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psnet.ahrq.gov/issue/practice-gaps-patient-safety-among-dermatology-residents-and-their-teachers-survey-study
August 19, 2009 - Study
Practice gaps in patient safety among dermatology residents and their teachers: a survey study of dermatology residents.
Citation Text:
Swary JH, Stratman EJ. Practice gaps in patient safety among dermatology residents and their teachers: a survey study of dermatology residents. JA…
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psnet.ahrq.gov/issue/sources-and-magnitude-error-preparing-morphine-infusions-nurse-patient-controlled-analgesia
January 07, 2015 - Study
Sources and magnitude of error in preparing morphine infusions for nurse–patient controlled analgesia in a UK paediatric hospital.
Citation Text:
Rashed AN, Tomlin S, Aguado V, et al. Sources and magnitude of error in preparing morphine infusions for nurse-patient controlled analge…
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psnet.ahrq.gov/issue/competence-and-certification-registered-nurses-and-safety-patients-intensive-care-units
May 01, 2006 - Study
Competence and certification of registered nurses and safety of patients in intensive care units.
Citation Text:
Kendall-Gallagher D, Blegen MA. Competence and certification of registered nurses and safety of patients in intensive care units. Am J Crit Care. 2009;18(2):106-113; q…
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psnet.ahrq.gov/issue/lessons-learned-basic-evidence-based-advice-preventing-medication-errors-children
December 22, 2008 - Commentary
Lessons learned: basic evidence-based advice for preventing medication errors in children.
Citation Text:
Thomas DO. Lessons learned: basic evidence-based advice for preventing medication errors in children. Journal of emergency nursing: JEN : official publication of the Eme…
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psnet.ahrq.gov/issue/evolution-rapid-response-system-voluntary-mandatory-activation
June 07, 2023 - Commentary
Evolution of a rapid response system from voluntary to mandatory activation.
Citation Text:
Jones CM, Bleyer AJ, Petree B. Evolution of a rapid response system from voluntary to mandatory activation. Jt Comm J Qual Patient Saf. 2010;36(6):266-70, 241.
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psnet.ahrq.gov/issue/how-often-do-physicians-review-medication-charts-ward-rounds
September 23, 2020 - Study
How often do physicians review medication charts on ward rounds?
Citation Text:
Looi KL, Black PN. How often do physicians review medication charts on ward rounds? BMC Clin Pharmacol. 2008;8:9. doi:10.1186/1472-6904-8-9.
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psnet.ahrq.gov/issue/system-safety-approach-assessing-risks-sepsis-treatment-process
February 03, 2021 - Study
A system safety approach to assessing risks in the sepsis treatment process.
Citation Text:
Kaya GK. A system safety approach to assessing risks in the sepsis treatment process. Appl Ergon. 2021;94:103408. doi:10.1016/j.apergo.2021.103408.
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psnet.ahrq.gov/issue/sensitivity-adverse-event-cost-estimates-diagnostic-coding-error
March 03, 2011 - Study
The sensitivity of adverse event cost estimates to diagnostic coding error.
Citation Text:
Wardle G, Wodchis WP, Laporte A, et al. The sensitivity of adverse event cost estimates to diagnostic coding error. Health Serv Res. 2012;47(3 Pt 1):984-1007. doi:10.1111/j.1475-6773.2011.0…
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psnet.ahrq.gov/issue/devastatingly-human-analysis-registered-nurses-medication-error-accounts
June 27, 2018 - Study
Devastatingly human: an analysis of registered nurses' medication error accounts.
Citation Text:
Treiber LA, Jones JH. Devastatingly human: an analysis of registered nurses' medication error accounts. Qual Health Res. 2010;20(10):1327-42. doi:10.1177/1049732310372228.
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psnet.ahrq.gov/issue/distraction-and-interruption-anaesthetic-practice
May 18, 2022 - Study
Distraction and interruption in anaesthetic practice.
Citation Text:
Campbell G, Arfanis K, Smith AF. Distraction and interruption in anaesthetic practice. Br J Anaesth. 2012;109(5):707-715. doi:10.1093/bja/aes219.
