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psnet.ahrq.gov/issue/evaluation-nurse-led-safety-program-critical-care-unit
June 03, 2013 - Study
Evaluation of a nurse-led safety program in a critical care unit.
Citation Text:
Saladino L, Pickett LC, Frush K, et al. Evaluation of a nurse-led safety program in a critical care unit. J Nurs Care Qual. 2013;28(2):139-46. doi:10.1097/NCQ.0b013e31827464c3.
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psnet.ahrq.gov/issue/anatomy-incident-disclosure-importance-dialogue
February 20, 2012 - Commentary
Anatomy of an incident disclosure: the importance of dialogue.
Citation Text:
Iedema R, Allen S. Anatomy of an incident disclosure: the importance of dialogue. Jt Comm J Qual Patient Saf. 2012;38(10):435-42.
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psnet.ahrq.gov/issue/patient-errors-use-injectable-antidiabetic-medications-need-improved-clinic-based-education
March 17, 2021 - Commentary
Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education.
Citation Text:
Wei ET, Koh E, Kelly MS, et al. Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education. J Am Pharm Assoc (…
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psnet.ahrq.gov/issue/systematic-review-team-training-health-care-ten-questions
September 11, 2016 - Review
A systematic review of team training in health care: ten questions.
Citation Text:
Marlow SL, Hughes A, Sonesh SC, et al. A Systematic Review of Team Training in Health Care: Ten Questions. Jt Comm J Qual Patient Saf. 2017;43(4):197-204. doi:10.1016/j.jcjq.2016.12.004.
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psnet.ahrq.gov/issue/global-drug-shortages-due-covid-19-impact-patient-care-and-mitigation-strategies
November 04, 2020 - Commentary
Global drug shortages due to COVID-19: impact on patient care and mitigation strategies.
Citation Text:
Badreldin HA, Atallah B. Global drug shortages due to COVID-19: Impact on patient care and mitigation strategies. Res Social Adm Pharm. 2020;17(1):1946-1949. doi:10.1016/j.s…
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psnet.ahrq.gov/issue/patient-whiteboards-communication-tool-hospital-setting-survey-practices-and-recommendations
February 18, 2011 - Study
Patient whiteboards as a communication tool in the hospital setting: A survey of practices and recommendations.
Citation Text:
Sehgal NL, Green A, Vidyarthi A, et al. Patient whiteboards as a communication tool in the hospital setting: a survey of practices and recommendations. J …
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psnet.ahrq.gov/issue/family-centered-multidisciplinary-rounds-enhance-team-approach-pediatrics
November 21, 2021 - Study
Family-centered multidisciplinary rounds enhance the team approach in pediatrics.
Citation Text:
Rosen P, Stenger E, Bochkoris M, et al. Family-centered multidisciplinary rounds enhance the team approach in pediatrics. Pediatrics. 2009;123(4):e603-8. doi:10.1542/peds.2008-2238.
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psnet.ahrq.gov/issue/isolation-precautions-visitors
March 02, 2014 - Organizational Policy/Guidelines
Isolation precautions for visitors.
Citation Text:
Munoz-Price LS, Banach DB, Bearman G, et al. Isolation Precautions for Visitors. Infect Control Hosp Epidemiol. 2015;36(7):747-758. doi:10.1017/ice.2015.67.
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psnet.ahrq.gov/issue/improving-pediatric-electronic-health-record-usability-and-safety-through-certification-seize
November 28, 2018 - Commentary
Improving pediatric electronic health record usability and safety through certification: seize the day.
Citation Text:
Ratwani RM, Moscovitch B, Rising JP. Improving Pediatric Electronic Health Record Usability and Safety Through Certification: Seize the Day. JAMA Pediatr. 201…
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psnet.ahrq.gov/issue/creating-better-discharge-summary-improvement-quality-and-timeliness-using-electronic
December 21, 2014 - Study
Creating a better discharge summary: improvement in quality and timeliness using an electronic discharge summary.
