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psnet.ahrq.gov/issue/measuring-errors-surgical-pathology-real-life-practice-defining-what-does-and-does-not-matter
January 14, 2011 - Review
Measuring errors in surgical pathology in real-life practice: defining what does and does not matter.
Citation Text:
Renshaw AA, Gould EW. Measuring errors in surgical pathology in real-life practice: defining what does and does not matter. Am J Clin Pathol. 2007;127(1):144-52. …
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psnet.ahrq.gov/issue/rural-hospital-patient-safety-systems-implementation-two-states
February 03, 2011 - Study
Rural hospital patient safety systems implementation in two states.
Citation Text:
Longo DR, Hewett JE, Ge B, et al. Rural Hospital Patient Safety Systems Implementation in Two States. The Journal of Rural Health. 2007;23(3). doi:10.1111/j.1748-0361.2007.00090.x.
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psnet.ahrq.gov/issue/hospital-patient-safety-characteristics-best-performing-hospitals
February 03, 2011 - Study
Hospital patient safety: characteristics of best-performing hospitals.
Citation Text:
Longo DR, Hewett JE, Ge B, et al. Hospital patient safety: characteristics of best-performing hospitals. J Healthc Manag. 2007;52(3):188-204; discussion 204-5.
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psnet.ahrq.gov/issue/site-pharmacists-ed-improve-medical-errors
July 19, 2023 - Study
On-site pharmacists in the ED improve medical errors.
Citation Text:
Ernst AA, Weiss SJ, Sullivan A, et al. On-site pharmacists in the ED improve medical errors. Am J Emerg Med. 2012;30(5):717-25. doi:10.1016/j.ajem.2011.05.002.
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psnet.ahrq.gov/issue/observational-study-laterality-errors-sample-clinical-records
April 19, 2011 - Study
An observational study of laterality errors in a sample of clinical records.
Citation Text:
Elghrably I, Fraser SG. An observational study of laterality errors in a sample of clinical records. Eye (Lond). 2008;22(3):340-3.
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psnet.ahrq.gov/issue/health-care-serial-murder-patient-safety-orphan
July 28, 2014 - Commentary
Health care serial murder: a patient safety orphan.
Citation Text:
Kizer KW, Yorker BC. Health care serial murder: a patient safety orphan. Jt Comm J Qual Saf. 2010;36(4):186-191.
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psnet.ahrq.gov/issue/reducing-pediatric-medication-errors-children-are-especially-risk-medication-errors
May 18, 2022 - Commentary
Reducing pediatric medication errors: children are especially at risk for medication errors.
Citation Text:
Hughes RG, Edgerton EA. Reducing pediatric medication errors: children are especially at risk for medication errors. Am J Nurs. 2005;105(5):79-80, 82, 85 passim.
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psnet.ahrq.gov/issue/assessment-quality-and-impact-npsa-medication-safety-outputs-issued-nhs-england-and-wales
September 24, 2008 - Study
An assessment of the quality and impact of NPSA medication safety outputs issued to the NHS in England and Wales.
Citation Text:
Lankshear A, Lowson K, Weingart SN. An assessment of the quality and impact of NPSA medication safety outputs issued to the NHS in England and Wales. B…
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psnet.ahrq.gov/issue/high-alert-medications-safeguards-you-should-put-place-reduce-risks
May 20, 2020 - Newspaper/Magazine Article
High-alert medications: the safeguards that you should put in place to reduce risks.
Citation Text:
High-alert medications: the safeguards that you should put in place to reduce risks. Blank C. Drug Topics. October 13, 2017.
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psnet.ahrq.gov/issue/your-code-cart-ready
August 30, 2017 - Newspaper/Magazine Article
Is your code cart ready?
Citation Text:
Cohen ML. Is your code cart ready? Medical economics. 2005;82(18):45-6, 48.
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psnet.ahrq.gov/issue/tools-and-methods-quality-improvement-and-patient-safety-perinatal-care
November 16, 2022 - Commentary
Tools and methods for quality improvement and patient safety in perinatal care.
Citation Text:
Nathan AT, Kaplan HC. Tools and methods for quality improvement and patient safety in perinatal care. Semin Perinatol. 2017;41(3):142-150. doi:10.1053/j.semperi.2017.03.002.
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psnet.ahrq.gov/issue/impact-nurse-peer-review-culture-safety
November 29, 2023 - Commentary
Impact of nurse peer review on a culture of safety.
Citation Text:
Herrington CR, Hand MW. Impact of Nurse Peer Review on a Culture of Safety. J Nurs Care Qual. 2019;34(2):158-162. doi:10.1097/NCQ.0000000000000361.
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psnet.ahrq.gov/issue/alarm-system-management-evidence-based-guidance-encouraging-direct-measurement
August 11, 2021 - Review
Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve alarm response.
Citation Text:
Rayo MF, Moffatt-Bruce SD. Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve ala…
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psnet.ahrq.gov/issue/medication-administration-process-assessment-applying-lessons-learned-commercial-aviation
May 25, 2011 - Commentary
Medication administration process assessment: applying lessons learned from commercial aviation.
Citation Text:
Donahue M, Brown JP, Fitzpatrick JJ. Medication administration process assessment: applying lessons learned from commercial aviation. J Nurs Admin. 2009;39(2):77-8…
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psnet.ahrq.gov/issue/use-complex-adaptive-systems-metaphor-achieve-professional-and-organizational-change
November 11, 2020 - Commentary
Use of complex adaptive systems metaphor to achieve professional and organizational change.
Citation Text:
Rowe A, Hogarth A. Use of complex adaptive systems metaphor to achieve professional and organizational change. J Adv Nurs. 2005;51(4). doi:10.1111/j.1365-2648.2005.0351…
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psnet.ahrq.gov/issue/diagnostic-overshadowing-dentistry
March 13, 2024 - Commentary
Diagnostic overshadowing in dentistry.
Citation Text:
Clough S, Handley P. Diagnostic overshadowing in dentistry. Br Dent J. 2019;227(4):311-315. doi:10.1038/s41415-019-0623-x.
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psnet.ahrq.gov/issue/you-cant-blame-wreck-train
March 03, 2011 - Commentary
You can't blame the wreck on the train.
Citation Text:
Potts JR. You can't blame the wreck on the train. Am J Surg. 2017;214(5):974-978. doi:10.1016/j.amjsurg.2016.11.046.
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psnet.ahrq.gov/issue/banning-handshake-health-care-setting
January 12, 2022 - Commentary
Banning the handshake from the health care setting.
Citation Text:
Sklansky M, Nadkarni N, Ramirez-Avila L. Banning the handshake from the health care setting. JAMA. 2014;311(24):2477-8.
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psnet.ahrq.gov/issue/standardized-admission-order-set-improves-perceived-quality-pediatric-inpatient-care
December 04, 2024 - Study
Standardized admission order set improves perceived quality of pediatric inpatient care.
Citation Text:
Bekmezian A, Chung PJ, Yazdani S. Standardized admission order set improves perceived quality of pediatric inpatient care. J Hosp Med. 2009;4(2):90-6. doi:10.1002/jhm.403.
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psnet.ahrq.gov/issue/orienting-frames-and-private-routines-role-cultural-process-critical-care-safety
December 31, 2014 - Study
Orienting frames and private routines: the role of cultural process in critical care safety.
Citation Text:
Hazlehurst B, McMullen C. Orienting frames and private routines: the role of cultural process in critical care safety. Int J Med Inform. 2007;76 Suppl 1:S129-35.
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