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psnet.ahrq.gov/issue/value-pharmacist-medication-reconciliation-process
March 27, 2024 - Commentary
Value of the pharmacist in the medication reconciliation process.
Citation Text:
Splawski J, Minger H. Value of the Pharmacist in the Medication Reconciliation Process. P T. 2016;41(3):176-8.
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psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs-serious-incident
February 21, 2024 - Book/Report
Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports.
Citation Text:
Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. Dorset, UK: Health Services Safety Inve…
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psnet.ahrq.gov/issue/5-pandemic-mistakes-we-keep-repeating-we-can-learn-our-failures
March 10, 2021 - Newspaper/Magazine Article
5 pandemic mistakes we keep repeating. We can learn from our failures.
Citation Text:
5 pandemic mistakes we keep repeating. We can learn from our failures. Zeynep Tufekci. The Atlantic. February 26, 2021
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psnet.ahrq.gov/issue/future-nursing-2020-2030-charting-path-achieve-health-equity
September 12, 2018 - Book/Report
The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity.
Citation Text:
The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. National Academies of Sciences, Engineering, and Medicine. Washington DC: National Academies Press; …
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psnet.ahrq.gov/issue/examining-increase-drug-shortages
March 01, 2017 - Government Resource
Examining the Increase in Drug Shortages.
Citation Text:
Examining the Increase in Drug Shortages. Hearings before the Subcommittee on Health of the Committee on Energy and Commerce Committee, 112th Cong, 1st Sess (September 23, 2011).
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psnet.ahrq.gov/issue/impact-successful-speaking-program-health-care-worker-hand-hygiene-behavior
February 11, 2015 - Commentary
Impact of a successful speaking up program on health-care worker hand hygiene behavior.
Citation Text:
Impact of a successful speaking up program on health-care worker hand hygiene behavior. Linam MW; Honeycutt MD; Gilliam CH; Wisdom CM; Deshpande JK.
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psnet.ahrq.gov/issue/alarm-algorithms-critical-care-monitoring
February 03, 2010 - Review
Alarm algorithms in critical care monitoring.
Citation Text:
Imhoff M, Kuhls S. Alarm algorithms in critical care monitoring. Anesth Analg. 2006;102(5):1525-37.
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psnet.ahrq.gov/issue/learning-influenza-vaccine-errors-prepare-covid-19-vaccination-campaigns
June 10, 2018 - Newspaper/Magazine Article
Learning from influenza vaccine errors to prepare for COVID-19 vaccination campaigns.
Citation Text:
Learning from influenza vaccine errors to prepare for COVID-19 vaccination campaigns. ISMP Medication Safety Alert! Acute care edition. November 19, 2020;2…
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psnet.ahrq.gov/issue/reducing-surgical-errors-implementing-three-hinge-approach-success
December 08, 2021 - Commentary
Reducing surgical errors: implementing a three-hinge approach to success.
Citation Text:
Landers R. Reducing surgical errors: implementing a three-hinge approach to success. AORN J. 2015;101(6):657-65. doi:10.1016/j.aorn.2015.04.013.
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psnet.ahrq.gov/issue/pump-volume-tips-increasing-error-reporting-and-decreasing-patient-harm
January 27, 2021 - Newspaper/Magazine Article
Pump up the volume: tips for increasing error reporting and decreasing patient harm.
Citation Text:
Pump up the volume: tips for increasing error reporting and decreasing patient harm. ISMP Medication Safety Alert! Acute care edition. August 26, 2021;26(17);1-5…
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psnet.ahrq.gov/issue/patient-handoffs
June 17, 2014 - Newspaper/Magazine Article
Patient handoffs.
Citation Text:
Runy LA. Patient handoffs. Hospitals & health networks. 2008;82(5):7 p following 40, 2.
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psnet.ahrq.gov/issue/safe-use-opioids-hospitals
February 28, 2018 - Sentinel Event Alerts
Safe use of opioids in hospitals.
Citation Text:
Sentinel Event Alert. 2012;49:1-5.
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psnet.ahrq.gov/issue/alternative-clinical-negligence-system
December 08, 2021 - Commentary
An alternative to the clinical negligence system.
Citation Text:
Furniss R, Ormond-Walshe S. An alternative to the clinical negligence system. BMJ. 2007;334(7590):400-2.
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psnet.ahrq.gov/issue/doctors-orders-killed-cancer-patient-dana-farber-admits-drug-overdose-caused-death-globe
March 10, 2021 - Newspaper/Magazine Article
Classic
Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death of Globe columnist, damage to second woman.
Citation Text:
Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused deat…
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psnet.ahrq.gov/issue/when-nurse-prosecuted-fatal-medical-mistake-does-it-make-medicine-safer
March 13, 2019 - Newspaper/Magazine Article
When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer?
Citation Text:
When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? Gordon M. Health Shots. National Public Radio. April 10, 2019.
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psnet.ahrq.gov/issue/second-victim-traumatic-experience
October 06, 2016 - Commentary
Second victim: a traumatic experience.
Citation Text:
Second victim: a traumatic experience. Wands B. AANA J. 2021;89(2):168-174.
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psnet.ahrq.gov/issue/science-and-economics-improving-clinical-communication
November 18, 2015 - Commentary
The science and economics of improving clinical communication.
Citation Text:
O'Byrne WT, Weavind L, Selby J. The science and economics of improving clinical communication. Anesthesiol Clin. 2008;26(4):729-44, vii. doi:10.1016/j.anclin.2008.07.010.
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psnet.ahrq.gov/issue/learning-and-mindfulness-improving-perioperative-patient-safety
January 12, 2022 - Commentary
Learning and mindfulness: improving perioperative patient safety.
Citation Text:
Graling PR, Sanchez JA. Learning and mindfulness: improving perioperative patient safety. AORN J. 2017;105(3):317-321. doi:10.1016/j.aorn.2017.01.006.
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psnet.ahrq.gov/issue/wrong-site-surgery-wrong-patient-invasive-procedures-outpatient-settings
June 09, 2021 - Book/Report
Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings.
Citation Text:
Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings. Farnborough, UK: Healthcare Safety Investigation Branch; June 2021.
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psnet.ahrq.gov/issue/clearing-error-using-public-deliberation-define-patient-roles-partners-diagnostic-process
September 13, 2016 - Book/Report
Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process.
Citation Text:
Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process. St. Paul, MN: Society to Improve Diagnosis …