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psnet.ahrq.gov/issue/prospective-risk-assessment-informal-carers-medication-administration-errors-within
February 08, 2017 - Study
A prospective risk assessment of informal carers' medication administration errors within the domiciliary setting.
Citation Text:
Parand A, Faiella G, Franklin BD, et al. A prospective risk assessment of informal carers' medication administration errors within the domiciliary setti…
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psnet.ahrq.gov/issue/high-alert-medication-stratification-tool-revised-exploratory-study-objective-standardized
September 23, 2020 - Study
High-alert medication stratification tool-revised: an exploratory study of an objective, standardized medication safety tool.
Citation Text:
Washburn NC, Dossett HA, Fritschle AC, et al. High-Alert Medication Stratification Tool-Revised: An Exploratory Study of an Objective, Standa…
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psnet.ahrq.gov/issue/acr-guidance-document-mr-safe-practices-updates-and-critical-information-2019
June 22, 2022 - Commentary
ACR guidance document on MR safe practices: updates and critical information 2019.
Citation Text:
ACR guidance document on MR safe practices: updates and critical information 2019. ACR Committee on MR Safety, Greenberg TD, Hoff MN, Gilk TB, et al. J Magn Reson Imaging. 20…
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psnet.ahrq.gov/issue/advancing-next-generation-handover-research-and-practice-cognitive-load-theory
November 10, 2021 - Commentary
Advancing the next generation of handover research and practice with cognitive load theory.
Citation Text:
Young JQ, Wachter R, Cate OT, et al. Advancing the next generation of handover research and practice with cognitive load theory. BMJ Qual Saf. 2016;25(2):66-70. doi:10.11…
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psnet.ahrq.gov/issue/exploring-varieties-knowledge-safe-work-practices-ethnographic-study-surgical-teams
December 21, 2016 - Study
Exploring varieties of knowledge in safe work practices—an ethnographic study of surgical teams.
Citation Text:
Høyland S, Aase K, Hollund JG. Exploring varieties of knowledge in safe work practices - an ethnographic study of surgical teams. Patient Saf Surg. 2011;5:21. doi:10.11…
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psnet.ahrq.gov/issue/sustaining-teamwork-behaviors-through-reinforcement-teamstepps-principles
September 02, 2015 - Study
Sustaining teamwork behaviors through reinforcement of TeamSTEPPS principles.
Citation Text:
Lee S-H, Khanuja HS, Blanding RJ, et al. Sustaining Teamwork Behaviors Through Reinforcement of TeamSTEPPS Principles. J Patient Saf. 2021;17(7):e582-e586. doi:10.1097/pts.0000000000000414.…
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psnet.ahrq.gov/issue/prospective-pilot-intervention-study-prevent-medication-errors-drugs-administered-children
December 04, 2015 - Study
Prospective pilot intervention study to prevent medication errors in drugs administered to children by mouth or gastric tube: a programme for nurses, physicians and parents.
Citation Text:
Bertsche T, Bertsche A, Krieg E-M, et al. Prospective pilot intervention study to prevent m…
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psnet.ahrq.gov/issue/conflict-interest-dr-charles-denham-and-journal-patient-safety
July 07, 2021 - Review
Conflict of interest, Dr Charles Denham and the Journal of Patient Safety.
Citation Text:
Wu AW, Kavanagh KT, Pronovost P, et al. Conflict of interest, Dr Charles Denham and the Journal of Patient Safety. J Patient Saf. 2014;10(4):181-5. doi:10.1097/PTS.0000000000000144.
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psnet.ahrq.gov/issue/prevalence-errors-anaphylaxis-kids-peak-multicenter-simulation-based-study
June 15, 2022 - Study
Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study.
Citation Text:
Maa T, Scherzer DJ, Harwayne-Gidansky I, et al. Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study. J Allergy Clin Immunol Pract. 2020;8(4)…
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psnet.ahrq.gov/issue/infrequent-physician-use-implantable-cardioverter-defibrillators-risks-patient-safety
August 28, 2019 - Study
Infrequent physician use of implantable cardioverter-defibrillators risks patient safety.
