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psnet.ahrq.gov/issue/comparison-broselow-tape-measurements-versus-physician-estimations-pediatric-weights
November 15, 2017 - Study
Comparison of Broselow tape measurements versus physician estimations of pediatric weights.
Citation Text:
Rosenberg M, Greenberger S, Rawal A, et al. Comparison of Broselow tape measurements versus physician estimations of pediatric weights. Am J Emerg Med. 2011;29(5):482-8. doi…
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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/new-us-health-crisis-looms-patients-without-covid-19-delay-care
July 29, 2020 - Newspaper/Magazine Article
New U.S. health crisis looms as patients without COVID-19 delay care.
Citation Text:
Bernstein S. New U.S. health crisis looms as patients without COVID-19 delay care. Reuters. 2020;July 13.
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psnet.ahrq.gov/issue/systemic-vulnerabilities-suicide-among-veterans-iraq-and-afghanistan-conflicts-review-case
January 22, 2017 - Study
Systemic vulnerabilities to suicide among veterans from the Iraq and Afghanistan conflicts: review of case reports from a national Veterans Affairs database.
Citation Text:
Mills PD, Huber SJ, Watts BV, et al. Systemic vulnerabilities to suicide among veterans from the Iraq and A…
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psnet.ahrq.gov/issue/comprehensive-healthcare-inspection-summary-report-evaluation-care-coordination-veterans
July 27, 2022 - Book/Report
Comprehensive Healthcare Inspection Summary Report: Evaluation of Care Coordination in Veterans Health Administration Facilities, Fiscal Year 2021.
Citation Text:
Comprehensive Healthcare Inspection Summary Report: Evaluation of Care Coordination in Veterans Health Administra…
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psnet.ahrq.gov/issue/computerised-provider-order-entry-and-residency-education-academic-medical-centre
June 09, 2015 - Study
Computerised provider order entry and residency education in an academic medical centre.
Citation Text:
Wong BM, Kuper A, Robinson N, et al. Computerised provider order entry and residency education in an academic medical centre. Med Educ. 2012;46(8):795-806. doi:10.1111/j.1365-2…
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psnet.ahrq.gov/issue/using-kotters-change-model-implementing-bedside-handoff-quality-improvement-project
September 23, 2020 - Commentary
Using Kotter's change model for implementing bedside handoff: a quality improvement project.
Citation Text:
Small A, Gist D, Souza D, et al. Using Kotter's Change Model for Implementing Bedside Handoff: A Quality Improvement Project. J Nurs Care Qual. 2016;31(4):304-9. doi:10.…
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psnet.ahrq.gov/issue/what-practices-will-most-improve-safety-evidence-based-medicine-meets-patient-safety
March 18, 2019 - Commentary
Classic
What practices will most improve safety? Evidence-based medicine meets patient safety.
Citation Text:
Leape L, Berwick DM, Bates DW. What practices will most improve safety? Evidence-based medicine meets patient safety. JAMA. 2002;288(4):501-7…
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psnet.ahrq.gov/issue/rapid-response-systems-systematic-review-and-meta-analysis
January 29, 2018 - Review
Rapid response systems: a systematic review and meta-analysis.
Citation Text:
Maharaj R, Raffaele I, Wendon J. Rapid response systems: a systematic review and meta-analysis. Crit Care. 2015;19(1). doi:10.1186/s13054-015-0973-y.
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psnet.ahrq.gov/issue/errors-incidents-and-accidents-anaesthetic-practice
April 06, 2011 - Commentary
Classic
Errors, incidents and accidents in anaesthetic practice.
Citation Text:
Runciman WB, Sellen A, Webb RK, et al. The Australian Incident Monitoring Study. Errors, incidents and accidents in anaesthetic practice. Anaesth Intensive Care. 1993;21(5…
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psnet.ahrq.gov/issue/active-shooter-response-health-care-facility
January 18, 2012 - Commentary
Active-shooter response at a health care facility.
Citation Text:
Inaba K, Eastman AL, Jacobs LM, et al. Active-Shooter Response at a Health Care Facility. N Engl J Med. 2018;379(6):583-586. doi:10.1056/NEJMms1800582.
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psnet.ahrq.gov/issue/assessing-impact-anesthesia-medication-template-medication-errors-during-anesthesia
February 14, 2018 - Study
Assessing the impact of the anesthesia medication template on medication errors during anesthesia: a prospective study.
Citation Text:
Grigg EB, Martin LD, Ross FJ, et al. Assessing the Impact of the Anesthesia Medication Template on Medication Errors During Anesthesia: A Prospecti…
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psnet.ahrq.gov/issue/cognitive-error-most-frequent-contributory-factor-cases-medical-injury-study-verdicts
September 25, 2013 - Study
Cognitive error as the most frequent contributory factor in cases of medical injury: a study on verdict's judgment among closed claims in Japan.
Citation Text:
Tokuda Y, Kishida N, Konishi R, et al. Cognitive error as the most frequent contributory factor in cases of medical inju…
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psnet.ahrq.gov/issue/exploring-factors-drive-clinical-negligence-claims-stated-preferences-those-who-have
April 08, 2020 - Study
Exploring the factors that drive clinical negligence claims: stated preferences of those who have experienced unintended harm.
Citation Text:
Wickramasekera N, Hole AR, Rowen D, et al. Exploring the factors that drive clinical negligence claims: stated preferences of those who have…
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psnet.ahrq.gov/issue/use-safety-attitudes-questionnaire-measure-patient-safety-improvement
August 18, 2010 - Study
Use of the Safety Attitudes Questionnaire as a measure in patient safety improvement.
Citation Text:
Watts B, Percarpio KB, West P, et al. Use of the Safety Attitudes Questionnaire as a measure in patient safety improvement. J Patient Saf. 2010;6(4):206-9.
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psnet.ahrq.gov/issue/application-engineering-problem-solving-methodology-address-persistent-problems-patient
March 18, 2020 - Study
Application of an engineering problem-solving methodology to address persistent problems in patient safety: a case study on retained surgical sponges after surgery.
Citation Text:
Anderson DE, Watts B. Application of an engineering problem-solving methodology to address persistent…
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psnet.ahrq.gov/issue/it-time-pull-plug-12-hour-shifts-part-3-harm-reduction-strategies-if-keeping-12-hour-shifts
February 01, 2012 - Commentary
Is it time to pull the plug on 12-hour shifts?: Part 3. Harm Reduction Strategies if Keeping 12-Hour Shifts.
Citation Text:
Geiger-Brown J, Trinkoff AM. Is it time to pull the plug on 12-hour shifts? Part 3. harm reduction strategies if keeping 12-hour shifts. J Nurs Adm. 201…
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psnet.ahrq.gov/issue/improving-alarm-performance-medical-intensive-care-unit-using-delays-and-clinical-context
December 31, 2014 - Study
Improving alarm performance in the medical intensive care unit using delays and clinical context.
Citation Text:
Görges M, Markewitz BA, Westenskow DR. Improving alarm performance in the medical intensive care unit using delays and clinical context. Anesth Analg. 2009;108(5):1546…
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psnet.ahrq.gov/issue/diagnostic-errors-neonatal-intensive-care-unit-state-science-and-new-directions
March 23, 2022 - Review
Diagnostic errors in the neonatal intensive care unit: state of the science and new directions.
Citation Text:
Shafer G, Singh H, Suresh G. Diagnostic errors in the neonatal intensive care unit: State of the science and new directions. Semin Perinatol. 2019;43(8):151175. doi:10.10…