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psnet.ahrq.gov/node/60531/psn-pdf
May 27, 2020 - Telenursing in incidents and disasters: a systematic
review of the literature.
May 27, 2020
Nejadshafiee M, Bahaadinbeigy K, Kazemi M, et al. Telenursing in incidents and disasters: a systematic
review of the literature. J Emerg Nurs. 2020. doi:10.1016/j.jen.2020.03.005.
https://psnet.ahrq.gov/issue/telenursing-in…
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psnet.ahrq.gov/node/39769/psn-pdf
August 18, 2010 - Determining the state of knowledge for implementing the
Universal Protocol recommendations: an integrative
review of the literature.
August 18, 2010
Conrardy JA, Brenek B, Myers S. Determining the State of Knowledge for Implementing the Universal
Protocol Recommendations: An Integrative Review of the Literature. A…
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psnet.ahrq.gov/node/43813/psn-pdf
January 20, 2015 - Adverse events in patients with return emergency
department visits.
January 20, 2015
Calder LA, Pozgay A, Riff S, et al. Adverse events in patients with return emergency department visits.
BMJ Qual Saf. 2015;24(2):142-148. doi:10.1136/bmjqs-2014-003194.
https://psnet.ahrq.gov/issue/adverse-events-patients-return-e…
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psnet.ahrq.gov/node/39185/psn-pdf
January 06, 2010 - Use of colour-coded labels for intravenous high-risk
medications and lines to improve patient safety.
January 6, 2010
Porat N, Bitan Y, Shefi D, et al. Use of colour-coded labels for intravenous high-risk medications and lines
to improve patient safety. Qual Saf Health Care. 2009;18(6):505-9. doi:10.1136/qshc.2007.…
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psnet.ahrq.gov/node/45789/psn-pdf
January 11, 2017 - Concurrent and Overlapping Surgeries: Additional
Measures Warranted.
January 11, 2017
US Senate Finance Committee. December 6, 2016.
https://psnet.ahrq.gov/issue/concurrent-and-overlapping-surgeries-additional-measures-warranted
The practice of scheduling concurrent surgeries has raised concerns about increased ri…
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psnet.ahrq.gov/node/42479/psn-pdf
August 07, 2013 - Trends in health information technology safety: from
technology-induced errors to current approaches for
ensuring technology safety.
August 7, 2013
Borycki EM. Trends in health information technology safety: from technology-induced errors to current
approaches for ensuring technology safety. Healthc Inform Res. 20…
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psnet.ahrq.gov/node/47142/psn-pdf
June 13, 2018 - Managing health IT risks: reflections and
recommendations.
June 13, 2018
Sujan M. Managing health IT risks: reflections and recommendations. J Innov Health Inform.
2018;25(1):952. doi:10.14236/jhi.v25i1.952.
https://psnet.ahrq.gov/issue/managing-health-it-risks-reflections-and-recommendations
Health information t…
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psnet.ahrq.gov/node/74156/psn-pdf
December 08, 2021 - Abusive supervision: a systematic review and
fundamental rethink.
December 8, 2021
Fischer T, Tian AW, Lee A, et al. Abusive supervision: a systematic review and fundamental rethink. The
Leadership Q. 2021;32(6):101540. doi:10.1016/j.leaqua.2021.101540.
https://psnet.ahrq.gov/issue/abusive-supervision-systematic-r…
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psnet.ahrq.gov/node/40922/psn-pdf
December 21, 2014 - Assessment of latent factors contributing to error:
addressing surgical pathology error wisely.
December 21, 2014
Smith ML, Raab SS. Assessment of Latent Factors Contributing to Error: Addressing Surgical Pathology
Error Wisely. Arch Pathol Lab Med. 2011;135(11). doi:10.5858/arpa.2011-0334-oa.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/42727/psn-pdf
November 13, 2013 - Impact of electronic health record systems on information
integrity: quality and safety implications.
