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psnet.ahrq.gov/issue/medication-errors-neonatal-intensive-care-unit-influence-observation-error-rate
May 13, 2009 - Study
Medication errors in a neonatal intensive care unit. Influence of observation on the error rate.
Citation Text:
Campino A, Lopez-Herrera MC, Lopez-de-Heredia I, et al. Medication errors in a neonatal intensive care unit. Influence of observation on the error rate. Acta Paediatr. …
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psnet.ahrq.gov/issue/racial-and-ethnic-disparities-patient-safety
March 03, 2011 - Review
Racial and ethnic disparities in patient safety.
Citation Text:
Okoroh JS, Uribe EF, Weingart SN. Racial and Ethnic Disparities in Patient Safety. J Patient Saf. 2017;13(3):153-161. doi:10.1097/PTS.0000000000000133.
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psnet.ahrq.gov/issue/cognitive-error-most-frequent-contributory-factor-cases-medical-injury-study-verdicts
September 25, 2013 - Study
Cognitive error as the most frequent contributory factor in cases of medical injury: a study on verdict's judgment among closed claims in Japan.
Citation Text:
Tokuda Y, Kishida N, Konishi R, et al. Cognitive error as the most frequent contributory factor in cases of medical inju…
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psnet.ahrq.gov/issue/reducing-medication-errors-critical-care-multimodal-approach
March 27, 2019 - Review
Reducing medication errors in critical care: a multimodal approach.
Citation Text:
Kruer RM, Jarrell AS, Latif A. Reducing medication errors in critical care: a multimodal approach. Clin Pharmacol. 2014;6:117-26. doi:10.2147/CPAA.S48530.
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psnet.ahrq.gov/issue/multiprofessional-survey-protocol-use-intensive-care-unit
August 30, 2017 - Study
Multiprofessional survey of protocol use in the intensive care unit.
Citation Text:
LeBlanc JM, Kane-Gill SL, Pohlman AS, et al. Multiprofessional survey of protocol use in the intensive care unit. J Crit Care. 2012;27(6):738.e9-17. doi:10.1016/j.jcrc.2012.07.012.
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psnet.ahrq.gov/issue/sleep-deprivation-and-starvation-hospitalised-patients-how-medical-care-can-harm-patients
September 27, 2017 - Commentary
Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients.
Citation Text:
Xu T, Wick EC, Makary MA. Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients. BMJ Qual Saf. 2016;25(5):311-314. doi:10.1136/…
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psnet.ahrq.gov/issue/lacerations-and-embedded-needles-caused-epinephrine-autoinjector-use-children
September 23, 2020 - Study
Lacerations and embedded needles caused by epinephrine autoinjector use in children.
Citation Text:
Brown JC, Tuuri RE, Akhter S, et al. Lacerations and Embedded Needles Caused by Epinephrine Autoinjector Use in Children. Ann Emerg Med. 2016;67(3):307-315.e8. doi:10.1016/j.annemerg…
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psnet.ahrq.gov/issue/receptionist-input-quality-and-safety-repeat-prescribing-uk-general-practice-ethnographic
March 23, 2022 - Study
Receptionist input to quality and safety in repeat prescribing in UK general practice: ethnographic case study.
Citation Text:
Swinglehurst D, Greenhalgh T, Russell J, et al. Receptionist input to quality and safety in repeat prescribing in UK general practice: ethnographic case …
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psnet.ahrq.gov/issue/overcoming-barriers-implementation-pharmacy-bar-code-scanning-system-medication-dispensing
October 25, 2010 - Commentary
Overcoming barriers to the implementation of a pharmacy bar code scanning system for medication dispensing: a case study.
Citation Text:
Nanji KC, Cina J, Patel N, et al. Overcoming barriers to the implementation of a pharmacy bar code scanning system for medication dispensi…
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psnet.ahrq.gov/issue/medication-safety-messages-patients-web-portal-medcheck-intervention
September 11, 2013 - Study
Medication safety messages for patients via the web portal: the MedCheck intervention.
Citation Text:
Weingart SN, Hamrick HE, Tutkus S, et al. Medication safety messages for patients via the web portal: the MedCheck intervention. Int J Med Inform . 2008;77(3):161-168.
