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  1. 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. Cop…
  2. psnet.ahrq.gov/issue/older-adults-are-often-misdiagnosed-specialized-ers-and-trained-clinicians-can-help
    July 28, 2021 - Newspaper/Magazine Article Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. Citation Text: Milne-Tyte A. Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. Health Shots. National Public Radio. July 30, 2024; Copy C…
  3. psnet.ahrq.gov/issue/what-interventions-could-reduce-diagnostic-error-emergency-departments-review-evidence
    November 25, 2020 - Review What interventions could reduce diagnostic error in emergency departments? A review of evidence, practice and consumer perspectives. Citation Text: Wright B, Faulkner N, Bragge P, et al. What interventions could reduce diagnostic error in emergency departments? A review of evidenc…
  4. psnet.ahrq.gov/issue/research-nursing-handoffs-medical-and-surgical-settings-integrative-review
    October 19, 2011 - Review Research on nursing handoffs for medical and surgical settings: an integrative review. Citation Text: Staggers N, Blaz JW. Research on nursing handoffs for medical and surgical settings: an integrative review. J Adv Nurs. 2013;69(2):247-62. doi:10.1111/j.1365-2648.2012.06087.x. …
  5. psnet.ahrq.gov/issue/drug-induced-hypoglycaemia-new-insight-old-problem
    October 19, 2022 - Study Drug-induced hypoglycaemia--new insight into an old problem. Citation Text: Ching CK, Lai CK, Poon WT, et al. Drug-induced hypoglycaemia--new insight into an old problem. Hong Kong Med J. 2006;12(5):334-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…
  6. psnet.ahrq.gov/issue/voluntarily-reported-emergency-department-errors
    June 20, 2011 - Study Voluntarily reported emergency department errors. Citation Text: Henneman PL, Blank FSJ, Smithline HA, et al. Voluntarily Reported Emergency Department Errors. J Patient Saf. 2008;1(3):126-132. doi:10.1097/01.jps.0000175694.39559.12. Copy Citation Format: DOI Google…
  7. psnet.ahrq.gov/issue/pharmacist-and-prescriber-responsibilities-avoiding-prescription-drug-misuse
    October 13, 2018 - Commentary Pharmacist and prescriber responsibilities for avoiding prescription drug misuse. Citation Text: Pharmacist and prescriber responsibilities for avoiding prescription drug misuse. AMA J Ethics. 2021;23(6):E471-479. doi:10.1001/amajethics.2021.471. Copy Citation Format: …
  8. psnet.ahrq.gov/issue/challenges-posthospital-care-nurses-coaches-medication-management
    August 22, 2012 - Study Challenges in posthospital care: nurses as coaches for medication management. Citation Text: Costa LL, Poe SS, Lee MC. Challenges in posthospital care: nurses as coaches for medication management. J Nurs Care Qual. 2011;26(3):243-51. doi:10.1097/NCQ.0b013e31820e1543. Copy Citat…
  9. psnet.ahrq.gov/issue/recurring-problem-retained-swabs-and-instruments
    June 19, 2019 - Review The recurring problem of retained swabs and instruments. Citation Text: Mahran MA, Toeima E, Morris EP. The recurring problem of retained swabs and instruments. Best Pract Res Clin Obstet Gynaecol. 2013;27(4):489-95. doi:10.1016/j.bpobgyn.2013.03.001. Copy Citation Format:…
  10. psnet.ahrq.gov/issue/label-design-affects-medication-safety-operating-room-crisis-controlled-simulation-study
    April 24, 2018 - Study Label design affects medication safety in an operating room crisis: a controlled simulation study. Citation Text: Estock JL, Murray AW, Mizah MT, et al. Label Design Affects Medication Safety in an Operating Room Crisis: A Controlled Simulation Study. J Patient Saf. 2018;14(2):101-…
  11. psnet.ahrq.gov/issue/top-10-list-safe-and-effective-sign-out
