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psnet.ahrq.gov/issue/promoting-patient-safety-results-teamstepps-initiative
October 17, 2012 - Commentary
Promoting patient safety: results of a TeamSTEPPS initiative.
Citation Text:
Gaston T, Short N, Ralyea C, et al. Promoting patient safety: results of a TeamSTEPPS initiative. J Nurs Adm. 2016;46(4):201-207. doi:10.1097/nna.0000000000000333.
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psnet.ahrq.gov/issue/missed-nursing-care-pediatrics
January 16, 2019 - Study
Missed nursing care in pediatrics.
Citation Text:
Lake ET, de Cordova PB, Barton S, et al. Missed Nursing Care in Pediatrics. Hosp Pediatr. 2017;7(7):378-384. doi:10.1542/hpeds.2016-0141.
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psnet.ahrq.gov/issue/nurses-medication-day
September 24, 2016 - Study
The nurse's medication day.
Citation Text:
Jennings BM, Sandelowski M, Mark BA. The nurse's medication day. Qual Health Res. 2011;21(10):1441-51. doi:10.1177/1049732311411927.
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psnet.ahrq.gov/issue/labeling-morphine-milligram-equivalents-opioid-packaging-potential-patient-safety
March 06, 2019 - Review
Labeling morphine milligram equivalents on opioid packaging: a potential patient safety intervention.
Citation Text:
Stone AB, Urman RD, Kaye AD, et al. Labeling Morphine Milligram Equivalents on Opioid Packaging: a Potential Patient Safety Intervention. Curr Pain Headache Rep. 20…
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psnet.ahrq.gov/issue/framework-direct-observation-performance-and-safety-healthcare
November 15, 2023 - Commentary
Framework for direct observation of performance and safety in healthcare.
Citation Text:
Catchpole K, Neyens DM, Abernathy J, et al. Framework for direct observation of performance and safety in healthcare. BMJ Qual Saf. 2017;26(12):1015-1021. doi:10.1136/bmjqs-2016-006407.
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psnet.ahrq.gov/issue/blinding-or-information-control-diagnosis-could-it-reduce-errors-clinical-decision-making
October 13, 2018 - Review
Blinding or information control in diagnosis: could it reduce errors in clinical decision-making?
Citation Text:
Lockhart JJ, Satya-Murti S. Blinding or information control in diagnosis: could it reduce errors in clinical decision-making? Diagnosis (Berl). 2018;5(4):179-189. doi:1…
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psnet.ahrq.gov/issue/cardiac-surgical-icu-care-eliminating-preventable-complications
August 04, 2021 - Review
Cardiac surgical ICU care: eliminating "preventable" complications.
Citation Text:
Shake JG, Pronovost P, Whitman GJR. Cardiac surgical ICU care: eliminating "preventable" complications. J Card Surg. 2013;28(4):406-13. doi:10.1111/jocs.12124.
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psnet.ahrq.gov/issue/trigger-tool-fails-identify-serious-errors-and-adverse-events-pediatric-otolaryngology
May 06, 2009 - Study
A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology.
Citation Text:
Lander L, Roberson DW, Plummer KM, et al. A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology. Otolaryngol Head Neck Surg. 201…
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psnet.ahrq.gov/issue/quality-patient-safety-and-cardiac-surgical-team
October 07, 2013 - Review
Quality, patient safety, and the cardiac surgical team.
Citation Text:
Martinez EA. Quality, Patient Safety, and the Cardiac Surgical Team. Anesthesiol Clin. 2013;31(2):249-268. doi:10.1016/j.anclin.2013.01.004.
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psnet.ahrq.gov/issue/preventing-sentinel-events-caused-family-members
June 14, 2023 - Commentary
Preventing sentinel events caused by family members.
Citation Text:
Wall Y, Kautz DD. Preventing sentinel events caused by family members. Dimens Crit Care Nurs. 2011;30(1):25-7. doi:10.1097/DCC.0b013e3181fd02a0.
