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psnet.ahrq.gov/issue/exploring-impact-safety-culture-incident-reporting-lessons-learned-machine-learning-analysis
February 21, 2024 - Study
Exploring the impact of safety culture on incident reporting: lessons learned from machine learning analysis of NHS England staff survey and incident data.
Citation Text:
Kaya GK, Ustebay S, Nixon J, et al. Exploring the impact of safety culture on incident reporting: lessons learn…
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psnet.ahrq.gov/issue/errors-and-discrepancies-administration-intravenous-infusions-mixed-methods-multihospital
July 10, 2019 - Study
Emerging Classic
Errors and discrepancies in the administration of intravenous infusions: a mixed methods multihospital observational study.
Citation Text:
Lyons I, Furniss D, Blandford A, et al. Errors and discrepancies in the administration of intravenou…
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psnet.ahrq.gov/issue/wrong-administration-route-medications-domestic-setting-review-underestimated-public-health
December 15, 2021 - Review
Wrong administration route of medications in the domestic setting: a review of an underestimated public health topic.
Citation Text:
Gualano MR, Lo Moro G, Voglino G, et al. Wrong administration route of medications in the domestic setting: a review of an underestimated public hea…
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psnet.ahrq.gov/issue/fatigue-risk-management-impact-anesthesiology-residents-work-schedules-job-performance-and
November 03, 2010 - Commentary
Fatigue risk management: the impact of anesthesiology residents' work schedules on job performance and a review of potential countermeasures.
Citation Text:
Wong LR, Flynn-Evans E, Ruskin KJ. Fatigue Risk Management: The Impact of Anesthesiology Residents' Work Schedules on Jo…
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psnet.ahrq.gov/issue/40-years-behind-mask-safety-revisited
January 13, 2012 - Commentary
Classic
40 years behind the mask: safety revisited.
Citation Text:
Pierce EC. The 34th Rovenstine Lecture. 40 years behind the mask: safety revisited. Anesthesiology. 1996;84(4):965-975.
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psnet.ahrq.gov/issue/fatigue-amongst-anaesthesiology-and-intensive-care-trainees-europe-matter-concern
June 28, 2023 - Study
Fatigue amongst anaesthesiology and intensive care trainees in Europe: a matter of concern.
Citation Text:
Abramovich I, Matias B, Norte G, et al. Fatigue amongst anaesthesiology and intensive care trainees in Europe: a matter of concern. Eur J Anaesthesiol. 2023;40(8):587-595. doi…
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psnet.ahrq.gov/issue/ashp-guidelines-safe-use-automated-compounding-devices-preparation-parenteral-nutrition
October 19, 2022 - Organizational Policy/Guidelines
ASHP Guidelines on the Safe Use of Automated Compounding Devices for the Preparation of Parenteral Nutrition Admixtures.
Citation Text:
Iredell B, Mourad H, Nickman NA, et al. ASHP Guidelines on the Safe Use of Automated Compounding Devices for the Prepar…
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psnet.ahrq.gov/issue/nonrandomized-intervention-study-naloxone-coprescription-primary-care-patients-receiving-long
July 15, 2020 - Study
Nonrandomized intervention study of naloxone coprescription for primary care patients receiving long-term opioid therapy for pain.
Citation Text:
Coffin PO, Behar E, Rowe C, et al. Nonrandomized Intervention Study of Naloxone Coprescription for Primary Care Patients Receiving Long-…
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psnet.ahrq.gov/issue/opioid-prescribing-acute-pain-management-children-and-adolescents-outpatient-settings
November 16, 2022 - Clinical Guideline
Opioid prescribing for acute pain management in children and adolescents in outpatient settings: clinical practice guideline.
Citation Text:
Hadland SE, Agarwal R, Raman SR, et al. Opioid Prescribing for Acute Pain Management in Children and Adolescents in Outpatient S…
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psnet.ahrq.gov/issue/standardizing-concentrations-adult-drug-infusions-indiana
August 01, 2018 - Commentary
Standardizing concentrations of adult drug infusions in Indiana.
Citation Text:
Walroth TA, Dossett HA, Doolin M, et al. Standardizing concentrations of adult drug infusions in Indiana. Am J Health Syst Pharm. 2017;74(7):491-497. doi:10.2146/ajhp151018.
