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psnet.ahrq.gov/issue/paediatric-nurses-understanding-process-and-procedure-double-checking-medications
May 03, 2023 - Study
Paediatric nurses' understanding of the process and procedure of double-checking medications.
Citation Text:
Dickinson A, McCall E, Twomey B, et al. Paediatric nurses' understanding of the process and procedure of double-checking medications. J Clin Nurs. 2010;19(5-6). doi:10.111…
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psnet.ahrq.gov/issue/safety-journal-lessons-learned-error-reporting-tool-stimulate-systems-thinking
January 21, 2019 - Study
The safety journal: lessons learned with an error reporting tool to stimulate systems thinking.
Citation Text:
Singh R, Naughton B, Singh A, et al. The Safety Journal. J Patient Saf. 2007;3(3):135-141. doi:10.1097/0b013e31814258db.
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psnet.ahrq.gov/issue/characteristics-medical-liability-claims-against-dermatologists-1991-through-2015
July 29, 2020 - Study
Characteristics of medical liability claims against dermatologists from 1991 through 2015.
Citation Text:
Kornmehl H, Singh S, Adler BL, et al. Characteristics of Medical Liability Claims Against Dermatologists From 1991 Through 2015. JAMA Dermatol. 2018;154(2):160-166. doi:10.1001…
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psnet.ahrq.gov/issue/surgeons-vigilance-operating-room
November 12, 2014 - Study
Surgeon's vigilance in the operating room.
Citation Text:
Zheng B, Tien G, Atkins SM, et al. Surgeon's vigilance in the operating room. Am J Surg. 2011;201(5):673-7. doi:10.1016/j.amjsurg.2011.01.016.
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psnet.ahrq.gov/issue/impact-electronic-health-records-diagnosis
May 19, 2019 - Review
The impact of electronic health records on diagnosis.
Citation Text:
Graber ML, Byrne C, Johnston D. The impact of electronic health records on diagnosis. Diagnosis (Berl). 2017;4(4):211-223. doi:10.1515/dx-2017-0012.
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psnet.ahrq.gov/issue/why-sociotechnical-framework-necessary-address-diagnostic-error
September 14, 2022 - Commentary
Why a sociotechnical framework is necessary to address diagnostic error.
Citation Text:
Ladell MM, Yale S, Bordini BJ, et al. Why a sociotechnical framework is necessary to address diagnostic error. BMJ Qual Saf. 2024;33(12):823-828. doi:10.1136/bmjqs-2024-017231.
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psnet.ahrq.gov/issue/iv-medication-safety-software-implementation-multihospital-health-system
October 17, 2018 - Commentary
IV medication safety software implementation in a multihospital health system.
Citation Text:
Cassano AT. IV Medication Safety Software Implementation in a Multihospital Health System. Hosp Pharm. 2010;41(2):151-156. doi:10.1310/hpj4102-151.
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psnet.ahrq.gov/issue/drug-shortages-root-causes-and-potential-solutions
January 13, 2021 - Book/Report
Emerging Classic
Drug Shortages: Root Causes and Potential Solutions.
Citation Text:
Drug Shortages: Root Causes and Potential Solutions. Drug Shortage Task Force. Silver Spring, MD: US Food and Drug Administration; 2020.
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psnet.ahrq.gov/issue/situ-simulation-identification-systems-issues
January 31, 2024 - Study
In situ simulation: identification of systems issues.
Citation Text:
Guise J-M, Mladenovic J. In situ simulation: Identification of systems issues. Semin Perinatol. 2013;37(3). doi:10.1053/j.semperi.2013.02.007.
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psnet.ahrq.gov/issue/labeling-solutions-and-medications-sterile-procedural-settings
July 13, 2016 - Commentary
Labeling solutions and medications in sterile procedural settings.
Citation Text:
Sheridan DJ. Labeling solutions and medications in sterile procedural settings. Jt Comm J Qual Patient Saf. 2006;32(5):276-82.
