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psnet.ahrq.gov/issue/potentially-dangerous-confusion-between-bloxiverz-neostigmine-injection-and-vazculep
July 08, 2015 - Press Release/Announcement
Potentially dangerous confusion between Bloxiverz (neostigmine) injection and Vazculep (phenylephrine) injection.
Citation Text:
Potentially dangerous confusion between Bloxiverz (neostigmine) injection and Vazculep (phenylephrine) injection. National Alert Net…
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psnet.ahrq.gov/issue/speaking-across-drapes-communication-strategies-anesthesiologists-and-obstetricians-during
May 08, 2017 - Study
Speaking across the drapes: communication strategies of anesthesiologists and obstetricians during a simulated maternal crisis.
Citation Text:
Minehart RD, Pian-Smith MCM, Walzer TB, et al. Speaking across the drapes: communication strategies of anesthesiologists and obstetrician…
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psnet.ahrq.gov/issue/using-simulation-improve-patient-safety-dawn-new-era
October 29, 2017 - Commentary
Using simulation to improve patient safety: dawn of a new era.
Citation Text:
Cheng A, Grant V, Auerbach M. Using simulation to improve patient safety: dawn of a new era. JAMA Pediatr. 2015;169(5):419-20. doi:10.1001/jamapediatrics.2014.3817.
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psnet.ahrq.gov/issue/effective-surgical-safety-checklist-implementation
July 30, 2014 - Study
Effective surgical safety checklist implementation.
Citation Text:
Conley DM, Singer SJ, Edmondson L, et al. Effective surgical safety checklist implementation. J Am Coll Surg. 2011;212(5):873-9. doi:10.1016/j.jamcollsurg.2011.01.052.
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psnet.ahrq.gov/issue/system-analysis-suboptimal-surgical-experience
March 23, 2011 - Study
A system analysis of a suboptimal surgical experience.
Citation Text:
Lee R, Cooke DL, Richards MR. A system analysis of a suboptimal surgical experience. Patient Saf Surg. 2009;3(1):1. doi:10.1186/1754-9493-3-1.
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psnet.ahrq.gov/issue/challenges-health-care-simulation-are-we-learning-anything-new
February 27, 2019 - Commentary
Challenges in health care simulation: are we learning anything new?
Citation Text:
Henriksen K, Rodrick D, Grace EN, et al. Challenges in Health Care Simulation: Are We Learning Anything New? Acad Med. 2018;93(5):705-708. doi:10.1097/ACM.0000000000001891.
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psnet.ahrq.gov/issue/advancing-patient-safety-through-clinical-application-framework-focused-communication
December 02, 2020 - Review
Advancing patient safety through the clinical application of a framework focused on communication.
Citation Text:
Manojlovich M, Hofer TP, Krein SL. Advancing Patient Safety Through the Clinical Application of a Framework Focused on Communication. J Patient Saf. 2021;17(8):e732-e7…
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psnet.ahrq.gov/issue/introducing-patient-safety-professional-why-what-who-how-and-where
July 03, 2014 - Commentary
Introducing the patient safety professional: why, what, who, how, and where?
Citation Text:
Saint S, Krein SL, Manojlovich M, et al. Introducing the patient safety professional: why, what, who, how, and where? J Patient Saf. 2011;7(4):175-80. doi:10.1097/PTS.0b013e318230e58…
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psnet.ahrq.gov/issue/barriers-reporting-medication-errors-measurement-equivalence-perspective
March 28, 2012 - Study
Barriers to reporting medication errors: a measurement equivalence perspective.
Citation Text:
Etchegaray J, Throckmorton T. Barriers to reporting medication errors: a measurement equivalence perspective. Qual Saf Health Care. 2010;19(6):e14. doi:10.1136/qshc.2008.031534.
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psnet.ahrq.gov/issue/perceptions-patient-safety-culture-among-physicians-and-rns-perioperative-area
November 03, 2010 - Study
Perceptions of patient safety culture among physicians and RNs in the perioperative area.
