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psnet.ahrq.gov/issue/inpatient-suicide-mental-health-units-veterans-affairs-va-hospitals-avoiding-environmental
September 05, 2018 - Study
Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental hazards.
Citation Text:
Mills PD, King LA, Watts B, et al. Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental hazards. Gen Hosp Psych…
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psnet.ahrq.gov/issue/interprofessional-education-team-communication-working-together-improve-patient-safety
April 24, 2018 - Study
Interprofessional education in team communication: working together to improve patient safety.
Citation Text:
Brock DM, Abu-Rish E, Chiu C-R, et al. Interprofessional education in team communication: working together to improve patient safety. BMJ Qual Saf. 2013;22(5):414-23. doi…
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psnet.ahrq.gov/issue/active-shooter-response-health-care-facility
January 18, 2012 - Commentary
Active-shooter response at a health care facility.
Citation Text:
Inaba K, Eastman AL, Jacobs LM, et al. Active-Shooter Response at a Health Care Facility. N Engl J Med. 2018;379(6):583-586. doi:10.1056/NEJMms1800582.
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psnet.ahrq.gov/issue/post-event-debriefs-commitment-learning-how-better-care-patients-and-staff
May 31, 2017 - Study
Post event debriefs: a commitment to learning how to better care for patients and staff.
Citation Text:
Campbell M, Miller K, McNicholas KW. Post Event Debriefs: A Commitment to Learning How to Better Care for Patients and Staff. Jt Comm J Qual Patient Saf. 2016;42(1):41-47.
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psnet.ahrq.gov/issue/intensive-care-units-communication-between-nurses-and-physicians-and-patients-outcomes
May 28, 2008 - Study
Intensive care units, communication between nurses and physicians, and patients' outcomes.
Citation Text:
Manojlovich M, Antonakos CL, Ronis DL. Intensive care units, communication between nurses and physicians, and patients' outcomes. Am J Crit Care. 2009;18(1):21-30. doi:10.403…
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psnet.ahrq.gov/issue/video-analysis-factors-associated-response-time-physiologic-monitor-alarms-childrens-hospital
November 06, 2015 - Study
Video analysis of factors associated with response time to physiologic monitor alarms in a children's hospital.
Citation Text:
Bonafide CP, Localio R, Holmes JH, et al. Video Analysis of Factors Associated With Response Time to Physiologic Monitor Alarms in a Children's Hospital. J…
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psnet.ahrq.gov/issue/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer
June 21, 2016 - Study
Ambulatory safety nets to reduce missed and delayed diagnoses of cancer.
Citation Text:
Emani S, Sequist TD, Lacson R, et al. Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer. Jt Comm J Qual Patient Saf. 2019;45(8):552-557. doi:10.1016/j.jcjq.2019.05.010.
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psnet.ahrq.gov/issue/structured-handover-general-surgery-audit-current-practice
August 08, 2018 - Study
Structured handover in general surgery: an audit of current practice.
Citation Text:
Jones HG, Watt B, Lewis L, et al. Structured Handover in General Surgery: An Audit of Current Practice. J Patient Saf. 2019;15(1):7-10. doi:10.1097/PTS.0000000000000201.
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psnet.ahrq.gov/issue/prescribing-errors-hospital-practice
July 01, 2017 - Review
Prescribing errors in hospital practice.
Citation Text:
Tully MP. Prescribing errors in hospital practice. Br J Clin Pharmacol. 2012;74(4):668-75. doi:10.1111/j.1365-2125.2012.04313.x.
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psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-dispensing-and-administration-2008
September 30, 2020 - Study
ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2008.
Citation Text:
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: dispensing and administration--2008. Am J Health Syst Pha…
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psnet.ahrq.gov/issue/computerized-prescriber-order-entry-medication-safety-cpoems-uncovering-and-learning-issues
February 05, 2014 - Book/Report
Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors.
Citation Text:
Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. Brigham and Women's Hospital, Harvard…
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psnet.ahrq.gov/issue/clinical-dental-faculty-members-perceptions-diagnostic-errors-and-how-avoid-them
November 01, 2023 - Study
Clinical dental faculty members' perceptions of diagnostic errors and how to avoid them.
Citation Text:
Nikdel C, Nikdel K, Ibarra-Noriega A, et al. Clinical Dental Faculty Members' Perceptions of Diagnostic Errors and How to Avoid Them. J Dent Educ. 2018;82(4):340-348. doi:10.2181…
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psnet.ahrq.gov/issue/bedside-shift-reports-what-does-evidence-say
October 19, 2022 - Review
Bedside shift reports: what does the evidence say?
Citation Text:
Gregory S, Tan D, Tilrico M, et al. Bedside shift reports: what does the evidence say? J Nurs Adm. 2014;44(10):541-5. doi:10.1097/NNA.0000000000000115.
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psnet.ahrq.gov/issue/successful-remediation-patient-safety-incidents-tale-two-medication-errors
January 26, 2022 - Commentary
Successful remediation of patient safety incidents: a tale of two medication errors.
Citation Text:
Helmchen LA, Richards MR, McDonald TB. Successful remediation of patient safety incidents: a tale of two medication errors. Health Care Manage Rev. 2011;36(2):114-123. doi:10.10…
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psnet.ahrq.gov/issue/disparities-racial-ethnic-and-payer-groups-pediatric-safety-events-us-hospitals
February 21, 2024 - Study
Disparities in racial, ethnic, and payer groups for pediatric safety events in US hospitals.
Citation Text:
Parikh K, Hall M, Tieder JS, et al. Disparities in racial, ethnic, and payer groups for pediatric safety events in US hospitals. Pediatrics. 2024;153(3):e2023063714. doi:10.1…
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psnet.ahrq.gov/issue/use-human-factors-classification-framework-identify-causal-factors-medication-and-medical
March 16, 2016 - Study
Use of a human factors classification framework to identify causal factors for medication and medical device-related adverse clinical incidents.
Citation Text:
Mitchell RJ, Williamson A, Molesworth B. Use of a human factors classification framework to identify causal factors for me…
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psnet.ahrq.gov/issue/identifying-facilitators-and-barriers-patient-safety-medicine-label-design-system-using
July 23, 2018 - Study
Identifying facilitators and barriers for patient safety in a medicine label design system using patient simulation and interviews.
Citation Text:
Dieckmann P, Clemmensen MH, Sørensen TK, et al. Identifying Facilitators and Barriers for Patient Safety in a Medicine Label Design Sys…
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psnet.ahrq.gov/issue/improving-medication-reconciliation-outpatient-setting
August 31, 2011 - Study
Improving medication reconciliation in the outpatient setting.
Citation Text:
Varkey P, Cunningham J, Bisping S. Improving medication reconciliation in the outpatient setting. Jt Comm J Qual Patient Saf. 2007;33(5):286-92.
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psnet.ahrq.gov/issue/risk-factors-adverse-drug-events-10-year-analysis
September 27, 2017 - Study
Risk factors for adverse drug events: a 10-year analysis.
Citation Text:
Evans S, Lloyd JF, Stoddard GJ, et al. Risk factors for adverse drug events: a 10-year analysis. Ann Pharmacother. 2005;39(7-8):1161-8.
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psnet.ahrq.gov/issue/supporting-psychiatric-hospital-culture-safety
March 11, 2020 - Study
Supporting a psychiatric hospital culture of safety.
Citation Text:
Mahoney JS, Ellis TE, Garland G, et al. Supporting a psychiatric hospital culture of safety. J Am Psychiatr Nurses Assoc. 2012;18(5):299-306. doi:10.1177/1078390312460577.
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