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psnet.ahrq.gov/issue/move-toward-full-use-metric-dosing-eliminate-dosage-cups-measure-liquids-fluid-drams-use-cups
April 01, 2015 - Press Release/Announcement
Move toward full use of metric dosing: eliminate dosage cups that measure liquids in fluid drams. Use cups that measure mL.
Citation Text:
Move toward full use of metric dosing: eliminate dosage cups that measure liquids in fluid drams. Use cups that measure mL…
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psnet.ahrq.gov/issue/assessment-use-patient-vital-sign-data-preventing-misidentification-and-medical-errors
February 16, 2022 - Commentary
Assessment of the use of patient vital sign data for preventing misidentification and medical errors.
Citation Text:
Maul J, Straub J. Assessment of the use of patient vital sign data for preventing misidentification and medical errors. Healthcare (Basel). 2022;10(12):2440. do…
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psnet.ahrq.gov/issue/diagnostic-errors-pediatric-echocardiography-development-taxonomy-and-identification-risk
April 12, 2019 - Study
Diagnostic errors in pediatric echocardiography: development of taxonomy and identification of risk factors.
Citation Text:
Benavidez OJ, Gauvreau K, Jenkins KJ, et al. Diagnostic errors in pediatric echocardiography: development of taxonomy and identification of risk factors. Ci…
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psnet.ahrq.gov/issue/risk-factors-retained-surgical-items-meta-analysis-and-proposed-risk-stratification-system
January 18, 2013 - Study
Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system.
Citation Text:
Moffatt-Bruce SD, Cook CH, Steinberg SM, et al. Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. J Surg Res. 2014;190(…
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psnet.ahrq.gov/issue/impact-nursing-work-environments-patient-safety-outcomes-mediating-role-burnout-engagement
July 23, 2010 - Study
The impact of nursing work environments on patient safety outcomes: the mediating role of burnout engagement.
Citation Text:
Spence Laschinger HK, Leiter MP. The impact of nursing work environments on patient safety outcomes: the mediating role of burnout/engagement. J Nurs Adm. …
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psnet.ahrq.gov/issue/health-care-work-environments-employee-satisfaction-and-patient-safety-care-provider
October 12, 2011 - Study
Health care work environments, employee satisfaction, and patient safety: care provider perspectives.
Citation Text:
Rathert C, May DR. Health care work environments, employee satisfaction, and patient safety: care provider perspectives. Health Care Manage Rev. 2007;32(1):2-11.
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psnet.ahrq.gov/issue/clinical-validation-ahrq-postoperative-venous-thromboembolism-patient-safety-indicator
September 25, 2011 - Study
Clinical validation of the AHRQ postoperative venous thromboembolism patient safety indicator.
Citation Text:
Henderson KE, Recktenwald AJ, Reichley RM, et al. Clinical validation of the AHRQ postoperative venous thromboembolism patient safety indicator. Jt Comm J Qual Patient Saf.…
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psnet.ahrq.gov/issue/influences-leadership-organizational-culture-and-hierarchy-raising-concerns-about-patient
December 04, 2013 - Study
Influences of leadership, organizational culture, and hierarchy on raising concerns about patient deterioration: a qualitative study.
Citation Text:
Vehvilainen E, Charles A, Sainsbury J, et al. Influences of leadership, organizational culture, and hierarchy on raising concerns abo…
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psnet.ahrq.gov/issue/new-us-health-crisis-looms-patients-without-covid-19-delay-care
July 29, 2020 - Newspaper/Magazine Article
New U.S. health crisis looms as patients without COVID-19 delay care.
Citation Text:
Bernstein S. New U.S. health crisis looms as patients without COVID-19 delay care. Reuters. 2020;July 13.
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psnet.ahrq.gov/issue/clinical-features-and-preventability-delayed-diagnosis-pediatric-appendicitis
September 13, 2023 - Study
Clinical features and preventability of delayed diagnosis of pediatric appendicitis.
Citation Text:
Michelson KA, Reeves SD, Grubenhoff JA, et al. Clinical features and preventability of delayed diagnosis of pediatric appendicitis. JAMA Netw Open. 2021;4(8):e2122248. doi:10.1001/ja…
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psnet.ahrq.gov/issue/assessing-use-google-translate-spanish-and-chinese-translations-emergency-department
March 16, 2016 - Study
Assessing the use of Google Translate for Spanish and Chinese translations of emergency department discharge instructions.
