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psnet.ahrq.gov/issue/incidence-and-cost-adverse-events-victorian-hospitals-2003-04
July 13, 2010 - Study
The incidence and cost of adverse events in Victorian hospitals 2003-04.
Citation Text:
Ehsani JP, Jackson T, Duckett SJ. The incidence and cost of adverse events in Victorian hospitals 2003-04. Med J Aust. 2006;184(11):551-5.
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psnet.ahrq.gov/issue/interns-overestimate-effectiveness-their-hand-communication
March 02, 2011 - Study
Interns overestimate the effectiveness of their hand-off communication.
Citation Text:
Chang VY, Arora V, Lev-Ari S, et al. Interns overestimate the effectiveness of their hand-off communication. Pediatrics. 2010;125(3):491-496. doi:10.1542/peds.2009-0351.
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psnet.ahrq.gov/issue/voluntary-review-quality-care-peer-review-patient-safety
February 04, 2009 - Commentary
Voluntary review of quality of care peer review for patient safety.
Citation Text:
Stumpf PG. Voluntary review of quality of care peer review for patient safety. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):557-64.
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psnet.ahrq.gov/issue/root-cause-analysis-project-medication-safety-course
October 07, 2020 - Commentary
A root cause analysis project in a medication safety course.
Citation Text:
Schafer JJ. A root cause analysis project in a medication safety course. Am J Pharm Educ. 2012;76(6):116. doi:10.5688/ajpe766116.
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psnet.ahrq.gov/issue/pursuit-perfection-hospitals-take-heightened-actions-reduce-adverse-events
November 18, 2020 - Newspaper/Magazine Article
The pursuit of perfection: hospitals take heightened actions to reduce adverse events.
Citation Text:
May EL. The pursuit of perfection: hospitals take heightened actions to reduce adverse events. Healthcare executive. 2012;27(2):26-8, 30-3.
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psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-individual-lifetime-achievement-jeffrey-b-cooper-phd
November 11, 2020 - Award Recipient
John M. Eisenberg Patient Safety Awards. Individual lifetime achievement: Jeffrey B. Cooper, Ph.D., Massachusetts General Hospital.
Citation Text:
Cooper JB. John M. Eisenberg Patient Safety Awards. Individual lifetime achievement: Jeffrey B. Cooper, Ph.D., Massachusetts …
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psnet.ahrq.gov/issue/best-practice-protocols-preventing-adverse-drug-events
January 18, 2011 - Commentary
Best-practice protocols: preventing adverse drug events.
Citation Text:
Weir VL. Best-practice protocols: preventing adverse drug events. Nurs Manage. 2005;36(9):24-30.
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psnet.ahrq.gov/issue/human-factors-recognising-and-minimising-errors-our-day-day-practice
October 09, 2016 - Review
Human factors—recognising and minimising errors in our day to day practice.
Citation Text:
Green B, Tsiroyannis C, Brennan PA. Human factors--recognising and minimising errors in our day to day practice. Oral Dis. 2016;22(1):19-22. doi:10.1111/odi.12384.
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psnet.ahrq.gov/issue/right-and-wrong-way-talk-patients-about-adverse-events
November 01, 2023 - Newspaper/Magazine Article
The right and wrong way to talk to patients about adverse events.
Citation Text:
Beaulieu-Volk D. The right and wrong way to talk to patients about adverse events. Medical economics. 2014;91(11):52-5.
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psnet.ahrq.gov/issue/redesigning-hospital-alarms-patient-safety-alarmed-and-potentially-dangerous
December 12, 2018 - Commentary
Redesigning hospital alarms for patient safety: alarmed and potentially dangerous.
Citation Text:
Chopra V, McMahon LF. Redesigning hospital alarms for patient safety: alarmed and potentially dangerous. JAMA. 2014;311(12):1199-200. doi:10.1001/jama.2014.710.
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psnet.ahrq.gov/issue/impact-checklists-inpatient-safety-outcomes-systematic-review-randomized-controlled-trials
September 29, 2021 - Review
The impact of checklists on inpatient safety outcomes: a systematic review of randomized controlled trials.
