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psnet.ahrq.gov/issue/voluntarily-reported-emergency-department-errors
June 20, 2011 - Study
Voluntarily reported emergency department errors.
Citation Text:
Henneman PL, Blank FSJ, Smithline HA, et al. Voluntarily Reported Emergency Department Errors. J Patient Saf. 2008;1(3):126-132. doi:10.1097/01.jps.0000175694.39559.12.
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psnet.ahrq.gov/issue/teamwork-inpatient-medical-units-assessing-attitudes-and-barriers
June 11, 2010 - Study
Teamwork on inpatient medical units: assessing attitudes and barriers.
Citation Text:
O'Leary KJ, Ritter CD, Wheeler H, et al. Teamwork on inpatient medical units: assessing attitudes and barriers. Qual Saf Health Care. 2010;19(2):117-21. doi:10.1136/qshc.2008.028795.
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psnet.ahrq.gov/issue/medication-errors-recovered-emergency-department-pharmacists
December 31, 2014 - Study
Medication errors recovered by emergency department pharmacists.
Citation Text:
Rothschild JM, Churchill WW, Erickson A, et al. Medication errors recovered by emergency department pharmacists. Ann Emerg Med. 2010;55(6):513-21. doi:10.1016/j.annemergmed.2009.10.012.
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psnet.ahrq.gov/issue/hospital-discharge-review-high-risk-care-transition-highlights-reengineered-discharge-process
December 16, 2014 - Study
The hospital discharge: a review of a high risk care transition with highlights of a reengineered discharge process.
Citation Text:
Greenwald JL, Denham CR, Jack BW. The Hospital Discharge. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000236916.94696.12.
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psnet.ahrq.gov/issue/hospital-do-not-resuscitate-orders-why-they-have-failed-and-how-fix-them
May 13, 2009 - Review
Hospital do-not-resuscitate orders: why they have failed and how to fix them.
Citation Text:
Yuen JK, Reid C, Fetters MD. Hospital do-not-resuscitate orders: why they have failed and how to fix them. J Gen Intern Med. 2011;26(7):791-7. doi:10.1007/s11606-011-1632-x.
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psnet.ahrq.gov/issue/myths-and-realities-80-hour-work-week
November 21, 2012 - Review
Myths and realities of the 80-hour work week.
Citation Text:
Schenarts PJ, Schenarts KDA, Rotondo MF. Myths and realities of the 80-hour work week. Curr Surg. 2006;63(4):269-274.
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psnet.ahrq.gov/issue/factors-associated-disclosure-medical-errors-housestaff
January 27, 2019 - Study
Factors associated with disclosure of medical errors by housestaff.
Citation Text:
Kronman AC, Paasche-Orlow MK, Orlander JD. Factors associated with disclosure of medical errors by housestaff. BMJ Qual Saf. 2011;21(4). doi:10.1136/bmjqs-2011-000084.
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psnet.ahrq.gov/issue/health-literacy-primary-care-practice
September 06, 2017 - Commentary
Health literacy in primary care practice.
Citation Text:
Hersh L, Salzman B, Snyderman D. Health Literacy in Primary Care Practice. Am Fam Physician. 2015;92(2):118-124.
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psnet.ahrq.gov/issue/patient-safety-and-end-life-care-common-issues-perspectives-and-strategies-improving-care
June 30, 2021 - Review
Patient safety and end-of-life care: common issues, perspectives, and strategies for improving care.
Citation Text:
Dy SM. Patient Safety and End-of-Life Care: Common Issues, Perspectives, and Strategies for Improving Care. Am J Hosp Palliat Care. 2016;33(8):791-6. doi:10.1177/104…
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psnet.ahrq.gov/issue/time-sign-signout
March 11, 2011 - Commentary
Time to sign off on signout.
Citation Text:
Stein DM, Stetson PD. Commentary: time to sign off on signout. Acad Med. 2011;86(7):804-6. doi:10.1097/ACM.0b013e31821d8409.
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psnet.ahrq.gov/issue/safety-analysis-over-time-seven-major-changes-adverse-event-investigation
September 24, 2018 - Commentary
Safety analysis over time: seven major changes to adverse event investigation.
