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psnet.ahrq.gov/issue/covid-19-making-right-diagnosis
September 07, 2022 - Commentary
COVID-19: making the right diagnosis.
Citation Text:
Schiff G, Mirica MM. COVID-19: making the right diagnosis. Diagnosis (Berl). 2020;7(4):377-380. doi:10.1515/dx-2020-0063.
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psnet.ahrq.gov/issue/surgeon-reported-conflict-intensivists-about-postoperative-goals-care
September 26, 2012 - Study
Surgeon-reported conflict with intensivists about postoperative goals of care.
Citation Text:
Olson TJP, Brasel KJ, Redmann AJ, et al. Surgeon-reported conflict with intensivists about postoperative goals of care. JAMA Surg. 2013;148(1):29-35. doi:10.1001/jamasurgery.2013.403.
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psnet.ahrq.gov/issue/reporting-hazards-and-near-misses-ambulatory-care-setting
October 19, 2011 - Study
Reporting of hazards and near-misses in the ambulatory care setting.
Citation Text:
Schnall R, Bakken S. Reporting of hazards and near-misses in the ambulatory care setting. J Nurs Care Qual. 2011;26(4):328-334. doi:10.1097/NCQ.0b013e3182109204.
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psnet.ahrq.gov/issue/ensuring-competency-and-safety-when-onboarding-newly-hired-professional-staff
February 22, 2023 - Newspaper/Magazine Article
Ensuring competency and safety when onboarding newly hired professional staff.
Citation Text:
Ensuring competency and safety when onboarding newly hired professional staff. ISMP Medication Safety Alert! Acute care edition. April 20, 2023;28(8):1-4; May 4, 2023;…
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psnet.ahrq.gov/issue/covid-trap-pediatric-diagnostic-errors-pandemic-world
October 20, 2021 - Commentary
The COVID trap: pediatric diagnostic errors in a pandemic world.
Citation Text:
Fatemi Y, Coffin SE. The COVID trap: pediatric diagnostic errors in a pandemic world. Diagnosis (Berl). 2021;8(4):525-531. doi:10.1515/dx-2020-0150.
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psnet.ahrq.gov/issue/caregiver-perspectives-safety-home-dementia-care
January 20, 2010 - Study
Caregiver perspectives on safety in home dementia care.
Citation Text:
Lach HW, Chang Y-P. Caregiver perspectives on safety in home dementia care. West J Nurs Res. 2007;29(8):993-1014.
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psnet.ahrq.gov/issue/piece-my-mind-despite-my-best-intentions
September 13, 2016 - Commentary
A piece of my mind. Despite my best intentions.
Citation Text:
Kahn JS. Despite My Best Intentions. JAMA. 2017;318(17). doi:10.1001/jama.2017.6123.
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psnet.ahrq.gov/issue/why-dont-nurses-consistently-take-patient-respiratory-rates
October 10, 2012 - Study
Why don't nurses consistently take patient respiratory rates?
Citation Text:
Ansell H, Meyer A, Thompson S. Why don't nurses consistently take patient respiratory rates? Br J Nurs. 2014;23(8):414-8.
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psnet.ahrq.gov/issue/analgesic-prescribing-errors-and-associated-medication-characteristics
November 01, 2003 - Study
Analgesic prescribing errors and associated medication characteristics.
Citation Text:
Smith HS, Lesar TS. Analgesic prescribing errors and associated medication characteristics. The journal of pain : official journal of the American Pain Society. 2011;12(1):29-40. doi:10.1016/j.…
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psnet.ahrq.gov/issue/safety-incidents-family-medicine
December 11, 2013 - Study
Safety incidents in family medicine.
Citation Text:
O'Beirne M, Sterling PD, Zwicker K, et al. Safety incidents in family medicine. BMJ Qual Saf. 2011;20(12):1005-10. doi:10.1136/bmjqs-2011-000105.
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psnet.ahrq.gov/issue/implementation-medication-reconciliation-process-ambulatory-internal-medicine-clinic
October 28, 2009 - Study
Implementation of a medication reconciliation process in an ambulatory internal medicine clinic.
