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psnet.ahrq.gov/issue/effectiveness-nurse-education-and-training-clinical-alarm-response-and-management-systematic
February 22, 2017 - Review
The effectiveness of nurse education and training for clinical alarm response and management: a systematic review.
Citation Text:
Yue L, Plummer V, Cross W. The effectiveness of nurse education and training for clinical alarm response and management: a systematic review. J Clin Nu…
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psnet.ahrq.gov/issue/comprehensive-analysis-medication-dosing-error-related-cpoe
June 01, 2005 - Commentary
Comprehensive analysis of a medication dosing error related to CPOE.
Citation Text:
Horsky J, Kuperman GJ, Patel VL. Comprehensive Analysis of a Medication Dosing Error Related to CPOE: Table 1. J Am Med Info Assoc. 2005;12(4). doi:10.1197/jamia.m1740.
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psnet.ahrq.gov/issue/stop-line-interventions-prevent-retained-surgical-items
July 10, 2024 - Commentary
Stop the line: interventions to prevent retained surgical items.
Citation Text:
Angelilli S. Stop the line: interventions to prevent retained surgical items. AORN J. 2024;120(2):71-81. doi:10.1002/aorn.14190.
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psnet.ahrq.gov/issue/identification-and-interference-intraoperative-distractions-and-interruptions-operating-rooms
June 26, 2024 - Study
Identification and interference of intraoperative distractions and interruptions in operating rooms.
Citation Text:
Antoniadis S, Passauer-Baierl S, Baschnegger H, et al. Identification and interference of intraoperative distractions and interruptions in operating rooms. J Surg Res…
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psnet.ahrq.gov/issue/measurement-performance-driver-case-national-measurement-system-improve-patient-safety
September 01, 2018 - Review
Measurement as a performance driver: the case for a national measurement system to improve patient safety.
Citation Text:
Krause TR, Bell KJ, Pronovost P, et al. Measurement as a Performance Driver: The Case for a National Measurement System to Improve Patient Safety. J Patient Sa…
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psnet.ahrq.gov/issue/resident-hesitation-operating-room-does-uncertainty-equal-incompetence
September 24, 2016 - Study
Resident hesitation in the operating room: does uncertainty equal incompetence?
Citation Text:
Ott M, Schwartz A, Goldszmidt M, et al. Resident hesitation in the operating room: does uncertainty equal incompetence? Med Educ. 2018;52(8):851-860. doi:10.1111/medu.13530.
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psnet.ahrq.gov/issue/medication-errors-and-trainees-advice-learners-and-organizations
April 10, 2019 - Commentary
Medication errors and trainees: advice for learners and organizations.
Citation Text:
Wheeler JS, Duncan R, Hohmeier K. Medication Errors and Trainees: Advice for Learners and Organizations. Ann Pharmacother. 2017;51(12):1138-1141. doi:10.1177/1060028017725092.
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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/accuracy-skin-cancer-diagnosis-physician-assistants-compared-dermatologists-large-health-care
August 04, 2021 - Study
Emerging Classic
Accuracy of skin cancer diagnosis by physician assistants compared with dermatologists in a large health care system.
Citation Text:
Anderson AM, Matsumoto M, Saul MI, et al. Accuracy of Skin Cancer Diagnosis by Physician Assistants Compar…
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psnet.ahrq.gov/issue/when-covid-19-hit-many-elderly-were-left-die
June 24, 2020 - Newspaper/Magazine Article
When COVID-19 hit, many elderly were left to die.
Citation Text:
Stevis-Gridneff M, Apuzzo M, Pronczuk M. When COVID-19 hit, many elderly were left to die. New York Times. 2020;August 8.
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psnet.ahrq.gov/issue/unintended-adverse-consequences-clinical-decision-support-system-two-cases
October 23, 2018 - Commentary
Unintended adverse consequences of a clinical decision support system: two cases.