November 13, 2013
Bowman S. Impact of electronic health record systems on information integrity: quality and safety
implications. Perspect Health Inf Manag. 2013;10:1c.
https://psnet.ahrq.gov/issue/impact-electron…
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psnet.ahrq.gov/node/34929/psn-pdf
April 06, 2011 - Implementing a national strategy for patient safety:
lessons from the National Health Service in England.
April 6, 2011
Lewis RQ, Fletcher M. Implementing a national strategy for patient safety: lessons from the National Health
Service in England. Qual Saf Health Care. 2005;14(2):135-9.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/38597/psn-pdf
June 12, 2009 - A patient safety curriculum for graduate medical
education: results from a needs assessment of educators
and patient safety experts.
June 12, 2009
Varkey P, Karlapudi S, Rose S, et al. A patient safety curriculum for graduate medical education: results
from a needs assessment of educators and patient safety expert…
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psnet.ahrq.gov/node/41303/psn-pdf
March 11, 2013 - Clinical risk management in hospitals: strategy, central
coordination and dialogue as key enablers.
March 11, 2013
Briner M, Manser T, Kessler O. Clinical risk management in hospitals: strategy, central coordination and
dialogue as key enablers. J Eval Clin Pract. 2013;19(2):363-369. doi:10.1111/j.1365-2753.2012.01…
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psnet.ahrq.gov/node/41227/psn-pdf
March 21, 2012 - Parenteral nutrition prescribing processes using
computerized prescriber order entry: opportunities to
improve safety.
March 21, 2012
Hilmas E, Peoples JD. Parenteral nutrition prescribing processes using computerized prescriber order
entry: opportunities to improve safety. JPEN J Parenter Enteral Nutr. 2012;36(2 …
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psnet.ahrq.gov/node/39403/psn-pdf
March 31, 2010 - Emergency medical and health providers' perceptions of
key issues in prehospital patient safety.
March 31, 2010
Atack L, Maher J. Emergency medical and health providers' perceptions of key issues in prehospital patient
safety. Prehosp Emerg Care. 2010;14(1):95-102. doi:10.3109/10903120903349887.
https://psnet.ahrq…
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psnet.ahrq.gov/node/35228/psn-pdf
March 04, 2011 - Best practices for safe handling of products containing
concentrated potassium.
March 4, 2011
Tubman M, Majumdar SR, Lee D, et al. Best practices for safe handling of products containing
concentrated potassium. BMJ. 2005;331(7511):274-7.
https://psnet.ahrq.gov/issue/best-practices-safe-handling-products-containing…
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psnet.ahrq.gov/node/39619/psn-pdf
September 26, 2010 - Devastatingly human: an analysis of registered nurses'
medication error accounts.
September 26, 2010
Treiber LA, Jones JH. Devastatingly human: an analysis of registered nurses' medication error accounts.
Qual Health Res. 2010;20(10):1327-42. doi:10.1177/1049732310372228.
https://psnet.ahrq.gov/issue/devastatingly…
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psnet.ahrq.gov/perspective/conversation-withdavid-marx-jd
October 01, 2007 - In Conversation with...David Marx, JD
October 1, 2007
Also Read an Essay
Citation Text:
In Conversation with..David Marx, JD. PSNet [internet]. 2007.In Conversation with...David Marx, JD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qualit…
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psnet.ahrq.gov/web-mm/finding-fault-default-alert
August 28, 2024 - Finding Fault With the Default Alert
Citation Text:
Baysari M. Finding Fault With the Default Alert. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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Google Scholar BibTeX EndNote X3 XML EndNot…
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psnet.ahrq.gov/node/838972/psn-pdf
October 27, 2022 - The Unhappy Patient Leaves Against Medical Advice.
October 27, 2022
Nichols A. The Unhappy Patient Leaves Against Medical Advice. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/unhappy-patient-leaves-against-medical-advice
The Case
A 61-year-old woman was placed on bedrest following major surgery. Her posto…