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psnet.ahrq.gov/issue/sounding-alarm-nurses-organizations-work-address-alarm-fatigue
July 19, 2017 - Newspaper/Magazine Article
Sounding the alarm. Nurses, organizations work to address alarm fatigue.
Citation Text:
Trossman S. Sounding the alarm. Nurses, organizations work to address alarm fatigue. Am Nurs. 2013;45(5):1, 6-7.
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psnet.ahrq.gov/issue/medication-errors-older-people-mental-health-problems-review
April 27, 2022 - Review
Medication errors in older people with mental health problems: a review.
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doi:10.1002/gps.1943.
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psnet.ahrq.gov/issue/prescription-errors-psychiatry-multi-centre-study
September 27, 2017 - Study
Prescription errors in psychiatry - a multi-centre study.
Citation Text:
Stubbs J, Haw C, Taylor D. Prescription errors in psychiatry - a multi-centre study. J Psychopharmacol. 2006;20(4):553-61.
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psnet.ahrq.gov/issue/teaching-diagnostic-process-model-improve-medical-education
September 20, 2012 - Commentary
Teaching the diagnostic process as a model to improve medical education.
Citation Text:
Sklar DP. Teaching the Diagnostic Process as a Model to Improve Medical Education. Acad Med. 2017;92(1):1-4. doi:10.1097/ACM.0000000000001481.
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psnet.ahrq.gov/issue/insulin-dosing-error-patient-severe-hyperkalemia
May 06, 2020 - Commentary
Insulin dosing error in a patient with severe hyperkalemia.
Citation Text:
Hewitt B, Barnard C, Bilimoria KY. Insulin Dosing Error in a Patient With Severe Hyperkalemia. JAMA. 2017;318(24):2485-2486. doi:10.1001/jama.2017.7964.
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psnet.ahrq.gov/issue/intrapersonal-and-institutional-influences-overall-perception-radiation-safety-among
September 27, 2023 - Study
Intrapersonal and institutional influences on overall perception of radiation safety among radiologic technologists.
Citation Text:
Intrapersonal and institutional influences on overall perception of radiation safety among radiologic technologists. Moore QT, Walker DA, Frush DP, et…
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psnet.ahrq.gov/issue/third-annual-report-adverse-health-events-wyoming-healthcare-facilities
October 11, 2016 - Book/Report
Third Annual Report on Adverse Health Events in Wyoming Healthcare Facilities.
Citation Text:
Third Annual Report on Adverse Health Events in Wyoming Healthcare Facilities. Chasson L, compiler; Mahoney G, Sherard BD, eds. Cheyenne, WY: Wyoming Department of Health; 2008. …
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psnet.ahrq.gov/issue/2021-john-m-eisenberg-patient-safety-and-quality-awards
August 02, 2023 - Award Recipient
The 2021 John M. Eisenberg Patient Safety and Quality Awards.
Citation Text:
The 2021 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2022;48(8):365-424.
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psnet.ahrq.gov/issue/human-factors-and-error-prevention-emergency-medicine
October 03, 2011 - Commentary
Human factors and error prevention in emergency medicine.
Citation Text:
Bleetman A, Sanusi S, Dale T, et al. Human factors and error prevention in emergency medicine. Emerg Med J. 2012;29(5):389-93. doi:10.1136/emj.2010.107698.
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psnet.ahrq.gov/issue/assessment-quality-data-provided-pap-test-requisitions-implications-quality-care-and-patient
March 15, 2017 - Study
Assessment of quality of data provided on Pap test requisitions: implications for quality of care and patient safety.
Citation Text:
Naryshkin S, Schultz BL. Assessment of quality of data provided on Pap test requisitions: implications for quality of care and patient safety. Cytoj…
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psnet.ahrq.gov/issue/surgical-accountability-1880s-death-susan-nixon
November 16, 2022 - Commentary
Surgical accountability in the 1880s: the death of Susan Nixon.
Citation Text:
Watters GR, Walker DR. Surgical accountability in the 1880s: the death of Susan Nixon. ANZ J Surg. 2005;75(8). doi:10.1111/j.1445-2197.2005.03501.x.
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psnet.ahrq.gov/issue/factors-influencing-patient-safety-during-postoperative-handover
March 03, 2021 - Review
Factors influencing patient safety during postoperative handover.
Citation Text:
Factors influencing patient safety during postoperative handover. Rose M, Newman SD. AANA J. 2016;84:329-338.
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psnet.ahrq.gov/issue/effectiveness-computerized-system-intravenous-heparin-administration-using-information
February 27, 2009 - Study
Effectiveness of a computerized system for intravenous heparin administration: using information technology to improve patient care and patient safety.
Citation Text:
Oyen LJ, Nishimura RA, Ou NN, et al. Effectiveness of a computerized system for intravenous heparin administration…
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psnet.ahrq.gov/issue/patient-safety-strategies-call-physician-leadership
January 13, 2021 - Commentary
Patient safety strategies: a call for physician leadership.
Citation Text:
Shine KI. Patient safety strategies: a call for physician leadership. Ann Intern Med. 2013;158(5 Pt 1):353-4. doi:10.7326/0003-4819-158-5-201303050-00011.
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psnet.ahrq.gov/issue/systems-approach-patient-centered-care
November 21, 2021 - Commentary
A systems approach to patient-centered care.
Citation Text:
Bergeson SC, Dean JD. A systems approach to patient-centered care. JAMA. 2006;296(23):2848-51.
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary7.html
September 01, 2015 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program
Using Federal grants to build intellectual capital at the State level
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Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program
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psnet.ahrq.gov/issue/patient-safety-rounds-description-inexpensive-important-strategy-improve-safety-culture
December 15, 2008 - Commentary
Patient safety rounds: description of an inexpensive but important strategy to improve the safety culture.
Citation Text:
Campbell D, Thompson M. Patient safety rounds: description of an inexpensive but important strategy to improve the safety culture. Am J Med Qual. 2007;22…
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psnet.ahrq.gov/issue/prescription-error-process-defects-community-retail-pharmacy
October 19, 2022 - Study
Prescription for error: process defects in a community retail pharmacy.
Citation Text:
Witte D, Dundes L. Prescription for Error. J Patient Saf. 2008;3(4). doi:10.1097/pts.0b013e31815a613e.
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psnet.ahrq.gov/issue/measuring-team-performance-healthcare-review-research-and-implications-patient-safety
November 20, 2019 - Review
Measuring team performance in healthcare: review of research and implications for patient safety.
Citation Text:
Jeffcott SA, Mackenzie CF. Measuring team performance in healthcare: review of research and implications for patient safety. J Crit Care. 2008;23(2):188-96. doi:10.10…
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psnet.ahrq.gov/issue/edgeware-insights-complexity-science-health-care-leaders
June 23, 2021 - Book/Report
Edgeware: Insights from Complexity Science for Health Care Leaders. Second ed.
Citation Text:
Edgeware: Insights from Complexity Science for Health Care Leaders. Second ed. Zimmerman B, Lindberg C, Plsek P. Irving, TX: VHA Incorporated; 2008. ISBN: 9780966782806
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