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psnet.ahrq.gov/issue/cardiac-surgical-icu-care-eliminating-preventable-complications
August 04, 2021 - Review
Cardiac surgical ICU care: eliminating "preventable" complications.
Citation Text:
Shake JG, Pronovost P, Whitman GJR. Cardiac surgical ICU care: eliminating "preventable" complications. J Card Surg. 2013;28(4):406-13. doi:10.1111/jocs.12124.
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psnet.ahrq.gov/issue/nurses-behaviors-and-visual-scanning-patterns-may-reduce-patient-identification-errors
December 12, 2012 - Study
Nurses' behaviors and visual scanning patterns may reduce patient identification errors.
Citation Text:
Marquard J, Henneman PL, He Z, et al. Nurses' behaviors and visual scanning patterns may reduce patient identification errors. J Exp Psychol Appl. 2011;17(3):247-56. doi:10.1037/…
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psnet.ahrq.gov/issue/preventing-medication-errors-neonatology-it-dream
April 21, 2021 - Review
Preventing medication errors in neonatology: is it a dream?
Citation Text:
Antonucci R, Porcella A. Preventing medication errors in neonatology: Is it a dream? World J Clin Pediatr. 2014;3(3):37-44. doi:10.5409/wjcp.v3.i3.37.
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psnet.ahrq.gov/issue/new-technology-new-errors-how-prime-upgrade-insulin-infusion-pump
July 14, 2010 - Commentary
New technology, new errors: how to prime an upgrade of an insulin infusion pump.
Citation Text:
Rule AM, Drincic A, Galt K. New technology, new errors: how to prime an upgrade of an insulin infusion pump. Jt Comm J Qual Patient Saf. 2007;33(3):155-62.
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psnet.ahrq.gov/issue/year-review-medication-mishaps-elderly
August 15, 2012 - Review
Year in review: medication mishaps in the elderly.
Citation Text:
Peron EP, Marcum ZA, Boyce R, et al. Year in review: medication mishaps in the elderly. Am J Geriatr Pharmacother. 2011;9(1):1-10. doi:10.1016/j.amjopharm.2011.01.003.
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psnet.ahrq.gov/issue/risk-evaluation-and-mitigation-strategy-rems-programs-and-medication-safety-parts-i-and-ii
March 15, 2022 - Special or Theme Issue
Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication Safety: Parts I and II.
Citation Text:
Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication Safety: Parts I and II. ISMP Medication Safety Alert! Acute care edition. July 13, 2…
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psnet.ahrq.gov/issue/system-wide-initiative-prevent-retained-vaginal-sponges
November 07, 2012 - Commentary
A system-wide initiative to prevent retained vaginal sponges.
Citation Text:
Chagolla BA, Gibbs VC, Keats JP, et al. A system-wide initiative to prevent retained vaginal sponges. MCN Am J Matern Child Nurs. 2011;36(5):312-317. doi:10.1097/NMC.0b013e31822ab204.
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psnet.ahrq.gov/issue/adverse-events-after-screening-and-follow-colonoscopy
September 30, 2010 - Study
Adverse events after screening and follow-up colonoscopy.
Citation Text:
Rutter CM, Johnson E, Miglioretti DL, et al. Adverse events after screening and follow-up colonoscopy. Cancer Causes & Control. 2011;23(2). doi:10.1007/s10552-011-9878-5.
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psnet.ahrq.gov/issue/establishing-rapid-response-team-rrt-academic-hospital-one-years-experience
September 28, 2010 - Study
Establishing a rapid response team (RRT) in an academic hospital: one year's experience.
Citation Text:
King E, Horvath R, Shulkin DJ. Establishing a rapid response team (RRT) in an academic hospital: One year's experience. J Hosp Med. 2006;1(5). doi:10.1002/jhm.114.
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psnet.ahrq.gov/issue/association-shift-level-nurse-staffing-adverse-patient-events
October 06, 2016 - Study
The association of shift-level nurse staffing with adverse patient events.
Citation Text:
Patrician PA, Loan L, McCarthy MC, et al. The association of shift-level nurse staffing with adverse patient events. J Nurs Adm. 2011;41(2):64-70. doi:10.1097/NNA.0b013e31820594bf.
