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psnet.ahrq.gov/issue/nurses-responses-medication-errors-suggestions-development-organizational-strategies-improve
December 16, 2020 - Study
Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporting.
Citation Text:
Covell CL, Ritchie JA. Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporti…
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psnet.ahrq.gov/issue/patient-safety-healthcare-preregistration-educational-curricula-multiple-case-study-based
January 19, 2014 - Study
Patient safety in healthcare preregistration educational curricula: multiple case study-based investigations of eight medicine, nursing, pharmacy and physiotherapy university courses.
Citation Text:
Cresswell K, Howe A, Steven A, et al. Patient safety in healthcare preregistratio…
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psnet.ahrq.gov/issue/changing-work-environment-icus-achieve-patient-focused-care-time-has-come
April 05, 2023 - Commentary
Changing the work environment in ICUs to achieve patient-focused care: the time has come.
Citation Text:
McCauley K, Irwin RS. Changing the work environment in ICUs to achieve patient-focused care: the time has come. Chest. 2006;130(5):1571-8.
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psnet.ahrq.gov/issue/using-portable-digital-technology-clinical-care-and-critical-incidents-new-model
June 29, 2011 - Commentary
Using portable digital technology for clinical care and critical incidents: a new model.
Citation Text:
Bolsin S, Faunce T, Colson M. Using portable digital technology for clinical care and critical incidents: a new model. Aust Health Rev. 2005;29(3):297-305.
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psnet.ahrq.gov/issue/time-out-rethinking-surgical-safety-more-just-checklist
April 27, 2022 - Commentary
Time out! Rethinking surgical safety: more than just a checklist.
Citation Text:
Weinger MB. Time out! Rethinking surgical safety: more than just a checklist. BMJ Qual Saf. 2021;30(8):613-617. doi:10.1136/bmjqs-2020-012600.
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psnet.ahrq.gov/issue/epidural-pump-programming-error-leading-inadvertent-10-fold-dosing-error-during-epidural
May 13, 2009 - Commentary
Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine.
Citation Text:
Thyen AB, McAllister RK, Councilman LM. Epidural Pump Programming Error Leading to Inadvertent 10-Fold Dosing Error During Epidural La…
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psnet.ahrq.gov/issue/toward-theoretical-approach-medical-error-reporting-system-research-and-design
November 30, 2011 - Study
Toward a theoretical approach to medical error reporting system research and design.
Citation Text:
Karsh B-T, Escoto KH, Beasley JW, et al. Toward a theoretical approach to medical error reporting system research and design. Appl Ergon. 2006;37(3):283-95.
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psnet.ahrq.gov/issue/canadian-association-university-surgeons-annual-symposium-surgical-simulation-solution-safe
March 09, 2022 - Review
Canadian Association of University Surgeons' Annual Symposium. Surgical simulation: the solution to safe training or a promise unfulfilled?
Citation Text:
Brindley PG, Jones DB, Grantcharov T, et al. Canadian Association of University Surgeons' Annual Symposium. Surgical simulat…
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psnet.ahrq.gov/issue/patient-safety-systems-primary-health-care-diabetes-story-missed-opportunities
March 28, 2011 - Review
Patient safety systems in the primary health care of diabetes—a story of missed opportunities?
Citation Text:
Taub N, Baker R, Khunti K, et al. Patient safety systems in the primary health care of diabetes—a story of missed opportunities? Diabet Med. 2010;27(11):1322-6.
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psnet.ahrq.gov/issue/rise-medical-scribe-industry-implications-advancement-electronic-health-records
January 12, 2022 - Commentary
The rise of the medical scribe industry: implications for the advancement of electronic health records.
Citation Text:
Gellert GA, Ramirez R, Webster L. The rise of the medical scribe industry: implications for the advancement of electronic health records. JAMA. 2015;313(13):1…
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psnet.ahrq.gov/issue/clinical-review-hospital-future-building-intelligent-environments-facilitate-safe-and
March 16, 2022 - Review
Clinical review: the hospital of the future—building intelligent environments to facilitate safe and effective acute care delivery.
