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psnet.ahrq.gov/issue/bar-code-verification-reducing-not-eliminating-medication-errors
September 27, 2016 - Study
Bar-code verification: reducing but not eliminating medication errors.
Citation Text:
Henneman PL, Marquard J, Fisher DL, et al. Bar-code verification: reducing but not eliminating medication errors. J Nurs Adm. 2012;42(12):562-6. doi:10.1097/NNA.0b013e318274b545.
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psnet.ahrq.gov/issue/dental-patient-safety-military-health-system-joining-medicine-journey-high-reliability
October 19, 2022 - Study
Dental patient safety in the military health system: joining medicine in the journey to high reliability.
Citation Text:
Stahl JM, Mack K, Cebula S, et al. Dental Patient Safety in the Military Health System: Joining Medicine in the Journey to High Reliability. Mil Med. 2019. doi:1…
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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/headline-grabbing-study-brings-attention-back-medical-errors
August 16, 2017 - Journal Article
Headline-grabbing study brings attention back to medical errors.
Citation Text:
Abbasi J. Headline-Grabbing Study Brings Attention Back to Medical Errors. JAMA. 2016;316(7):698-700. doi:10.1001/jama.2016.8073.
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psnet.ahrq.gov/issue/agreement-between-patient-reported-symptoms-and-their-documentation-medical-record
November 09, 2022 - Study
Agreement between patient-reported symptoms and their documentation in the medical record.
Citation Text:
Pakhomov S, Jacobsen SJ, Chute CG, et al. Agreement between patient-reported symptoms and their documentation in the medical record. Am J Manag Care. 2008;14(8):530-539.
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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/health-care-provider-use-private-sector-internal-error-reporting-systems
May 29, 2019 - Study
Health care provider use of private sector internal error-reporting systems.
Citation Text:
Roumm AR, Sciamanna CN, Nash DB. Health care provider use of private sector internal error-reporting systems. Am J Med Qual. 2005;20(6):304-12.
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psnet.ahrq.gov/issue/impact-surgical-safety-checklists-theatre-departments-critical-review-literature
October 19, 2012 - Review
The impact of surgical safety checklists on theatre departments: a critical review of the literature.
Citation Text:
Cadman V. The impact of surgical safety checklists on theatre departments: a critical review of the literature. J Perioper Pract. 2016;26(4):62-71.
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psnet.ahrq.gov/issue/observational-teamwork-assessment-surgery-feasibility-clinical-and-nonclinical-assessor
January 19, 2016 - Study
Observational teamwork assessment for surgery: feasibility of clinical and nonclinical assessor calibration with short-term training.
Citation Text:
Russ S, Hull L, Rout S, et al. Observational teamwork assessment for surgery: feasibility of clinical and nonclinical assessor cali…
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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/quick-response-codes-surgical-safety-prospective-pilot-study
June 07, 2016 - Study
Quick Response codes for surgical safety: a prospective pilot study.
Citation Text:
Dixon JL, Smythe WR, Momsen LS, et al. Quick Response codes for surgical safety: a prospective pilot study. Journal of Surgical Research. 2013;184(1). doi:10.1016/j.jss.2013.06.036.
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psnet.ahrq.gov/issue/iatrogenic-harm-caused-diagnostic-errors-fibrodysplasia-ossificans-progressiva
November 16, 2022 - Study
Iatrogenic harm caused by diagnostic errors in fibrodysplasia ossificans progressiva.
Citation Text:
Kitterman JA, Kantanie S, Rocke DM, et al. Iatrogenic harm caused by diagnostic errors in fibrodysplasia ossificans progressiva. Pediatrics. 2005;116(5):e654-61.
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psnet.ahrq.gov/issue/coaching-improve-quality-communication-during-briefings-and-debriefings
March 02, 2022 - Study
Coaching to improve the quality of communication during briefings and debriefings.
Citation Text:
Kleiner C, Link T, Maynard T, et al. Coaching to improve the quality of communication during briefings and debriefings. AORN J. 2014;100(4):358-68. doi:10.1016/j.aorn.2014.03.012.
Co…
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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/patient-safety-checklist-cardiac-catheterisation-laboratory
October 19, 2022 - Commentary
A patient safety checklist for the cardiac catheterisation laboratory.
Citation Text:
Cahill TJ, Clarke SC, Simpson IA, et al. A patient safety checklist for the cardiac catheterisation laboratory. Heart. 2015;101(2):91-3. doi:10.1136/heartjnl-2014-306927.
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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/reducing-interruptions-improve-medication-safety
January 04, 2015 - Study
Reducing interruptions to improve medication safety.
Citation Text:
Freeman R, McKee S, Lee-Lehner B, et al. Reducing interruptions to improve medication safety. J Nurs Care Qual. 2013;28(2):176-85. doi:10.1097/NCQ.0b013e318275ac3e.
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psnet.ahrq.gov/issue/role-cognitive-bias-breast-radiology-diagnostic-and-judgment-errors
April 24, 2018 - Commentary
The role of cognitive bias in breast radiology diagnostic and judgment errors.
Citation Text:
Loving VA, Valencia EM, Patel B, et al. The role of cognitive bias in breast radiology diagnostic and judgment errors. J Breast Imag. 2020. doi:10.1093/jbi/wbaa023.
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psnet.ahrq.gov/issue/patients-and-health-care-professionals-attitudes-towards-pink-patient-safety-video
December 16, 2013 - Study
Patients' and health care professionals' attitudes towards the PINK patient safety video.
Citation Text:
Davis R, Pinto A, Sevdalis N, et al. Patients' and health care professionals' attitudes towards the PINK patient safety video. J Eval Clin Pract. 2012;18(4):848-53. doi:10.111…