emerg Med J. 2012;29(2):152-5. doi:10.1136/emj.2010.094342.
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psnet.ahrq.gov/issue/health-outcomes-associated-potentially-inappropriate-medication-use-older-adults
June 29, 2011 - Study
Health outcomes associated with potentially inappropriate medication use in older adults.
Citation Text:
Fick DM, Mion LC, Beers MH, et al. Health outcomes associated with potentially inappropriate medication use in older adults. Res Nurs Health. 2008;31(1):42-51. doi:10.1002/nur…
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psnet.ahrq.gov/issue/tools-and-methods-quality-improvement-and-patient-safety-perinatal-care
November 16, 2022 - Commentary
Tools and methods for quality improvement and patient safety in perinatal care.
Citation Text:
Nathan AT, Kaplan HC. Tools and methods for quality improvement and patient safety in perinatal care. Semin Perinatol. 2017;41(3):142-150. doi:10.1053/j.semperi.2017.03.002.
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psnet.ahrq.gov/issue/increased-adherence-perioperative-safety-guidelines-associated-improved-patient-safety
April 05, 2023 - Study
Increased adherence to perioperative safety guidelines associated with improved patient safety outcomes: a stepped-wedge, cluster-randomised multicentre trial.
Citation Text:
Emond YEJJM, Calsbeek H, Peters YAS, et al. Increased adherence to perioperative safety guidelines associat…
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psnet.ahrq.gov/issue/safe-use-health-information-technology
December 23, 2016 - Sentinel Event Alerts
Safe use of health information technology.
Citation Text:
Safe use of health information technology. Sentinel Event Alert. March 31, 2015;(54):1-6.
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psnet.ahrq.gov/issue/healthcare-professionals-views-smart-glasses-intensive-care-qualitative-study
October 23, 2024 - Study
Healthcare professionals' views of smart glasses in intensive care: a qualitative study.
Citation Text:
Romare C, Hass U, Skär L. Healthcare professionals' views of smart glasses in intensive care: A qualitative study. Intensive Crit Care Nurs. 2018;45:66-71. doi:10.1016/j.iccn.201…
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psnet.ahrq.gov/issue/coaching-debriefer-peer-coaching-improve-debriefing-quality-simulation-programs
July 31, 2019 - Commentary
Coaching the debriefer: peer coaching to improve debriefing quality in simulation programs.
Citation Text:
Cheng A, Grant V, Huffman J, et al. Coaching the Debriefer: Peer Coaching to Improve Debriefing Quality in Simulation Programs. Simul Healthc. 2017;12(5):319-325. doi:10.…
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psnet.ahrq.gov/issue/measurement-and-monitoring-safety
October 01, 2024 - Book/Report
The Measurement and Monitoring of Safety.
Citation Text:
The Measurement and Monitoring of Safety. Vincent C, Burnett S, Carthey J. London, UK: Health Foundation; April 2013. ISBN: 9781906461447.
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psnet.ahrq.gov/issue/diagnostic-error-pediatric-hospital-narrative-review
November 16, 2022 - Review
Diagnostic error in the pediatric hospital: a narrative review.
Citation Text:
Sawicki JG, Nystrom DT, Purtell R, et al. Diagnostic error in the pediatric hospital: a narrative review. Hosp Pract (1995). 2021;49((supp1):437-444. doi:10.1080/21548331.2021.2004040.
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psnet.ahrq.gov/web-mm/discharge-against-medical-advice
July 01, 2017 - Hidden Harms of Hand Sanitizer
July 1, 2017
Frequency and preventability of adverse … drug events in the outpatient setting.
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psnet.ahrq.gov/issue/color-coded-prefilled-medication-syringes-decrease-time-delivery-and-dosing-error-simulated
September 16, 2015 - Study
Color-coded prefilled medication syringes decrease time to delivery and dosing error in simulated emergency department pediatric resuscitations.
Citation Text:
Moreira ME, Hernandez C, Stevens AD, et al. Color-Coded Prefilled Medication Syringes Decrease Time to Delivery and Dosing…
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psnet.ahrq.gov/issue/observing-sources-system-resilience-using-situ-alarm-simulations
August 30, 2023 - Study
Observing sources of system resilience using in situ alarm simulations.
Citation Text:
McLoone M, McNamara M, Jennings MA, et al. Observing sources of system resilience using in situ alarm simulations. J Hosp Med. 2023;18(11):994-998. doi:10.1002/jhm.13217.
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psnet.ahrq.gov/issue/increasing-naloxone-prescribing-emergency-department-through-education-and-electronic-medical
October 14, 2020 - Study
Increasing naloxone prescribing in the emergency department through education and electronic medical record work-aids.
Citation Text:
Funke M, Kaplan MC, Glover H, et al. Increasing naloxone prescribing in the emergency department through education and electronic medical record wor…
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psnet.ahrq.gov/issue/simulation-debriefing-enhanced-needs-assessment-address-quality-markers-health-care
June 22, 2022 - Study
Simulation-debriefing enhanced needs assessment to address quality markers in health care: an innovation for prospective hazard analysis.
Citation Text:
Barker LT, Bond WF, Willemsen-Dunlap AM, et al. Simulation-debriefing enhanced needs assessment to address quality markers in hea…
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psnet.ahrq.gov/issue/catastrophic-drug-errors-involving-tranexamic-acid-administered-during-spinal-anaesthesia
September 23, 2020 - Review
Emerging Classic
Catastrophic drug errors involving tranexamic acid administered during spinal anaesthesia.
Citation Text:
Patel S, Robertson B, McConachie I. Catastrophic drug errors involving tranexamic acid administered during spinal anaesthesia. Anaes…
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psnet.ahrq.gov/issue/personal-digital-assistant-based-drug-information-sources-potential-improve-medication-safety
July 14, 2010 - Study
Personal digital assistant-based drug information sources: potential to improve medication safety.
Citation Text:
Galt K, Rule AM, Houghton B, et al. Personal digital assistant-based drug information sources: potential to improve medication safety. J Med Libr Assoc. 2005;93(2):22…
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psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
August 01, 2006 - Tacit Handover, Overt Mishap
Citation Text:
Cooper JB, Kamdar BB. Tacit Handover, Overt Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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psnet.ahrq.gov/issue/use-audit-feedback-implementation-strategy-promote-medication-error-reporting-nurses
March 24, 2021 - The effect of structured medication review followed by face-to-face feedback to prescribers on adverse … drug events recognition and prevention in older inpatients - a multicenter interrupted time series study
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psnet.ahrq.gov/issue/pursuit-better-diagnostic-performance-human-factors-perspective
September 24, 2017 - April 8, 2018
Advancing medication safety: establishing a National Action Plan for Adverse … Drug Event Prevention.
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psnet.ahrq.gov/issue/patient-concerns-about-medical-errors-emergency-departments
March 21, 2017 - January 8, 2018
Adverse drug event–related emergency department visits associated with