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psnet.ahrq.gov/issue/interrater-agreement-standard-scheme-classifying-medication-errors
September 30, 2020 - Study
Interrater agreement with a standard scheme for classifying medication errors.
Citation Text:
Forrey RA, Pedersen CA, Schneider PJ. Interrater agreement with a standard scheme for classifying medication errors. Am J Health Syst Pharm. 2007;64(2):175-81.
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psnet.ahrq.gov/issue/improving-doctor-patient-communication-digital-world
March 02, 2022 - Audiovisual
Improving doctor–patient communication in a digital world.
Citation Text:
Improving doctor–patient communication in a digital world. Lakshmanan I. The Diane Rehm Show. February 9, 2016.
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psnet.ahrq.gov/issue/mitigating-error-vulnerability-transition-care-through-use-health-it-applications
January 23, 2019 - Commentary
Mitigating error vulnerability at the transition of care through the use of health IT applications.
Citation Text:
Cortelyou-Ward K, Swain A, Yeung T. Mitigating Error Vulnerability at the Transition of Care through the Use of Health IT Applications. J Med Syst. 2012;36(6). d…
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psnet.ahrq.gov/issue/are-agency-healthcare-research-and-quality-obstetric-trauma-indicators-valid-measures
April 30, 2014 - Study
Are the Agency for Healthcare Research and Quality obstetric trauma indicators valid measures of hospital safety?
Citation Text:
Grobman WA, Feinglass J, Murthy S. Are the Agency for Healthcare Research and Quality obstetric trauma indicators valid measures of hospital safety? Am…
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psnet.ahrq.gov/issue/complexity-thinking-account-covid-19-pandemic-implications-systems-oriented-safety-management
February 07, 2024 - Commentary
A complexity thinking account of the COVID-19 pandemic: implications for systems-oriented safety management.
Citation Text:
Abreu Saurin T. A complexity thinking account of the COVID-19 pandemic: Implications for systems-oriented safety management. Safety Sci. 2021;134:105087.…
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psnet.ahrq.gov/issue/assessing-quality-patient-handoffs-care-transitions
April 24, 2013 - Study
Assessing the quality of patient handoffs at care transitions.
Citation Text:
Manser T, Foster S, Gisin S, et al. Assessing the quality of patient handoffs at care transitions. Qual Saf Health Care. 2010;19(6):e44. doi:10.1136/qshc.2009.038430.
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psnet.ahrq.gov/issue/always-having-say-youre-sorry-ethical-response-making-mistakes-professional-practice
September 09, 2011 - Review
Always having to say you're sorry: an ethical response to making mistakes in professional practice.
Citation Text:
Crigger NJ. Always having to say you're sorry: an ethical response to making mistakes in professional practice. Nurs Ethics. 2004;11(6):568-76.
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psnet.ahrq.gov/issue/preventable-adverse-events-infants-hospitalized-bronchiolitis
April 11, 2011 - Study
Preventable adverse events in infants hospitalized with bronchiolitis.
Citation Text:
McBride SC, Chiang VW, Goldmann DA, et al. Preventable adverse events in infants hospitalized with bronchiolitis. Pediatrics. 2005;116(3):603-608. doi:10.1542/peds.2004-2387.
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psnet.ahrq.gov/issue/distracting-communications-operating-theatre
August 18, 2017 - Study
Distracting communications in the operating theatre.
Citation Text:
Sevdalis N, Healey AN, Vincent CA. Distracting communications in the operating theatre. J Eval Clin Pract. 2007;13(3). doi:10.1111/j.1365-2753.2006.00712.x.
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psnet.ahrq.gov/issue/tune-and-time-out-toward-surgeon-led-prevention-never-events
July 24, 2024 - Study
Tune-in and time-out: toward surgeon-led prevention of "never" events.
Citation Text:
Jones N. Tune-In and Time-Out: Toward Surgeon-Led Prevention of "Never" Events. J Patient Saf. 2019;15(4):e36-e39. doi:10.1097/PTS.0000000000000259.
