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psnet.ahrq.gov/issue/legality-technicians-involvement-medication-reconciliation-not-clear
June 13, 2011 - Newspaper/Magazine Article
Legality of technicians' involvement in medication reconciliation not clear.
Citation Text:
Thompson CA. Legality of technicians' involvement in medication reconciliation not clear. American journal of health-system pharmacy : AJHP : official journal of the A…
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psnet.ahrq.gov/issue/how-physicians-financial-wellness-could-impact-patient-safety
May 08, 2024 - Commentary
How the physician's financial wellness could impact patient safety.
Citation Text:
Richards JL, Brook K. How the physician’s financial wellness could impact patient safety. Postgrad Med J. 2024;100(1182):276-278. doi:10.1093/postmj/qgad076.
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psnet.ahrq.gov/issue/automation-failures-and-patient-safety
November 21, 2012 - Review
Automation failures and patient safety.
Citation Text:
Ruskin KJ, Ruskin AC, O’Connor M. Automation failures and patient safety. Curr Opin Anaesthesiol. 2020;33(6):788-792. doi:10.1097/aco.0000000000000935.
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psnet.ahrq.gov/issue/impact-and-implementation-simulation-based-training-safety
August 02, 2023 - Review
Impact and implementation of simulation-based training for safety.
Citation Text:
Bilotta FF, Werner SM, Bergese SD, et al. Impact and implementation of simulation-based training for safety. ScientificWorldJournal. 2013;2013:652956. doi:10.1155/2013/652956.
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psnet.ahrq.gov/issue/paramedic-intubation-errors-isolated-events-or-symptoms-larger-problems
February 18, 2009 - Study
Paramedic intubation errors: isolated events or symptoms of larger problems?
Citation Text:
Wang HE, Lave J, Sirio CA, et al. Paramedic intubation errors: isolated events or symptoms of larger problems? Health Aff (Millwood). 2006;25(2):501-9.
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psnet.ahrq.gov/issue/characteristics-medical-liability-claims-against-dermatologists-1991-through-2015
July 29, 2020 - Study
Characteristics of medical liability claims against dermatologists from 1991 through 2015.
Citation Text:
Kornmehl H, Singh S, Adler BL, et al. Characteristics of Medical Liability Claims Against Dermatologists From 1991 Through 2015. JAMA Dermatol. 2018;154(2):160-166. doi:10.1001…
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psnet.ahrq.gov/issue/will-human-factors-restore-faith-gmc
January 12, 2022 - Commentary
Will human factors restore faith in the GMC?
Citation Text:
Morgan L, Benson D, McCulloch P. Will human factors restore faith in the GMC? BMJ. 2019;364:l1037. doi:10.1136/bmj.l1037.
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psnet.ahrq.gov/issue/acgmes-final-duty-hour-standards-special-pgy-1-limits-and-strategic-napping
December 09, 2020 - Commentary
The ACGME’s final duty-hour standards—special PGY-1 limits and strategic napping.
Citation Text:
Iglehart JK. The ACGME's final duty-hour standards—special PGY-1 limits and strategic napping. N Engl J Med. 2010;363(17):1589-1591.
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psnet.ahrq.gov/issue/longitudinal-analyses-nurse-staffing-and-patient-outcomes-more-about-failure-rescue
February 24, 2021 - Study
Longitudinal analyses of nurse staffing and patient outcomes: more about failure to rescue.
Citation Text:
Seago JA, Williamson A, Atwood C. Longitudinal Analyses of Nurse Staffing and Patient Outcomes. J Nurs Admin. 2006;36(1):13-21. doi:10.1097/00005110-200601000-00005.
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psnet.ahrq.gov/issue/nursing-student-medication-errors-case-study-using-root-cause-analysis
November 16, 2022 - Commentary
Nursing student medication errors: a case study using root cause analysis.
Citation Text:
Dolansky MA, Druschel K, Helba M, et al. Nursing student medication errors: a case study using root cause analysis. J Prof Nurs. 2013;29(2):102-8. doi:10.1016/j.profnurs.2012.12.010.
