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psnet.ahrq.gov/issue/effect-warning-symbols-combination-education-frequency-erroneously-crushing-medication
March 04, 2011 - Study
Effect of warning symbols in combination with education on the frequency of erroneously crushing medication in nursing homes: an uncontrolled before and after study.
Citation Text:
van Welie S, Wijma L, Beerden T, et al. Effect of warning symbols in combination with education on th…
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psnet.ahrq.gov/issue/where-are-my-instruments-hazards-delivery-surgical-instruments
September 25, 2008 - Study
Where are my instruments? Hazards in delivery of surgical instruments.
Citation Text:
Guédon ACP, Wauben LSGL, van der Eijk AC, et al. Where are my instruments? Hazards in delivery of surgical instruments. Surg Endosc. 2016;30(7):2728-35. doi:10.1007/s00464-015-4537-7.
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psnet.ahrq.gov/issue/are-temporary-staff-associated-more-severe-emergency-department-medication-errors
June 29, 2011 - Study
Are temporary staff associated with more severe emergency department medication errors?
Citation Text:
Pham JC, Andrawis M, Shore AD, et al. Are temporary staff associated with more severe emergency department medication errors? J Healthc Qual. 2011;33(4):9-18. doi:10.1111/j.1945…
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psnet.ahrq.gov/issue/inter-and-intra-disciplinary-collaboration-and-patient-safety-outcomes-us-acute-care-hospital
August 07, 2024 - Study
Emerging Classic
Inter- and intra-disciplinary collaboration and patient safety outcomes in U.S. acute care hospital units: a cross-sectional study.
Citation Text:
Ma C, Park SH, Shang J. Inter- and intra-disciplinary collaboration and patient safety outco…
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psnet.ahrq.gov/issue/data-driven-quality-improvement-culture-change-and-high-reliability-journey-special-hospital
March 24, 2021 - Commentary
Data-driven quality improvement, culture change, and the high reliability journey at a special hospital for people with medically complex developmental disabilities.
Citation Text:
Barba V, Foreman K, Robey K. Data-driven quality improvement, culture change, and the high relia…
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psnet.ahrq.gov/issue/risk-factors-wrong-patient-medication-orders-emergency-department
June 08, 2022 - Study
Risk factors for wrong-patient medication orders in the emergency department.
Citation Text:
Krummrey G, Sauter TC, Hautz WE, et al. Risk factors for wrong-patient medication orders in the emergency department. JAMIA Open. 2024;7(4):ooae103. doi:10.1093/jamiaopen/ooae103.
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psnet.ahrq.gov/issue/medication-double-checking-procedures-clinical-practice-cross-sectional-survey-oncology
March 21, 2018 - Study
Medication double-checking procedures in clinical practice: a cross-sectional survey of oncology nurses' experiences.
Citation Text:
Schwappach DLB, Pfeiffer Y, Taxis K. Medication double-checking procedures in clinical practice: a cross-sectional survey of oncology nurses' experie…
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psnet.ahrq.gov/issue/oncology-nurses-beliefs-and-attitudes-towards-double-check-chemotherapy-medications-cross
September 07, 2016 - Study
Oncology nurses' beliefs and attitudes towards the double-check of chemotherapy medications: a cross-sectional survey study.
Citation Text:
Schwappach DLB, Taxis K, Pfeiffer Y. Oncology nurses' beliefs and attitudes towards the double-check of chemotherapy medications: a cross-sect…
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psnet.ahrq.gov/issue/does-applying-technology-throughout-medication-use-process-improve-patient-safety
October 30, 2024 - Review
Does applying technology throughout the medication use process improve patient safety with antineoplastics?
Citation Text:
Bubalo J, Warden BA, Wiegel JJ, et al. Does applying technology throughout the medication use process improve patient safety with antineoplastics? J Oncol Pha…
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psnet.ahrq.gov/issue/errors-detected-pediatric-oral-liquid-medication-doses-prepared-automated-workflow-management
June 22, 2009 - Study
Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system.