Citation Text:
Stone EG. Unintended adverse consequences of a clinical decision support system: two cases. J Am Med Inform Assoc. 2018;25(5):564-567. doi:10.1093/jamia/ocx096.
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psnet.ahrq.gov/issue/point-integrating-patient-safety-education-obstetrics-and-gynecology-undergraduate-curriculum
January 02, 2017 - Review
To the point: integrating patient safety education Into the obstetrics and gynecology undergraduate curriculum.
Citation Text:
Abbott JF, Pradhan A, Buery-Joyner S, et al. To the Point: Integrating Patient Safety Education Into the Obstetrics and Gynecology Undergraduate Curriculu…
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psnet.ahrq.gov/issue/design-safety-dashboard-patients
March 16, 2022 - Study
Design of a safety dashboard for patients.
Citation Text:
Gibson B, Butler J, Schnock KO, et al. Design of a safety dashboard for patients. Patient Educ Couns. 2019;103(4):741-747. doi:10.1016/j.pec.2019.10.021.
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psnet.ahrq.gov/issue/nursing-homes-64-day-covid-siege-theyre-all-going-die
September 15, 2021 - Newspaper/Magazine Article
A nursing home’s 64-day Covid siege: ‘They’re all going to die’.
Citation Text:
Barker K. A nursing home’s 64-day Covid siege: ‘They’re all going to die’. New York Times. 2020;June 10.
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psnet.ahrq.gov/issue/closest-observers-patient-care-thematic-analysis-online-narrative-reviews-hospitals
December 12, 2014 - Study
From the closest observers of patient care: a thematic analysis of online narrative reviews of hospitals.
Citation Text:
Bardach N, Lyndon A, Asteria-Peñaloza R, et al. From the closest observers of patient care: a thematic analysis of online narrative reviews of hospitals. BMJ Qua…
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psnet.ahrq.gov/issue/results-survey-pediatric-medication-safety-part-1-and-part-2
November 16, 2015 - Newspaper/Magazine Article
Results of survey on pediatric medication safety—part 1 and part 2.
Citation Text:
Results of survey on pediatric medication safety—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. June 4, 2015;20:1-6. July 2, 2015;20:1-5.
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psnet.ahrq.gov/issue/physicians-needs-coping-emotional-stressors-case-peer-support
September 09, 2008 - Study
Physicians' needs in coping with emotional stressors: the case for peer support.
Citation Text:
Hu Y-Y, Fix ML, Hevelone ND, et al. Physicians' needs in coping with emotional stressors: the case for peer support. Arch Surg. 2012;147(3):212-217. doi:10.1001/archsurg.2011.312.
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psnet.ahrq.gov/issue/putting-patient-patient-safety-investigations-barriers-and-strategies-involvement
June 23, 2021 - Review
Putting the patient in patient safety investigations: barriers and strategies for involvement.
Citation Text:
Busch IM, Saxena A, Wu AW. Putting the patient in patient safety investigations: barriers and strategies for involvement. J Patient Saf. 2021;17(5):358-362. doi:10.1097/pt…
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psnet.ahrq.gov/issue/recognizing-our-biases-understanding-evidence-and-responding-equitably-application
April 05, 2023 - Commentary
Recognizing our biases, understanding the evidence, and responding equitably: application of the socioecological model to reduce racial disparities in the NICU.
Citation Text:
McCarty DB. Recognizing our biases, understanding the evidence, and responding equitably: application…
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psnet.ahrq.gov/issue/patient-preferences-cases-inter-system-medical-error-discovery-imed
November 02, 2018 - Study
Patient preferences in cases of Inter-system Medical Error Discovery (IMED).
Citation Text:
Antunez AG, Saari A, Miller J, et al. Patient Preferences in Cases of Inter-system Medical Error Discovery (IMED). Ann Surg. 2021;273(3):516-522. doi:10.1097/SLA.0000000000003507.
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