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psnet.ahrq.gov/issue/human-factors-and-quality-improvement-emergency-department-reducing-potential-errors-blood
October 14, 2011 - Study
Human factors and quality improvement in the emergency department: reducing potential errors in blood collection.
Citation Text:
Bashkin O, Caspi S, Swissa A, et al. Human Factors and Quality Improvement in the Emergency Department: Reducing Potential Errors in Blood Collection. J …
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psnet.ahrq.gov/issue/development-medication-safety-and-quality-survey-small-rural-hospitals
July 15, 2010 - Study
Development of a medication safety and quality survey for small rural hospitals.
Citation Text:
Winterstein AG, Johns TE, Campbell KN, et al. Development of a Medication Safety and Quality Survey for Small Rural Hospitals. J Patient Saf. 2017;13(4):249-254. doi:10.1097/PTS.00000000…
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psnet.ahrq.gov/issue/ins-and-outs-change-shift-handoffs-between-nurses-communication-challenge
October 19, 2022 - Study
The ins and outs of change of shift handoffs between nurses: a communication challenge.
Citation Text:
Carroll JS, Williams M, Gallivan TM. The ins and outs of change of shift handoffs between nurses: a communication challenge. BMJ Qual Saf. 2012;21(7):586-93. doi:10.1136/bmjqs-2…
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psnet.ahrq.gov/issue/improving-alarm-performance-medical-intensive-care-unit-using-delays-and-clinical-context
December 31, 2014 - Study
Improving alarm performance in the medical intensive care unit using delays and clinical context.
Citation Text:
Görges M, Markewitz BA, Westenskow DR. Improving alarm performance in the medical intensive care unit using delays and clinical context. Anesth Analg. 2009;108(5):1546…
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psnet.ahrq.gov/issue/lessons-learned-medical-malpractice-claims-involving-critical-care-nurses
July 15, 2020 - Study
Lessons learned from medical malpractice claims involving critical care nurses.
Citation Text:
Myers LC, Heard L, Mort E. Lessons learned from medical malpractice claims involving critical care nurses. Am J Crit Care. 2020;29(3):174-181. doi:10.4037/ajcc2020341.
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psnet.ahrq.gov/issue/spike-people-dying-home-suggests-coronavirus-deaths-houston-may-be-higher-reported
January 30, 2019 - Newspaper/Magazine Article
A spike in people dying at home suggests coronavirus deaths in Houston may be higher than reported.
Citation Text:
Ornstein C, Hixenbaugh M. A spike in people dying at home suggests coronavirus deaths in Houston may be higher than reported. ProPublica and NBC N…
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psnet.ahrq.gov/issue/tenfold-therapeutic-dosing-errors-young-children-reported-us-poison-control-centers
July 10, 2024 - Study
Tenfold therapeutic dosing errors in young children reported to US poison control centers.
Citation Text:
Crouch BI, Caravati M, Moltz E. Tenfold therapeutic dosing errors in young children reported to U.S. poison control centers. Am J Health Syst Pharm. 2009;66(14):1292-6. doi:10…
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psnet.ahrq.gov/issue/study-frequency-and-rationale-overriding-allergy-warnings-computerized-prescriber-order-entry
February 15, 2011 - Study
A study of the frequency and rationale for overriding allergy warnings in a computerized prescriber order entry system.
Citation Text:
Swiderski SM, Pedersen CA, Schneider PJ, et al. A Study of the Frequency and Rationale for Overriding Allergy Warnings in a Computerized Prescrib…
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psnet.ahrq.gov/issue/awareness-recall-during-general-anaesthesia-prospective-observational-evaluation-4001
March 09, 2022 - Study
Awareness with recall during general anaesthesia: a prospective observational evaluation of 4001 patients.
Citation Text:
Errando CL, Sigl JC, Robles M, et al. Awareness with recall during general anaesthesia: a prospective observational evaluation of 4001 patients. Br J Anaesth.…
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psnet.ahrq.gov/issue/multidose-drug-dispensing-and-discrepancies-between-medication-records
November 06, 2013 - Study
Multidose drug dispensing and discrepancies between medication records.