Citation Text:
Scherer D, Fitzpatrick JJ. Perceptions of patient safety culture among physicians and RNs in the perioperative area. AORN J. 2008;87(1):163-175. doi:10.1016/j.aorn.2007.07.003. …
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psnet.ahrq.gov/issue/overextended-fighting-fatigue-long-shifts
January 29, 2018 - Commentary
Overextended: fighting the fatigue of long shifts.
Citation Text:
Douglass JA. Overextended: Fighting the fatigue of long shifts. Nursing (Brux). 2014;44(3):67-8. doi:10.1097/01.NURSE.0000441895.42899.0c.
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psnet.ahrq.gov/issue/practical-approach-measure-quality-handwritten-medication-orders-tool-improvement
September 24, 2010 - Study
A practical approach to measure the quality of handwritten medication orders: a tool for improvement.
Citation Text:
Garbutt J, Milligan P, McNaughton C, et al. A Practical Approach to Measure the Quality of Handwritten Medication Orders. J Patient Saf. 2008;1(4). doi:10.1097/01.…
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psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-overview-state-reporting-programs-and-individual
June 07, 2008 - Book/Report
Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs and Individual Hospital Initiatives to Reduce Certain Infections.
Citation Text:
Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs and Individual Ho…
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psnet.ahrq.gov/issue/national-reporting-and-learning-system-research-and-development
April 06, 2016 - Book/Report
National Reporting and Learning System Research and Development.
Citation Text:
National Reporting and Learning System Research and Development. Mayer E, Flott K, Callahan R, Darzi A. London, UK: NIHR Imperial Patient Safety Translational Research Centre; 2016.
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psnet.ahrq.gov/issue/excessive-resource-utilization-adverse-event
February 02, 2022 - Commentary
Is excessive resource utilization an adverse event?
Citation Text:
Zapata JA, Lai AR, Moriates C. Is Excessive Resource Utilization an Adverse Event? JAMA. 2017;317(8):849-850. doi:10.1001/jama.2017.0698.
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psnet.ahrq.gov/issue/improving-patient-safety-through-simulation-training-anesthesiology-where-are-we
October 13, 2018 - Review
Improving patient safety through simulation training in anesthesiology: where are we?
Citation Text:
Green M, Tariq R, Green P. Improving Patient Safety through Simulation Training in Anesthesiology: Where Are We? Anesthesiol Res Pract. 2016;2016:4237523. doi:10.1155/2016/4237523.…
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psnet.ahrq.gov/issue/ensuring-healthcare-safety-throughout-covid-19-pandemic
January 13, 2021 - Webinar
Ensuring Healthcare Safety Throughout the COVID-19 Pandemic.
Citation Text:
Ensuring Healthcare Safety Throughout the COVID-19 Pandemic. US Health and Human Services Office of the Assistant Secretary for Preparedness and Response’s Technical Resources, Assistance Center, & In…
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psnet.ahrq.gov/issue/physicians-diagnostic-accuracy-confidence-and-resource-requests-vignette-study
May 29, 2015 - Study
Physicians' diagnostic accuracy, confidence, and resource requests: a vignette study.
Citation Text:
Meyer AND, Payne VL, Meeks DW, et al. Physicians' diagnostic accuracy, confidence, and resource requests: a vignette study. JAMA Intern Med. 2013;173(21):1952-1958. doi:10.1001/jama…
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psnet.ahrq.gov/issue/implementing-high-quality-primary-care-rebuilding-foundation-health-care
September 07, 2021 - Book/Report
Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care.
Citation Text:
Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care. National Academies of Sciences, Engineering, and Medicine 2021. Washington, DC: The National Acad…
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psnet.ahrq.gov/issue/2019-update-pediatric-medical-overuse-systematic-review
May 11, 2019 - Review
2019 update on pediatric medical overuse: a systematic review.
Citation Text:
Money NM, Schroeder AR, Quinonez RA, et al. 2019 Update on Pediatric Medical Overuse. JAMA Pediatr. 2020;174(4):375-382. doi:10.1001/jamapediatrics.2019.5849.
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