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psnet.ahrq.gov/issue/distractions-and-surgical-proficiency-educational-perspective
February 18, 2009 - Study
Distractions and surgical proficiency: an educational perspective.
Citation Text:
Szafranski C, Kahol K, Ghaemmaghami V, et al. Distractions and surgical proficiency: an educational perspective. Am J Surg. 2009;198(6):804-10. doi:10.1016/j.amjsurg.2009.04.027.
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psnet.ahrq.gov/issue/sentara-norfolk-general-hospital-accelerating-improvement-focusing-building-culture-safety
June 08, 2010 - Commentary
Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety.
Citation Text:
Yates GR, Hochman RF, Sayles SM, et al. Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety. Jt Comm J Qu…
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psnet.ahrq.gov/issue/cost-poor-blood-specimen-quality-and-errors-preanalytical-processes
April 22, 2009 - Review
The cost of poor blood specimen quality and errors in preanalytical processes.
Citation Text:
Green SF. The cost of poor blood specimen quality and errors in preanalytical processes. Clin Biochem. 2013;46(13-14):1175-9. doi:10.1016/j.clinbiochem.2013.06.001.
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psnet.ahrq.gov/node/35252/psn-pdf
April 06, 2011 - Rules and guidelines in clinical practice: a qualitative
study in operating theatres of doctors' and nurses' views.
April 6, 2011
McDonald R. Rules and guidelines in clinical practice: a qualitative study in operating theatres of doctors'
and nurses' views. Quality and Safety in Health Care. 2005;14(4). doi:10.1136…
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psnet.ahrq.gov/issue/patient-safety-and-error-reduction-surgical-pathology
January 08, 2016 - Review
Patient safety and error reduction in surgical pathology.
Citation Text:
Nakhleh RE. Patient safety and error reduction in surgical pathology. Arch Pathol Lab Med. 2008;132(2):181-185. doi:10.1043/1543-2165(2008)132[181:PSAERI]2.0.CO;2.
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psnet.ahrq.gov/node/612828/psn-pdf
February 23, 2022 - KDIGO clinical
practice guideline for the care of kidney transplant recipients.
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psnet.ahrq.gov/issue/improving-medication-reconciliation-hospitals
October 25, 2017 - Commentary
Improving medication reconciliation in hospitals.
Citation Text:
Improving medication reconciliation in hospitals. Schnipper JL. Ann Intern Med. 2022;175(8):ho2-ho3.
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psnet.ahrq.gov/issue/perceptions-standards-based-electronic-prescribing-systems-implemented-outpatient-primary
September 23, 2020 - Study
Perceptions of standards-based electronic prescribing systems as implemented in outpatient primary care: a physician survey.
Citation Text:
Wang J, Patel MH, Schueth AJ, et al. Perceptions of standards-based electronic prescribing systems as implemented in outpatient primary care…
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psnet.ahrq.gov/node/865778/psn-pdf
May 29, 2024 - KDOQI Clinical Practice Guideline for Vascular Access: 2019
Update [published correction appears in
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psnet.ahrq.gov/node/848110/psn-pdf
April 26, 2023 - meta-analysis,15did not find any evidence to support the use of
chair or bed alarms, while a 2022 Clinical … Practice Guideline included a weak recommendation only
because an alarm might cause more rapid treatment … Fall prevention in hospitals and nursing homes:
clinical practice guideline.
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psnet.ahrq.gov/issue/patients-perspectives-diagnostic-error-qualitative-study
February 10, 2012 - Study
Patients' perspectives of diagnostic error: a qualitative study.
Citation Text:
Sacco AY, Self QR, Worswick EL, et al. Patients' perspectives of diagnostic error: a qualitative study. J Patient Saf. 2021;17(8):e1759-e1773. doi:10.1097/pts.0000000000000642.
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psnet.ahrq.gov/web-mm/febrile-neutropenia-and-almost-fatal-medication-error
February 01, 2012 - Clinical practice guideline for the use of antimicrobial agents in neutropenic patients with cancer:
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psnet.ahrq.gov/node/866283/psn-pdf
July 10, 2024 - Safety and Quality of Parenteral Nutrition: Translating
Guidelines into Clinical Practice Considering Different
Organizational Settings.
July 10, 2024
Am J Health Syst Pharm. 2024;81(supp 3):s73-s136.
https://psnet.ahrq.gov/issue/safety-and-quality-parenteral-nutrition-translating-guidelines-clinical-practice-
co…
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psnet.ahrq.gov/issue/improving-handoffs-perioperative-environment-conceptual-framework-key-theories-system-factors
November 16, 2022 - Commentary
Improving handoffs in the perioperative environment: a conceptual framework of key theories, system factors, methods, and core interventions to ensure success.
Citation Text:
Starmer AJ, Michael MM, Spector ND, et al. Improving handoffs in the perioperative environment: a conc…
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psnet.ahrq.gov/node/50756/psn-pdf
December 18, 2019 - A Mistaken Dose of Naloxone?
December 18, 2019
Cutler E, Gunawardena D. A Mistaken Dose of Naloxone?. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
The Case
A 55-year-old man with widely metastatic gastric cancer presented to his oncologist's office for a follow-up
appointment. He h…
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psnet.ahrq.gov/issue/care-transition-trauma-patients-processes-articulation-work-and-after-handoff
June 22, 2022 - Study
Care transition of trauma patients: processes with articulation work before and after handoff.
Citation Text:
Wooldridge AR, Carayon P, Hoonakker PLT, et al. Care transition of trauma patients: processes with articulation work before and after handoff. Appl Ergon. 2022;98:103606. d…
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psnet.ahrq.gov/node/50928/psn-pdf
February 21, 2020 - and templates.3 One
systematic review demonstrated that the use of CDS in oncology care increased clinical … practice guideline
https://psnet.ahrq.gov/issue/development-and-implementation-subcutaneous-insulin-pen-label-bar-code-scanning-protocol
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psnet.ahrq.gov/issue/reducing-adverse-events-blood-transfusion
June 25, 2008 - Commentary
Reducing adverse events in blood transfusion.
Citation Text:
Stainsby D, Russell J, Cohen H, et al. Reducing adverse events in blood transfusion. Br J Haematol. 2005;131(1). doi:10.1111/j.1365-2141.2005.05702.x.
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psnet.ahrq.gov/node/866579/psn-pdf
August 28, 2024 - Management of Carpal Tunnel Syndrome Evidence-
Based Clinical Practice Guideline. May 18, 2024.
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psnet.ahrq.gov/issue/concordance-urgent-referral-guidelines-patients-presenting-any-six-alarm-features-possible
February 17, 2021 - Study
Concordance with urgent referral guidelines in patients presenting with any of six ‘alarm’ features of possible cancer: a retrospective cohort study using linked primary care records.
Citation Text:
Wiering B, Lyratzopoulos G, Hamilton W, et al. Concordance with urgent referral gui…