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psnet.ahrq.gov/issue/handovers-or-icu
January 03, 2017 - Commentary
Handovers from the OR to the ICU.
Citation Text:
Bonifacio AS, Segall N, Barbeito A, et al. Handovers from the OR to the ICU. Int Anesthesiol Clin. 2013;51(1):43-61. doi:10.1097/AIA.0b013e31826f2b0e.
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psnet.ahrq.gov/issue/morbidity-and-mortality-conference-grand-rounds-and-acgmes-core-competencies
November 16, 2022 - Commentary
Morbidity and mortality conference, grand rounds, and the ACGME's core competencies.
Citation Text:
Kravet SJ, Howell E, Wright SM. Morbidity and mortality conference, grand rounds, and the ACGME's core competencies. J Gen Intern Med. 2006;21(11):1192-4.
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psnet.ahrq.gov/issue/system-based-approach-managing-patient-safety-ambulatory-care-and-beyond
December 09, 2020 - Newspaper/Magazine Article
A system-based approach to managing patient safety in ambulatory care (and beyond).
Citation Text:
A system-based approach to managing patient safety in ambulatory care (and beyond). Burger C, Eaton P, Hess K, et al. Patient Saf Qual Healthc. December 12, 2017.…
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psnet.ahrq.gov/issue/impact-pharmacists-participation-hospitalists-rounds
March 16, 2022 - Study
The impact of a pharmacist's participation on hospitalists' rounds.
Citation Text:
Patel R, Butler K, Garrett D, et al. The Impact of a Pharmacist's Participation on Hospitalists' Rounds. Hosp Pharm. 2010;45(2). doi:10.1310/hpj4502-129.
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psnet.ahrq.gov/issue/hospital-ratings-guide-perplexed
June 01, 2011 - Commentary
Hospital ratings: a guide for the perplexed.
Citation Text:
Zuger A. Hospital ratings: a guide for the perplexed. JAMA. 2015;313(19):1911-2. doi:10.1001/jama.2015.5269.
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psnet.ahrq.gov/issue/learning-incidents-health-care-critique-safety-ii-perspective
August 19, 2020 - Commentary
Learning from incidents in health care: critique from a Safety-II perspective.
Citation Text:
Learning from incidents in health care: critique from a Safety-II perspective. Sujan MA, Huang H, Braithwaite J. Safety Sci. 2017;99:115-121.
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psnet.ahrq.gov/issue/opioid-epidemic-what-can-surgeons-do-about-it
March 27, 2019 - Commentary
The opioid epidemic: what can surgeons do about it?
Citation Text:
The opioid epidemic: what can surgeons do about it? Saluja S, Selzer D, Meara JG, et al. Bull Am Coll Surg. 2017;102(7):13-18.
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psnet.ahrq.gov/issue/patient-expectations-fair-complaint-handling-hospitals-empirical-data
September 25, 2024 - Study
Patient expectations of fair complaint handling in hospitals: empirical data.
Citation Text:
Friele RD, Sluijs EM. Patient expectations of fair complaint handling in hospitals: empirical data. BMC Health Serv Res. 2006;6:106.
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psnet.ahrq.gov/issue/investigation-occupational-subgroups-respect-patient-safety-culture
March 06, 2024 - Study
An investigation of occupational subgroups with respect to patient safety culture.
Citation Text:
Phipps DL, Ashcroft DM. An investigation of occupational subgroups with respect to patient safety culture. Saf Sci. 2012;50(5). doi:10.1016/j.ssci.2011.12.016.
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psnet.ahrq.gov/issue/directed-peer-review-surgical-pathology
December 03, 2014 - Commentary
Directed peer review in surgical pathology.
Citation Text:
Smith ML, Raab SS. Directed peer review in surgical pathology. Adv Anat Pathol. 2012;19(5):331-337. doi:10.1097/pap.0b013e31826661b7.
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psnet.ahrq.gov/issue/using-human-error-theory-explore-supply-non-prescription-medicines-community-pharmacies
January 30, 2013 - Study
Using human error theory to explore the supply of non-prescription medicines from community pharmacies.
Citation Text:
Watson MC, Bond CM, Johnston M, et al. Using human error theory to explore the supply of non-prescription medicines from community pharmacies. Qual Saf Health Ca…
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psnet.ahrq.gov/issue/medication-safety-just-label-away
August 18, 2021 - Commentary
Medication safety: just a label away.
Citation Text:
Jennings J, Foster J. Medication safety: just a label away. AORN J. 2007;86(4):618-25.
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psnet.ahrq.gov/issue/safe-tables-collaborative-statewide-experience
April 12, 2011 - Commentary
The Safe Tables Collaborative: a statewide experience.
Citation Text:
Wagner CA, Cecchettini D, Fletcher J. The safe tables collaborative: a statewide experience. Jt Comm J Qual Patient Saf. 2011;37(5):206-10, 193.
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psnet.ahrq.gov/issue/safety-considerations-challenges-when-using-smart-infusion-pumps
October 26, 2022 - Newspaper/Magazine Article
Safety considerations for challenges when using smart infusion pumps.
Citation Text:
Safety considerations for challenges when using smart infusion pumps. ISMP Medication Safety Alert! Acute care edition. October 20, 2022;20(21):1-5.
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psnet.ahrq.gov/issue/legality-technicians-involvement-medication-reconciliation-not-clear
June 13, 2011 - Newspaper/Magazine Article
Legality of technicians' involvement in medication reconciliation not clear.
Citation Text:
Thompson CA. Legality of technicians' involvement in medication reconciliation not clear. American journal of health-system pharmacy : AJHP : official journal of the A…
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psnet.ahrq.gov/issue/role-nursing-surveillance-keeping-patients-safe
July 14, 2009 - Commentary
The role of nursing surveillance in keeping patients safe.
Citation Text:
Dresser S. The role of nursing surveillance in keeping patients safe. J Nurs Adm. 2012;42(7-8):361-368. doi:10.1097/NNA.0b013e3182619377.
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psnet.ahrq.gov/issue/interactive-effects-nurse-experienced-time-pressure-and-burnout-patient-safety-cross
September 23, 2009 - Study
Interactive effects of nurse-experienced time pressure and burnout on patient safety: a cross-sectional survey.
Citation Text:
Teng C-I, Shyu Y-IL, Chiou W-K, et al. Interactive effects of nurse-experienced time pressure and burnout on patient safety: a cross-sectional survey. Int…
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psnet.ahrq.gov/issue/older-adults-are-often-misdiagnosed-specialized-ers-and-trained-clinicians-can-help
July 28, 2021 - Newspaper/Magazine Article
Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help.
Citation Text:
Milne-Tyte A. Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. Health Shots. National Public Radio. July 30, 2024;
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psnet.ahrq.gov/issue/improving-diagnosis-health-care-next-imperative-patient-safety
July 15, 2015 - Commentary
Classic
Improving diagnosis in health care—the next imperative for patient safety.
Citation Text:
Singh H, Graber ML. Improving Diagnosis in Health Care--The Next Imperative for Patient Safety. New Engl J Med. 2015;373(26):2493-2495. doi:10.1056/NEJMp…
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psnet.ahrq.gov/issue/evaluation-implementation-alert-issued-uk-national-patient-safety-agency-storage-and-handling
September 04, 2013 - Study
Evaluation of the implementation of the alert issued by the UK National Patient Safety Agency on the storage and handling of potassium chloride concentrate solution.
Citation Text:
Lankshear AJ, Sheldon TA, Lowson K, et al. Evaluation of the implementation of the alert issued by th…