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psnet.ahrq.gov/issue/tools-and-methods-quality-improvement-and-patient-safety-perinatal-care
November 16, 2022 - Commentary
Tools and methods for quality improvement and patient safety in perinatal care.
Citation Text:
Nathan AT, Kaplan HC. Tools and methods for quality improvement and patient safety in perinatal care. Semin Perinatol. 2017;41(3):142-150. doi:10.1053/j.semperi.2017.03.002.
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psnet.ahrq.gov/issue/team-working-intensive-care-current-evidence-and-future-endeavors
April 24, 2018 - Review
Team working in intensive care: current evidence and future endeavors.
Citation Text:
Richardson J, West MA, Cuthbertson BH. Team working in intensive care: current evidence and future endeavors. Curr Opin Crit Care. 2010;16(6):643-8. doi:10.1097/MCC.0b013e32833e9731.
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psnet.ahrq.gov/issue/effective-healthcare-teams-require-effective-team-members-defining-teamwork-competencies
September 27, 2016 - Study
Effective healthcare teams require effective team members: defining teamwork competencies.
Citation Text:
Leggat SG. Effective healthcare teams require effective team members: defining teamwork competencies. BMC Health Serv Res. 2007;7:17.
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psnet.ahrq.gov/issue/factors-impacting-physician-use-information-charted-others
September 18, 2019 - Study
Factors impacting physician use of information charted by others.
Citation Text:
Factors impacting physician use of information charted by others. Zozus MN, Penning M, Hammond WE. JAMIA Open. 2019;2:107-114.
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psnet.ahrq.gov/issue/zero-suicide-initiative
July 03, 2013 - Grant Announcement
Zero Suicide Initiative.
Citation Text:
Zero Suicide Initiative. Office of the Federal Register, National Archives and Records Administration. Fed Register. November 3, 2021;(86):60883-60893.
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psnet.ahrq.gov/issue/expert-panel-report-texas-health-resources-leadership-2014-ebola-events
February 10, 2016 - Book/Report
The Expert Panel Report to Texas Health Resources Leadership on the 2014 Ebola Events.
Citation Text:
The Expert Panel Report to Texas Health Resources Leadership on the 2014 Ebola Events. Cortese D, Abbott P, Chassin M, Lyon GM III, Riley WJ. Dallas, TX: Texas Health Resourc…
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psnet.ahrq.gov/issue/missing-link-dedicated-patient-safety-education-within-top-ranked-us-nursing-school-curricula
November 15, 2018 - Study
The missing link: dedicated patient safety education within top-ranked US nursing school curricula.
Citation Text:
Howard JN. The missing link: dedicated patient safety education within top-ranked US nursing school curricula. J Patient Saf. 2010;6(3):165-71.
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psnet.ahrq.gov/issue/near-miss-medication-errors-provide-wake-call
January 24, 2024 - Commentary
Near-miss medication errors provide a wake-up call.
Citation Text:
Claffey C. Near-miss medication errors provide a wake-up call. Nursing (Brux). 2018;48(1):53-55. doi:10.1097/01.NURSE.0000527615.45031.9e.
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psnet.ahrq.gov/issue/development-rating-system-surgeons-non-technical-skills
June 12, 2008 - Study
Development of a rating system for surgeons' non-technical skills.
Citation Text:
Yule S, Flin R, Paterson-Brown S, et al. Development of a rating system for surgeons' non-technical skills. Med Educ. 2006;40(11):1098-104.
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psnet.ahrq.gov/issue/towards-safer-neonatal-transfer-importance-critical-incident-review
October 02, 2019 - Study
Towards safer neonatal transfer: the importance of critical incident review.
Citation Text:
Moss SJ. Towards safer neonatal transfer: the importance of critical incident review. Arch Dis Child. 2005;90(7). doi:10.1136/adc.2004.066639.
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