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psnet.ahrq.gov/issue/reducing-error-anticoagulant-dosing-multidisciplinary-team-rounding-point-care
November 16, 2016 - Study
Reducing error in anticoagulant dosing via multidisciplinary team rounding at point of care.
Citation Text:
Sharma M, Krishnamurthy M, Snyder R, et al. Reducing error in anticoagulant dosing via multidisciplinary team rounding at point of care. Clin Pract. 2017;7(2). doi:10.4081/cp…
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psnet.ahrq.gov/issue/risk-factors-iv-compounding-errors-when-using-automated-workflow-management-system
September 23, 2020 - Study
Risk factors for i.v. compounding errors when using an automated workflow management system.
Citation Text:
Deng Y, Lin AC, Hingl J, et al. Risk factors for i.v. compounding errors when using an automated workflow management system. Am J Health Syst Pharm. 2016;73(12):887-893. doi:…
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psnet.ahrq.gov/issue/medical-malpractice-reflected-forensic-evaluation-4450-autopsies
September 02, 2009 - Study
Medical malpractice as reflected by the forensic evaluation of 4450 autopsies.
Citation Text:
Madea B, Preuss J. Medical malpractice as reflected by the forensic evaluation of 4450 autopsies. Forensic Sci Int. 2009;190(1-3):58-66. doi:10.1016/j.forsciint.2009.05.013.
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psnet.ahrq.gov/issue/emotional-impact-medical-error-involvement-physicians-call-leadership-and-organisational
June 14, 2023 - Review
The emotional impact of medical error involvement on physicians: a call for leadership and organisational accountability.
Citation Text:
Schwappach DL, Boluarte TA. The emotional impact of medical error involvement on physicians: a call for leadership and organisational accountabi…
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psnet.ahrq.gov/issue/patient-safety-otolaryngology-descriptive-review
July 14, 2010 - Review
Patient safety in otolaryngology: a descriptive review.
Citation Text:
Danino J, Muzaffar J, Metcalfe C, et al. Patient safety in otolaryngology: a descriptive review. Eur Arch Otorhinolaryngol. 2017;274(3):1317-1326. doi:10.1007/s00405-016-4291-z.
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psnet.ahrq.gov/issue/impact-and-culture-change-after-implementation-preprocedural-checklist-interventional
May 05, 2021 - Study
Impact and culture change after the implementation of a preprocedural checklist in an interventional radiology department.
Citation Text:
Wong SSN, Cleverly S, Tan KT, et al. Impact and Culture Change After the Implementation of a Preprocedural Checklist in an Interventional Radiol…
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psnet.ahrq.gov/issue/changes-intern-attitudes-toward-medical-error-and-disclosure
November 10, 2021 - Study
Changes in intern attitudes toward medical error and disclosure.
Citation Text:
Varjavand N, Bachegowda LS, Gracely E, et al. Changes in intern attitudes toward medical error and disclosure. Med Educ. 2012;46(7):668-77. doi:10.1111/j.1365-2923.2012.04269.x.
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psnet.ahrq.gov/issue/ce-nursings-evolving-role-patient-safety
July 19, 2023 - Review
CE: nursing's evolving role in patient safety.
Citation Text:
Kowalski SL, Anthony M. CE: Nursing's Evolving Role in Patient Safety. Am J Nurs. 2017;117(2):34-48. doi:10.1097/01.NAJ.0000512274.79629.3c.
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psnet.ahrq.gov/issue/peer-support-anesthesia-turning-war-stories-wellness
July 13, 2010 - Review
Peer support in anesthesia: turning war stories into wellness.
Citation Text:
Vinson AE, Randel G. Peer support in anesthesia: turning war stories into wellness. Curr Opin Anaesthesiol. 2018;31(3):382-387. doi:10.1097/ACO.0000000000000591.
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psnet.ahrq.gov/issue/flawed-self-assessment-hand-hygiene-major-contributor-infections-clinical-practice
September 02, 2020 - Study
Flawed self-assessment in hand hygiene: a major contributor to infections in clinical practice?
Citation Text:
Kelcikova S, Mazuchova L, Bielena L, et al. Flawed self-assessment in hand hygiene: A major contributor to infections in clinical practice? J Clin Nurs. 2019;28(11-12):226…