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psnet.ahrq.gov/issue/identified-safety-risks-splitting-and-crushing-oral-medications
September 24, 2010 - Commentary
Identified safety risks with splitting and crushing oral medications.
Citation Text:
Paparella S. Identified safety risks with splitting and crushing oral medications. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 201…
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psnet.ahrq.gov/issue/interactive-effects-nurse-experienced-time-pressure-and-burnout-patient-safety-cross
September 23, 2009 - Study
Interactive effects of nurse-experienced time pressure and burnout on patient safety: a cross-sectional survey.
Citation Text:
Teng C-I, Shyu Y-IL, Chiou W-K, et al. Interactive effects of nurse-experienced time pressure and burnout on patient safety: a cross-sectional survey. Int…
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psnet.ahrq.gov/issue/adverse-events-hospitals-medicares-responses-alleged-serious-events
February 18, 2009 - Government Resource
Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events.
Citation Text:
Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events. Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspecto…
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psnet.ahrq.gov/issue/medicares-oversight-compounded-pharmaceuticals-used-hospitals
October 16, 2012 - Government Resource
Medicare’s Oversight of Compounded Pharmaceuticals Used in Hospitals.
Citation Text:
Medicare’s Oversight of Compounded Pharmaceuticals Used in Hospitals. Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January…
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psnet.ahrq.gov/issue/few-adverse-events-hospitals-were-reported-state-adverse-event-reporting-systems
January 20, 2010 - Book/Report
Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems.
Citation Text:
Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems. Wright S. Washington, DC: US Department of Health and Human Services, Office of t…
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psnet.ahrq.gov/issue/exploring-causes-junior-doctors-prescribing-mistakes-qualitative-study
September 09, 2015 - Study
Exploring the causes of junior doctors' prescribing mistakes: a qualitative study.
Citation Text:
Lewis PJ, Ashcroft DM, Dornan T, et al. Exploring the causes of junior doctors' prescribing mistakes: a qualitative study. Br J Clin Pharmacol. 2014;78(2):310-9. doi:10.1111/bcp.12332.…
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psnet.ahrq.gov/issue/adverse-events-hospitals-overview-key-issues
January 14, 2009 - Book/Report
Adverse Events in Hospitals: Overview of Key Issues.
Citation Text:
Adverse Events in Hospitals: Overview of Key Issues. Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-07-00470. …
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psnet.ahrq.gov/issue/placing-diagnosis-errors-policy-agenda
October 31, 2014 - Book/Report
Placing Diagnosis Errors on the Policy Agenda.
Citation Text:
Placing Diagnosis Errors on the Policy Agenda. Berenson RA, Upadhyay D, Kaye DR. Washington, DC: Urban Institute. Princeton, NJ: Robert Wood Johnson Foundation; 2014.
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psnet.ahrq.gov/issue/reducing-diagnostic-error-through-medical-home-based-primary-care-reform
July 15, 2015 - Commentary
Reducing diagnostic error through medical home-based primary care reform.
Citation Text:
Singh H, Graber ML. Reducing diagnostic error through medical home-based primary care reform. JAMA. 2010;304(4):463-4. doi:10.1001/jama.2010.1035.
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psnet.ahrq.gov/issue/intern-attending-assessing-stress-among-physicians
February 22, 2011 - Study
Intern to attending: assessing stress among physicians.
Citation Text:
Stucky E, Dresselhaus TR, Dollarhide A, et al. Intern to attending: assessing stress among physicians. Acad Med. 2009;84(2):251-7. doi:10.1097/ACM.0b013e3181938aad.
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psnet.ahrq.gov/issue/back-basics-approach-reduce-ed-medication-errors
September 28, 2010 - Study
A "back to basics" approach to reduce ED medication errors.
Citation Text:
Blank FSJ, Tobin J, Macomber S, et al. A "back to basics" approach to reduce ED medication errors. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 2…
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psnet.ahrq.gov/issue/computerized-physician-order-entry-promise-perils-and-experience
June 25, 2018 - Review
Computerized physician order entry: promise, perils, and experience.
Citation Text:
Khanna R, Yen T. Computerized physician order entry: promise, perils, and experience. Neurohospitalist. 2014;4(1):26-33. doi:10.1177/1941874413495701.
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psnet.ahrq.gov/issue/defining-technical-errors-laparoscopic-surgery-systematic-review
September 11, 2013 - Review
Defining technical errors in laparoscopic surgery: a systematic review.
Citation Text:
Bonrath EM, Dedy NJ, Zevin B, et al. Defining technical errors in laparoscopic surgery: a systematic review. Surg Endosc. 2013;27(8):2678-91. doi:10.1007/s00464-013-2827-5.
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psnet.ahrq.gov/issue/quality-performance-improvement-teamwork-information-technology-and-protocols
November 03, 2015 - Commentary
Quality: performance improvement, teamwork, information technology and protocols.
Citation Text:
Coleman NE, Pon S. Quality: performance improvement, teamwork, information technology and protocols. Crit Care Clin. 2013;29(2):129-51. doi:10.1016/j.ccc.2012.11.002.
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psnet.ahrq.gov/issue/development-and-implementation-patient-safety-program-academic-urban-emergency-department
December 12, 2012 - Study
Development and implementation of a patient safety program in an academic, urban emergency department.
Citation Text:
Blank FSJ, Henneman PL, Maynard AM, et al. Development and implementation of a patient safety program in an academic, urban emergency department. Journal of emerg…
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psnet.ahrq.gov/issue/improving-diagnosis-health-care-next-imperative-patient-safety
July 15, 2015 - Commentary
Classic
Improving diagnosis in health care—the next imperative for patient safety.
Citation Text:
Singh H, Graber ML. Improving Diagnosis in Health Care--The Next Imperative for Patient Safety. New Engl J Med. 2015;373(26):2493-2495. doi:10.1056/NEJMp…
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psnet.ahrq.gov/issue/nuclear-power-industry-alternative-analogy-safety-anaesthesia-and-novel-approach
February 13, 2019 - Commentary
The nuclear power industry as an alternative analogy for safety in anaesthesia and a novel approach for the conceptualisation of safety goals.
Citation Text:
Webster CS. The nuclear power industry as an alternative analogy for safety in anaesthesia and a novel approach for t…
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psnet.ahrq.gov/issue/improving-self-reporting-adverse-drug-events-west-virginia-hospital
March 10, 2011 - Study
Improving self-reporting of adverse drug events in a West Virginia hospital.
Citation Text:
Schade CP, Hannah K, Ruddick P, et al. Improving self-reporting of adverse drug events in a West Virginia hospital. Am J Med Qual. 2006;21(5):335-41.
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psnet.ahrq.gov/issue/detection-and-measurement-rotator-cuff-tears-sonography-analysis-diagnostic-errors
December 31, 2014 - Study
Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors.
Citation Text:
Teefey SA, Middleton WD, Payne WT, et al. Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. AJR Am J Roentgenol. 2005;184(6…
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psnet.ahrq.gov/issue/twelve-tips-implementing-patient-safety-curriculum-undergraduate-programme-medicine
June 19, 2018 - Commentary
Twelve tips for implementing a patient safety curriculum in an undergraduate programme in medicine.
Citation Text:
Armitage G, Cracknell A, Forrest K, et al. Twelve tips for implementing a patient safety curriculum in an undergraduate programme in medicine. Med Teach. 2011;3…