    April 12, 2019 - Commentary The top 10 list for a safe and effective sign-out. Citation Text: Kemp CD, Bath JM, Berger J, et al. The top 10 list for a safe and effective sign-out. Arch Surg. 2008;143(10):1008-10. doi:10.1001/archsurg.143.10.1008. Copy Citation Format: DOI Google Scholar P…
  12. psnet.ahrq.gov/issue/prevention-fall-related-injuries-long-term-care-randomized-controlled-trial-staff-education
    February 17, 2011 - Study Prevention of fall-related injuries in long-term care: a randomized controlled trial of staff education. Citation Text: Ray WA, Taylor JA, Brown AK, et al. Prevention of fall-related injuries in long-term care: a randomized controlled trial of staff education. Arch Intern Med. 20…
  13. psnet.ahrq.gov/issue/system-errors-intrapartum-electronic-fetal-monitoring-case-review
    May 16, 2012 - Commentary System errors in intrapartum electronic fetal monitoring: a case review. Citation Text: Miller L. System errors in intrapartum electronic fetal monitoring: a case review. J Midwifery Womens Health. 2005;50(6):507-16. Copy Citation Format: Google Scholar PubMed …
  14. psnet.ahrq.gov/issue/teamwork-behaviours-and-errors-during-neonatal-resuscitation
    September 13, 2011 - Study Teamwork behaviours and errors during neonatal resuscitation. Citation Text: Williams AL, Lasky RE, Dannemiller JL, et al. Teamwork behaviours and errors during neonatal resuscitation. Qual Saf Health Care. 2010;19(1):60-4. doi:10.1136/qshc.2007.025320. Copy Citation Format…
  15. psnet.ahrq.gov/issue/implementing-bedside-handover-strategies-change-management
    July 05, 2013 - Study Implementing bedside handover: strategies for change management. Citation Text: McMurray A, Chaboyer W, Wallis M, et al. Implementing bedside handover: strategies for change management. J Clin Nurs. 2010;19(17-18):2580-9. doi:10.1111/j.1365-2702.2009.03033.x. Copy Citation …
  16. psnet.ahrq.gov/issue/new-technology-new-errors-how-prime-upgrade-insulin-infusion-pump
    July 14, 2010 - Commentary New technology, new errors: how to prime an upgrade of an insulin infusion pump. Citation Text: Rule AM, Drincic A, Galt K. New technology, new errors: how to prime an upgrade of an insulin infusion pump. Jt Comm J Qual Patient Saf. 2007;33(3):155-62. Copy Citation Forma…
  17. psnet.ahrq.gov/issue/crew-resource-management-training-clinicians-reactions-and-attitudes
    November 16, 2022 - Study Crew resource management training--clinicians' reactions and attitudes. Citation Text: France DJ, Stiles RA, Gaffney FA, et al. Crew resource management training-Clinicians' reactions and attitudes. AORN J. 2006;82(2):213-224. doi:10.1016/s0001-2092(06)60313-x. Copy Citation …
  18. psnet.ahrq.gov/issue/assessing-accuracy-drug-profiles-electronic-medical-record-system-washington-state-hospital
    September 20, 2011 - Study Assessing the accuracy of drug profiles in an electronic medical record system of a Washington State hospital. Citation Text: Platte B, Akinci F, Güç Y. Assessing the accuracy of drug profiles in an electronic medical record system of a Washington state hospital. Am J Manag Care. 2…
  19. psnet.ahrq.gov/issue/digital-health-and-patient-safety
    September 01, 2016 - Commentary Digital health and patient safety. Citation Text: Agboola SO, Bates DW, Kvedar JC. Digital Health and Patient Safety. JAMA. 2016;315(16):1697-1698. doi:10.1001/jama.2016.2402. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…
  20. psnet.ahrq.gov/issue/reportable-incidents
    November 02, 2016 - Newspaper/Magazine Article Reportable incidents. Citation Text: Barishansky RM, Glick DE. Reportable incidents. Establishing policies and procedures for when calls go wrong. EMS magazine. 2009;38(3):43-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML End…

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