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psnet.ahrq.gov/issue/safety-culture-assessment-community-pharmacy-development-face-validity-and-feasibility
June 09, 2011 - Study
Safety culture assessment in community pharmacy: development, face validity, and feasibility of the Manchester Patient Safety Assessment Framework.
Citation Text:
Ashcroft DM, Morecroft C, Parker D, et al. Safety culture assessment in community pharmacy: development, face validit…
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psnet.ahrq.gov/issue/non-intercepted-dose-errors-prescribing-antineoplastic-treatment-prospective-comparative
June 18, 2013 - Study
Non-intercepted dose errors in prescribing antineoplastic treatment: a prospective, comparative cohort study.
Citation Text:
Mattsson TO, Holm B, Michelsen H, et al. Non-intercepted dose errors in prescribing anti-neoplastic treatment: a prospective, comparative cohort study. Ann O…
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psnet.ahrq.gov/issue/medication-errors-hospitals-literature-review-disruptions-nursing-practice-during-medication
August 26, 2015 - Review
Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration.
Citation Text:
Hayes C, Jackson D, Davidson PM, et al. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication …
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psnet.ahrq.gov/issue/review-educational-strategies-improve-nurses-roles-recognizing-and-responding-deteriorating
October 16, 2013 - Review
A review of educational strategies to improve nurses' roles in recognizing and responding to deteriorating patients.
Citation Text:
Liaw SY, Scherpbier A, Klainin-Yobas P, et al. A review of educational strategies to improve nurses' roles in recognizing and responding to deterio…
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psnet.ahrq.gov/issue/intentional-rounding-integrative-literature-review
October 08, 2016 - Review
Intentional rounding—an integrative literature review.
Citation Text:
Ryan L, Jackson D, Woods C, et al. Intentional rounding - An integrative literature review. J Adv Nurs. 2019;75(6):1151-1161. doi:10.1111/jan.13897.
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psnet.ahrq.gov/issue/evaluating-accuracy-electronic-pediatric-drug-dosing-rules
May 08, 2017 - Study
Evaluating the accuracy of electronic pediatric drug dosing rules.
Citation Text:
Kirkendall E, Spooner A, Logan JR. Evaluating the accuracy of electronic pediatric drug dosing rules. J Am Med Inform Assoc. 2014;21(e1):e43-9. doi:10.1136/amiajnl-2013-001793.
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psnet.ahrq.gov/issue/identification-and-safe-storage-look-alike-sound-alike-medicines-automated-dispensing
June 23, 2009 - Study
Identification and safe storage of look-alike, sound-alike medicines in automated dispensing cabinets.
Citation Text:
Ruutiainen HK, Kallio MM, Kuitunen SK. Identification and safe storage of look-alike, sound-alike medicines in automated dispensing cabinets. Eur J Hosp Pharm. 2021…
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psnet.ahrq.gov/issue/patient-safety-and-staff-competence-managing-challenging-behavior-based-feedback-former
October 15, 2016 - Study
Patient safety and staff competence in managing challenging behavior based on feedback from former psychiatric patients.
Citation Text:
Tölli S, Kontio R, Partanen P, et al. Patient safety and staff competence in managing challenging behavior based on feedback from former psychiatr…
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psnet.ahrq.gov/issue/effectiveness-assertiveness-communication-training-programs-healthcare-professionals-and
January 24, 2018 - Review
The effectiveness of assertiveness communication training programs for healthcare professionals and students: a systematic review.
Citation Text:
Omura M, Maguire J, Levett-Jones T, et al. The effectiveness of assertiveness communication training programs for healthcare profession…
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psnet.ahrq.gov/issue/patient-safety-and-job-related-stress-focus-group-study
December 05, 2012 - Study
Patient safety and job-related stress: a focus group study.
Citation Text:
Berland A, Natvig GK, Gundersen D. Patient safety and job-related stress: A focus group study. Intensive and Critical Care Nursing. 2007;24(2). doi:10.1016/j.iccn.2007.11.001.
