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psnet.ahrq.gov/issue/enhancing-quality-and-safety-perioperative-patient
January 14, 2014 - Review
Enhancing the quality and safety of the perioperative patient.
Citation Text:
Staender S, Smith A. Enhancing the quality and safety of the perioperative patient. Curr Opin Anaesthesiol. 2017;30(6):730-735. doi:10.1097/ACO.0000000000000517.
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psnet.ahrq.gov/issue/reconciliation-failures-lead-medication-errors
November 01, 2012 - Study
Reconciliation failures lead to medication errors.
Citation Text:
Santell JP. Reconciliation failures lead to medication errors. Jt Comm J Qual Patient Saf. 2006;32(4):225-9.
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psnet.ahrq.gov/issue/medication-discrepancies-integrated-electronic-health-records
July 21, 2021 - Study
Medication discrepancies in integrated electronic health records.
Citation Text:
Linsky A, Simon SR. Medication discrepancies in integrated electronic health records. BMJ Qual Saf. 2013;22(2):103-9. doi:10.1136/bmjqs-2012-001301.
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psnet.ahrq.gov/issue/ashp-guidelines-preventing-medication-errors-chemotherapy-and-biotherapy
September 07, 2016 - Organizational Policy/Guidelines
ASHP guidelines on preventing medication errors with chemotherapy and biotherapy.
Citation Text:
Goldspiel B, Hoffman JM, Griffith NL, et al. ASHP guidelines on preventing medication errors with chemotherapy and biotherapy. Am J Health Syst Pharm. 2015;72…
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psnet.ahrq.gov/issue/what-has-change-management-industry-got-do-improving-patient-safety
April 01, 2010 - Commentary
What has change management in industry got to do with improving patient safety?
Citation Text:
Noble DJ, Lemer C, Stanton E. What has change management in industry got to do with improving patient safety? Postgrad Med J. 2011;87(1027):345-348. doi:10.1136/pgmj.2010.097923.
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psnet.ahrq.gov/issue/pediatric-medical-emergency-team-manages-complex-child-hypoxia-and-worried-parent
September 09, 2008 - Commentary
A pediatric medical emergency team manages a complex child with hypoxia and a worried parent.
Citation Text:
Shilkofski NA, Hunt EA. A pediatric medical emergency team manages a complex child with hypoxia and worried parent. Jt Comm J Qual Patient Saf. 2007;33(4):236-41, 185. …
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psnet.ahrq.gov/issue/rolling-out-rapid-response-team
November 11, 2020 - Commentary
Rolling out the rapid response team.
Citation Text:
Gallagher-Ford L, Fineout-Overholt E, Melnyk BM, et al. Rolling out the rapid response team. Am J Nurs. 2011;111(5):42-47. doi:10.1097/01.naj.0000398050.30793.0f.
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psnet.ahrq.gov/issue/fate-pediatric-prescriptions-community-pharmacies
September 27, 2016 - Study
The fate of pediatric prescriptions in community pharmacies.
Citation Text:
Condren ME, Desselle SP. The fate of pediatric prescriptions in community pharmacies. J Patient Saf. 2015;11(2):79-88. doi:10.1097/PTS.0b013e3182948a7d.
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psnet.ahrq.gov/issue/effect-safe-zone-nurse-interruptions-distractions-and-medication-administration-errors
October 19, 2022 - Study
The effect of a safe zone on nurse interruptions, distractions, and medication administration errors.
Citation Text:
Yoder M, Schadewald D, Dietrich K. The effect of a safe zone on nurse interruptions, distractions, and medication administration errors. J Infus Nurs. 2015;38(2):140…
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psnet.ahrq.gov/issue/pediatric-medication-administration-errors-and-workflow-following-implementation-bar-code
July 02, 2019 - Study
Pediatric medication administration errors and workflow following implementation of a bar code medication administration system.
Citation Text:
Hardmeier A, Tsourounis C, Moore M, et al. Pediatric medication administration errors and workflow following implementation of a bar code …
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psnet.ahrq.gov/issue/effects-critical-care-nurses-work-hours-vigilance-and-patients-safety
February 19, 2010 - Study
Effects of critical care nurses' work hours on vigilance and patients' safety.
