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psnet.ahrq.gov/issue/who-charge-patient-safety-work-practice-work-processes-and-utopian-views-automatic-drug
September 14, 2016 - Commentary
Who is in charge of patient safety? Work practice, work processes and utopian views of automatic drug dispensing systems.
Citation Text:
Balka E, Kahnamoui N, Nutland K. Who is in charge of patient safety? Work practice, work processes and utopian views of automatic drug dis…
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psnet.ahrq.gov/issue/evaluating-effect-distractions-operating-room-clinical-decision-making-and-patient-safety
November 16, 2022 - Study
Evaluating the effect of distractions in the operating room on clinical decision-making and patient safety.
Citation Text:
Murji A, Luketic L, Sobel ML, et al. Evaluating the effect of distractions in the operating room on clinical decision-making and patient safety. Surg Endosc. 2…
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psnet.ahrq.gov/issue/safety-standards-implementing-fall-prevention-interventions-and-sustaining-lower-fall-rates
July 12, 2018 - Commentary
Safety standards: implementing fall prevention interventions and sustaining lower fall rates by promoting the culture of safety on an inpatient rehabilitation unit.
Citation Text:
Leone RM, Adams RJ. Safety Standards: Implementing Fall Prevention Interventions and Sustaining L…
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psnet.ahrq.gov/issue/causes-near-misses-critical-care-neonates-and-children
July 19, 2023 - Study
Causes of near misses in critical care of neonates and children.
Citation Text:
Tourgeman-Bashkin O, Shinar D, Zmora E. Causes of near misses in critical care of neonates and children. Acta Paediatr. 2008;97(3):299-303. doi:10.1111/j.1651-2227.2007.00616.x.
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psnet.ahrq.gov/issue/comparison-military-and-civilian-methods-determining-potentially-preventable-deaths
October 19, 2022 - Review
Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review.
Citation Text:
Janak JC, Sosnov JA, Bares JM, et al. Comparison of Military and Civilian Methods for Determining Potentially Preventable Deaths: A Systematic Review. JA…
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psnet.ahrq.gov/issue/characterization-prescribing-errors-internal-medicine-clinic
March 04, 2011 - Study
Characterization of prescribing errors in an internal medicine clinic.
Citation Text:
Devine EB, Wilson-Norton JL, Lawless NM, et al. Characterization of prescribing errors in an internal medicine clinic. Am J Health Syst Pharm. 2007;64(10):1062-70.
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psnet.ahrq.gov/issue/safety-climate-safety-climate-strength-and-length-stay-nicu
February 06, 2019 - Study
Safety climate, safety climate strength, and length of stay in the NICU.
Citation Text:
Tawfik DS, Thomas EJ, Vogus TJ, et al. Safety climate, safety climate strength, and length of stay in the NICU. BMC Health Serv Res. 2019;19(1):738. doi:10.1186/s12913-019-4592-1.
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psnet.ahrq.gov/issue/patient-safety-and-dentistry-what-do-we-need-know-fundamentals-patient-safety-safety-culture
April 01, 2020 - Review
Patient safety and dentistry: what do we need to know? Fundamentals of patient safety, the safety culture and implementation of patient safety measures in dental practice.
Citation Text:
Yamalik N, Pérez BP. Patient safety and dentistry: what do we need to know? Fundamentals of …
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psnet.ahrq.gov/issue/e-prescribing-and-adverse-drug-events-observational-study-medicare-part-d-population-diabetes
September 30, 2015 - Study
E-prescribing and adverse drug events: an observational study of the Medicare Part D population with diabetes.
Citation Text:
Gabriel MH, Powers C, Encinosa W, et al. E-Prescribing and Adverse Drug Events: An Observational Study of the Medicare Part D Population With Diabetes. Med …
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psnet.ahrq.gov/issue/assessing-impact-anesthesia-medication-template-medication-errors-during-anesthesia
February 14, 2018 - Study
Assessing the impact of the anesthesia medication template on medication errors during anesthesia: a prospective study.