Citation Text:
O'Leary KJ, Liebovitz DM, Feinglass J, et al. Creating a better discharge summary: improvement in quality and timeliness using an electronic discharge …
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psnet.ahrq.gov/issue/unexpected-hypoglycemia-critically-ill-patient
July 25, 2018 - Study
Classic
Unexpected hypoglycemia in a critically ill patient.
Citation Text:
Bates DW. Unexpected hypoglycemia in a critically ill patient. Ann Intern Med. 2002;137(2):110-6.
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psnet.ahrq.gov/issue/va-health-care-improvements-needed-processes-used-address-providers-actions-contribute
October 12, 2022 - Book/Report
VA Health Care: Improvements Needed in Processes Used to Address Providers' Actions That Contribute to Adverse Events.
Citation Text:
VA Health Care: Improvements Needed in Processes Used to Address Providers' Actions That Contribute to Adverse Events. Draper D. Washington,…
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psnet.ahrq.gov/issue/high-reliability-pediatric-heart-centers-always-working-toward-getting-better
September 18, 2024 - Commentary
High reliability pediatric heart centers: always working toward getting better.
Citation Text:
Torzone A, Birely A. High reliability pediatric heart centers: always working toward getting better. Curr Opin Cardiol. 2024;39(4):356-363. doi:10.1097/hco.0000000000001143.
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psnet.ahrq.gov/issue/do-nurse-and-patient-injuries-share-common-antecedents-analysis-associations-safety-climate
February 29, 2012 - Study
Do nurse and patient injuries share common antecedents? An analysis of associations with safety climate and working conditions.
Citation Text:
Taylor JA, Dominici F, Agnew J, et al. Do nurse and patient injuries share common antecedents? An analysis of associations with safety cl…
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psnet.ahrq.gov/issue/diagnostic-errors-hospitalized-adults-who-died-or-were-transferred-intensive-care
October 13, 2021 - Study
Diagnostic errors in hospitalized adults who died or were transferred to intensive care.
Citation Text:
Diagnostic errors in hospitalized adults who died or were transferred to intensive care. Auerbach AD, Lee TM, Hubbard CC, et al for the UPSIDE Research Group. JAMA Inte…
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psnet.ahrq.gov/issue/critical-incidents-related-cardiac-arrests-reported-danish-patient-safety-database
February 18, 2015 - Study
Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database.
Citation Text:
Andersen PO, Maaløe R, Andersen HB. Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database. Resuscitation. 2010;81(3):312-316. doi:10.…
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psnet.ahrq.gov/issue/experiences-risk-managers-providing-emotional-support-health-care-workers-after-adverse
September 19, 2016 - Study
The experiences of risk managers in providing emotional support for health care workers after adverse events.
Citation Text:
Edrees HH, Brock DM, Wu AW, et al. The experiences of risk managers in providing emotional support for health care workers after adverse events. J Healthc Ri…
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psnet.ahrq.gov/issue/protecting-children-iatrogenic-harm-during-covid19-pandemic
December 02, 2020 - Commentary
Protecting children from iatrogenic harm during COVID19 pandemic.
Citation Text:
Camporesi A, Díaz‐Rubio F, Carroll CL, et al. Protecting children from iatrogenic harm during COVID19 pandemic. J Paediatr Child Health. 2020;56(7):1010-1012. doi:10.1111/jpc.14989.
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psnet.ahrq.gov/issue/quiet-please-drug-round-tabards-are-they-effective-and-accepted-mixed-method-study
May 19, 2018 - Study
Quiet please! Drug round tabards: are they effective and accepted? A mixed method study.
Citation Text:
Verweij L, Smeulers M, Maaskant JM, et al. Quiet please! Drug round tabards: are they effective and accepted? A mixed method study. J Nurs Scholarsh. 2014;46(5):340-8. doi:10.111…
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psnet.ahrq.gov/issue/impact-drug-shortages-patients-cardiovascular-disease-causes-consequences-and-call-action
October 10, 2012 - Review
The impact of drug shortages on patients with cardiovascular disease: causes, consequences, and a call to action.
Citation Text:
Reed BN, Fox ER, Konig M, et al. The impact of drug shortages on patients with cardiovascular disease: causes, consequences, and a call to action. Am He…