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psnet.ahrq.gov/issue/effectiveness-do-not-interrupt-vest-intervention-reduce-medication-errors-during-medication
December 21, 2017 - Study
Effectiveness of a ‘do not interrupt’ vest intervention to reduce medication errors during medication administration: a multicenter cluster randomized controlled trial.
Citation Text:
Berdot S, Vilfaillot A, Bézie Y, et al. Effectiveness of a ‘do not interrupt’ vest intervention to…
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psnet.ahrq.gov/issue/relationship-between-complaints-and-quality-care-new-zealand-descriptive-analysis
October 21, 2010 - Study
Relationship between complaints and quality of care in New Zealand: a descriptive analysis of complainants and non-complainants following adverse events.
Citation Text:
Bismark MM, Brennan TA, Paterson RJ, et al. Relationship between complaints and quality of care in New Zealand:…
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psnet.ahrq.gov/issue/pediatric-adverse-drug-events-outpatient-setting-11-year-national-analysis
September 09, 2010 - Study
Pediatric adverse drug events in the outpatient setting: an 11-year national analysis.
Citation Text:
Bourgeois FT, Mandl KD, Valim C, et al. Pediatric adverse drug events in the outpatient setting: an 11-year national analysis. Pediatrics. 2009;124(4):e744-e750. doi:10.1542/peds…
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psnet.ahrq.gov/issue/communicating-certainty-pathology-reports-interpretation-differences-among-staff-pathologists
January 23, 2017 - Study
Communicating certainty in pathology reports: interpretation differences among staff pathologists, clinicians, and residents in a multicenter study.
Citation Text:
Gibson BA, McKinnon E, Bentley RC, et al. Communicating certainty in pathology reports: interpretation differences amo…
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psnet.ahrq.gov/issue/introduction-sts-national-database-series-outcomes-analysis-quality-improvement-and-patient
August 04, 2021 - Commentary
Introduction to the STS National Database Series: outcomes analysis, quality improvement, and patient safety.
Citation Text:
Fernandez FG, Shahian DM, Kormos R, et al. The Society of Thoracic Surgeons National Database 2019 Annual Report. Ann Thorac Surg. 2019;108(6):1625-1632…
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psnet.ahrq.gov/issue/five-topics-health-care-simulation-can-address-improve-patient-safety-results-consensus
June 28, 2023 - Study
Five topics health care simulation can address to improve patient safety: results from a consensus process.
Citation Text:
Sollid SJM, Dieckman P, Aase K, et al. Five Topics Health Care Simulation Can Address to Improve Patient Safety: Results From a Consensus Process. J Patient Sa…
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psnet.ahrq.gov/issue/diagnostic-error-emergency-department-learning-national-patient-safety-incident-report
January 12, 2022 - Study
Diagnostic error in the emergency department: learning from national patient safety incident report analysis.
Citation Text:
Hussain F, Cooper A, Carson-Stevens A, et al. Diagnostic error in the emergency department: learning from national patient safety incident report analysis. B…
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psnet.ahrq.gov/issue/patterns-error-interpretive-pathology
April 07, 2021 - Study
Patterns of error in interpretive pathology.
Citation Text:
Packer MDC, Ravinsky E, Azordegan N. Patterns of error in interpretive pathology. Am J Clin Pathol. 2022;157(5):767-773. doi:10.1093/ajcp/aqab190.
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psnet.ahrq.gov/issue/relation-between-malpractice-claims-and-adverse-events-due-negligence-results-harvard-medical
February 18, 2011 - Study
Classic
Relation between malpractice claims and adverse events due to negligence. Results of the Harvard Medical Practice Study III.
Citation Text:
Localio AR, Lawthers AG, Brennan TA, et al. Relation between Malpractice Claims and Adverse Events Due to …
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psnet.ahrq.gov/issue/errors-nurse-led-triage-observational-study
August 20, 2018 - Study
Errors in nurse-led triage: an observational study.
Citation Text:
Ausserhofer D, Zaboli A, Pfeifer N, et al. Errors in nurse-led triage: an observational study. Int J Nurs Stud. 2020;113:103788. doi:10.1016/j.ijnurstu.2020.103788.
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