Citation Text:
Lyman S, Sedrakyan A, Do H, et al. Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. Heart. 2011;97(20):1655-60. doi:10.1136/hrt.2011.2…
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psnet.ahrq.gov/issue/critical-incident-stress-management-cism-complex-systems-cultural-adaptation-and-safety
December 29, 2014 - Study
Critical incident stress management (CISM) in complex systems: cultural adaptation and safety impacts in healthcare.
Citation Text:
Müller-Leonhardt A, Mitchell SG, Vogt J, et al. Critical Incident Stress Management (CISM) in complex systems: cultural adaptation and safety impacts …
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psnet.ahrq.gov/issue/computerized-ecg-friend-and-foe
December 04, 2024 - Review
Emerging Classic
The computerized ECG: friend and foe.
Citation Text:
Smulyan H. The Computerized ECG: Friend and Foe. Am J Med. 2019;132(2):153-160. doi:10.1016/j.amjmed.2018.08.025.
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psnet.ahrq.gov/issue/development-and-implementation-oral-sign-out-skills-curriculum
February 15, 2011 - Commentary
Development and implementation of an oral sign-out skills curriculum.
Citation Text:
Horwitz LI, Moin T, Green M. Development and implementation of an oral sign-out skills curriculum. J Gen Intern Med. 2007;22(10):1470-4.
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psnet.ahrq.gov/issue/structured-patient-handoff-internal-medicine-ward-cluster-randomized-control-trial
September 23, 2020 - Study
Structured patient handoff on an internal medicine ward: a cluster randomized control trial.
Citation Text:
Tam P, Nijjar AP, Fok M, et al. Structured patient handoff on an internal medicine ward: A cluster randomized control trial. PLoS One. 2018;13(4):e0195216. doi:10.1371/journa…
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psnet.ahrq.gov/issue/applying-hfmea-prevent-chemotherapy-errors
September 27, 2017 - Study
Applying HFMEA to prevent chemotherapy errors.
Citation Text:
Cheng C-H, Chou C-J, Wang P-C, et al. Applying HFMEA to prevent chemotherapy errors. J Med Syst. 2012;36(3):1543-51. doi:10.1007/s10916-010-9616-7.
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psnet.ahrq.gov/issue/electronic-medical-record-balancing-act-patient-safety-privacy-and-health-care-delivery
December 21, 2014 - Review
Electronic medical record: a balancing act of patient safety, privacy and health care delivery.
Citation Text:
Gummadi S, Housri N, Zimmers TA, et al. Electronic medical record: a balancing act of patient safety, privacy and health care delivery. Am J Med Sci. 2014;348(3):238-243.…
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psnet.ahrq.gov/issue/giving-learning-failures-examination-learning-ones-own-failures-context-heart-surgeons
April 03, 2013 - Study
Giving up learning from failures? An examination of learning from one's own failures in the context of heart surgeons.
Citation Text:
Lee S, Park J. Giving up learning from failures? An examination of learning from one's own failures in the context of heart surgeons. Strat Manage J…
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psnet.ahrq.gov/issue/medication-safety-acute-care-australia-where-are-we-now-part-2-review-strategies-and
January 04, 2010 - Review
Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008.
Citation Text:
Semple SJ, Roughead EE. Medication safety in acute care in Australia: where are we now? Part 2: a review of stra…
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psnet.ahrq.gov/issue/patient-falls-while-under-supervision-trends-incident-reporting
January 11, 2023 - Study
Patient falls while under supervision: trends from incident reporting.
Citation Text:
Roberts M. Patient falls while under supervision: trends from incident reporting. Br J Nurs. 2023;32(11):508-513. doi:10.12968/bjon.2023.32.11.508.
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psnet.ahrq.gov/issue/2016-updated-american-society-clinical-oncologyoncology-nursing-society-chemotherapy
February 15, 2023 - Commentary
2016 Updated American Society of Clinical Oncology/Oncology Nursing Society Chemotherapy Administration Safety Standards, including standards for pediatric oncology.
Citation Text:
Belderson KM, Billett AL. Chemotherapy safety standards: A pediatric perspective. J Oncol Pract.…