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…
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psnet.ahrq.gov/issue/understanding-causes-intravenous-medication-administration-errors-hospitals-qualitative
June 25, 2014 - Study
Understanding the causes of intravenous medication administration errors in hospitals: a qualitative critical incident study.
Citation Text:
Keers RN, Williams SD, Cooke J, et al. Understanding the causes of intravenous medication administration errors in hospitals: a qualitative c…
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psnet.ahrq.gov/issue/identifying-patient-safety-risks-reporting-patient-complaints-grounded-theory-study-patients
December 20, 2017 - Study
From identifying patient safety risks to reporting patient complaints: a grounded theory study on patients' hospital experiences.
Citation Text:
Gyberg A, Brezicka T, Wijk H, et al. From identifying patient safety risks to reporting patient complaints: a grounded theory study on pa…
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psnet.ahrq.gov/issue/defining-attributes-patient-safety-through-concept-analysis
May 08, 2013 - Review
Defining attributes of patient safety through a concept analysis.
Citation Text:
Kim L, Lyder CH, McNeese-Smith D, et al. Defining attributes of patient safety through a concept analysis. J Adv Nurs. 2015;71(11):2490-503. doi:10.1111/jan.12715.
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psnet.ahrq.gov/issue/frequency-prescribing-errors-medical-residents-various-training-programs
November 05, 2014 - Study
Frequency of prescribing errors by medical residents in various training programs.
Citation Text:
Honey BL, Bray WM, Gomez MR, et al. Frequency of prescribing errors by medical residents in various training programs. J Patient Saf. 2015;11(2):100-4. doi:10.1097/PTS.0000000000000048…
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psnet.ahrq.gov/issue/effectiveness-nurse-education-and-training-clinical-alarm-response-and-management-systematic
February 22, 2017 - Review
The effectiveness of nurse education and training for clinical alarm response and management: a systematic review.
Citation Text:
Yue L, Plummer V, Cross W. The effectiveness of nurse education and training for clinical alarm response and management: a systematic review. J Clin Nu…
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psnet.ahrq.gov/issue/computerized-clinical-decision-support-medication-prescribing-and-utilization-pediatrics
July 16, 2015 - Study
Computerized clinical decision support for medication prescribing and utilization in pediatrics.
Citation Text:
Stultz JS, Nahata MC. Computerized clinical decision support for medication prescribing and utilization in pediatrics. J Am Med Inform Assoc. 2012;19(6):942-53. doi:10.11…
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psnet.ahrq.gov/issue/saving-patient-ryan-can-advanced-electronic-medical-records-make-patient-care-safer
February 11, 2014 - Study
Saving Patient Ryan- can advanced electronic medical records make patient care safer?
Citation Text:
Saving Patient Ryan- can advanced electronic medical records make patient care safer? Hydari MZ, Telang R, Marella WM. Manage Sci. 2019;65:2041-2059.
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psnet.ahrq.gov/issue/preventing-mistransfusions-evaluation-institutional-knowledge-and-response
June 06, 2018 - Study
Preventing mistransfusions: an evaluation of institutional knowledge and a response.
Citation Text:
MacDougall N, Dong F, Broussard L, et al. Preventing Mistransfusions: An Evaluation of Institutional Knowledge and a Response. Anesth Analg. 2018;126(1):247-251. doi:10.1213/ANE.0000…
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psnet.ahrq.gov/issue/clinician-directed-performance-improvement-moving-beyond-externally-mandated-metrics
July 10, 2008 - Commentary
Clinician-directed performance improvement: moving beyond externally mandated metrics.
Citation Text:
Goitein L. Clinician-directed performance improvement: moving beyond externally mandated metrics. Health Aff (Millwood). 2020;39(2). doi:10.1377/hlthaff.2019.00505.
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psnet.ahrq.gov/node/49730/psn-pdf
April 01, 2015 - Transition to Nowhere
April 1, 2015
Farrell TW. Transition to Nowhere. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/transition-nowhere
The Case
A 75-year-old man with a history of prostate cancer, poorly controlled myotonic dystrophy, hypertension,
and chronic kidney disease was admitted to the hospital …