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psnet.ahrq.gov/issue/patient-safety-nicu-comprehensive-review
September 12, 2016 - Review
Patient safety in the NICU: a comprehensive review.
Citation Text:
Samra HA, McGrath JM, Rollins W. Patient safety in the NICU: a comprehensive review. J Perinat Neonatal Nurs. 2011;25(2):123-132. doi:10.1097/JPN.0b013e31821693b2.
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psnet.ahrq.gov/issue/importance-preparation-doctors-handovers-acute-medical-assessment-unit-hierarchical-task
March 02, 2011 - Study
The importance of preparation for doctors' handovers in an acute medical assessment unit: a hierarchical task analysis.
Citation Text:
Raduma-Tomàs MA, Flin R, Yule S, et al. The importance of preparation for doctors' handovers in an acute medical assessment unit: a hierarchical …
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psnet.ahrq.gov/issue/industry-automates-adverse-events-continue-haunt-caregivers
February 08, 2023 - Newspaper/Magazine Article
As industry automates, adverse events continue to haunt caregivers.
Citation Text:
Wetzel TG. As industry automates, adverse events haunt caregivers. Health data management. 2011;19(2):86, 88, 90 passim.
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psnet.ahrq.gov/issue/i-care-case-review-tool-focused-improving-inpatient-care
February 18, 2011 - Commentary
I-CaRe: a case review tool focused on improving inpatient care.
Citation Text:
Lee JH, Vidyarthi A, Sehgal NL, et al. I-CaRe: a case review tool focused on improving inpatient care. Jt Comm J Qual Patient Saf. 2009;35(2):115-119, 61.
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psnet.ahrq.gov/issue/safety-issues-related-electronic-medical-record-emr-synthesis-literature-last-decade-2000
January 20, 2016 - Review
Safety issues related to the electronic medical record (EMR): synthesis of the literature from the last decade, 2000–2009.
Citation Text:
Harrington L, Kennerly DA, Johnson C. Safety issues related to the electronic medical record (EMR): synthesis of the literature from the last…
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psnet.ahrq.gov/issue/drive-deprescribe
August 19, 2020 - Multi-use Website
Drive to Deprescribe.
Citation Text:
Drive to Deprescribe. The Society for Post-Acute and Long-Term Care Medicine.
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psnet.ahrq.gov/issue/necessary-sea-change-nurse-faculty-development-spotlight-quality-and-safety
May 25, 2011 - Commentary
A necessary sea change for nurse faculty development: spotlight on quality and safety.
Citation Text:
Thornlow D, McGuinn K. A necessary sea change for nurse faculty development: spotlight on quality and safety. J Prof Nurs. 2010;26(2):71-81. doi:10.1016/j.profnurs.2009.10.00…
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psnet.ahrq.gov/issue/effect-barcode-assisted-medication-administration-emergency-department-medication-errors
May 19, 2014 - Study
Effect of barcode-assisted medication administration on emergency department medication errors.
Citation Text:
Bonkowski J, Carnes C, Melucci J, et al. Effect of barcode-assisted medication administration on emergency department medication errors. Acad Emerg Med. 2013;20(8):801-6.…
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psnet.ahrq.gov/issue/recurring-problem-retained-swabs-and-instruments
June 19, 2019 - Review
The recurring problem of retained swabs and instruments.
Citation Text:
Mahran MA, Toeima E, Morris EP. The recurring problem of retained swabs and instruments. Best Pract Res Clin Obstet Gynaecol. 2013;27(4):489-95. doi:10.1016/j.bpobgyn.2013.03.001.
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-practice-redesign-impact-health-information-technology-on-workflow-mt/annual-summary/2012
January 01, 2012 - Using Health Information Technology in Practice Redesign: Impact of Health Information Technology on Workflow - 2012
Project Name
Using Health Information Technology in Practice Redesign: Impact of Health Information Technology on Workflow
Principal Investigator
Ciemins, Elizabeth
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psnet.ahrq.gov/issue/hospitalist-handoffs-systematic-review-and-task-force-recommendations
September 09, 2013 - Review
Hospitalist handoffs: a systematic review and task force recommendations.
