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psnet.ahrq.gov/issue/national-estimates-insulin-related-hypoglycemia-and-errors-leading-emergency-department
October 20, 2021 - Study
National estimates of insulin-related hypoglycemia and errors leading to emergency department visits and hospitalizations.
Citation Text:
Geller AI, Shehab N, Lovegrove MC, et al. National estimates of insulin-related hypoglycemia and errors leading to emergency department visits a…
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psnet.ahrq.gov/issue/effect-medical-emergency-teams-patient-outcome-review-literature
September 23, 2020 - Review
The effect of medical emergency teams on patient outcome: a review of the literature.
Citation Text:
Laurens NH, Dwyer TA. The effect of medical emergency teams on patient outcome: a review of the literature. Int J Nurs Pract. 2010;16(6):533-44. doi:10.1111/j.1440-172X.2010.0187…
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psnet.ahrq.gov/issue/collaboration-between-pharmacists-physicians-and-nurse-practitioners-qualitative
November 16, 2022 - Study
Collaboration between pharmacists, physicians and nurse practitioners: a qualitative investigation of working relationships in the inpatient medical setting.
Citation Text:
Makowsky MJ, Schindel TJ, Rosenthal M, et al. Collaboration between pharmacists, physicians and nurse pract…
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psnet.ahrq.gov/issue/five-strategies-how-patients-and-families-can-improve-patient-safety-world-patient-safety-day
July 07, 2021 - Commentary
Five strategies for how patients and families can improve patient safety: World Patient Safety Day 2023.
Citation Text:
Wu AW, Papieva I, Sheridan S, et al. Five strategies for how patients and families can improve patient safety: World Patient Safety Day 2023. J Patient Saf R…
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psnet.ahrq.gov/issue/implementation-parent-centered-approach-preinduction-checklist-pediatric-surgery
October 05, 2022 - Study
Implementation of a parent-centered approach to the preinduction checklist in pediatric surgery.
Citation Text:
Arshad SA, Ferguson DM, Garcia EI, et al. Implementation of a Parent-centered Approach to the Preinduction Checklist in Pediatric Surgery. J Surg Res. 2021;257:455-461. d…
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psnet.ahrq.gov/issue/integrating-systemic-accident-analysis-patient-safety-incident-investigation-practices
October 27, 2021 - Study
Integrating systemic accident analysis into patient safety incident investigation practices.
Citation Text:
Canham A, Jun GT, Waterson P, et al. Integrating systemic accident analysis into patient safety incident investigation practices. Appl Ergon. 2018;72:1-9. doi:10.1016/j.aperg…
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psnet.ahrq.gov/issue/critical-need-nursing-education-address-diagnostic-process
June 08, 2022 - Commentary
The critical need for nursing education to address the diagnostic process.
Citation Text:
Gleason KT, Harkless G, Stanley J, et al. The critical need for nursing education to address the diagnostic process. Nurs Outlook. 2021;69(3):362-369. doi:10.1016/j.outlook.2020.12.005.
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psnet.ahrq.gov/issue/health-technology-quality-and-safety-learning-health-system
February 09, 2022 - Commentary
Health technology, quality and safety in a learning health system.
Citation Text:
Borycki EM, Kushniruk AW. Health technology, quality and safety in a learning health system. Healthc Manage Forum. 2023;51(2):212-221. doi:10.1177/08404704221139383.
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psnet.ahrq.gov/issue/systematic-review-application-plan-do-study-act-method-improve-quality-healthcare
May 01, 2019 - Review
Systematic review of the application of the plan-do-study-act method to improve quality in healthcare.
Citation Text:
Taylor MJ, McNicholas C, Nicolay C, et al. Systematic review of the application of the plan-do-study-act method to improve quality in healthcare. BMJ Qual Saf. 2…
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psnet.ahrq.gov/issue/systems-approach-sharp-end
April 21, 2021 - Commentary
The systems approach at the sharp end.
Citation Text:
Cross SRH. The systems approach at the sharp end. Future Healthc J. 2019;5(3):176-180. doi:10.7861/futurehosp.5-3-176.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…
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psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
August 01, 2009 - US, a low aspirate pH value (e.g., <5.5) could serve as another confirmatory measure and additional barrier
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psnet.ahrq.gov/issue/patient-perceptions-missed-nursing-care
September 27, 2017 - Study
Patient perceptions of missed nursing care.
Citation Text:
Kalisch BJ, McLaughlin M, Dabney BW. Patient perceptions of missed nursing care. Jt Comm J Qual Patient Saf. 2012;38(4):161-7.
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psnet.ahrq.gov/issue/procedural-safety-emergency-care-conceptual-model-and-recommendations
July 02, 2011 - Commentary
Procedural safety in emergency care: a conceptual model and recommendations.
Citation Text:
Pines JM, Kelly JJ, Meisl H, et al. Procedural safety in emergency care: a conceptual model and recommendations. Jt Comm J Qual Patient Saf. 2012;38(11):516-526.
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psnet.ahrq.gov/issue/prescription-drug-monitoring-programs-evolution-and-evidence
November 23, 2005 - Book/Report
Prescription Drug Monitoring Programs: Evolution and Evidence.
Citation Text:
Prescription Drug Monitoring Programs: Evolution and Evidence. Weiner J, Bao Y, Meisel Z. LDI/CHERISH Issue Brief. June 2017.
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psnet.ahrq.gov/issue/interruptions-healthcare-theoretical-views
September 24, 2016 - Review
Interruptions in healthcare: theoretical views.
Citation Text:
Grundgeiger T, Sanderson P. Interruptions in healthcare: theoretical views. Int J Med Inform. 2009;78(5):293-307. doi:10.1016/j.ijmedinf.2008.10.001.
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psnet.ahrq.gov/issue/hardwiring-safety-computer-system-one-hospitals-actions-provide-technology-support-u-500
February 24, 2016 - Newspaper/Magazine Article
Hardwiring safety into the computer system: one hospital's actions to provide technology support for U-500 insulin.
Citation Text:
Hardwiring safety into the computer system: one hospital's actions to provide technology support for U-500 insulin. ISMP Medicatio…
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psnet.ahrq.gov/issue/enhancing-surgical-team-communication-sops-and-teamstepps-action
August 01, 2012 - Meeting/Conference Proceedings
Enhancing Surgical Team Communication: SOPS and TeamSTEPPS in Action.
Citation Text:
Enhancing Surgical Team Communication: SOPS and TeamSTEPPS in Action. Agency for Healthcare Research and Quality. July 25, 2024.
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psnet.ahrq.gov/issue/do-staffing-levels-predict-missed-nursing-care
September 27, 2017 - Study
Do staffing levels predict missed nursing care?
Citation Text:
Kalisch BJ, Tschannen D, Lee KH. Do staffing levels predict missed nursing care? Int J Qual Health Care. 2011;23(3):302-8. doi:10.1093/intqhc/mzr009.
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psnet.ahrq.gov/issue/standardization-mechanism-improve-safety-health-care
January 05, 2017 - Study
Standardization as a mechanism to improve safety in health care.
Citation Text:
Rozich JD, Howard RJ, Justeson JM, et al. Standardization as a mechanism to improve safety in health care. Jt Comm J Qual Patient Saf. 2004;30(1):5-14.
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psnet.ahrq.gov/issue/electronic-health-record-ehr-safety-and-usability-see-what-we-mean
June 08, 2011 - Audiovisual
Electronic Health Record (EHR) Safety and Usability: See What We Mean.
Citation Text:
Electronic Health Record (EHR) Safety and Usability: See What We Mean. MedStar Health National Center for Human Factors in Healthcare.
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