Citation Text:
Bledsoe S, Van Buskirk A, Falconer J, et al. Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. …
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psnet.ahrq.gov/issue/emergency-departments-are-higher-risk-locations-wrong-blood-tube-errors
November 17, 2021 - Study
Emergency departments are higher-risk locations for wrong blood in tube errors.
Citation Text:
Dunbar NM, Delaney M, Murphy MF, et al. Emergency departments are higher‐risk locations for wrong blood in tube errors. Transfusion (Paris). 2021;61(9):2601-2610. doi:10.1111/trf.16588.
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psnet.ahrq.gov/issue/qualitative-study-prescribing-errors-among-multi-professional-prescribers-within-e
December 02, 2020 - Study
A qualitative study of prescribing errors among multi-professional prescribers within an e-prescribing system.
Citation Text:
Alshahrani F, Marriott JF, Cox AR. A qualitative study of prescribing errors among multi-professional prescribers within an e-prescribing system. Int J Clin…
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psnet.ahrq.gov/issue/evaluation-physician-informatics-tool-improve-patient-handoffs
January 07, 2015 - Study
Evaluation of a physician informatics tool to improve patient handoffs.
Citation Text:
Flanagan ME, Patterson ES, Frankel RM, et al. Evaluation of a physician informatics tool to improve patient handoffs. J Am Med Inform Assoc. 2009;16(4):509-15. doi:10.1197/jamia.M2892.
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psnet.ahrq.gov/issue/novel-process-introducing-new-intraoperative-program-multidisciplinary-paradigm-mitigating
January 02, 2017 - Study
A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating hazards and improving patient safety.
Citation Text:
Rodriguez-Paz JM, Mark L, Herzer KR, et al. A novel process for introducing a new intraoperative program: a multidiscipli…
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psnet.ahrq.gov/issue/medication-errors-among-acutely-ill-and-injured-children-treated-rural-emergency-departments
December 13, 2013 - Study
Medication errors among acutely ill and injured children treated in rural emergency departments.
Citation Text:
Marcin JP, Dharmar M, Cho M, et al. Medication errors among acutely ill and injured children treated in rural emergency departments. Ann Emerg Med. 2007;50(4):361-7, 36…
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psnet.ahrq.gov/issue/use-situ-simulation-investigate-latent-safety-threats-prior-opening-new-emergency-department
January 20, 2021 - Study
Use of in-situ simulation to investigate latent safety threats prior to opening a new emergency department.
Citation Text:
Medwid K, Smith SW, Gang M. Use of in-situ simulation to investigate latent safety threats prior to opening a new emergency department. Safety Sci. 2015;77:19-…
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psnet.ahrq.gov/issue/patterns-technical-error-among-surgical-malpractice-claims-analysis-strategies-prevent-injury
August 26, 2011 - Study
Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients.
Citation Text:
Regenbogen SE, Greenberg CC, Studdert DM, et al. Patterns of technical error among surgical malpractice claims: an analysis of strategie…
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psnet.ahrq.gov/issue/outcome-adverse-events-and-medical-errors-intensive-care-unit-systematic-review-and-meta
March 16, 2022 - Review
Outcome of adverse events and medical errors in the intensive care unit: a systematic review and meta-analysis.
Citation Text:
Ahmed AH, Giri J, Kashyap R, et al. Outcome of adverse events and medical errors in the intensive care unit: a systematic review and meta-analysis. Am J M…
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psnet.ahrq.gov/issue/technology-enhanced-simulation-health-professions-education-systematic-review-and-meta
October 19, 2022 - Review
Classic
Technology-enhanced simulation for health professions education: a systematic review and meta-analysis.
Citation Text:
Cook DA, Hatala R, Brydges R, et al. Technology-enhanced simulation for health professions education: a systematic review and me…
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psnet.ahrq.gov/issue/dispensing-errors-community-pharmacy-perceived-influence-sociotechnical-factors
October 03, 2011 - Study
Dispensing errors in community pharmacy: perceived influence of sociotechnical factors.
Citation Text:
Szeinbach S, Seoane-Vazquez E, Parekh A, et al. Dispensing errors in community pharmacy: perceived influence of sociotechnical factors. Int J Qual Health Care. 2007;19(4):203-9.…