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psnet.ahrq.gov/issue/nurses-clinical-reasoning-processes-and-practices-medication-safety
June 15, 2012 - Study
Nurses' clinical reasoning: processes and practices of medication safety.
Citation Text:
Dickson GL, Flynn L. Nurses' clinical reasoning: processes and practices of medication safety. Qual Health Res. 2012;22(1):3-16. doi:10.1177/1049732311420448.
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psnet.ahrq.gov/issue/medicines-related-harm-elderly-post-hospital-discharge
February 07, 2024 - Commentary
Medicines-related harm in the elderly post-hospital discharge.
Citation Text:
Medicines-related harm in the elderly post-hospital discharge. Cheong V-L, Tomlinson J, Khan S, et al. Prescriber. 2019;30:29-34.
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psnet.ahrq.gov/issue/surgical-never-events-how-common-are-adverse-occurrences
November 16, 2022 - Commentary
Surgical 'never events': how common are adverse occurrences?
Citation Text:
West JC. Surgical ‘never events’: How common are adverse occurrences? Journal of Healthcare Risk Management. 2009;26(1). doi:10.1002/jhrm.5600260105.
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psnet.ahrq.gov/issue/drive-toward-transparency-enhancing-openness-and-accountability
July 24, 2013 - Newspaper/Magazine Article
The drive toward transparency: enhancing openness and accountability.
Citation Text:
Cohen SS. The drive toward transparency: enhancing openness and accountability. Healthcare executive. 2005;20(4):16-20.
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psnet.ahrq.gov/issue/philosophy-science-and-diagnostic-process
April 24, 2018 - Commentary
Philosophy of science and the diagnostic process.
Citation Text:
Willis BH, Beebee H, Lasserson DS. Philosophy of science and the diagnostic process. Fam Pract. 2013;30(5):501-5. doi:10.1093/fampra/cmt031.
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psnet.ahrq.gov/issue/reducing-medication-prescribing-errors-teaching-hospital
August 02, 2010 - Study
Reducing medication prescribing errors in a teaching hospital.
Citation Text:
Garbutt J, Milligan PE, McNaughton C, et al. Reducing medication prescribing errors in a teaching hospital. Jt Comm J Qual Patient Saf. 2008;34(9):528-536.
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psnet.ahrq.gov/issue/roundtable-public-policy-affecting-patient-safety
June 15, 2016 - Commentary
Roundtable on public policy affecting patient safety.
Citation Text:
Crane RM, Raymond B. Roundtable on Public Policy Affecting Patient Safety. J Patient Saf. 2011;7(1):5-10. doi:10.1097/pts.0b013e31820c98cd.
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psnet.ahrq.gov/issue/patient-misidentification-oncology-care
March 22, 2006 - Commentary
Patient misidentification in oncology care.
Citation Text:
Patient misidentification in oncology care. Schulmeister L. Clin J Oncol Nurs. 2008;12:495-498.
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psnet.ahrq.gov/issue/review-educational-philosophies-applied-radiation-safety-training-medical-institutions
May 31, 2017 - Commentary
A review of educational philosophies as applied to radiation safety training at medical institutions.
Citation Text:
Dauer LT, St Germain J. A review of educational philosophies as applied to radiation safety training at medical institutions. Health Phys. 2006;90(5 Suppl):S6…
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psnet.ahrq.gov/issue/implementing-met-based-rrs-toronto-general-hospital
January 11, 2017 - Commentary
Implementing an MET-based RRS at Toronto General Hospital.
Citation Text:
Warner MB, Reynolds SF. Implementing an MET-based RRS at Toronto General Hospital. Jt Comm J Qual Patient Saf. 2008;34(1):57-9, 1.
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psnet.ahrq.gov/issue/hazards-diagnosis
April 06, 2022 - Commentary
The hazards of diagnosis.
Citation Text:
Schattner A, Magazanik N, Haran M. The hazards of diagnosis. QJM. 2010;103(8):583-7. doi:10.1093/qjmed/hcq080.
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psnet.ahrq.gov/issue/event-reporting-value-nonpunitive-approach
June 16, 2011 - Commentary
Event reporting: the value of a nonpunitive approach.
Citation Text:
Youngberg BJ. Event reporting: the value of a nonpunitive approach. Clin Obstet Gynecol. 2008;51(4):647-55. doi:10.1097/GRF.0b013e3181899a05.
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psnet.ahrq.gov/issue/patient-safety-obstetric-and-gynecologic-office-setting
October 02, 2019 - Review
Patient safety in the obstetric and gynecologic office setting.
Citation Text:
Keats JP. Patient safety in the obstetric and gynecologic office setting. Obstet Gynecol Clin North Am. 2013;40(4):611-23. doi:10.1016/j.ogc.2013.08.004.
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psnet.ahrq.gov/issue/effectiveness-community-collaborative-eliminating-use-high-risk-abbreviations-written
May 25, 2010 - Study
Effectiveness of a community collaborative for eliminating the use of high-risk abbreviations written by physicians.
Citation Text:
Leonhardt KK, Botticelli J. Effectiveness of a Community Collaborative for Eliminating the Use of High-risk Abbreviations Written by Physicians. J P…
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psnet.ahrq.gov/issue/gossypiboma-tales-lost-sponges-and-lessons-learned
March 24, 2021 - Study
Gossypiboma: tales of lost sponges and lessons learned.
Citation Text:
McIntyre LK. Gossypiboma. Archives of Surgery. 2010;145(8). doi:10.1001/archsurg.2010.152.
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psnet.ahrq.gov/issue/lessons-learned-about-human-fallibility-system-design-and-justice-aftermath-fatal-medication
August 17, 2022 - Webinar
Lessons Learned about Human Fallibility, System Design, and Justice in the Aftermath of a Fatal Medication Error.
Citation Text:
Lessons Learned about Human Fallibility, System Design, and Justice in the Aftermath of a Fatal Medication Error. Institute for Safe Medication Practic…
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psnet.ahrq.gov/issue/availability-spanish-prescription-labels
December 18, 2014 - Study
Availability of Spanish prescription labels.
Citation Text:
Sharif I, Lo S, Ozuah PO. Availability of Spanish prescription labels. J Health Care Poor Underserved. 2006;17(1):65-9.
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psnet.ahrq.gov/issue/communication-perioperative-setting
July 22, 2020 - Commentary
Communication in the perioperative setting.
Citation Text:
Cvetic E. Communication in the perioperative setting. AORN J. 2011;94(3):261-70. doi:10.1016/j.aorn.2011.01.017.
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psnet.ahrq.gov/issue/handoff-communication-tools
May 25, 2022 - Government Resource
Handoff Communication Tools.
Citation Text:
Handoff Communication Tools. Landrigan CP, Lyons A, Gannon P, et al. FIRST Do No Harm. December 2012;1-8.
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psnet.ahrq.gov/issue/measuring-communication-surgical-icu-better-communication-equals-better-care
April 03, 2005 - Study
Measuring communication in the surgical ICU: better communication equals better care.
Citation Text:
Williams M, Hevelone N, Alban RF, et al. Measuring communication in the surgical ICU: better communication equals better care. J Am Coll Surg. 2010;210(1):17-22. doi:10.1016/j.jamc…