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psnet.ahrq.gov/web-mm/steroids-and-safety-preventing-medication-adverse-events-during-transitions-care
September 09, 2013 - Antiemetics: American Society of Clinical Oncology clinical practice guideline update. … The role of steroids in the management of brain metastases: a systematic review and evidence-based clinical … practice guideline.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.152_slideshow.ppt
June 01, 2007 - Spotlight Case [MONTH] 2003
Spotlight Case June 2007
Beeline to Spine
Source and Credits
This presentation is based on June 2007
AHRQ WebM&M Spotlight Case
See full article at http://webmm.ahrq.gov
CME credit is available online
Commentary by: Gerald W. Smetana, MD, Harvard Medical School, Beth Israel D…
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psnet.ahrq.gov/issue/pilot-implementation-perioperative-protocol-guide-operating-room-intensive-care-unit-patient
January 03, 2017 - Study
Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient handoffs.
Citation Text:
Petrovic MA, Aboumatar HJ, Baumgartner WA, et al. Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patie…
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psnet.ahrq.gov/issue/often-overlooked-problems-handoffs-intensive-care-unit-operating-room
May 25, 2016 - Review
Often overlooked problems with handoffs: from the intensive care unit to the operating room.
Citation Text:
Evans AS, Yee M-S, Hogue CW. Often overlooked problems with handoffs: from the intensive care unit to the operating room. Anesth Analg. 2014;118(3):687-9. doi:10.1213/ANE.00…
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psnet.ahrq.gov/web-mm/safeguarding-diagnostic-testing-point-care
September 30, 2011 - Safeguarding Diagnostic Testing at the Point of Care
Citation Text:
Kost GJ, Ehrmeyer SS. Safeguarding Diagnostic Testing at the Point of Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/issue/when-order-sets-do-not-align-clinician-workflow-assessing-practice-patterns-electronic-health
March 24, 2019 - Study
When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record.
Citation Text:
Li RC, Wang JK, Sharp C, et al. When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. BMJ Q…
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psnet.ahrq.gov/issue/procedural-timeout-compliance-improved-real-time-clinical-decision-support
October 11, 2017 - Study
Procedural timeout compliance is improved with real-time clinical decision support.
Citation Text:
Shear T, Deshur M, Avram MJ, et al. Procedural Timeout Compliance Is Improved With Real-Time Clinical Decision Support. J Patient Saf. 2018;14(3):148-152. doi:10.1097/PTS.000000000000…
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psnet.ahrq.gov/issue/special-focus-issue-patient-safety
November 06, 2015 - Special or Theme Issue
Special Focus Issue: Patient Safety.
Citation Text:
Special Focus Issue: Patient Safety. Wagner VD, ed. AORN J. 2014;100:351-456.
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psnet.ahrq.gov/issue/using-patient-safety-reporting-systems-understand-clinical-learning-environment-content
June 19, 2024 - Study
Using patient safety reporting systems to understand the clinical learning environment: a content analysis.
Citation Text:
Sellers MM, Berger I, Myers JS, et al. Using Patient Safety Reporting Systems to Understand the Clinical Learning Environment: A Content Analysis. J Surg Educ.…
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psnet.ahrq.gov/issue/development-and-usability-behavioural-marking-system-performance-assessment-obstetrical-teams
June 28, 2017 - Study
Development and usability of a behavioural marking system for performance assessment of obstetrical teams.
Citation Text:
Tregunno D, Pittini R, Haley M, et al. Development and usability of a behavioural marking system for performance assessment of obstetrical teams. Qual Saf Hea…
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psnet.ahrq.gov/issue/does-checklist-reduce-number-errors-made-nurse-assembled-discharge-prescriptions
March 24, 2019 - Study
Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions?
Citation Text:
Byrne C, Sierra H, Tolhurst R. Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions? Br J Nurs. 2017;26(8):464-467. doi:10.12968/bjon…
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psnet.ahrq.gov/issue/machine-learning-based-clinical-predictive-tool-identify-patients-high-risk-medication-errors
March 29, 2012 - Study
A machine learning-based clinical predictive tool to identify patients at high risk of medication errors.
Citation Text:
Abdo A, Gallay L, Vallecillo T, et al. A machine learning-based clinical predictive tool to identify patients at high risk of medication errors. Sci Rep. 2024;14…
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psnet.ahrq.gov/issue/supporting-nurses-acute-and-emergency-care-settings-speak
November 29, 2023 - Commentary
Supporting nurses in acute and emergency care settings to speak up.
Citation Text:
Clarke-Romain B. Supporting nurses in acute and emergency care settings to speak up. Emerg Nurse. 2024;32(3):16-21. doi:10.7748/en.2023.e2162.
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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.
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psnet.ahrq.gov/issue/supporting-perioperative-safety-during-disaster-through-clinical-crisis-education
July 05, 2017 - Commentary
Supporting perioperative safety during a disaster through clinical crisis education.
Citation Text:
Kirkman A, Tripp H, Ward L, et al. Supporting perioperative safety during a disaster through clinical crisis education. AORN J. 2024;120(4):226-237. doi:10.1002/aorn.14217.
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psnet.ahrq.gov/node/867535/psn-pdf
January 15, 2025 - Perioperative patient safety recommendations:
systematic review of clinical practice guidelines.
January 15, 2025
Martínez-Nicolas I, Arnal-Velasco D, Romero-García E, et al. Perioperative patient safety
recommendations: systematic review of clinical practice guidelines. BJS Open. 2024;8(6):zrae143.
doi:10.1093/bj…
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psnet.ahrq.gov/issue/improving-resident-and-fellow-engagement-patient-safety-through-graduate-medical-education
June 02, 2021 - Study
Improving resident and fellow engagement in patient safety through a graduate medical education incentive program.
Citation Text:
Turner DA, Bae J, Cheely G, et al. Improving Resident and Fellow Engagement in Patient Safety Through a Graduate Medical Education Incentive Program. J …
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psnet.ahrq.gov/issue/guidelines-adult-iv-push-medications
April 01, 2015 - Book/Report
Guidelines for Adult IV Push Medications.
Citation Text:
Guidelines for Adult IV Push Medications. Horsham, PA: The Institute for Safe Medication Practices; July 2015.
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psnet.ahrq.gov/issue/intravenous-iv-push-medications-bridging-gap-between-education-and-clinical-practice
November 17, 2021 - Newspaper/Magazine Article
Intravenous (IV) push medications – bridging the gap between education and clinical practice.
Citation Text:
Intravenous (IV) push medications – bridging the gap between education and clinical practice. ISMP Medication Safety Alert! Acute Care. November 2, …
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psnet.ahrq.gov/issue/implementing-nurse-shadowing-program-first-year-medical-students-improve-interprofessional
January 15, 2025 - Commentary
Implementing a nurse-shadowing program for first-year medical students to improve interprofessional collaborations on health care teams.
Citation Text:
Jain A, Luo E, Yang J, et al. Implementing a nurse-shadowing program for first-year medical students to improve interprofessi…