Citation Text:
Boyd J, Wu G, Stelfox HT. The Impact of Checklists on Inpatient Safety Outcomes: A Systematic Review of Randomized Controlled Trials. J Hosp Med. 2017;12(8):6…
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psnet.ahrq.gov/issue/barriers-and-facilitators-chemotherapy-patients-engagement-medical-error-prevention
November 02, 2010 - Study
Barriers and facilitators to chemotherapy patients' engagement in medical error prevention.
Citation Text:
Schwappach DLB, Wernli M. Barriers and facilitators to chemotherapy patients' engagement in medical error prevention. Ann Oncol. 2011;22(2):424-30. doi:10.1093/annonc/mdq346…
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psnet.ahrq.gov/issue/automated-dispensing-cabinets
September 27, 2010 - Commentary
Automated dispensing cabinets.
Citation Text:
Gaunt MJ, Johnston J, Davis MM. Automated dispensing cabinets. Don't assume they're safe; correct design and use are crucial. Am J Nurs. 2007;107(8):27-8.
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psnet.ahrq.gov/issue/patients-perspectives-surgical-safety-do-they-feel-safe
November 18, 2013 - Study
Patients' perspectives of surgical safety: do they feel safe?
Citation Text:
Dixon JL, Tillman MM, Wehbe-Janek H, et al. Patients' Perspectives of Surgical Safety: Do They Feel Safe? The Ochsner J. 2015;15(2):143-148.
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psnet.ahrq.gov/issue/interrater-agreement-standard-scheme-classifying-medication-errors
September 30, 2020 - Study
Interrater agreement with a standard scheme for classifying medication errors.
Citation Text:
Forrey RA, Pedersen CA, Schneider PJ. Interrater agreement with a standard scheme for classifying medication errors. Am J Health Syst Pharm. 2007;64(2):175-81.
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psnet.ahrq.gov/issue/assessing-quality-patient-handoffs-care-transitions
April 24, 2013 - Study
Assessing the quality of patient handoffs at care transitions.
Citation Text:
Manser T, Foster S, Gisin S, et al. Assessing the quality of patient handoffs at care transitions. Qual Saf Health Care. 2010;19(6):e44. doi:10.1136/qshc.2009.038430.
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psnet.ahrq.gov/issue/performance-web-based-clinical-diagnosis-support-system-internists
August 02, 2023 - Study
Performance of a web-based clinical diagnosis support system for internists.
Citation Text:
Graber ML, Mathew A. Performance of a web-based clinical diagnosis support system for internists. J Gen Intern Med. 2008;23 Suppl 1:37-40. doi:10.1007/s11606-007-0271-8.
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psnet.ahrq.gov/issue/journal-reporting-medical-errors-wisdom-solomon-bravery-achilles-and-foolishness-pan
April 24, 2018 - Review
Journal reporting of medical errors: the wisdom of Solomon, the bravery of Achilles, and the foolishness of Pan.
Citation Text:
Murphy JG, Stee LA, McEvoy MT, et al. Journal reporting of medical errors: the wisdom of Solomon, the bravery of Achilles, and the foolishness of Pan. Ch…
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psnet.ahrq.gov/issue/sudden-death-lung-embolism-after-inadvertent-infusion-zinc-oxide-shake-lotion
January 12, 2022 - Commentary
A sudden death with lung embolism after inadvertent infusion of zinc oxide shake lotion.
Citation Text:
Pragst F, Correns A, Priem F, et al. A sudden death with lung embolism after inadvertent infusion of zinc oxide shake lotion. Forensic Sci Int. 2007;170(2-3):207-12.
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psnet.ahrq.gov/issue/medication-reconciliation-rural-trauma-population
April 24, 2018 - Study
Medication reconciliation in a rural trauma population.
Citation Text:
Miller L, Miller S, Balon J, et al. Medication reconciliation in a rural trauma population. Ann Emerg Med. 2008;52(5):483-91. doi:10.1016/j.annemergmed.2008.03.021.
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