Citation Text:
Arora VM, Manjarrez E, Dressler DD, et al. Hospitalist handoffs: A systematic review and task force recommendations. J Hosp Med. 2009;4(7). doi:10.1002/jhm.573.
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psnet.ahrq.gov/issue/multitasking-during-patient-handover-recovery-room
October 05, 2011 - Study
Multitasking during patient handover in the recovery room.
Citation Text:
van Rensen ELJ, Groen EST, Numan SC, et al. Multitasking during patient handover in the recovery room. Anesth Analg. 2012;115(5):1183-7. doi:10.1213/ANE.0b013e31826996a2.
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psnet.ahrq.gov/issue/improving-reporting-outpatient-pediatric-medical-errors
March 14, 2022 - Study
Improving reporting of outpatient pediatric medical errors.
Citation Text:
Neuspiel DR, Stubbs EH, Liggin L. Improving Reporting of Outpatient Pediatric Medical Errors. PEDIATRICS. 2011;128(6). doi:10.1542/peds.2011-0477.
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psnet.ahrq.gov/issue/medication-discrepancies-integrated-electronic-health-records
July 21, 2021 - Study
Medication discrepancies in integrated electronic health records.
Citation Text:
Linsky A, Simon SR. Medication discrepancies in integrated electronic health records. BMJ Qual Saf. 2013;22(2):103-9. doi:10.1136/bmjqs-2012-001301.
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hcup-us.ahrq.gov/datainnovations/clinicaldata/FL25LOINCMaintenance.pdf
September 22, 2010 - LOINC Maintenance
LOINC® Maintenance
Checklist of Database changes / When to Re-Evaluate LOINC® mapping
Share this checklist with the site staff holding security privileges to make LIS database
changes. This particular staff doesn’t necessarily need to know how to map to LOINC®,
but is now informed to route t…
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psnet.ahrq.gov/issue/pediatric-rapid-response-teams-academic-medical-center
November 21, 2016 - Study
Pediatric rapid response teams in the academic medical center.
Citation Text:
Mistry KP, Turi J, Hueckel RM, et al. Pediatric Rapid Response Teams in the Academic Medical Center. Clin Pediatr Emerg Med. 2006;7(4). doi:10.1016/j.cpem.2006.08.010.
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psnet.ahrq.gov/issue/potential-medication-dosing-errors-outpatient-pediatrics
July 29, 2020 - Study
Potential medication dosing errors in outpatient pediatrics.
Citation Text:
McPhillips HA, Stille CJ, Smith DH, et al. Potential medication dosing errors in outpatient pediatrics. J Pediatr. 2005;147(6):761-7.
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psnet.ahrq.gov/issue/prosecution-radonda-vaught-ethical-and-legal-mistake
November 16, 2022 - Commentary
The prosecution of RaDonda Vaught: an ethical and legal mistake.
Citation Text:
Vogelstein E. The prosecution of RaDonda Vaught: An ethical and legal mistake. Nurs Forum. 2022;57(6):1571-1574. doi:10.1111/nuf.12838.
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psnet.ahrq.gov/issue/investigating-prevalence-and-causes-prescribing-errors-general-practice-practice-study
May 24, 2015 - Book/Report
Investigating the Prevalence and Causes of Prescribing Errors in General Practice: The PRACtICe Study.
Citation Text:
Investigating the Prevalence and Causes of Prescribing Errors in General Practice: The PRACtICe Study. Avery T, Barber N, Ghaleb M, et al. London, UK: Gener…
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psnet.ahrq.gov/issue/pediatric-medical-emergency-team-manages-complex-child-hypoxia-and-worried-parent
September 09, 2008 - Commentary
A pediatric medical emergency team manages a complex child with hypoxia and a worried parent.
Citation Text:
Shilkofski NA, Hunt EA. A pediatric medical emergency team manages a complex child with hypoxia and worried parent. Jt Comm J Qual Patient Saf. 2007;33(4):236-41, 185. …