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psnet.ahrq.gov/issue/bar-code-verification-reducing-not-eliminating-medication-errors
September 27, 2016 - Study
Bar-code verification: reducing but not eliminating medication errors.
Citation Text:
Henneman PL, Marquard J, Fisher DL, et al. Bar-code verification: reducing but not eliminating medication errors. J Nurs Adm. 2012;42(12):562-6. doi:10.1097/NNA.0b013e318274b545.
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psnet.ahrq.gov/issue/what-went-right-lessons-intensivist-crew-us-airways-flight-1549
February 23, 2009 - Commentary
What went right: lessons for the intensivist from the crew of US Airways Flight 1549.
Citation Text:
Eisen LA, Savel RH. What went right: lessons for the intensivist from the crew of US Airways Flight 1549. Chest. 2009;136(3):910-917. doi:10.1378/chest.09-0377.
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psnet.ahrq.gov/issue/i-care-case-review-tool-focused-improving-inpatient-care
February 18, 2011 - Commentary
I-CaRe: a case review tool focused on improving inpatient care.
Citation Text:
Lee JH, Vidyarthi A, Sehgal NL, et al. I-CaRe: a case review tool focused on improving inpatient care. Jt Comm J Qual Patient Saf. 2009;35(2):115-119, 61.
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psnet.ahrq.gov/issue/medication-orders-future-start-dates-how-far-away-too-far
March 15, 2022 - Newspaper/Magazine Article
Medication orders with future start dates: how far away is too far?
Citation Text:
Medication orders with future start dates: how far away is too far? ISMP Medication Safety Alert! Acute care edition. July 14, 2022:27(14):1-4.
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psnet.ahrq.gov/issue/medical-student-patient-attitudes-towards-involvement-quality-and-safety-health-care
July 06, 2012 - Study
The medical student as a patient: attitudes towards involvement in the quality and safety of health care.
Citation Text:
Davis R, Joshi D, Patel K, et al. The medical student as a patient: attitudes towards involvement in the quality and safety of health care. J Eval Clin Pract. 2…
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psnet.ahrq.gov/issue/physical-and-verbal-violence-against-health-care-workers
December 23, 2016 - Sentinel Event Alerts
Physical and verbal violence against health care workers.
Citation Text:
Physical and verbal violence against health care workers. Sentinel Event Alert. 2018;59:1-9 (revised June 18, 2021).
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psnet.ahrq.gov/issue/awareness-human-factors-operating-theatres-during-covid-19-pandemic
October 27, 2021 - Study
Awareness of human factors in the operating theatres during the COVID-19 pandemic.
Citation Text:
Britton CR, Hayman G, Stroud N. Awareness of Human Factors in the operating theatres during the COVID-19 pandemic. J Perioper Pract. 2021;31(1-2):44-50. doi:10.1177/1750458920978858.
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psnet.ahrq.gov/issue/best-practices-medication-administration-preventing-adverse-drug-events-perinatal-settings
July 16, 2009 - Commentary
Best practices in medication administration: preventing adverse drug events in perinatal settings.
Citation Text:
Mahlmeister LR. Best practices in medication administration: preventing adverse drug events in perinatal settings. J Perinat Neonatal Nurs. 2007;21(1):6-8.
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psnet.ahrq.gov/issue/medical-errors-recovered-critical-care-nurses
June 04, 2008 - Study
Medical errors recovered by critical care nurses.
Citation Text:
Dykes PC, Rothschild JM, Hurley A. Medical errors recovered by critical care nurses. J Nurs Adm. 2010;40(5):241-6. doi:10.1097/NNA.0b013e3181da408e.
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psnet.ahrq.gov/issue/second-victim-casualties-and-how-physician-leaders-can-help
August 28, 2024 - Newspaper/Magazine Article
"Second victim" casualties and how physician leaders can help.
Citation Text:
MacLeod L. "Second victim" casualties and how physician leaders can help. Physician Exect. 2014;40(1):8-12.
