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psnet.ahrq.gov/issue/fatal-mistakes-why-do-ten-fold-medication-errors-children-keep-happening
April 21, 2021 - Newspaper/Magazine Article
Fatal mistakes: why do ten-fold medication errors in children keep happening?
Citation Text:
Fatal mistakes: why do ten-fold medication errors in children keep happening? Parry C. The Pharmaceutical Journal. April 22 2021.
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psnet.ahrq.gov/issue/characteristics-medication-errors-made-students-during-administration-phase-descriptive-study
July 13, 2009 - Study
Characteristics of medication errors made by students during the administration phase: a descriptive study.
Citation Text:
Wolf ZR, Hicks RW, Serembus JF. Characteristics of medication errors made by students during the administration phase: a descriptive study. J Prof Nurs. 2006…
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psnet.ahrq.gov/issue/design-reliability-barcoded-medication-administration
July 21, 2021 - Newspaper/Magazine Article
Design for reliability: barcoded medication administration.
Citation Text:
Design for reliability: barcoded medication administration. Hayden AC; Lanoue ET; Still CJ.
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psnet.ahrq.gov/issue/nurses-experience-barriers-safe-practice-neonatal-intensive-care-unit-thailand
August 16, 2023 - Study
The nurses' experience of barriers to safe practice in the neonatal intensive care unit in Thailand.
Citation Text:
Jirapaet V, Jirapaet K, Sopajaree C. The nurses' experience of barriers to safe practice in the neonatal intensive care unit in Thailand. J Obstet Gynecol Neonatal …
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psnet.ahrq.gov/issue/toward-modelling-safety-violations-healthcare-systems
May 01, 2024 - Commentary
Toward the modelling of safety violations in healthcare systems.
Citation Text:
Catchpole K. Toward the modelling of safety violations in healthcare systems. BMJ Qual Saf. 2013;22(9):705-9. doi:10.1136/bmjqs-2012-001604.
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psnet.ahrq.gov/issue/healthgrades-quality-study-third-annual-patient-safety-american-hospitals-study
September 12, 2012 - Book/Report
HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study.
Citation Text:
HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study. Denver, CO: HealthGrades; 2006.
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psnet.ahrq.gov/issue/learning-candour-and-accountability-review-way-nhs-trusts-review-and-investigate-deaths
January 23, 2019 - Book/Report
Learning, Candour and Accountability. A Review of the Way NHS Trusts Review and Investigate the Deaths of Patients in England.
Citation Text:
Learning, Candour and Accountability. A Review of the Way NHS Trusts Review and Investigate the Deaths of Patients in England. Newcast…
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psnet.ahrq.gov/issue/role-leaders-health-care-organizations-patient-safety
September 27, 2010 - Commentary
The role for leaders of health care organizations in patient safety.
Citation Text:
Clarke JR, Lerner JC, Marella WM. The role for leaders of health care organizations in patient safety. Am J Med Qual. 2007;22(5):311-8.
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psnet.ahrq.gov/issue/improving-patient-safety-moving-beyond-hype-medical-errors
December 22, 2010 - Commentary
Improving patient safety: moving beyond the "hype" of medical errors.
Citation Text:
Forster AJ, Shojania KG, van Walraven C. Improving patient safety: moving beyond the "hype" of medical errors. CMAJ. 2005;173(8):893-4.
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psnet.ahrq.gov/issue/safe-use-opioids-hospitals
February 28, 2018 - Sentinel Event Alerts
Safe use of opioids in hospitals.
Citation Text:
Sentinel Event Alert. 2012;49:1-5.
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psnet.ahrq.gov/issue/personal-accountability-healthcare-searching-right-balance
March 02, 2011 - Commentary
Personal accountability in healthcare: searching for the right balance.
Citation Text:
Wachter R. Personal accountability in healthcare: searching for the right balance. BMJ Qual Saf. 2013;22(2):176-80. doi:10.1136/bmjqs-2012-001227.
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psnet.ahrq.gov/issue/guideline-implementation-prevention-retained-surgical-items
October 23, 2024 - Commentary
Guideline implementation: prevention of retained surgical items.
Citation Text:
Fencl JL. Guideline Implementation: Prevention of Retained Surgical Items. AORN J. 2016;104(1):37-48. doi:10.1016/j.aorn.2016.05.005.
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psnet.ahrq.gov/issue/nurses-sleep-work-hours-and-patient-care-quality-and-safety
April 23, 2012 - Study
Nurses' sleep, work hours, and patient care quality, and safety
Citation Text:
Nurses' sleep, work hours, and patient care quality, and safety Stimpfel AW, Fatehi F, Kovner C. Sleep Health. 2020;6(3):314-320.
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psnet.ahrq.gov/issue/practical-tool-learn-defects-patient-care
September 28, 2010 - Commentary
A practical tool to learn from defects in patient care.
Citation Text:
Pronovost P, Holzmueller CG, Martinez EA, et al. A practical tool to learn from defects in patient care. Jt Comm J Qual Patient Saf. 2006;32(2):102-108.
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psnet.ahrq.gov/issue/iatrogenic-harm-cost-equation-and-new-technology
January 24, 2024 - Commentary
The iatrogenic-harm cost equation and new technology.
Citation Text:
Webster CS. The iatrogenic-harm cost equation and new technology. Anaesthesia. 2005;60(9). doi:10.1111/j.1365-2044.2005.04331.x.
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psnet.ahrq.gov/issue/physician-communication-when-prescribing-new-medications
December 16, 2009 - Study
Physician communication when prescribing new medications.
Citation Text:
Tarn DM, Heritage J, Paterniti DA, et al. Physician communication when prescribing new medications. Arch Intern Med. 2006;166(17):1855-1862.
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psnet.ahrq.gov/issue/2009-national-patient-safety-goals
August 03, 2016 - Commentary
2009 National Patient Safety Goals.
Citation Text:
Saufl NM. 2009 National Patient Safety Goals. J Perianesth Nurs. 2009;24(2):114-8. doi:10.1016/j.jopan.2009.01.008.
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psnet.ahrq.gov/issue/lost-sponge-patient-safety-operating-room
January 26, 2022 - Commentary
The lost sponge: patient safety in the operating room.
Citation Text:
Grant-Orser A, Davies P, Singh SS. The lost sponge: patient safety in the operating room. CMAJ . 2012;184(11):1275-1278. doi:10.1503/cmaj.110900.
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psnet.ahrq.gov/issue/disclosing-medical-errors-views-united-states-and-united-kingdom
September 23, 2020 - Commentary
Disclosing medical errors: views from the United States and the United Kingdom.
Citation Text:
Thornton JA, Harrison MJ. Letter: Duration of action of AH8165. Br J Anaesth. 1975;47(9):1033.
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psnet.ahrq.gov/issue/smarter-clinical-checklists-how-minimize-checklist-fatigue-and-maximize-clinician-performance
July 10, 2017 - Commentary
Smarter clinical checklists: how to minimize checklist fatigue and maximize clinician performance.
Citation Text:
Grigg EB. Smarter Clinical Checklists: How to Minimize Checklist Fatigue and Maximize Clinician Performance. Anesth Analg. 2015;121(2):570-3. doi:10.1213/ANE.00000…