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psnet.ahrq.gov/issue/color-coded-medication-safety-system-reduces-community-pediatric-emergency-nursing-medication
April 05, 2023 - Study
Color coded medication safety system reduces community pediatric emergency nursing medication errors.
Citation Text:
Feleke R, Kalynych CJ, Lundblom B, et al. Color coded medication safety system reduces community pediatric emergency nursing medication errors. J Patient Saf. 2009…
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psnet.ahrq.gov/web-mm/snfs-opening-black-box
August 27, 2012 - SNFs: Opening the Black Box
Citation Text:
Ouslander JG, Bonner A. SNFs: Opening the Black Box. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 X…
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psnet.ahrq.gov/node/33771/psn-pdf
August 22, 2014 - Beyond the Hospital: the New Frontier of Patient Safety
August 22, 2014
Plews-Ogan M. Beyond the Hospital: the New Frontier of Patient Safety. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
Perspective
The frontier of patient safety outside the hospital has y…
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psnet.ahrq.gov/node/49858/psn-pdf
April 01, 2019 - What Happened on Telemetry?
April 1, 2019
Sandau KE, Funk M. What Happened on Telemetry? PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/what-happened-telemetry
Case Objectives
Describe current hospital practices for continuous telemetry monitoring.
Appreciate key recommendations from the Update to Practice…
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psnet.ahrq.gov/web-mm/emr-entry-error-not-so-benign
July 01, 2012 - EMR Entry Error: Not So Benign
Citation Text:
Koppel R. EMR Entry Error: Not So Benign. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…
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psnet.ahrq.gov/issue/application-failure-mode-effect-analysis-improve-care-septic-patients-admitted-through
February 01, 2013 - Study
Application of failure mode effect analysis to improve the care of septic patients admitted through the emergency department.
Citation Text:
Alamry A, Owais SMA, Marini AM, et al. Application of Failure Mode Effect Analysis to Improve the Care of Septic Patients Admitted Through th…
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psnet.ahrq.gov/issue/deviation-preoperative-surgical-and-anaesthetic-care-plan-associated-increased-risk-adverse
August 20, 2018 - Study
Deviation from a preoperative surgical and anaesthetic care plan is associated with increased risk of adverse intraoperative events in major abdominal surgery.
Citation Text:
Gauss T, Merckx P, Brasher C, et al. Deviation from a preoperative surgical and anaesthetic care plan is …
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psnet.ahrq.gov/issue/simulation-based-clinical-systems-testing-healthcare-spaces-intake-through-implementation
April 10, 2024 - Commentary
Emerging Classic
Simulation-based clinical systems testing for healthcare spaces: from intake through implementation.
Citation Text:
Colman N, Doughty C, Arnold J, et al. Simulation-based clinical systems testing for healthcare spaces: from intake thr…
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psnet.ahrq.gov/issue/questionable-hospital-chart-documentation-practices-physicians
August 10, 2011 - Study
Questionable hospital chart documentation practices by physicians.
Citation Text:
Sharma R, Kostis WJ, Wilson AC, et al. Questionable hospital chart documentation practices by physicians. J Gen Intern Med. 2008;23(11):1865-70. doi:10.1007/s11606-008-0750-6.
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psnet.ahrq.gov/issue/nursing-home-patient-safety-culture-perceptions-among-licensed-practical-nurses
February 17, 2021 - Study
Nursing home patient safety culture perceptions among licensed practical nurses.
Citation Text:
Weaver SH, de Cordova PB, Ravichandran A, et al. Nursing home patient safety culture perceptions among licensed practical nurses. J Nurs Care Qual. 2023;38(3):203-210. doi:10.1097/ncq.00…
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psnet.ahrq.gov/issue/quest-eliminate-intrathecal-vincristine-errors-40-year-journey
September 15, 2010 - Commentary
The quest to eliminate intrathecal vincristine errors: a 40-year journey.
Citation Text:
Noble DJ, Donaldson LJ. The quest to eliminate intrathecal vincristine errors: a 40-year journey. Qual Saf Health Care. 2010;19(4):323-326. doi:10.1136/qshc.2008.030874.
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psnet.ahrq.gov/issue/why-things-bite-back-technology-and-revenge-unintended-consequences
March 20, 2019 - Book/Report
Classic
Why Things Bite Back: Technology and the Revenge of Unintended Consequences.
Citation Text:
Why Things Bite Back: Technology and the Revenge of Unintended Consequences. Tenner E. New York, NY: Knopf; 1996. ISBN: 0679425632.
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…
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psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2018-user-database-report
May 02, 2018 - Book/Report
Hospital Survey on Patient Safety Culture: 2018 User Database Report.
Citation Text:
Hospital Survey on Patient Safety Culture: 2018 User Database Report. Famolaro T, Yount N, Hare, R, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2018. AHRQ Publicat…
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psnet.ahrq.gov/issue/transitions-one-electronic-health-record-another-challenges-pitfalls-and-recommendations
March 17, 2021 - Review
Transitions from one electronic health record to another: challenges, pitfalls, and recommendations.
Citation Text:
Huang C, Koppel R, McGreevey JD, et al. Transitions from one electronic health record to another: challenges, pitfalls, and recommendations. Appl Clin Inform. 2020;1…
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psnet.ahrq.gov/issue/appropriateness-commercially-available-and-partially-customized-medication-dosing-alerts
July 16, 2015 - Study
Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients.
Citation Text:
Stultz JS, Nahata MC. Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients. J Am Med …
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psnet.ahrq.gov/issue/diagnostic-accuracy-large-language-model-pediatric-case-studies
May 25, 2016 - Study
Diagnostic accuracy of a large language model in pediatric case studies.
Citation Text:
Barile J, Margolis A, Cason G, et al. Diagnostic accuracy of a large language model in pediatric case studies. JAMA Pediatr. 2024;178(3):313-315. doi:10.1001/jamapediatrics.2023.5750.
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psnet.ahrq.gov/issue/expanding-frontiers-risk-management-care-safety-nursing-home-during-covid-19-pandemic
February 15, 2023 - Commentary
Expanding frontiers of risk management: care safety in nursing home during COVID-19 pandemic.
Citation Text:
Scopetti M, Santurro A, Tartaglia R, et al. Expanding frontiers of risk management: care safety in nursing home during COVID-19 pandemic. Int J Qual Health Care. 2021;3…
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psnet.ahrq.gov/issue/future-artificial-intelligence-applications-cancer-care-global-cross-sectional-survey
April 27, 2022 - Study
Future of artificial intelligence applications in cancer care: a global cross-sectional survey of researchers.
Citation Text:
Cabral BP, Braga LAM, Syed-Abdul S, et al. Future of artificial intelligence applications in cancer care: a global cross-sectional survey of researchers. Cu…
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psnet.ahrq.gov/issue/increasing-adoption-computerized-provider-order-entry-and-persistent-regional-disparities-us
May 16, 2012 - Study
Increasing adoption of computerized provider order entry, and persistent regional disparities, in US emergency departments.
Citation Text:
Pallin DJ, Sullivan AF, Espinola JA, et al. Increasing adoption of computerized provider order entry, and persistent regional disparities, in…
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psnet.ahrq.gov/issue/using-assessment-reasoning-tool-facilitate-feedback-about-diagnostic-reasoning
February 23, 2022 - Study
Using the Assessment of Reasoning Tool to facilitate feedback about diagnostic reasoning.
Citation Text:
Cohen AL, Sur M, Falco C, et al. Using the Assessment of Reasoning Tool to facilitate feedback about diagnostic reasoning. Diagnosis (Berl). 2022;9(4):476-484. doi:10.1515/dx-20…