Citation Text:
Pickering BW, Litell JM, Herasevich V, et al. Clinical review: the hospital of the future - building intelligent environments to faci…
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psnet.ahrq.gov/issue/antibiotic-shortages-pediatrics
September 13, 2017 - Commentary
Antibiotic shortages in pediatrics.
Citation Text:
Banerjee R, Thurm CW, Fox ER, et al. Antibiotic Shortages in Pediatrics. Pediatrics. 2018;142(5). doi:10.1542/peds.2018-0858.
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psnet.ahrq.gov/issue/ten-years-after-iom-report-engaging-residents-quality-and-patient-safety-creating-house-staff
December 27, 2014 - Commentary
Ten years after the IOM report: engaging residents in quality and patient safety by creating a house staff quality council.
Citation Text:
Fleischut PM, Evans AS, Nugent WC, et al. Ten years after the IOM report: Engaging residents in quality and patient safety by creating a …
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psnet.ahrq.gov/issue/effectiveness-root-cause-analysis-what-does-literature-tell-us
February 11, 2013 - Review
The effectiveness of root cause analysis: what does the literature tell us?
Citation Text:
Percarpio KB, Watts V, Weeks WB. The effectiveness of root cause analysis: what does the literature tell us? Jt Comm J Qual Patient Saf. 2008;34(7):391-8.
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psnet.ahrq.gov/issue/texting-while-doctoring-patient-safety-hazard
October 04, 2023 - Commentary
Texting while doctoring: a patient safety hazard.
Citation Text:
Sinsky CA, Beasley JW. Texting while doctoring: a patient safety hazard. Ann Intern Med. 2013;159(11):782-3. doi:10.7326/0003-4819-159-11-201312030-00012.
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psnet.ahrq.gov/issue/enhancing-electronic-health-record-usability-pediatric-patient-care-scenario-based-approach
July 13, 2010 - Commentary
Enhancing electronic health record usability in pediatric patient care: a scenario-based approach.
Citation Text:
Patterson ES, Zhang J, Abbott P, et al. Enhancing electronic health record usability in pediatric patient care: a scenario-based approach. Jt Comm J Qual Patient…
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psnet.ahrq.gov/issue/engineering-safe-landing-engaging-medical-practitioners-systems-approach-patient-safety
July 23, 2008 - Study
Engineering a safe landing: engaging medical practitioners in a systems approach to patient safety.
Citation Text:
Brand C, Ibrahim JE, Bain C, et al. Engineering a safe landing: engaging medical practitioners in a systems approach to patient safety. Intern Med J. 2007;37(5):295-…
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psnet.ahrq.gov/issue/measuring-safety-culture-ambulatory-setting-safety-attitudes-questionnaire-ambulatory-version
June 16, 2011 - Study
Classic
Measuring safety culture in the ambulatory setting: The Safety Attitudes Questionnaire—Ambulatory Version.
Citation Text:
Modak I, Sexton B, Lux TR, et al. Measuring safety culture in the ambulatory setting: the safety attitudes questionnaire--am…
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psnet.ahrq.gov/issue/characterising-near-miss-events-complex-laparoscopic-surgery-through-video-analysis
October 09, 2013 - Study
Characterising 'near miss' events in complex laparoscopic surgery through video analysis.
Citation Text:
Bonrath EM, Gordon LE, Grantcharov T. Characterising 'near miss' events in complex laparoscopic surgery through video analysis. BMJ Qual Saf. 2015;24(8):516-21. doi:10.1136/bmjq…
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psnet.ahrq.gov/issue/internal-quality-improvement-collaborative-significantly-reduces-hospital-wide-medication
March 20, 2014 - Study
An internal quality improvement collaborative significantly reduces hospital-wide medication error related adverse drug events.
Citation Text:
McClead RE, Catt C, Davis T, et al. An internal quality improvement collaborative significantly reduces hospital-wide medication error rela…