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psnet.ahrq.gov/issue/understanding-patient-safety-performance-and-educational-needs-using-safety-ii-approach
September 28, 2016 - Commentary
Understanding patient safety performance and educational needs using the 'Safety-II' approach for complex systems.
Citation Text:
McNab D, Bowie P, Morrison J, et al. Understanding patient safety performance and educational needs using the 'Safety-II' approach for complex syst…
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psnet.ahrq.gov/issue/medication-reconciliation-facilitate-transitions-care-after-hospitalization
December 02, 2015 - Commentary
Medication reconciliation to facilitate transitions of care after hospitalization.
Citation Text:
Liu VC, Garwood CL. Medication reconciliation to facilitate transitions of care after hospitalization. Am J Health Syst Pharm. 2015;72(9):690-693. doi:10.2146/ajhp140133.
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psnet.ahrq.gov/issue/extraneous-tissue-potential-source-diagnostic-error-surgical-pathology
October 27, 2010 - Study
Extraneous tissue a potential source for diagnostic error in surgical pathology.
Citation Text:
Layfield LJ, Witt BL, Metzger KG, et al. Extraneous tissue: a potential source for diagnostic error in surgical pathology. Am J Clin Pathol. 2011;136(5):767-72. doi:10.1309/AJCP4FFSBPHA…
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psnet.ahrq.gov/issue/why-july-matters
October 13, 2018 - Commentary
Why July matters.
Citation Text:
Petrilli CM, Del Valle J, Chopra V. Why July Matters. Acad Med. 2016;91(7):910-912. doi:10.1097/ACM.0000000000001196.
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psnet.ahrq.gov/issue/nursing-assessment-continuous-vital-sign-surveillance-improve-patient-safety-medicalsurgical
May 01, 2019 - Study
Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit.
Citation Text:
Watkins T, Whisman L, Booker P. Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. J Clin Nu…
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psnet.ahrq.gov/issue/medicines-safety-anaesthetic-practice
February 02, 2022 - Review
Medicines safety in anaesthetic practice.
Citation Text:
Mackay E, Jennings J, Webber S. Medicines safety in anaesthetic practice. BJA Edu. 2019;19(5):151-157. doi:10.1016/j.bjae.2019.01.001.
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psnet.ahrq.gov/issue/corridor-care-emergency-department-managing-patient-care-non-clinical-areas-safely-and
May 19, 2021 - Commentary
'Corridor care' in the emergency department: managing patient care in non-clinical areas safely and efficiently.
Citation Text:
Williams C. ‘Corridor care’ in the emergency department: managing patient care in non-clinical areas safely and efficiently. Emerg Nurse. 2023;31(6):…
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psnet.ahrq.gov/issue/relevance-agency-healthcare-research-and-quality-patient-safety-indicators-childrens
July 14, 2010 - Study
Relevance of the Agency for Healthcare Research and Quality Patient Safety Indicators for children's hospitals.
Citation Text:
Sedman A, Harris M, Schulz K, et al. Relevance of the Agency for Healthcare Research and Quality Patient Safety Indicators for children's hospitals. Pedi…
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psnet.ahrq.gov/issue/algorithmic-prediction-failure-modes-healthcare
September 06, 2023 - Study
Algorithmic prediction of failure modes in healthcare.
Citation Text:
Kobo-Greenhut A, Sharlin O, Adler Y, et al. Algorithmic prediction of failure modes in healthcare. Int J Qual Health Care. 2021;33(1):mzaa151. doi:10.1093/intqhc/mzaa151.
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psnet.ahrq.gov/issue/building-community-engagement-approach-patient-safety-improvement
April 01, 2010 - Commentary
Building a community engagement approach for patient safety improvement.
Citation Text:
Gooden R, Syed SB, Rutter P, et al. Building a community engagement approach for patient safety improvement. Community Dev J. 2013;49(4). doi:10.1093/cdj/bst044.
