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psnet.ahrq.gov/issue/safety-mind-mental-health-services-and-patient-safety
August 07, 2018 - Book/Report
With Safety in Mind: Mental Health Services and Patient Safety.
Citation Text:
With Safety in Mind: Mental Health Services and Patient Safety. Scobie S, Minghella E, Dale C, et al. London, UK: National Patient Safety Agency; 2006.
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psnet.ahrq.gov/issue/pain-management-and-opioid-epidemic-balancing-societal-and-individual-benefits-and-risks
March 29, 2006 - Book/Report
Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use.
Citation Text:
Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use. Bonnie RJ, Ford M…
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psnet.ahrq.gov/issue/fda-advises-health-care-professionals-and-patients-about-insulin-pen-packaging-and-dispensing
June 22, 2011 - Press Release/Announcement
FDA advises health care professionals and patients about insulin pen packaging and dispensing.
Citation Text:
FDA advises health care professionals and patients about insulin pen packaging and dispensing. MedWatch Safety Alert. Silver Spring, MD: US Food and Dr…
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psnet.ahrq.gov/issue/huddles-and-debriefings-improving-communication-labor-and-delivery
February 13, 2013 - Review
Huddles and debriefings: improving communication on labor and delivery.
Citation Text:
McQuaid-Hanson E, Pian-Smith MCM. Huddles and Debriefings: Improving Communication on Labor and Delivery. Anesthesiol Clin. 2017;35(1):59-67. doi:10.1016/j.anclin.2016.09.006.
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psnet.ahrq.gov/issue/reframing-and-addressing-horizontal-violence-workplace-quality-improvement-concern
March 15, 2017 - Commentary
Reframing and addressing horizontal violence as a workplace quality improvement concern.
Citation Text:
Taylor RA, Taylor SS. Reframing and addressing horizontal violence as a workplace quality improvement concern. Nurs Forum. 2018;53(4):459-465. doi:10.1111/nuf.12273.
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psnet.ahrq.gov/issue/safety-considerations-learning-new-procedures-survey-surgeons
January 23, 2017 - Study
Safety considerations in learning new procedures: a survey of surgeons.
Citation Text:
Jaffe TA, Hasday SJ, Knol M, et al. Safety considerations in learning new procedures: a survey of surgeons. J Surg Res. 2017;218:361-366. doi:10.1016/j.jss.2017.06.058.
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psnet.ahrq.gov/issue/underappreciated-role-habit-highly-reliable-healthcare
April 25, 2016 - Commentary
The underappreciated role of habit in highly reliable healthcare.
Citation Text:
Vogus TJ, Hilligoss B. The underappreciated role of habit in highly reliable healthcare. BMJ Qual Saf. 2016;25(3):141-6. doi:10.1136/bmjqs-2015-004512.
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psnet.ahrq.gov/issue/pediatric-vaccination-errors-application-5-rights-framework-national-error-reporting-database
September 21, 2008 - Study
Pediatric vaccination errors: application of the "5 rights" framework to a national error reporting database.
Citation Text:
Bundy DG, Shore AD, Morlock L, et al. Pediatric vaccination errors: application of the "5 rights" framework to a national error reporting database. Vaccine.…
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psnet.ahrq.gov/issue/can-teaching-medical-students-investigate-medication-errors-change-their-attitudes-towards
August 14, 2014 - Image/Poster
Can teaching medical students to investigate medication errors change their attitudes towards patient safety?
Citation Text:
Dudas RA, Bundy DG, Miller MR, et al. Can teaching medical students to investigate medication errors change their attitudes towards patient safety? …
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psnet.ahrq.gov/issue/impact-pharmacist-directed-pain-management-service-inpatient-opioid-use-pain-control-and
February 11, 2015 - Study
Impact of a pharmacist-directed pain management service on inpatient opioid use, pain control, and patient safety.
