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psnet.ahrq.gov/issue/errors-and-omissions-hospital-prescriptions-survey-prescription-writing-hospital
April 13, 2022 - Study
Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital.
Citation Text:
Calligaris L, Panzera A, Arnoldo L, et al. Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital. BMC Clin Pharmacol. 2009;9:9. d…
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psnet.ahrq.gov/issue/young-surgeons-speaking-when-and-how-surgical-trainees-voice-concerns-about-supervisors
April 13, 2017 - Study
Young surgeons on speaking up: when and how surgical trainees voice concerns about supervisors' clinical decisions.
Citation Text:
Sur MD, Schindler N, Singh P, et al. Young surgeons on speaking up: when and how surgical trainees voice concerns about supervisors' clinical decisions…
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psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-injury-community-settings
April 25, 2016 - Study
Using root cause analysis to reduce falls with injury in community settings.
Citation Text:
Lee A, Mills PD, Neily J. Using root cause analysis to reduce falls with injury in community settings. Jt Comm J Qual Patient Saf. 2012;38(8):366-374.
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psnet.ahrq.gov/issue/creating-spaces-intensive-care-safe-communication-video-reflexive-ethnographic-study
December 18, 2013 - Study
Creating spaces in intensive care for safe communication: a video-reflexive ethnographic study.
Citation Text:
Hor S-Y, Iedema R, Manias E. Creating spaces in intensive care for safe communication: a video-reflexive ethnographic study. BMJ Qual Saf. 2014;23(12):1007-13. doi:10.1136…
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psnet.ahrq.gov/issue/failure-rescue-patient-safety-indicator-neurosurgical-patients-are-we-there-yet
August 04, 2021 - Review
Failure to rescue as a patient safety indicator for neurosurgical patients: are we there yet?
Citation Text:
Roy JM, Rumalla K, Skandalakis GP, et al. Failure to rescue as a patient safety indicator for neurosurgical patients: are we there yet? A systematic review. Neurosurg Rev. …
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psnet.ahrq.gov/issue/pursuing-patient-safety-intersection-design-systems-engineering-and-health-care-delivery
June 25, 2018 - Commentary
Pursuing patient safety at the intersection of design, systems engineering, and health care delivery research: an ongoing assessment.
Citation Text:
Henriksen K, Rodrick D, Grace EN, et al. Pursuing Patient Safety at the Intersection of Design, Systems Engineering, and Health …
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psnet.ahrq.gov/issue/little-help-my-friends-positive-contribution-teamwork-safety-behaviour-public-hospitals
July 22, 2020 - Study
With a little help from my friends: the positive contribution of teamwork to safety behaviour in public hospitals.
Citation Text:
Trinchero E, Kominis G, Dudau A, et al. With a little help from my friends: the positive contribution of teamwork to safety behaviour in public hospital…
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psnet.ahrq.gov/issue/implementing-patient-safety-and-quality-program-across-two-merged-pediatric-institutions
June 03, 2013 - Study
Implementing a patient safety and quality program across two merged pediatric institutions.
Citation Text:
Abramson EL, Hyman D, Osorio N, et al. Implementing a patient safety and quality program across two merged pediatric institutions. Jt Comm J Qual Patient Saf. 2009;35(1):43-…
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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/evaluation-safety-radiation-oncology-setting-using-failure-mode-and-effects-analysis
January 22, 2017 - Study
Evaluation of safety in a radiation oncology setting using failure mode and effects analysis.
Citation Text:
Ford E, Gaudette R, Myers L, et al. Evaluation of safety in a radiation oncology setting using failure mode and effects analysis. Int J Radiat Oncol Biol Phys. 2009;74(3):8…
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psnet.ahrq.gov/issue/safe-injection-infusion-and-medication-vial-practices-health-care-2016
October 19, 2022 - Organizational Policy/Guidelines
Safe injection, infusion, and medication vial practices in health care (2016).
Citation Text:
Dolan SA, Arias KM, Felizardo G, et al. APIC position paper: Safe injection, infusion, and medication vial practices in health care. American journal of infectio…
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psnet.ahrq.gov/issue/representative-case-series-public-hospital-admissions-1998-ii-surgical-adverse-events
June 07, 2023 - Study
Representative case series from public hospital admissions 1998 II: surgical adverse events.
Citation Text:
Briant R, Morton J, Lay-Yee R, et al. Representative case series from public hospital admissions 1998 II: surgical adverse events. N Z Med J. 2005;118(1219):U1591.
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psnet.ahrq.gov/issue/interruptions-during-delivery-high-risk-medications
September 26, 2016 - Study
Interruptions during the delivery of high-risk medications.
Citation Text:
Trbovich PL, Prakash V, Stewart J, et al. Interruptions during the delivery of high-risk medications. J Nurs Adm. 2010;40(5):211-8. doi:10.1097/NNA.0b013e3181da4047.
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psnet.ahrq.gov/issue/surgical-intraoperative-handoff-initiative-standardizing-operating-room-communication-using
October 04, 2023 - Study
Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS.
Citation Text:
Stephens WA, Anderson MJ, Levy BE, et al. Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS. J Am Coll Surg. 2024;…
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psnet.ahrq.gov/issue/medication-errors-injured-patients
April 03, 2019 - Study
Medication errors in injured patients.
Citation Text:
Dolejs SC, Janowak CF, Zarzaur BL. Medication Errors in Injured Patients. Am Surg. 2017;83(7):780-785.
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psnet.ahrq.gov/issue/limits-psychological-safety-nonlinear-relationships-performance
April 24, 2018 - Study
The limits of psychological safety: nonlinear relationships with performance.
Citation Text:
Eldor L, Hodor M, Cappelli P. The limits of psychological safety: nonlinear relationships with performance. Org Behav Human Decision Proc. 2023;177:104255. doi:10.1016/j.obhdp.2023.104255. …
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psnet.ahrq.gov/issue/potentially-avoidable-hospitalizations-among-historically-marginalized-nursing-home-residents
September 09, 2011 - Study
Potentially avoidable hospitalizations among historically marginalized nursing home residents.
Citation Text:
Estrada LV, Barcelona V, Dhingra L, et al. Potentially avoidable hospitalizations among historically marginalized nursing home residents. JAMA Netw Open. 2024;7(5):e249312.…
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psnet.ahrq.gov/issue/participation-ehr-based-simulation-improves-recognition-patient-safety-issues
April 24, 2013 - Study
Participation in EHR based simulation improves recognition of patient safety issues.
Citation Text:
Stephenson LS, Gorsuch A, Hersh WR, et al. Participation in EHR based simulation improves recognition of patient safety issues. BMC Med Educ. 2014;14:224. doi:10.1186/1472-6920-14-22…
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psnet.ahrq.gov/issue/anaesthetic-drug-administration-potential-contributor-healthcare-associated-infections
January 07, 2015 - Study
Anaesthetic drug administration as a potential contributor to healthcare-associated infections: a prospective simulation-based evaluation of aseptic techniques in the administration of anaesthetic drugs.
Citation Text:
Gargiulo DA, Sheridan J, Webster CS, et al. Anaesthetic drug …
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psnet.ahrq.gov/issue/oral-outpatient-chemotherapy-medication-errors-children-acute-lymphoblastic-leukemia
August 12, 2020 - Study
Oral outpatient chemotherapy medication errors in children with acute lymphoblastic leukemia.
Citation Text:
Taylor JA, Winter L, Geyer LJ, et al. Oral outpatient chemotherapy medication errors in children with acute lymphoblastic leukemia. Cancer. 2006;107(6):1400-6.
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