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psnet.ahrq.gov/issue/fundamental-use-surgical-energy-fuse-essential-educational-program-operating-room-safety
June 07, 2018 - Commentary
Fundamental Use of Surgical Energy (FUSE): an essential educational program for operating room safety.
Citation Text:
Jones SB, Munro MG, Feldman LS, et al. Fundamental Use of Surgical Energy (FUSE): An Essential Educational Program for Operating Room Safety. Perm J. 2017;21:1…
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psnet.ahrq.gov/issue/impact-interruptions-medication-errors-hospitals-observational-study-nurses
November 15, 2017 - Study
The impact of interruptions on medication errors in hospitals: an observational study of nurses.
Citation Text:
Johnson M, Sanchez P, Langdon R, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507.…
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psnet.ahrq.gov/issue/human-factors-analysis-classification-system-hfacs-applied-health-care
November 16, 2022 - Study
The Human Factors Analysis Classification System (HFACS) applied to health care.
Citation Text:
Diller T, Helmrich G, Dunning S, et al. The Human Factors Analysis Classification System (HFACS) applied to health care. Am J Med Qual. 2014;29(3):181-190. doi:10.1177/1062860613491623. …
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psnet.ahrq.gov/issue/decoding-laboratory-test-names-major-challenge-appropriate-patient-care
April 24, 2018 - Study
Decoding laboratory test names: a major challenge to appropriate patient care.
Citation Text:
Passiment E, Meisel JL, Fontanesi J, et al. Decoding laboratory test names: a major challenge to appropriate patient care. J Gen Intern Med. 2013;28(3):453-8. doi:10.1007/s11606-012-2253-8…
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psnet.ahrq.gov/issue/bias-and-racism-teaching-rounds-academic-medical-center
August 12, 2020 - Commentary
Bias and racism teaching rounds at an academic medical center.
Citation Text:
Capers Q, Bond DA, Nori US. Bias and racism teaching rounds at an academic medical center. Chest. 2020;158(6):2688-2694. doi:10.1016/j.chest.2020.08.2073.
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psnet.ahrq.gov/issue/are-clinical-instructors-preventing-or-provoking-adverse-events-involving-students
November 15, 2023 - Commentary
Are clinical instructors preventing or provoking adverse events involving students: a contemporary issue.
Citation Text:
Christensen L. Are clinical instructors preventing or provoking adverse events involving students: A contemporary issue. Nurse Educ Today. 2018;70:121-123. …
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psnet.ahrq.gov/issue/patient-safety-culture-transformation-childrens-hospital-interprofessional-approach
January 16, 2010 - Study
Patient safety culture transformation in a children's hospital: an interprofessional approach.
Citation Text:
Nagelkerk J, Peterson T, Pawl BL, et al. Patient safety culture transformation in a children's hospital: an interprofessional approach. J Interprof Care. 2014;28(4):358-64.…
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psnet.ahrq.gov/issue/food-and-drug-administrations-initiative-safe-design-and-effective-use-home-medical-equipment
August 18, 2010 - Commentary
The Food and Drug Administration's initiative for safe design and effective use of home medical equipment.
Citation Text:
Weick-Brady M, Singh S. The Food and Drug Administration's initiative for safe design and effective use of home medical equipment. Home Healthc Nurse. 2014…
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psnet.ahrq.gov/issue/teaching-good-ward-round
October 28, 2020 - Commentary
Teaching a 'good' ward round.
Citation Text:
Powell N, Bruce CG, Redfern O. Teaching a 'good' ward round. Clin Med (Lond). 2015;15(2):135-138. doi:10.7861/clinmedicine.15-2-135.
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psnet.ahrq.gov/issue/introducing-safety-score-audit-staff-member-and-patient-safety
April 16, 2014 - Commentary
Introducing the safety score audit for staff member and patient safety.
Citation Text:
Sinnott M, Eley R, Winch S. Introducing the safety score audit for staff member and patient safety. AORN J. 2014;100(1):91-5. doi:10.1016/j.aorn.2014.05.006.
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