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psnet.ahrq.gov/issue/medication-errors-and-response-bias-tip-iceberg
February 07, 2024 - Study
Medication errors and response bias: the tip of the iceberg.
Citation Text:
Bar-Oz B, Goldman M, Lahat E, et al. Medication errors and response bias: the tip of the iceberg. Isr Med Assoc J. 2008;10(11):771-4.
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psnet.ahrq.gov/issue/system-weaknesses-contributing-causes-accidents-health-care
August 31, 2022 - Study
System weaknesses as contributing causes of accidents in health care.
Citation Text:
Ternov S, Akselsson R. System weaknesses as contributing causes of accidents in health care. Int J Qual Health Care. 2005;17(1):5-13.
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psnet.ahrq.gov/issue/one-hospitals-initiatives-encourage-safe-opioid-use
October 19, 2022 - Commentary
One hospital's initiatives to encourage safe opioid use.
Citation Text:
Surprise JK, Simpson MH. One Hospital's Initiatives to Encourage Safe Opioid Use. J Infus Nurs. 2015;38(4):278-83. doi:10.1097/NAN.0000000000000110.
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psnet.ahrq.gov/issue/impact-care-quality-commission-provider-performance-room-improvement
November 18, 2015 - Book/Report
Impact of the Care Quality Commission on Provider Performance: Room for Improvement?
Citation Text:
Impact of the Care Quality Commission on Provider Performance: Room for Improvement? Smithson R, Richardson E, Roberts J, et al. The King's Fund, Alliance Manchester Business S…
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psnet.ahrq.gov/issue/towards-organization-memory-exploring-organizational-generation-adverse-events-health-care
February 22, 2010 - Commentary
Towards an organization with a memory: exploring the organizational generation of adverse events in health care.
Citation Text:
Smith D, Toft B. Towards an organization with a memory: exploring the organizational generation of adverse events in health care. Health Serv Manag…
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psnet.ahrq.gov/issue/using-fault-trees-advance-understanding-diagnostic-errors
November 11, 2020 - Commentary
Using fault trees to advance understanding of diagnostic errors.
Citation Text:
Rogith D, Iyengar S, Singh H. Using Fault Trees to Advance Understanding of Diagnostic Errors. Jt Comm J Qual Patient Saf. 2017;43(11):598-605. doi:10.1016/j.jcjq.2017.06.007.
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psnet.ahrq.gov/issue/patient-safety-home-hemodialysis-quality-assurance-and-serious-adverse-events-home-setting
January 23, 2017 - Commentary
Patient safety in home hemodialysis: quality assurance and serious adverse events in the home setting.
Citation Text:
Pauly RP, Eastwood DO, Marshall MR. Patient safety in home hemodialysis: quality assurance and serious adverse events in the home setting. Hemodial Int. 2015;1…
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psnet.ahrq.gov/issue/how-can-we-keep-patients-dementia-safe-our-acute-hospitals-review-challenges-and-solutions
February 04, 2015 - Review
How can we keep patients with dementia safe in our acute hospitals? A review of challenges and solutions.
Citation Text:
George J, Long SJ, Vincent CA. How can we keep patients with dementia safe in our acute hospitals? A review of challenges and solutions. J R Soc Med. 2013;1…
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psnet.ahrq.gov/issue/nursing-handoffs-systematic-review-literature
January 08, 2025 - Review
Nursing handoffs: a systematic review of the literature.
Citation Text:
Riesenberg LA, Leitzsch J, Cunningham JM. Nursing handoffs: a systematic review of the literature. Am J Nurs. 2010;110(4):24-34; quiz 35-6. doi:10.1097/01.NAJ.0000370154.79857.09.
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psnet.ahrq.gov/issue/determining-patients-comfort-inquiring-about-healthcare-providers-hand-washing-behavior
September 03, 2011 - Study
Determining a patient's comfort in inquiring about healthcare providers' hand-washing behavior.
Citation Text:
Clare CA, Afzal O, Knapp K, et al. Determining a patient's comfort in inquiring about healthcare providers' hand-washing behavior. J Patient Saf. 2013;9(2):68-74. doi:10.…