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psnet.ahrq.gov/issue/fatal-mistakes-why-do-ten-fold-medication-errors-children-keep-happening
April 21, 2021 - Newspaper/Magazine Article
Fatal mistakes: why do ten-fold medication errors in children keep happening?
Citation Text:
Fatal mistakes: why do ten-fold medication errors in children keep happening? Parry C. The Pharmaceutical Journal. April 22 2021.
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psnet.ahrq.gov/issue/characteristics-medication-errors-made-students-during-administration-phase-descriptive-study
July 13, 2009 - Study
Characteristics of medication errors made by students during the administration phase: a descriptive study.
Citation Text:
Wolf ZR, Hicks RW, Serembus JF. Characteristics of medication errors made by students during the administration phase: a descriptive study. J Prof Nurs. 2006…
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psnet.ahrq.gov/issue/radiological-error-analysis-standard-setting-targeted-instruction-and-teamworking
December 12, 2018 - Commentary
Radiological error: analysis, standard setting, targeted instruction and teamworking.
Citation Text:
FitzGerald R. Radiological error: analysis, standard setting, targeted instruction and teamworking. Eur Radiol. 2005;15(8). doi:10.1007/s00330-005-2662-8.
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psnet.ahrq.gov/issue/through-and-beyond-anaesthesia-awareness
September 20, 2023 - Commentary
Through and beyond anaesthesia awareness.
Citation Text:
Aaen A-M, Møller K. Through and beyond anaesthesia awareness. BMJ. 2010;341:c3669. doi:10.1136/bmj.c3669.
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psnet.ahrq.gov/issue/doctors-orders-killed-cancer-patient-dana-farber-admits-drug-overdose-caused-death-globe
March 10, 2021 - Newspaper/Magazine Article
Classic
Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death of Globe columnist, damage to second woman.
Citation Text:
Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused deat…
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psnet.ahrq.gov/issue/medical-errors-arising-outsourcing-laboratory-and-radiology-services
October 19, 2022 - Study
Medical errors arising from outsourcing laboratory and radiology services.
Citation Text:
Chasin BS, Elliott SP, Klotz SA. Medical errors arising from outsourcing laboratory and radiology services. Am J Med. 2007;120(9):819.e9-11.
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psnet.ahrq.gov/issue/tolerance-uncertainty-and-practice-emergency-medicine
May 25, 2022 - Commentary
Tolerance of uncertainty and the practice of emergency medicine.
Citation Text:
Platts-Mills TF, Nagurney JM, Melnick ER. Tolerance of uncertainty and the practice of emergency medicine. Ann Emerg Med. 2020;75(6):715-720. doi:10.1016/j.annemergmed.2019.10.015.
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psnet.ahrq.gov/issue/strengthening-medical-error-meme-pool
August 08, 2012 - Commentary
Strengthening the medical error "meme pool."
Citation Text:
Mazer BL, Nabhan C. Strengthening the Medical Error "Meme Pool". J Gen Intern Med. 2019;34(10):2264-2267. doi:10.1007/s11606-019-05156-7.
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psnet.ahrq.gov/issue/ten-ers-colorado-tried-curtail-opioids-and-did-better-expected
December 04, 2016 - Newspaper/Magazine Article
Ten ERs in Colorado tried to curtail opioids and did better than expected.
Citation Text:
Ten ERs in Colorado tried to curtail opioids and did better than expected. Daley J. Colorado Public Radio. February 23, 2018.
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psnet.ahrq.gov/issue/lost-sponge-patient-safety-operating-room
January 26, 2022 - Commentary
The lost sponge: patient safety in the operating room.
Citation Text:
Grant-Orser A, Davies P, Singh SS. The lost sponge: patient safety in the operating room. CMAJ . 2012;184(11):1275-1278. doi:10.1503/cmaj.110900.
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psnet.ahrq.gov/issue/irked-drug-interaction-alerts-customize-them-experts-advise
May 20, 2020 - Newspaper/Magazine Article
Irked by drug-interaction alerts? Customize them, experts advise.
Citation Text:
Irked by drug-interaction alerts? Customize them, experts advise. Dowhower Karpa K. Drug Topics. April 17, 2006.
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psnet.ahrq.gov/issue/fatal-error-sparks-debate-over-punitive-measures
May 20, 2020 - Newspaper/Magazine Article
Fatal error sparks debate over punitive measures.
Citation Text:
Fatal error sparks debate over punitive measures. Fernandez J. Drug Topics. May 7, 2007.
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psnet.ahrq.gov/issue/what-are-critical-success-factors-team-training-health-care
March 21, 2017 - Commentary
What are the critical success factors for team training in health care?
Citation Text:
Salas E, Almeida SA, Salisbury M, et al. What are the critical success factors for team training in health care? Jt Comm J Qual Patient Saf. 2009;35(8):398-405.
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psnet.ahrq.gov/issue/building-high-reliability-teams-progress-and-some-reflections-teamwork-training
March 21, 2017 - Commentary
Building high reliability teams: progress and some reflections on teamwork training.
Citation Text:
Salas E, Rosen MA. Building high reliability teams: progress and some reflections on teamwork training. BMJ Qual Saf. 2013;22(5):369-73. doi:10.1136/bmjqs-2013-002015.
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psnet.ahrq.gov/issue/rethinking-rapid-response-teams
February 23, 2019 - Commentary
Rethinking rapid response teams.
Citation Text:
Litvak E, Pronovost P. Rethinking rapid response teams. JAMA. 2010;304(12):1375-6. doi:10.1001/jama.2010.1385.
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psnet.ahrq.gov/issue/potential-role-pharmacogenomics-reducing-adverse-drug-reactions-systematic-review
August 04, 2021 - Review
Potential role of pharmacogenomics in reducing adverse drug reactions: a systematic review.
Citation Text:
Phillips KA, Veenstra DL, Oren E, et al. Potential role of pharmacogenomics in reducing adverse drug reactions: a systematic review. JAMA. 2001;286(18):2270-9.
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psnet.ahrq.gov/issue/framework-patient-safety-part-1-and-part-2
September 07, 2016 - Commentary
Framework for patient safety—part 1 and part 2.
Citation Text:
Blouin AS, McDonagh KJ. Framework for patient safety, part 1: culture as an imperative. J Nurs Adm. 2011;41(10):397-400. doi:10.1097/NNA.0b013e31822edb4d.
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psnet.ahrq.gov/issue/benefits-rapid-response-system-community-hospital
July 02, 2019 - Commentary
Benefits of a rapid response system at a community hospital.
Citation Text:
Gessner P. Benefits of a Rapid Response System at a Community Hospital. The Joint Commission Journal on Quality and Patient Safety. 2016;33(6). doi:10.1016/s1553-7250(07)33040-7.
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psnet.ahrq.gov/issue/error-detection-and-recovery-dialysis-nursing
November 16, 2022 - Study
Error detection and recovery in dialysis nursing.
Citation Text:
Wilkinson WE, Cauble LA, Patel VL. Error detection and recovery in dialysis nursing. J Patient Saf. 2011;7(4):213-23. doi:10.1097/PTS.0b013e3182388d20.
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psnet.ahrq.gov/issue/hospital-bosses-ignored-months-doctors-warnings-about-lucy-letby
September 01, 2010 - Newspaper/Magazine Article
Hospital bosses ignored months of doctors' warnings about Lucy Letby.
Citation Text:
Hospital bosses ignored months of doctors' warnings about Lucy Letby. Moritz J, Coffey J, Buchanan M. BBC News. August 19, 2023.
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