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psnet.ahrq.gov/issue/language-barriers-and-understanding-hospital-discharge-instructions
July 07, 2010 - Study
Language barriers and understanding of hospital discharge instructions.
Citation Text:
Karliner LS, Auerbach AD, Nápoles A, et al. Language barriers and understanding of hospital discharge instructions. Med Care. 2012;50(4):283-9. doi:10.1097/MLR.0b013e318249c949.
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psnet.ahrq.gov/issue/anaesthetists-management-oxygen-pipeline-failure-room-improvement
January 28, 2009 - Study
Anaesthetists' management of oxygen pipeline failure: room for improvement.
Citation Text:
Weller JM, Merry AF, Warman GR, et al. Anaesthetists' management of oxygen pipeline failure: room for improvement. Anaesthesia. 2007;62(2):122-6.
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psnet.ahrq.gov/issue/diagnostic-time-outs-improve-diagnosis
September 14, 2022 - Study
Diagnostic time-outs to improve diagnosis.
Citation Text:
Yale S, Cohen S, Bordini BJ. Diagnostic time-outs to improve diagnosis. Crit Care Clin. 2022;38(2):185-194. doi:10.1016/j.ccc.2021.11.008.
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psnet.ahrq.gov/issue/plan-achieving-significant-improvement-patient-safety
September 23, 2020 - Commentary
A plan for achieving significant improvement in patient safety.
Citation Text:
Johnson K, Maultsby CC. A plan for achieving significant improvement in patient safety. J Nurs Care Qual. 2007;22(2):164-71.
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psnet.ahrq.gov/issue/creating-safer-operating-room-groups-team-dynamics-and-crew-resource-management-principles
June 11, 2008 - Review
Emerging Classic
Creating a safer operating room: groups, team dynamics and crew resource management principles.
Citation Text:
Wakeman D, Langham MR. Creating a safer operating room: Groups, team dynamics and crew resource management principles. Semin Pe…
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psnet.ahrq.gov/issue/safety-nebulized-medications-requires-interdisciplinary-team-approach
December 27, 2018 - Newspaper/Magazine Article
Safety with nebulized medications requires an interdisciplinary team approach.
Citation Text:
Safety with nebulized medications requires an interdisciplinary team approach. ISMP Medication Safety Alert! Acute care edition. February 22, 2018;23(4):1-5.
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psnet.ahrq.gov/issue/description-inpatient-medication-management-using-cognitive-work-analysis
October 19, 2022 - Study
Description of inpatient medication management using cognitive work analysis.
Citation Text:
Pingenot AA, Shanteau J, Sengstacke LTCDN. Description of inpatient medication management using cognitive work analysis. Comput Inform Nurs. 2009;27(6):379-92. doi:10.1097/NCN.0b013e3181b…
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psnet.ahrq.gov/issue/north-mississippi-medical-center-focus-quality-safety-and-financial-critical-success-factors
November 21, 2021 - Award Recipient
North Mississippi Medical Center: a focus on quality, safety, and financial critical success factors.
Citation Text:
Murphree J, Englert J, Koch K, et al. North Mississippi Medical Center: a focus on quality, safety, and financial critical success factors. Jt Comm J Qual …
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psnet.ahrq.gov/issue/ending-extra-payment-never-events-stronger-incentives-patients-safety
November 13, 2024 - Commentary
Ending extra payment for "never events"—stronger incentives for patients' safety.
Citation Text:
Milstein A. Ending extra payment for "never events"--stronger incentives for patients' safety. N Engl J Med. 2009;360(23):2388-90. doi:10.1056/NEJMp0809125.
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psnet.ahrq.gov/issue/electronic-medical-record-availability-and-primary-care-depression-treatment
November 16, 2022 - Study
Electronic medical record availability and primary care depression treatment.
Citation Text:
Harman JS, Rost KM, Harle CA, et al. Electronic medical record availability and primary care depression treatment. J Gen Intern Med. 2012;27(8):962-7. doi:10.1007/s11606-012-2001-0.
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