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psnet.ahrq.gov/issue/availability-spanish-prescription-labels
December 18, 2014 - Study
Availability of Spanish prescription labels.
Citation Text:
Sharif I, Lo S, Ozuah PO. Availability of Spanish prescription labels. J Health Care Poor Underserved. 2006;17(1):65-9.
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psnet.ahrq.gov/issue/implementation-patient-safety-rounds-childrens-hospital
October 19, 2022 - Commentary
Implementation of patient safety rounds in a children's hospital.
Citation Text:
Yee PL, Edwards ML, Dixon JL, et al. Implementation of patient safety rounds in a children's hospital. Nurs Adm Q. 2009;33(1):48-53. doi:10.1097/01.NAQ.0000343348.93537.41.
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psnet.ahrq.gov/issue/special-issue-prescription-drug-misuse
November 25, 2020 - Special or Theme Issue
Special Issue on Prescription Drug Misuse.
Citation Text:
Special Issue on Prescription Drug Misuse. Rickles NM, Fleming ML, Björnsdottir I, eds. Res Social Adm Pharm. 2019;15:907-1056.
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psnet.ahrq.gov/issue/reducing-cognitive-errors-dermatology-can-anything-be-done
September 29, 2010 - Commentary
Reducing cognitive errors in dermatology: can anything be done?
Citation Text:
Dunbar M, Helms SE, Brodell RT. Reducing cognitive errors in dermatology: can anything be done? J Am Acad Dermatol. 2013;69(5):810-813. doi:10.1016/j.jaad.2013.07.008.
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psnet.ahrq.gov/issue/medicolegal-aspect-error-pathology-search-jury-verdicts-and-settlements
February 04, 2016 - Review
The medicolegal aspect of error in pathology: a search of jury verdicts and settlements.
Citation Text:
Kornstein MJ, Byrne SP. The medicolegal aspect of error in pathology: a search of jury verdicts and settlements. Arch Pathol Lab Med. 2007;131(4):615-618.
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psnet.ahrq.gov/issue/effects-sleep-inertia-cognition
April 21, 2021 - Study
Effects of sleep inertia on cognition.
Citation Text:
Wertz AT, Ronda JM, Czeisler CA, et al. Effects of sleep inertia on cognition. JAMA. 2006;295(2):163-4.
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psnet.ahrq.gov/issue/future-medical-diagnosis-computer-algorithms
September 07, 2022 - Commentary
Is the future of medical diagnosis in computer algorithms?
Citation Text:
Gruber K. Is the future of medical diagnosis in computer algorithms? Lancet Digit Health. 2019;1(1):e15-e16. doi:10.1016/s2589-7500(19)30011-1.
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psnet.ahrq.gov/issue/patient-safety-honoring-advanced-directives
June 23, 2009 - Commentary
Patient safety: honoring advanced directives.
Citation Text:
Tice MA. Patient safety: honoring advanced directives. Home Healthc Nurse. 2007;25(2):79-81.
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psnet.ahrq.gov/issue/poor-physician-patient-communication-and-medical-error
August 23, 2023 - Commentary
Poor physician-patient communication and medical error.
Citation Text:
Poor physician-patient communication and medical error. Lazris A, Roth AR, Haskell H, et al. Am Fam Physician. 2021;103(12):757-759.
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psnet.ahrq.gov/issue/prevention-medication-errors-pediatric-inpatient-setting
July 03, 2016 - Review
Prevention of medication errors in the pediatric inpatient setting.
Citation Text:
Prevention of medication errors in the pediatric inpatient setting. Stucky ER; American Academy of Pediatrics Committee on Drugs; American Academy of Pediatrics Committee on Hospital Care. …
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psnet.ahrq.gov/issue/patient-safety-surgery-non-technical-aspects-safe-surgical-performance
June 12, 2008 - Review
Patient safety in surgery: non-technical aspects of safe surgical performance.
Citation Text:
Youngson GG, Flin R. Patient safety in surgery: non-technical aspects of safe surgical performance. Patient Saf Surg. 2010;4(1):4. doi:10.1186/1754-9493-4-4.
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psnet.ahrq.gov/issue/disclosing-errors-affect-multiple-patients
April 19, 2017 - Commentary
Disclosing errors that affect multiple patients.
Citation Text:
Chafe R, Levinson W, Sullivan T. Disclosing errors that affect multiple patients. CMAJ. 2009;180(11):1125-7. doi:10.1503/cmaj.081016.
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psnet.ahrq.gov/issue/three-quarters-preventable-patient-harm-stems-situation-awareness-breakdowns-recognizing-and
September 11, 2009 - Newspaper/Magazine Article
Three quarters of preventable patient harm stems from situation awareness breakdowns: recognizing and addressing the core issue.
Citation Text:
Three quarters of preventable patient harm stems from situation awareness breakdowns: recognizing and addressing the …
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psnet.ahrq.gov/issue/audit-handover-ent-unit
October 28, 2020 - Study
Audit of handover in an ENT unit.
Citation Text:
Ellul D, Robson AK. Audit of handover in an ENT unit. J Laryngol Otol. 2011;125(9):924-7. doi:10.1017/S0022215111000880.
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psnet.ahrq.gov/issue/electronically-generated-medication-administration-and-electronic-medication-administration
May 25, 2016 - Book/Report
Electronically Generated Medication Administration and Electronic Medication Administration Records for the Prevention of Medication Transcription Errors: Review of Clinical Effectiveness and Safety.
Citation Text:
Electronically Generated Medication Administration and Electr…
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psnet.ahrq.gov/issue/cognitive-biases-associated-medical-decisions-systematic-review
March 01, 2023 - Review
Cognitive biases associated with medical decisions: a systematic review.
Citation Text:
Saposnik G, Redelmeier DA, Ruff CC, et al. Cognitive biases associated with medical decisions: a systematic review. BMC Med Inform Decis Mak. 2016;16(1):138.
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psnet.ahrq.gov/issue/re-engineered-discharge-red-toolkit
June 20, 2014 - Toolkit
Re-Engineered Discharge (RED) Toolkit.
Citation Text:
Re-Engineered Discharge (RED) Toolkit. Jack B, Paasche-Orlow M, Mitchell S, Forsythe S, Martin J. Rockville, MD: Agency for Healthcare Research and Quality; September 2015. AHRQ Publication No. 12(13)-0084.
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psnet.ahrq.gov/issue/evolution-error-error-management-cognitive-constraints-and-adaptive-decision-making-biases
June 03, 2020 - Review
The evolution of error: error management, cognitive constraints, and adaptive decision-making biases.
Citation Text:
Johnson DDP, Blumstein DT, Fowler JH, et al. The evolution of error: error management, cognitive constraints, and adaptive decision-making biases. Trends Ecol Evo…
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psnet.ahrq.gov/issue/updated-guidance-needed-longstanding-large-volume-parenteral-lvp-labeling-and-packaging
March 10, 2021 - Newspaper/Magazine Article
Updated guidance needed for longstanding large volume parenteral (LVP) labeling and packaging problems.
Citation Text:
Updated guidance needed for longstanding large volume parenteral (LVP) labeling and packaging problems. ISMP Medication Safety Alert! Acute ca…
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psnet.ahrq.gov/issue/selected-medication-safety-risks-manage-2016-might-otherwise-fall-radar-screen-part-1-and
March 09, 2016 - Newspaper/Magazine Article
Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen—part 1 and part 2.
Citation Text:
Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen—part 1 and part 2. ISMP Medicat…