Citation Text:
Scott LD, Rogers AE, Hwang W-T, et al. Effects of critical care nurses' work hours on vigilance and patients' safety. Am J Crit Care. 2006;15(1):30-7.
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psnet.ahrq.gov/issue/weekend-versus-weekday-admission-and-mortality-myocardial-infarction
February 18, 2011 - Study
Weekend versus weekday admission and mortality from myocardial infarction.
Citation Text:
Kostis WJ, Demissie K, Marcella SW, et al. Weekend versus Weekday Admission and Mortality from Myocardial Infarction. New England Journal of Medicine. 2007;356(11). doi:10.1056/nejmoa063355.…
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psnet.ahrq.gov/issue/admission-handoff-communications-clinicians-shared-understanding-patient-severity-illness-and
May 31, 2017 - Study
Admission handoff communications: clinician's shared understanding of patient severity of illness and problems.
Citation Text:
Brannen M, Cameron KA, Adler MD, et al. Admission Handoff Communications. J Patient Saf. 2009;5(4). doi:10.1097/pts.0b013e3181c029e5.
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psnet.ahrq.gov/issue/diagnostic-errors-pediatric-radiology
November 16, 2022 - Study
Diagnostic errors in pediatric radiology.
Citation Text:
Taylor GA, Voss SD, Melvin PR, et al. Diagnostic errors in pediatric radiology. Pediatr Radiol. 2011;41(3):327-34. doi:10.1007/s00247-010-1812-6.
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psnet.ahrq.gov/issue/teamwork-operating-theatre-cohesion-or-confusion
July 26, 2011 - Study
Teamwork in the operating theatre: cohesion or confusion?
Citation Text:
Undre S, Sevdalis N, Healey A, et al. Teamwork in the operating theatre: cohesion or confusion? J Eval Clin Pract. 2006;12(2):182-9.
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psnet.ahrq.gov/issue/redesigning-rounds-icu-standardizing-key-elements-improves-interdisciplinary-communication
April 17, 2024 - Study
Redesigning rounds in the ICU: standardizing key elements improves interdisciplinary communication.
Citation Text:
O'Brien A, O'Reilly K, Dechen T, et al. Redesigning Rounds in the ICU: Standardizing Key Elements Improves Interdisciplinary Communication. Jt Comm J Qual Patient Saf.…
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psnet.ahrq.gov/issue/patient-safety-outcomes-small-urban-and-small-rural-hospitals
July 23, 2010 - Study
Patient safety outcomes in small urban and small rural hospitals.
Citation Text:
Vartak S, Ward MM, Vaughn TE. Patient safety outcomes in small urban and small rural hospitals. J Rural Health. 2010;26(1):58-66. doi:10.1111/j.1748-0361.2009.00266.x.
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psnet.ahrq.gov/issue/attending-physician-work-hours-ethical-considerations-and-last-doctor-standing
November 21, 2021 - Commentary
Attending physician work hours: ethical considerations and the last doctor standing.
Citation Text:
Mercurio MR, Peterec SM. Attending physician work hours: ethical considerations and the last doctor standing. Pediatrics. 2009;124(2):758-62. doi:10.1542/peds.2008-2953.
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psnet.ahrq.gov/issue/cutting-edge-efforts-surgical-patient-safety
August 02, 2015 - Commentary
Cutting-edge efforts in surgical patient safety.
Citation Text:
Varghese TK, Ghaferi AA. Cutting-edge Efforts in Surgical Patient Safety. JAMA Surg. 2017;152(8):719-720. doi:10.1001/jamasurg.2017.0858.
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psnet.ahrq.gov/issue/piece-my-mind-copy-and-paste
July 01, 2012 - Commentary
Classic
A piece of my mind. Copy-and-paste.
Citation Text:
Hirschtick RE. A piece of my mind. Copy-and-paste. JAMA. 2006;295(20):2335-6.
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