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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/computerized-physician-order-entry-factor-medication-errors-descriptive-analysis-events
July 14, 2010 - Study
Computerized physician order entry, a factor in medication errors: descriptive analysis of events in the intensive care unit safety reporting system.
Citation Text:
Computerized physician order entry, a factor in medication errors: descriptive analysis of events in the intensive …
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psnet.ahrq.gov/issue/practical-approach-measure-quality-handwritten-medication-orders-tool-improvement
September 24, 2010 - Study
A practical approach to measure the quality of handwritten medication orders: a tool for improvement.
Citation Text:
Garbutt J, Milligan P, McNaughton C, et al. A Practical Approach to Measure the Quality of Handwritten Medication Orders. J Patient Saf. 2008;1(4). doi:10.1097/01.…
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psnet.ahrq.gov/issue/crossing-safety-transforming-healthcare-organizations-patient-safety
January 05, 2012 - Commentary
Crossing to safety: transforming healthcare organizations for patient safety.
Citation Text:
Ralston JD, Larson EB. Crossing to safety: transforming healthcare organizations for patient safety. J Postgrad Med. 2005;51(1):61-67.
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psnet.ahrq.gov/issue/high-alert-medications-shared-accountability-risk-identification-and-error-prevention
September 24, 2010 - Commentary
High-alert medications: shared accountability for risk identification and error prevention.
Citation Text:
Paparella S. High-alert medications: shared accountability for risk identification and error prevention. Journal of emergency nursing: JEN : official publication of the …
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psnet.ahrq.gov/issue/training-quality-and-safety-current-landscape
July 03, 2016 - Commentary
Training in quality and safety: the current landscape.
Citation Text:
Karasick AS, Nash DB. Training in quality and safety: the current landscape. Am J Med Qual. 2015;30(6):526-38. doi:10.1177/1062860614544194.
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DOI Google Scholar PubMed BibT…
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psnet.ahrq.gov/issue/shedding-light-dark-side-doctor-patient-interactions-verbal-and-nonverbal-messages-physicians
June 14, 2017 - Study
Shedding light on the dark side of doctor–patient interactions: verbal and nonverbal messages physicians communicate during error disclosures.
Citation Text:
Hannawa AF. Shedding light on the dark side of doctor-patient interactions: verbal and nonverbal messages physicians commu…
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psnet.ahrq.gov/issue/medication-errors-intensive-care-units-umbrella-review-control-measures
February 09, 2022 - Review
Medication errors in intensive care units: an umbrella review of control measures.
Citation Text:
Dionisi S, Giannetta N, Liquori G, et al. Medication errors in intensive care units: an umbrella review of control measures. Healthcare (Basel). 2022;10(7):1221. doi:10.3390/healthcar…
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psnet.ahrq.gov/issue/systematic-literature-review-and-narrative-synthesis-risks-medical-discharge-letters-patients
June 26, 2019 - Review
Emerging Classic
A systematic literature review and narrative synthesis on the risks of medical discharge letters for patients' safety.
Citation Text:
Schwarz CM, Hoffmann M, Schwarz P, et al. A systematic literature review and narrative synthesis on the …
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psnet.ahrq.gov/issue/hearing-impairment-and-amelioration-avoidable-medical-error-cross-sectional-survey
June 09, 2021 - Study
Hearing impairment and the amelioration of avoidable medical error: a cross-sectional survey.
Citation Text:
Henn P, O’Tuathaigh C, Keegan D, et al. Hearing impairment and the amelioration of avoidable medical error: a cross-sectional survey. J Patient Saf. 2021;17(3):e155-e160. do…
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psnet.ahrq.gov/issue/how-do-patients-want-physicians-handle-mistakes-survey-internal-medicine-patients-academic
September 23, 2020 - Study
Classic
How do patients want physicians to handle mistakes? A survey of internal medicine patients in an academic setting.
Citation Text:
Witman AB, Park DM, Hardin SB. How do patients want physicians to handle mistakes? A survey of internal medicine pat…
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psnet.ahrq.gov/issue/medication-errors-causes-analysis-home-care-setting-systematic-review
August 17, 2022 - Review
Medication errors' causes analysis in home care setting: a systematic review.
Citation Text:
Dionisi S, Di Simone E, Liquori G, et al. Medication errors' causes analysis in home care setting: A systematic review. Public Health Nurs. 2022;39(4):876-897. doi:10.1111/phn.13037.
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psnet.ahrq.gov/issue/digital-health-interventions-and-patient-safety-abdominal-surgery-systematic-review-and-meta
April 06, 2022 - Review
Digital health interventions and patient safety in abdominal surgery: a systematic review and meta-analysis.
Citation Text:
Grygorian A, Montano D, Shojaa M, et al. Digital health interventions and patient safety in abdominal surgery: a systematic review and meta-analysis. JAMA Ne…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.64_slideshow.ppt
June 01, 2004 - concern about consequences of admitting fault
Discomfort with discussing such issues
Physician may choose
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psnet.ahrq.gov/node/33772/psn-pdf
September 01, 2014 - RG: Yes, people should have some financial stake, so they have an incentive to choose wisely.
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psnet.ahrq.gov/node/49637/psn-pdf
October 01, 2011 - For example, if the radiologist in the reference case had to choose
phrases from a drop down menu list
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psnet.ahrq.gov/issue/national-profile-patient-safety-us-hospitals
April 11, 2011 - Study
Classic
A national profile of patient safety in U.S. hospitals.
Citation Text:
Romano PS, Geppert JJ, Davies SM, et al. A national profile of patient safety in U.S. hospitals. Health Aff (Millwood). 2003;22(2):154-66.
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psnet.ahrq.gov/issue/clinical-validation-ahrq-postoperative-venous-thromboembolism-patient-safety-indicator
September 25, 2011 - Study
Clinical validation of the AHRQ postoperative venous thromboembolism patient safety indicator.
Citation Text:
Henderson KE, Recktenwald AJ, Reichley RM, et al. Clinical validation of the AHRQ postoperative venous thromboembolism patient safety indicator. Jt Comm J Qual Patient Saf.…
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psnet.ahrq.gov/issue/hospitalized-patients-attitudes-about-and-participation-error-prevention
December 22, 2008 - Study
Hospitalized patients' attitudes about and participation in error prevention.
Citation Text:
Waterman AD, Gallagher TH, Garbutt J, et al. Brief report: Hospitalized patients' attitudes about and participation in error prevention. J Gen Intern Med. 2006;21(4):367-70.
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psnet.ahrq.gov/issue/call-safety-anticipating-and-mitigating-risk-across-obstetrics-and-gynecology-service-line
February 24, 2016 - Commentary
A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line.
Citation Text:
Combs A, Klein VR. A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line. J Healthc Risk Manag. 2023;43(1):38-42.…