Citation Text:
Khoong EC, Steinbrook E, Brown C, et al. Assessing the Use of Google Translate for Spanish and Chinese Translations of Emergency Department Disc…
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psnet.ahrq.gov/issue/effective-followership-standardized-algorithm-resolve-clinical-conflicts-and-improve-teamwork
March 13, 2013 - Commentary
Effective followership: a standardized algorithm to resolve clinical conflicts and improve teamwork.
Citation Text:
Sculli GL, Fore AM, Sine DM, et al. Effective followership: A standardized algorithm to resolve clinical conflicts and improve teamwork. J Healthc Risk Manag. 20…
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psnet.ahrq.gov/issue/nursing-crew-resource-management-follow-report-veterans-health-administration
September 27, 2016 - Commentary
Nursing crew resource management: a follow-up report from the Veterans Health Administration.
Citation Text:
Sculli GL, Fore AM, West P, et al. Nursing crew resource management: a follow-up report from the Veterans Health Administration. J Nurs Adm. 2013;43(3):122-6. doi:10.1…
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psnet.ahrq.gov/issue/use-standard-design-medication-room-promote-medication-safety-organizational-implications
July 27, 2022 - Study
The use of a standard design medication room to promote medication safety: organizational implications.
Citation Text:
Rozenbaum H, Gordon L, Brezis M, et al. The use of a standard design medication room to promote medication safety: organizational implications. Int J Qual Health C…
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psnet.ahrq.gov/issue/error-codes-autopsy-study-potential-biases-diagnostic-error
November 30, 2012 - Study
Error codes at autopsy to study potential biases in diagnostic error.
Citation Text:
Goldman BI, Bharadwaj R, Fuller M, et al. Error codes at autopsy to study potential biases in diagnostic error. Diagnosis (Berl). 2023;10(4):375-382. doi:10.1515/dx-2023-0010.
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psnet.ahrq.gov/issue/family-caregiver-activation-transitions-fcat-tool-new-measure-family-caregiver-self-efficacy
September 10, 2014 - Study
The Family Caregiver Activation in Transitions (FCAT) tool: a new measure of family caregiver self-efficacy.
Citation Text:
Coleman EA, Ground KL, Maul A. The Family Caregiver Activation in Transitions (FCAT) Tool: A New Measure of Family Caregiver Self-Efficacy. Jt Comm J Qual Pat…
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psnet.ahrq.gov/issue/resilience-stakeholder-perspective-role-next-kin-cancer-care
April 14, 2021 - Study
Resilience from a stakeholder perspective: the role of next of kin in cancer care.
Citation Text:
Bergerød IJ, Braut GS, Wiig S. Resilience from a stakeholder perspective: the role of next of kin in cancer care. J Patient Saf. 2020;16(3):e205-e210. doi:10.1097/pts.0000000000000532…
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psnet.ahrq.gov/issue/sailing-too-close-wind-how-harnessing-patient-voice-can-identify-drift-towards-boundaries
February 28, 2024 - Commentary
Sailing too close to the wind? How harnessing patient voice can identify drift towards boundaries of acceptable performance.
Citation Text:
Wiig S, Calderwood CJ, O’Hara J. Sailing too close to the wind? How harnessing patient voice can identify drift towards boundaries of acc…
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psnet.ahrq.gov/issue/predictors-successful-implementation-preoperative-briefings-and-postoperative-debriefings
December 21, 2014 - Study
Predictors of successful implementation of preoperative briefings and postoperative debriefings after medical team training.
Citation Text:
Paull DE, Mazzia L, Izu BS, et al. Predictors of successful implementation of preoperative briefings and postoperative debriefings after medi…
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psnet.ahrq.gov/issue/nurses-perceptions-subspecialization-pediatric-cardiac-intensive-care-unit-quality-and
April 16, 2018 - Study
Nurses' perceptions of subspecialization in pediatric cardiac intensive care unit: quality and patient safety implications.
Citation Text:
Kane JM, Preze E. Nurses' perceptions of subspecialization in pediatric cardiac intensive care unit: quality and patient safety implications.…