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psnet.ahrq.gov/issue/unit-measurement-used-and-parent-medication-dosing-errors
June 04, 2014 - Study
Unit of measurement used and parent medication dosing errors.
Citation Text:
Yin S, Dreyer BP, Ugboaja DC, et al. Unit of measurement used and parent medication dosing errors. Pediatrics. 2014;134(2):e354-61. doi:10.1542/peds.2014-0395.
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psnet.ahrq.gov/issue/frequency-and-type-situational-awareness-errors-contributing-death-and-brain-damage-closed
September 01, 2021 - Study
Frequency and type of situational awareness errors contributing to death and brain damage: a closed claims analysis.
Citation Text:
Schulz CM, Burden A, Posner KL, et al. Frequency and Type of Situational Awareness Errors Contributing to Death and Brain Damage: A Closed Claims Anal…
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psnet.ahrq.gov/issue/assessing-impact-anesthesia-medication-template-medication-errors-during-anesthesia
February 14, 2018 - Study
Assessing the impact of the anesthesia medication template on medication errors during anesthesia: a prospective study.
Citation Text:
Grigg EB, Martin LD, Ross FJ, et al. Assessing the Impact of the Anesthesia Medication Template on Medication Errors During Anesthesia: A Prospecti…
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psnet.ahrq.gov/issue/hospital-rules-based-system-next-generation-medical-informatics-patient-safety
April 21, 2010 - Study
Hospital rules-based system: the next generation of medical informatics for patient safety.
Citation Text:
Wilson JW, Oyen LJ, Ou NN, et al. Hospital rules-based system: the next generation of medical informatics for patient safety. Am J Health Syst Pharm. 2005;62(5):499-505.
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psnet.ahrq.gov/issue/interventions-improve-communication-hospital-discharge-and-rates-readmission-systematic
January 12, 2022 - Review
Interventions to improve communication at hospital discharge and rates of readmission: a systematic review and meta-analysis.
Citation Text:
Becker C, Zumbrunn S, Beck K, et al. Interventions to improve communication at hospital discharge and rates of readmission. JAMA Netw Open. …
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psnet.ahrq.gov/issue/surgical-checklists-human-factor
December 10, 2014 - Study
Surgical checklists: the human factor.
Citation Text:
O'Connor P, Reddin C, O'Sullivan M, et al. Surgical checklists: the human factor. Patient Saf Surg. 2013;7(1):14. doi:10.1186/1754-9493-7-14.
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psnet.ahrq.gov/issue/impact-world-health-organization-surgical-safety-checklist-patient-safety
November 03, 2015 - Review
Impact of the World Health Organization surgical safety checklist on patient safety.
Citation Text:
Haugen AS, Sevdalis N, Søfteland E. Impact of the World Health Organization Surgical Safety Checklist on Patient Safety. Anesthesiology. 2019;131(2):420-425. doi:10.1097/ALN.0000000…
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psnet.ahrq.gov/issue/impact-anesthetic-handover-mortality-and-morbidity-cardiac-surgery-cohort-study
August 04, 2021 - Study
Impact of anesthetic handover on mortality and morbidity in cardiac surgery: a cohort study.
Citation Text:
Hudson CCC, McDonald B, Hudson JKC, et al. Impact of anesthetic handover on mortality and morbidity in cardiac surgery: a cohort study. J Cardiothorac Vasc Anesth. 2015;29(1)…
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psnet.ahrq.gov/issue/work-observation-study-nuclear-medicine-technologists-interruptions-resilience-and
May 25, 2011 - Study
A work observation study of nuclear medicine technologists: interruptions, resilience and implications for patient safety.
Citation Text:
Larcos G, Prgomet M, Georgiou A, et al. A work observation study of nuclear medicine technologists: interruptions, resilience and implications f…
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psnet.ahrq.gov/issue/analysis-and-prioritization-near-miss-adverse-events-radiology-department
June 15, 2016 - Study
Analysis and prioritization of near-miss adverse events in a radiology department.
Citation Text:
Thornton RH, Miransky J, Killen A, et al. Analysis and prioritization of near-miss adverse events in a radiology department. AJR Am J Roentgenol. 2011;196(5):1120-4. doi:10.2214/AJR.10…