Citation Text:
Impact of a pharmacist-directed pain management service on inpatient opioid use, pain control, and patient safety. Poirier RH; Brown CS; Baggenstos YT; …
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psnet.ahrq.gov/issue/medication-errors-overview-clinicians
September 20, 2011 - Review
Medication errors: an overview for clinicians.
Citation Text:
Wittich CM, Burkle CM, Lanier WL. Medication errors: an overview for clinicians. Mayo Clin Proc. 2014;89(8):1116-25. doi:10.1016/j.mayocp.2014.05.007.
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psnet.ahrq.gov/issue/evaluation-registered-nurse-competency-processes-veterans-health-administration-facilities
April 26, 2006 - Book/Report
Evaluation of Registered Nurse Competency Processes in Veterans Health Administration Facilities.
Citation Text:
Evaluation of Registered Nurse Competency Processes in Veterans Health Administration Facilities. Washington, DC: VA Office of Inspector General; April 20, 201…
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psnet.ahrq.gov/issue/evaluation-12-strategies-obtaining-second-opinions-improve-interpretation-breast
November 03, 2015 - Study
Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histopathology: simulation study.
Citation Text:
Elmore JG, Tosteson AN, Pepe MS, et al. Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histo…
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psnet.ahrq.gov/issue/quality-care-cranial-implant-surgeries-james-haley-va-medical-center-tampa-florida
June 13, 2012 - Government Resource
Quality of Care in Cranial Implant Surgeries at James A. Haley VA Medical Center, Tampa, Florida.
Citation Text:
Quality of Care in Cranial Implant Surgeries at James A. Haley VA Medical Center, Tampa, Florida. Washington, DC: VA Office of Inspector General; April 1…
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psnet.ahrq.gov/issue/use-cascading-a3s-drive-systemwide-improvement
January 29, 2015 - Commentary
Use of cascading A3s to drive systemwide improvement.
Citation Text:
Winner LE, Burroughs TJ, Cady-Reh JA, et al. Use of Cascading A3s to Drive Systemwide Improvement. Jt Comm J Qual Patient Saf. 2017;43(8):422-428. doi:10.1016/j.jcjq.2017.03.011.
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psnet.ahrq.gov/issue/pharmacist-physician-relationship-detection-ambulatory-medication-errors
January 09, 2008 - Study
The pharmacist-physician relationship in the detection of ambulatory medication errors.
Citation Text:
Brown A, Bailey JH, Lee J, et al. The pharmacist-physician relationship in the detection of ambulatory medication errors. Am J Med Sci. 2006;331(1):22-24.
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psnet.ahrq.gov/issue/cardiovascular-medication-errors-children
September 21, 2008 - Study
Cardiovascular medication errors in children.
Citation Text:
Alexander DC, Bundy DG, Shore AD, et al. Cardiovascular medication errors in children. Pediatrics. 2009;124(1):324-32. doi:10.1542/peds.2008-2073.
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psnet.ahrq.gov/issue/pediatric-medication-errors-postanesthesia-care-unit-analysis-medmarx-data
January 06, 2017 - Study
Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data.
Citation Text:
Payne CH, Smith CR, Newkirk LE, et al. Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data. AORN J. 2007;85(4):731-40; quiz 741-4.
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psnet.ahrq.gov/issue/value-library-and-information-services-patient-care-results-multisite-study
April 24, 2018 - Study
The value of library and information services in patient care: results of a multisite study.
Citation Text:
Marshall JG, Sollenberger J, Easterby-Gannett S, et al. The value of library and information services in patient care: results of a multisite study. J Med Libr Assoc. 2013;1…
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psnet.ahrq.gov/issue/microanalysis-video-operating-room-underused-approach-patient-safety-research
January 22, 2014 - Study
Microanalysis of video from the operating room: an underused approach to patient safety research.
Citation Text:
Bezemer J, Cope A, Korkiakangas T, et al. Microanalysis of video from the operating room: an underused approach to patient safety research. BMJ Qual Saf. 2017;26(7):583-…