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psnet.ahrq.gov/issue/nurses-perspectives-regarding-disclosure-errors-patients-qualitative-study
January 28, 2015 - Study
Nurses' perspectives regarding the disclosure of errors to patients: a qualitative study.
Citation Text:
McLennan SR, Diebold M, Rich LE, et al. Nurses' perspectives regarding the disclosure of errors to patients: A qualitative study. Int J Nurs Stud. 2016;54:16-22. doi:10.1016/j.i…
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psnet.ahrq.gov/issue/simulation-based-training-missing-link-lastingly-improved-patient-safety-and-health
January 17, 2024 - Review
Simulation-based training: the missing link to lastingly improved patient safety and health?
Citation Text:
Mileder LP, Schmölzer GM. Simulation-based training: the missing link to lastingly improved patient safety and health? Postgrad Med J. 2016;92(1088):309-11. doi:10.1136/post…
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psnet.ahrq.gov/issue/patient-safety-climate-primary-care-age-matters
June 11, 2010 - Study
Patient safety climate in primary care: age matters.
Citation Text:
Holden LM, Watts DD, Walker PH. Patient safety climate in primary care: age matters. J Patient Saf. 2009;5(1):23-28. doi:10.1097/PTS.0b013e318199d4bf.
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psnet.ahrq.gov/issue/clinical-clerkship-students-perceptions-unsafe-transitions-every-patient
October 19, 2022 - Study
Clinical clerkship students' perceptions of (un)safe transitions for every patient.
Citation Text:
Koch PE, Simpson D, Toth H, et al. Clinical Clerkship Students’ Perceptions of (Un)Safe Transitions for Every Patient. Academic Medicine. 2014;89(3). doi:10.1097/acm.0000000000000153.…
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psnet.ahrq.gov/issue/reducing-medication-errors-critical-care-multimodal-approach
March 27, 2019 - Review
Reducing medication errors in critical care: a multimodal approach.
Citation Text:
Kruer RM, Jarrell AS, Latif A. Reducing medication errors in critical care: a multimodal approach. Clin Pharmacol. 2014;6:117-26. doi:10.2147/CPAA.S48530.
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psnet.ahrq.gov/issue/clinical-and-financial-implications-second-opinion-surgical-pathology-review
August 04, 2021 - Study
Clinical and financial implications of second-opinion surgical pathology review.
Citation Text:
Johnson SM, Samulski TD, O’Connor SM, et al. Clinical and financial implications of second-opinion surgical pathology review. Am J Clin Pathol. 2021;156(4):559-568. doi:10.1093/ajcp/aqaa…
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psnet.ahrq.gov/issue/quantifying-nursing-workflow-medication-administration
January 07, 2009 - Study
Quantifying nursing workflow in medication administration.
Citation Text:
Keohane CA, Bane AD, Featherstone E, et al. Quantifying nursing workflow in medication administration. J Nurs Adm. 2007;38(1):19-26. doi:10.1097/01.nna.0000295628.87968.bc.
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psnet.ahrq.gov/issue/patient-handoff-comprehensive-curricular-blueprint-resident-education-improve-continuity-care
November 21, 2018 - Commentary
The patient handoff: a comprehensive curricular blueprint for resident education to improve continuity of care.
Citation Text:
Wohlauer M, Arora V, Horwitz LI, et al. The patient handoff: a comprehensive curricular blueprint for resident education to improve continuity of car…
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psnet.ahrq.gov/issue/people-systems-and-safety-resilience-and-excellence-healthcare-practice
March 04, 2020 - Review
Emerging Classic
People, systems and safety: resilience and excellence in healthcare practice.
Citation Text:
Smith AF, Plunkett E. People, systems and safety: resilience and excellence in healthcare practice. Anaesthesia. 2019;74(4):508-517. doi:10.1111/…
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psnet.ahrq.gov/issue/unintended-transplantation-three-organs-hiv-positive-donor-report-analysis-adverse-event
January 24, 2018 - Commentary
Unintended transplantation of three organs from an HIV-positive donor: report of the analysis of an adverse event in a regional health care service in Italy.