Citation Text:
Wekre LJ, Spigset O, Sletvold O, et al. Multidose drug dispensing and discrepancies between medication records. Qual Saf Health Care. 2010;19(5):e42. doi:10.1136/qshc.2009.038745.
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psnet.ahrq.gov/issue/medication-errors-neonatal-intensive-care-unit-influence-observation-error-rate
May 13, 2009 - Study
Medication errors in a neonatal intensive care unit. Influence of observation on the error rate.
Citation Text:
Campino A, Lopez-Herrera MC, Lopez-de-Heredia I, et al. Medication errors in a neonatal intensive care unit. Influence of observation on the error rate. Acta Paediatr. …
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psnet.ahrq.gov/issue/quality-improvement-implementation-and-hospital-performance-patient-safety-indicators
January 12, 2022 - Study
Classic
Quality improvement implementation and hospital performance on patient safety indicators.
Citation Text:
Weiner BJ, Alexander JA, Baker LC, et al. Quality improvement implementation and hospital performance on patient safety indicators. Med Care …
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psnet.ahrq.gov/issue/whom-bell-commission-tolls-unintended-effects-limiting-residents-hours
April 20, 2011 - Commentary
For whom the Bell Commission tolls: unintended effects of limiting residents' hours.
Citation Text:
Millard WB. For whom the bell commission tolls: unintended effects of limiting residents' hours. Ann Emerg Med. 2009;54(4):A25-9.
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psnet.ahrq.gov/issue/bringing-perioperative-emergency-manuals-your-institution-how-concept-implementation-10-steps
November 15, 2018 - Commentary
Bringing perioperative emergency manuals to your institution: a "How To" from concept to implementation in 10 steps.
Citation Text:
Agarwala A, McRichards K, Rao V, et al. Bringing Perioperative Emergency Manuals to Your Institution: A "How To" from Concept to Implementation i…
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psnet.ahrq.gov/issue/long-term-effects-e-learning-course-patient-safety-controlled-longitudinal-study-medical
March 16, 2016 - Study
Long-term effects of an e-learning course on patient safety: a controlled longitudinal study with medical students.
Citation Text:
Gaupp R, Dinius J, Drazic I, et al. Long-term effects of an e-learning course on patient safety: A controlled longitudinal study with medical students.…
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psnet.ahrq.gov/issue/analysis-human-performance-deficiencies-associated-surgical-adverse-events
April 15, 2016 - Study
Emerging Classic
Analysis of human performance deficiencies associated with surgical adverse events.
Citation Text:
Suliburk JW, Buck QM, Pirko CJ, et al. Analysis of Human Performance Deficiencies Associated With Surgical Adverse Events. JAMA Netw Open. 2…
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psnet.ahrq.gov/issue/communicating-critical-test-results-safe-practice-recommendations
June 13, 2011 - Study
Communicating critical test results: safe practice recommendations.
Citation Text:
Hanna D, Griswold P, Leape L, et al. Communicating critical test results: safe practice recommendations. Jt Comm J Qual Patient Saf. 2005;31(2):68-80.
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psnet.ahrq.gov/issue/medication-error-prevention-pharmacists
August 04, 2021 - Study
Classic
Medication error prevention by pharmacists.
Citation Text:
Blum K, Abel SR, Urbanski CJ, et al. Medication error prevention by pharmacists. Am J Hosp Pharm. 1988;45(9):1902-3.
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psnet.ahrq.gov/issue/barriers-and-facilitators-injection-safety-ambulatory-care-settings
November 18, 2016 - Review
Barriers and facilitators to injection safety in ambulatory care settings.
Citation Text:
Leback C, Johnson DH, Anderson L, et al. Barriers and Facilitators to Injection Safety in Ambulatory Care Settings. Infect Control Hosp Epidemiol. 2018;39(7):841-848. doi:10.1017/ice.2018.82.…
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-reducing-risk-harm
November 15, 2011 - Review
Patient safety and quality improvement: reducing risk of harm.
Citation Text:
Leonard M. Patient Safety and Quality Improvement: Reducing Risk of Harm. Pediatr Rev. 2015;36(10):448-56; quiz 457-8. doi:10.1542/pir.36-10-448.
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