Citation Text:
Nassaralla CL, Naessens JM, Chaudhry R, et al. Implementation of a medication reconciliation process in an ambulatory internal medicine clinic. Qual Saf Health Care. 20…
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psnet.ahrq.gov/issue/suboptimal-prescribing-elderly-outpatients-potentially-harmful-drug-drug-and-drug-disease
July 29, 2020 - Study
Suboptimal prescribing in elderly outpatients: potentially harmful drug-drug and drug-disease combinations.
Citation Text:
Zhan C, Correa-de-Araujo R, Bierman AS, et al. Suboptimal prescribing in elderly outpatients: potentially harmful drug-drug and drug-disease combinations. J A…
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psnet.ahrq.gov/issue/importance-preparation-doctors-handovers-acute-medical-assessment-unit-hierarchical-task
March 02, 2011 - Study
The importance of preparation for doctors' handovers in an acute medical assessment unit: a hierarchical task analysis.
Citation Text:
Raduma-Tomàs MA, Flin R, Yule S, et al. The importance of preparation for doctors' handovers in an acute medical assessment unit: a hierarchical …
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psnet.ahrq.gov/issue/industry-automates-adverse-events-continue-haunt-caregivers
February 08, 2023 - Newspaper/Magazine Article
As industry automates, adverse events continue to haunt caregivers.
Citation Text:
Wetzel TG. As industry automates, adverse events haunt caregivers. Health data management. 2011;19(2):86, 88, 90 passim.
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psnet.ahrq.gov/issue/elusive-balance-residents-work-hours-and-continuity-care
July 19, 2017 - Commentary
An elusive balance — residents' work hours and the continuity of care.
Citation Text:
Okie S. An elusive balance--residents' work hours and the continuity of care. N Engl J Med. 2007;356(26):2665-2667.
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psnet.ahrq.gov/issue/i-care-case-review-tool-focused-improving-inpatient-care
February 18, 2011 - Commentary
I-CaRe: a case review tool focused on improving inpatient care.
Citation Text:
Lee JH, Vidyarthi A, Sehgal NL, et al. I-CaRe: a case review tool focused on improving inpatient care. Jt Comm J Qual Patient Saf. 2009;35(2):115-119, 61.
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psnet.ahrq.gov/issue/team-checkup-tool-evaluating-qi-team-activities-and-giving-feedback-senior-leaders
November 27, 2012 - Commentary
The Team Checkup Tool: evaluating QI team activities and giving feedback to senior leaders.
Citation Text:
Lubomski LH, Marsteller JA, Hsu Y-J, et al. The team checkup tool: evaluating QI team activities and giving feedback to senior leaders. Jt Comm J Qual Patient Saf. 2008;3…
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psnet.ahrq.gov/issue/new-tool-give-hospitalists-feedback-improve-interprofessional-teamwork-and-advance-patient
February 10, 2015 - Commentary
A new tool to give hospitalists feedback to improve interprofessional teamwork and advance patient care.
Citation Text:
Chesluk BJ, Bernabeo E, Hess B, et al. A new tool to give hospitalists feedback to improve interprofessional teamwork and advance patient care. Health Aff…
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psnet.ahrq.gov/issue/safety-issues-related-electronic-medical-record-emr-synthesis-literature-last-decade-2000
January 20, 2016 - Review
Safety issues related to the electronic medical record (EMR): synthesis of the literature from the last decade, 2000–2009.
Citation Text:
Harrington L, Kennerly DA, Johnson C. Safety issues related to the electronic medical record (EMR): synthesis of the literature from the last…
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psnet.ahrq.gov/issue/positive-deviance-new-tool-infection-prevention-and-patient-safety
March 09, 2022 - Commentary
Positive deviance: a new tool for infection prevention and patient safety.
Citation Text:
Marra AR, Santos OFPD, Neto MC, et al. Positive Deviance: A New Tool for Infection Prevention and Patient Safety. Curr Infect Dis Rep. 2013.
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