Citation Text:
Bellandi T, Albolino S, Tartaglia R, et al. Unintended transplantation of three organs from an HIV-posi…
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psnet.ahrq.gov/issue/paediatric-dosing-errors-and-after-electronic-prescribing
February 13, 2008 - Study
Paediatric dosing errors before and after electronic prescribing.
Citation Text:
Jani Y, Barber N, Wong ICK. Paediatric dosing errors before and after electronic prescribing. Qual Saf Health Care. 2010;19(4):337-40. doi:10.1136/qshc.2009.033068.
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psnet.ahrq.gov/issue/automated-dynamic-radiation-oncology-prescription-checking-system
October 27, 2010 - Study
An automated, dynamic radiation oncology prescription checking system.
Citation Text:
Pashtan IM, Kosak T, Shin K-Y, et al. An automated, dynamic radiation oncology prescription checking system. Pract Radiat Oncol. 2024;14(4):343-352. doi:10.1016/j.prro.2023.12.002.
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psnet.ahrq.gov/issue/electronic-health-record-usability-contributions-patient-safety-and-clinician-burnout-path
December 21, 2022 - Commentary
Electronic health record usability contributions to patient safety and clinician burnout: a path forward.
Citation Text:
Schwappach DLB, Ratwani RM. Electronic health record usability contributions to patient safety and clinician burnout: a path forward. J Patient Saf. 2023;19…
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psnet.ahrq.gov/issue/incidence-and-nature-adverse-events-during-pediatric-sedationanesthesia-propofol-procedures
April 11, 2011 - Study
The incidence and nature of adverse events during pediatric sedation/anesthesia with propofol for procedures outside the operating room: a report from the Pediatric Sedation Research Consortium.
Citation Text:
Cravero JP, Beach ML, Blike G, et al. The incidence and nature of adve…
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psnet.ahrq.gov/issue/effects-resident-level-training-rate-pediatric-prescription-errors-academic-emergency
October 19, 2022 - Study
The effects of resident level of training on the rate of pediatric prescription errors in an academic emergency department.
Citation Text:
Pacheco GS, Viscusi C, Hays DP, et al. The effects of resident level of training on the rate of pediatric prescription errors in an academic…
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psnet.ahrq.gov/issue/patient-preferences-participation-patient-care-and-safety-activities-hospitals
July 17, 2024 - Study
Patient preferences for participation in patient care and safety activities in hospitals.
Citation Text:
Ringdal M, Chaboyer W, Ulin K, et al. Patient preferences for participation in patient care and safety activities in hospitals. BMC Nurs. 2017;16:69. doi:10.1186/s12912-017-0266…
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psnet.ahrq.gov/issue/hydrocodone-bitartrate-and-acetaminophen-tablets-phenobarbital-tablets-qualitest-recall
December 16, 2020 - Press Release/Announcement
Hydrocodone bitartrate and acetaminophen tablets, phenobarbital tablets by Qualitest: recall—incorrect package labeling.
Citation Text:
Hydrocodone bitartrate and acetaminophen tablets, phenobarbital tablets by Qualitest: recall—incorrect package labeling. Me…
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psnet.ahrq.gov/issue/community-health-systems-ongoing-journey-zero-preventable-harm
July 29, 2020 - Commentary
Community Health Systems’ ongoing journey to zero preventable harm.
Citation Text:
Simon LT, Van Buren T. Community Health Systems’ ongoing journey to zero preventable harm. NEJM Catal Innov Care Deliv. 2023;4(12). doi:10.1056/cat.23.0250.
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psnet.ahrq.gov/issue/ageing-surgeon-qualitative-study-expert-opinions-assuring-performance-and-supporting-safe
May 05, 2021 - Study
The ageing surgeon: a qualitative study of expert opinions on assuring performance and supporting safe career transitions among older surgeons.
Citation Text:
Sherwood R, Bismark M. The ageing surgeon: a qualitative study of expert opinions on assuring performance and supporting sa…
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psnet.ahrq.gov/issue/medication-reconciliation-admission-and-discharge-analysis-prevalence-and-associated-risk
December 02, 2020 - Study
Medication reconciliation at admission and discharge: an analysis of prevalence and associated risk factors.
Citation Text:
Belda-Rustarazo S, Cantero-Hinojosa J, Salmeron-García A, et al. Medication reconciliation at admission and discharge: an analysis of prevalence and associate…