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psnet.ahrq.gov/issue/preventing-home-medication-errors
September 15, 2021 - Audiovisual Presentation
Preventing home medication errors.
Citation Text:
Preventing home medication errors. Shaikh U, van der List L, Blumberg D. Kids Considered. March 27, 2023.
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psnet.ahrq.gov/issue/healthgrades-quality-study-third-annual-patient-safety-american-hospitals-study
September 12, 2012 - Book/Report
HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study.
Citation Text:
HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study. Denver, CO: HealthGrades; 2006.
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psnet.ahrq.gov/issue/national-database-nursing-quality-indicatorstm-ndnqir
May 25, 2022 - Commentary
The National Database of Nursing Quality Indicators(TM) (NDNQI®).
Citation Text:
The National Database of Nursing Quality Indicators(TM) (NDNQI®). Montalvo I. Online J Iss Nurs. 2007;12(3):Manuscript 2.
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psnet.ahrq.gov/issue/talking-patients-and-families-about-medical-error-guide-education-and-practice
July 24, 2019 - Book/Report
Talking with Patients and Families about Medical Error: A Guide for Education and Practice.
Citation Text:
Talking with Patients and Families about Medical Error: A Guide for Education and Practice. Truog RD, Browning DM, Johnson JA, Gallagher TH. Baltimore, MD: Johns Hopkins…
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psnet.ahrq.gov/issue/no-simple-fix-fixation-errors-cognitive-processes-and-their-clinical-applications
February 10, 2012 - Study
No simple fix for fixation errors: cognitive processes and their clinical applications.
Citation Text:
Fioratou E, Flin R, Glavin R. No simple fix for fixation errors: cognitive processes and their clinical applications. Anaesthesia. 2009;65(1). doi:10.1111/j.1365-2044.2009.05994…
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psnet.ahrq.gov/issue/infants-risk-when-nurse-fatigue-jeopardizes-quality-care
September 13, 2006 - Study
Infants at risk: when nurse fatigue jeopardizes quality care.
Citation Text:
Infants at risk: when nurse fatigue jeopardizes quality care. Dean GE; Scott LD; Rogers AE.
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psnet.ahrq.gov/issue/still-hard-share-psos-making-progress-still-face-tech-hurdles
February 08, 2010 - Newspaper/Magazine Article
Still hard to share. PSOs making progress but still face tech hurdles.
Citation Text:
DerGurahian J. Still hard to share. PSOs making progress but still face tech hurdles. Modern healthcare. 2009;39(41):30, 32.
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psnet.ahrq.gov/issue/workforce-and-patient-safety
February 21, 2024 - Book/Report
Workforce and Patient Safety.
Citation Text:
Workforce and Patient Safety. Dorset, UK: Health Services Safety Investigations Body; 2024.
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psnet.ahrq.gov/issue/strategies-used-nurses-recover-medical-errors-academic-emergency-department-setting
September 26, 2016 - Study
Strategies used by nurses to recover medical errors in an academic emergency department setting.
Citation Text:
Henneman EA, Blank FSJ, Gawlinski A, et al. Strategies used by nurses to recover medical errors in an academic emergency department setting. Appl Nurs Res. 2006;19(2):70-…
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psnet.ahrq.gov/issue/patient-safety-clinical-laboratory-longitudinal-analysis-specimen-identification-errors
March 19, 2019 - Study
Patient safety in the clinical laboratory: a longitudinal analysis of specimen identification errors.
Citation Text:
Wagar EA, Tamashiro L, Yasin B, et al. Patient safety in the clinical laboratory: a longitudinal analysis of specimen identification errors. Arch Pathol Lab Med. 2…
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psnet.ahrq.gov/issue/nurses-experience-barriers-safe-practice-neonatal-intensive-care-unit-thailand
August 16, 2023 - Study
The nurses' experience of barriers to safe practice in the neonatal intensive care unit in Thailand.
Citation Text:
Jirapaet V, Jirapaet K, Sopajaree C. The nurses' experience of barriers to safe practice in the neonatal intensive care unit in Thailand. J Obstet Gynecol Neonatal …
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psnet.ahrq.gov/issue/health-care-workers-midst-crisis
February 15, 2023 - Sentinel Event Alerts
Health care workers in the midst of crisis.
Citation Text:
Health care workers in the midst of crisis. Sentinel Event Alert. Feb 2, 2021;(62):1-7.
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psnet.ahrq.gov/issue/long-road-ensuring-patient-safety-nhs-hospitals
November 04, 2015 - Commentary
The long road to ensuring patient safety in NHS hospitals.
Citation Text:
Dyer C. The long road to ensuring patient safety in NHS hospitals. BMJ. 2013;346:f3029. doi:10.1136/bmj.f3029.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote…
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psnet.ahrq.gov/issue/ferraris-formula-one-handovers-and-handovers-surgery-intensive-care
December 23, 2020 - Newspaper/Magazine Article
Ferrari's Formula One handovers and handovers from surgery to intensive care.
Citation Text:
Ferrari's Formula One handovers and handovers from surgery to intensive care. Sower VE; Duffy JA; Kohers G; ASQ; American Society for Quality.
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psnet.ahrq.gov/issue/handoff-communication-tools
May 25, 2022 - Government Resource
Handoff Communication Tools.
Citation Text:
Handoff Communication Tools. Landrigan CP, Lyons A, Gannon P, et al. FIRST Do No Harm. December 2012;1-8.
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psnet.ahrq.gov/issue/teamwork-and-team-training-icu-where-do-similarities-aviation-end
March 28, 2012 - Commentary
Teamwork and team training in the ICU: where do the similarities with aviation end?
Citation Text:
Reader TW, Cuthbertson BH. Teamwork and team training in the ICU: Where do the similarities with aviation end? Crit Care. 2011;15(6). doi:10.1186/cc10353.
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psnet.ahrq.gov/issue/2009-national-patient-safety-goals
August 03, 2016 - Commentary
2009 National Patient Safety Goals.
Citation Text:
Saufl NM. 2009 National Patient Safety Goals. J Perianesth Nurs. 2009;24(2):114-8. doi:10.1016/j.jopan.2009.01.008.
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psnet.ahrq.gov/issue/skin-deep-diagnosis-affective-bias-and-zebra-retreat-complicating-diagnosis-systemic
July 29, 2020 - Commentary
Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis.
Citation Text:
Miller CS. Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis. Am J Med Sci. 2013;345(1):53-6. doi:10.1…
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psnet.ahrq.gov/perspective/accreditation-and-regulation-can-they-help-improve-patient-safety
April 01, 2009 - Accreditation and Regulation: Can They Help Improve Patient Safety?
Rebecca N. Warburton, PhD | April 1, 2009
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Warburton RN. Accreditation and Regulation: Can They Help Improve Pat…
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psnet.ahrq.gov/sites/default/files/2024-09/final_spotlight_case_open_wound_of_the_elbow_slides_09.19.2024.pptx
January 01, 2024 - It is therefore imperative to maintain a high index of suspicion for foreign material when assessing