Citation Text:
Grigg EB, Martin LD, Ross FJ, et al. Assessing the Impact of the Anesthesia Medication Template on Medication Errors During Anesthesia: A Prospecti…
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psnet.ahrq.gov/issue/efficacy-computer-enabled-discharge-communication-interventions-systematic-review
November 16, 2022 - Review
The efficacy of computer-enabled discharge communication interventions: a systematic review.
Citation Text:
Motamedi SM, Posadas-Calleja J, Straus SE, et al. The efficacy of computer-enabled discharge communication interventions: a systematic review. BMJ Qual Saf. 2011;20(5):403…
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psnet.ahrq.gov/issue/living-aftermath-second-victim-experience-among-certified-registered-nurse-anesthetists
April 12, 2019 - Study
Living with the aftermath: the second victim experience among certified registered nurse anesthetists.
Citation Text:
Kruse JA, Podojil-Kostecki P, Smith B. Living with the aftermath: the second victim experience among certified registered nurse anesthetists. AANA J. 2024;92(3):173…
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psnet.ahrq.gov/issue/experiences-physicians-investigated-professionalism-concerns-narrative-review
August 04, 2021 - Review
Experiences of physicians investigated for professionalism concerns: a narrative review.
Citation Text:
Im DS, Tamarelli CM, Shen MR. Experiences of physicians investigated for professionalism concerns: a narrative review. J Gen Intern Med. 2024;39(2):283-300. doi:10.1007/s11606-0…
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psnet.ahrq.gov/issue/critical-events-lives-interns
November 16, 2022 - Study
Critical events in the lives of interns.
Citation Text:
Ackerman A, Graham M, Schmidt H, et al. Critical events in the lives of interns. J Gen Intern Med. 2009;24(1):27-32. doi:10.1007/s11606-008-0769-8.
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psnet.ahrq.gov/issue/lacerations-and-embedded-needles-caused-epinephrine-autoinjector-use-children
September 23, 2020 - Study
Lacerations and embedded needles caused by epinephrine autoinjector use in children.
Citation Text:
Brown JC, Tuuri RE, Akhter S, et al. Lacerations and Embedded Needles Caused by Epinephrine Autoinjector Use in Children. Ann Emerg Med. 2016;67(3):307-315.e8. doi:10.1016/j.annemerg…
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psnet.ahrq.gov/issue/complexity-medication-related-verbal-orders
November 17, 2010 - Study
Complexity of medication-related verbal orders.
Citation Text:
Wakefield DS, Ward MM, Groath D, et al. Complexity of medication-related verbal orders. Am J Med Qual. 2008;23(1):7-17. doi:10.1177/1062860607310922.
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psnet.ahrq.gov/issue/impact-preoperative-briefings-operating-room-delays
July 28, 2010 - Study
Impact of preoperative briefings on operating room delays.
Citation Text:
Nundy S, Mukherjee A, Sexton B, et al. Impact of preoperative briefings on operating room delays: a preliminary report. Arch Surg. 2008;143(11):1068-72. doi:10.1001/archsurg.143.11.1068.
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psnet.ahrq.gov/issue/whats-past-prologue-organizational-learning-serious-patient-injury
October 26, 2011 - Study
What’s past is prologue: organizational learning from a serious patient injury.
Citation Text:
Tamuz M, Franchois KE, Thomas EJ. What’s past is prologue: Organizational learning from a serious patient injury. Saf Sci. 2010;49(1). doi:10.1016/j.ssci.2010.06.005.
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psnet.ahrq.gov/issue/transferring-aviation-practices-clinical-medicine-promotion-high-reliability
September 12, 2018 - Review
Transferring aviation practices into clinical medicine for the promotion of high reliability.
Citation Text:
Powell-Dunford N, McPherson MK, Pina JS, et al. Transferring Aviation Practices into Clinical Medicine for the Promotion of High Reliability. Aerosp Med Hum Perform. 2017;8…
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psnet.ahrq.gov/issue/improving-medication-administration-safety-solid-organ-transplant-patients-through-barcode
October 02, 2013 - Study
Improving medication administration safety in solid organ transplant patients through barcode-assisted medication administration.
Citation Text:
Bonkowski J, Weber RJ, Melucci J, et al. Improving medication administration safety in solid organ transplant patients through barcode-as…