Citation Text:
Vincent CA, Carthey J, Macrae C, et al. Safety analysis over time: seven major changes to adverse event investigation. Implementation Science. 2017;12(1). doi:10.1186/s13012-017-0695-…
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psnet.ahrq.gov/issue/perspectives-quality-designing-who-surgical-safety-checklist
September 20, 2011 - Commentary
Perspectives in quality: designing the WHO Surgical Safety Checklist.
Citation Text:
Weiser TG, Haynes AB, Lashoher A, et al. Perspectives in quality: designing the WHO Surgical Safety Checklist. Int J Qual Health Care. 2010;22(5):365-70. doi:10.1093/intqhc/mzq039.
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psnet.ahrq.gov/issue/standardised-proformas-improve-patient-handover-audit-trauma-handover-practice
October 19, 2022 - Study
Standardised proformas improve patient handover: audit of trauma handover practice.
Citation Text:
Ferran NA, Metcalfe AJ, O'Doherty D. Standardised proformas improve patient handover: Audit of trauma handover practice. Patient Saf Surg. 2008;2:24. doi:10.1186/1754-9493-2-24.
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psnet.ahrq.gov/issue/what-have-we-learned-about-interventions-reduce-medical-errors
June 26, 2019 - Review
What have we learned about interventions to reduce medical errors?
Citation Text:
Woodward HI, Mytton OT, Lemer C, et al. What have we learned about interventions to reduce medical errors? Annu Rev Public Health. 2010;31:479-97 1 p following 497. doi:10.1146/annurev.publhealth.0…
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psnet.ahrq.gov/issue/it-time-define-antimicrobial-never-events
November 16, 2022 - Commentary
It is time to define antimicrobial never events.
Citation Text:
Liu J, Kaye KS, Mercuro NJ, et al. It is time to define antimicrobial never events. Infect Control Hosp Epidemiol. 2019;40(2):206-207. doi:10.1017/ice.2018.313.
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psnet.ahrq.gov/issue/introduction-discharge-plan-reduce-adverse-events-within-72-hours-discharge-icu
September 16, 2020 - Study
Introduction of discharge plan to reduce adverse events within 72 hours of discharge from the ICU.
Citation Text:
Williams TA, Leslie GD, Elliott N, et al. Introduction of discharge plan to reduce adverse events within 72 hours of discharge from the ICU. J Nurs Care Qual. 2010;25…
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psnet.ahrq.gov/issue/reframing-and-addressing-horizontal-violence-workplace-quality-improvement-concern
March 15, 2017 - Commentary
Reframing and addressing horizontal violence as a workplace quality improvement concern.
Citation Text:
Taylor RA, Taylor SS. Reframing and addressing horizontal violence as a workplace quality improvement concern. Nurs Forum. 2018;53(4):459-465. doi:10.1111/nuf.12273.
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psnet.ahrq.gov/issue/findings-ismp-medication-safety-self-assessment-hospitals
September 26, 2017 - Study
Findings from the ISMP Medication Safety Self-Assessment for hospitals.
Citation Text:
Smetzer JL, Vaida AJ, Cohen MR, et al. Findings from the ISMP Medication Safety Self-Assessment for hospitals. Jt Comm J Qual Patient Saf. 2003;29(11):586-597.
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psnet.ahrq.gov/issue/cultivating-culture-medication-safety-prelicensure-nursing-students
July 25, 2018 - Commentary
Cultivating a culture of medication safety in prelicensure nursing students.
Citation Text:
Bush PA, Hueckel RM, Robinson D, et al. Cultivating a Culture of Medication Safety in Prelicensure Nursing Students. Nurse Educ. 2015;40(4):169-73. doi:10.1097/NNE.0000000000000148.
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psnet.ahrq.gov/issue/impact-dedicated-medication-nurses-medication-administration-error-rate-randomized-controlled
September 24, 2010 - Study
Classic
The impact of dedicated medication nurses on the medication administration error rate: a randomized controlled trial.
Citation Text:
Greengold NL, Shane R, Schneider PJ, et al. The impact of dedicated medication nurses on the medication administr…