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psnet.ahrq.gov/issue/special-report-suicidal-ideation-among-american-surgeons
June 28, 2010 - Study
Special report: suicidal ideation among American surgeons.
Citation Text:
Shanafelt TD, Balch CM, Dyrbye LN, et al. Special report: suicidal ideation among American surgeons. Arch Surg. 2011;146(1):54-62. doi:10.1001/archsurg.2010.292.
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psnet.ahrq.gov/issue/association-perceived-medical-errors-resident-distress-and-empathy-prospective-longitudinal
February 03, 2011 - Study
Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study.
Citation Text:
West CP, Huschka MM, Novotny PJ, et al. Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. JAMA.…
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psnet.ahrq.gov/issue/prevention-and-treatment-bile-duct-injuries-during-laparoscopic-cholecystectomy-clinical
May 04, 2012 - Review
Prevention and treatment of bile duct injuries during laparoscopic cholecystectomy: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES).
Citation Text:
Eikermann M, Siegel R, Broeders I, et al. Prevention and treatment of bile duct injuries…
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psnet.ahrq.gov/issue/increasing-physician-reporting-diagnostic-learning-opportunities
March 23, 2022 - Study
Increasing physician reporting of diagnostic learning opportunities.
Citation Text:
Marshall TL, Ipsaro AJ, Le M, et al. Increasing physician reporting of diagnostic learning opportunities. Pediatrics. 2021;147(1):e20192400. doi:10.1542/peds.2019-2400.
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psnet.ahrq.gov/issue/patient-safety-psychiatric-inpatient-care-literature-review
September 27, 2017 - Review
Patient safety in psychiatric inpatient care: a literature review.
Citation Text:
Kanerva A, Lammintakanen J, Kivinen T. Patient safety in psychiatric inpatient care: a literature review. J Psychiatr Ment Health Nurs. 2013;20(6):541-8. doi:10.1111/j.1365-2850.2012.01949.x.
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psnet.ahrq.gov/issue/relationship-between-patients-perceptions-team-effectiveness-and-their-care-experience
June 08, 2011 - Study
The relationship between patients' perceptions of team effectiveness and their care experience in the emergency department.
Citation Text:
Kipnis A, Rhodes K, Burchill CN, et al. The relationship between patients' perceptions of team effectiveness and their care experience in the…
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psnet.ahrq.gov/issue/patient-safety-disclosure-medical-errors-and-risk-mitigation
June 07, 2017 - Commentary
Patient safety: disclosure of medical errors and risk mitigation.
Citation Text:
Moffatt-Bruce SD, Ferdinand FD, Fann J. Patient Safety: Disclosure of Medical Errors and Risk Mitigation. Ann Thorac Surg. 2016;102(2):358-62. doi:10.1016/j.athoracsur.2016.06.033.
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psnet.ahrq.gov/issue/hiding-plain-sight-resurrecting-power-inspecting-patient
September 16, 2020 - Commentary
Hiding in plain sight—resurrecting the power of inspecting the patient.
Citation Text:
Gupta S, Saint S, Detsky AS. Hiding in Plain Sight-Resurrecting the Power of Inspecting the Patient. JAMA Intern Med. 2017;177(6):757-758. doi:10.1001/jamainternmed.2017.0634.
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psnet.ahrq.gov/issue/delays-and-errors-cardiopulmonary-resuscitation-and-defibrillation-pediatric-residents-during
January 02, 2017 - Study
Delays and errors in cardiopulmonary resuscitation and defibrillation by pediatric residents during simulated cardiopulmonary arrests.
Citation Text:
Hunt EA, Vera K, Diener-West M, et al. Delays and errors in cardiopulmonary resuscitation and defibrillation by pediatric residents…
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psnet.ahrq.gov/issue/measuring-cost-hospital-adverse-patient-safety-events
November 16, 2022 - Study
Measuring the cost of hospital adverse patient safety events.
Citation Text:
Carey K, Stefos T. Measuring the cost of hospital adverse patient safety events. Health Econ. 2011;20(12):1417-30. doi:10.1002/hec.1680.
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