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psnet.ahrq.gov/issue/systematic-evidence-review-rates-and-burden-harm-intravenous-admixture-drug-preparation
October 22, 2008 - Review
Systematic evidence review of rates and burden of harm of intravenous admixture drug preparation errors in healthcare settings.
Citation Text:
Hedlund N, Beer I, Hoppe-Tichy T, et al. Systematic evidence review of rates and burden of harm of intravenous admixture drug preparation …
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psnet.ahrq.gov/issue/citation-classics-patient-safety-research-invitation-contribute-online-bibliography
January 19, 2011 - Study
Citation classics in patient safety research: an invitation to contribute to an online bibliography.
Citation Text:
Lilford R, Stirling S, Maillard N. Citation classics in patient safety research: an invitation to contribute to an online bibliography. Qual Saf Health Care. 2006;1…
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psnet.ahrq.gov/issue/human-face-simulation-patient-focused-simulation-training
January 13, 2010 - Study
The human face of simulation: patient-focused simulation training.
Citation Text:
Kneebone R, Nestel D, Wetzel C, et al. The human face of simulation: patient-focused simulation training. Acad Med. 2006;81(10):919-24.
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psnet.ahrq.gov/issue/personalised-performance-feedback-reduces-narcotic-prescription-errors-nicu
July 13, 2010 - Study
Personalised performance feedback reduces narcotic prescription errors in a NICU.
Citation Text:
Sullivan KM, Suh S, Monk H, et al. Personalised performance feedback reduces narcotic prescription errors in a NICU. BMJ Qual Saf. 2013;22(3):256-62. doi:10.1136/bmjqs-2012-001089.
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psnet.ahrq.gov/issue/model-medication-safety-event-detection
May 14, 2008 - Commentary
A model for medication safety event detection.
Citation Text:
Snyder RA, Fields W. A model for medication safety event detection. Int J Qual Health Care. 2010;22(3):179-86. doi:10.1093/intqhc/mzq014.
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psnet.ahrq.gov/issue/role-information-technology-healthcare-communications-efficiency-and-patient-safety
October 19, 2022 - Commentary
The role of information technology in healthcare communications, efficiency, and patient safety: application and results.
Citation Text:
Prince SB, Herrin DM. The role of information technology in healthcare communications, efficiency, and patient safety: application and res…
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psnet.ahrq.gov/issue/ncpdp-recommendations-and-guidance-standardizing-dosing-designations-prescription-container
September 09, 2020 - Book/Report
NCPDP Recommendations and Guidance for Standardizing the Dosing Designations on Prescription Container Labels of Oral Liquid Medications Version 1.0.
Citation Text:
NCPDP Recommendations and Guidance for Standardizing the Dosing Designations on Prescription Container Labels o…
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psnet.ahrq.gov/issue/ashp-guidelines-remote-medication-order-processing
April 19, 2013 - Commentary
ASHP guidelines on remote medication order processing.
Citation Text:
Processing ASHPEP on RMO, Thompson B, Conrad G, et al. ASHP guidelines on remote medication order processing. Am J Health Syst Pharm. 2010;67(8):672-7. doi:10.2146/sp100003.
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psnet.ahrq.gov/issue/black-patients-are-more-likely-white-patients-be-hospitals-worse-patient-safety-conditions
August 18, 2021 - Book/Report
Black Patients are More Likely Than White Patients to be in Hospitals with Worse Patient Safety Conditions.
Citation Text:
Black Patients are More Likely Than White Patients to be in Hospitals with Worse Patient Safety Conditions. Gangopadhyaya A. Washington DC: Urban Institu…
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psnet.ahrq.gov/issue/incidence-nature-and-impact-error-surgery
December 16, 2020 - Study
Incidence, nature and impact of error in surgery.
Citation Text:
Bosma E, Veen EJ, Roukema JA. Incidence, nature and impact of error in surgery. Br J Surg. 2011;98(11):1654-1659. doi:10.1002/bjs.7594.
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