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psnet.ahrq.gov/issue/severe-drug-interactions-and-potentially-inappropriate-medication-usage-elderly-cancer
November 11, 2020 - Study
Severe drug interactions and potentially inappropriate medication usage in elderly cancer patients.
Citation Text:
Alkan A, Yaşar A, Karcı E, et al. Severe drug interactions and potentially inappropriate medication usage in elderly cancer patients. Support Care Cancer. 2017;25(1):2…
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psnet.ahrq.gov/issue/working-conditions-support-patient-safety
June 23, 2009 - Commentary
Working conditions that support patient safety.
Citation Text:
Hughes RG, Clancy CM. Working conditions that support patient safety. J Nurs Care Qual. 2005;20(4):289-292.
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psnet.ahrq.gov/issue/overcoming-human-barriers-safety-event-reporting-radiology
February 09, 2022 - Commentary
Overcoming human barriers to safety event reporting in radiology.
Citation Text:
Siewert B, Brook OR, Swedeen S, et al. Overcoming Human Barriers to Safety Event Reporting in Radiology. Radiographics. 2019;39(1):251-263. doi:10.1148/rg.2019180135.
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psnet.ahrq.gov/issue/model-developing-high-reliability-teams
September 01, 2018 - Commentary
A model for developing high-reliability teams.
Citation Text:
Riley W, Davis SE, Miller KK, et al. A model for developing high-reliability teams. J Nurs Manag. 2010;18(5):556-63. doi:10.1111/j.1365-2834.2010.01121.x.
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psnet.ahrq.gov/issue/safety-committees-need-proactively-address-risk-accidental-cerebral-injection-intravenous-iv
January 27, 2021 - Newspaper/Magazine Article
Safety committees need to proactively address the risk of accidental cerebral injection of intravenous (IV) drugs.
Citation Text:
Safety committees need to proactively address the risk of accidental cerebral injection of intravenous (IV) drugs. ISMP Medication …
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psnet.ahrq.gov/issue/reducing-risk-maternity-optimising-teamwork-and-leadership-evidence-based-approach-save
January 06, 2016 - Review
Reducing risk in maternity by optimising teamwork and leadership: an evidence-based approach to save mothers and babies.
Citation Text:
Cornthwaite K, Edwards S, Siassakos D. Reducing risk in maternity by optimising teamwork and leadership: an evidence-based approach to save mot…
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psnet.ahrq.gov/issue/risk-evaluation-and-mitigation-strategy-rems-programs-and-medication-safety-parts-i-and-ii
March 15, 2022 - Special or Theme Issue
Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication Safety: Parts I and II.
Citation Text:
Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication Safety: Parts I and II. ISMP Medication Safety Alert! Acute care edition. July 13, 2…
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psnet.ahrq.gov/issue/more-teamwork-knowledge-skill-and-attitude
July 13, 2009 - Study
More to teamwork than knowledge, skill and attitude.
Citation Text:
Siassakos D, Draycott TJ, Crofts JF, et al. More to teamwork than knowledge, skill and attitude. BJOG. 2010;117(10):1262-9. doi:10.1111/j.1471-0528.2010.02654.x.
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psnet.ahrq.gov/issue/adverse-events-after-screening-and-follow-colonoscopy
September 30, 2010 - Study
Adverse events after screening and follow-up colonoscopy.
Citation Text:
Rutter CM, Johnson E, Miglioretti DL, et al. Adverse events after screening and follow-up colonoscopy. Cancer Causes & Control. 2011;23(2). doi:10.1007/s10552-011-9878-5.
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psnet.ahrq.gov/issue/simulation-based-adverse-event-reporting-system-development-and-feasibility
July 08, 2020 - Study
Simulation based adverse event reporting system: development and feasibility.
Citation Text:
Mckay M, Sanko JS. Simulation Based Adverse Event Reporting System: Development and Feasibility. Clin Simul Nurs. 2014;10(5). doi:10.1016/j.ecns.2013.12.005.
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