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psnet.ahrq.gov/issue/failure-mode-and-effect-analysis-technique-prevent-chemotherapy-errors
May 30, 2008 - Commentary
Failure mode and effect analysis: a technique to prevent chemotherapy errors.
Citation Text:
Sheridan-Leos N, Schulmeister L, Hartranft S. Failure mode and effect analysis: a technique to prevent chemotherapy errors. Clin J Oncol Nurs. 2006;10(3):393-8.
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psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-diagnostic-safety-01
May 19, 2021 - Press Release/Announcement
Common Formats for Patient Safety Data Collection: Diagnostic Safety 0.1.
Citation Text:
Common Formats for Patient Safety Data Collection: Diagnostic Safety 0.1. The Agency for Healthcare Research and Quality. Fed Register. 2021;86(103): 29263-29264.
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psnet.ahrq.gov/issue/surveillance-strategy-improving-patient-safety-acute-and-critical-care-units
September 27, 2016 - Commentary
Surveillance: a strategy for improving patient safety in acute and critical care units.
Citation Text:
Henneman EA, Gawlinski A, Giuliano KK. Surveillance: A strategy for improving patient safety in acute and critical care units. Crit Care Nurse. 2012;32(2):e9-18. doi:10.403…
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psnet.ahrq.gov/issue/handoff-checklists-improve-reliability-patient-handoffs-operating-room-and-postanesthesia
December 29, 2014 - Study
Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit.
Citation Text:
Boat AC, Spaeth JP. Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit. Paediatr Anaes…
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psnet.ahrq.gov/issue/staying-safe-simple-tools-safe-surgery
August 02, 2015 - Commentary
Staying safe: simple tools for safe surgery.
Citation Text:
Karl RC. Staying safe: simple tools for safe surgery. Bull Am Coll Surg. 2007;92(4):16-22.
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psnet.ahrq.gov/issue/2022-john-m-eisenberg-patient-safety-and-quality-awards
August 02, 2023 - Special or Theme Issue
2022 John M. Eisenberg Patient Safety and Quality Awards.
Citation Text:
2022 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2023;49(9):435-450.
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psnet.ahrq.gov/issue/medication-errors-anaesthesia-and-critical-care
January 18, 2011 - Review
Medication errors in anaesthesia and critical care.
Citation Text:
Wheeler SJ, Wheeler DW. Medication errors in anaesthesia and critical care. Anaesthesia. 2005;60(3):257-73.
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psnet.ahrq.gov/issue/theres-science-team-development-interventions-organizations
January 15, 2020 - Review
There's a science for that: team development interventions in organizations.
Citation Text:
Shuffler ML, DiazGranados D, Salas E. There’s a Science for That. Curr Dir Psychol Sci. 2011;20(6). doi:10.1177/0963721411422054.
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psnet.ahrq.gov/issue/under-skin-hidden-toll-racism-american-lives-and-health-our-nation
January 04, 2017 - Book/Report
Under the Skin. The Hidden Toll of Racism on American Lives and on the Health of our Nation.
Citation Text:
Under the Skin. The Hidden Toll of Racism on American Lives and on the Health of our Nation. Villarosa L. New York, NT: Doubleday: 2022. ISBN 9780385544887.
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psnet.ahrq.gov/issue/high-reliability-truly-achieving-healthcare-quality-and-safety
March 18, 2019 - Commentary
High reliability: truly achieving healthcare quality and safety.
Citation Text:
Kaplan GS. Pursuing the perfect patient experience. Front Health Serv Manage. 2013;29(3):16-27.
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psnet.ahrq.gov/issue/report-announced-inspection-medication-safety-midland-regional-hospital-tullamore-county
October 23, 2013 - Book/Report
Report of the Announced Inspection of Medication Safety at the Midland Regional Hospital Tullamore, County Offaly.
Citation Text:
Report of the Announced Inspection of Medication Safety at the Midland Regional Hospital Tullamore, County Offaly. Dublin, Ireland: Health Informa…
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psnet.ahrq.gov/issue/safety-culture-childrens-hospital
October 06, 2011 - Study
The safety culture in a children's hospital.
Citation Text:
Grant MJC, Donaldson AE, Larsen G. The safety culture in a children's hospital. J Nurs Care Qual. 2006;21(3):223-229.
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psnet.ahrq.gov/issue/harms-way
July 08, 2009 - Commentary
In harm's way.
Citation Text:
Donaldson LJ, Lemer C, Titcombe J. In harm's way. BMJ. 2019;365:l2037. doi:10.1136/bmj.l2037.
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psnet.ahrq.gov/issue/complicated-medical-missteps-are-not-inevitable
August 30, 2023 - Commentary
Complicated: medical missteps are not inevitable.
Citation Text:
Yurkiewicz IR. Complicated: Medical Missteps Are Not Inevitable. Health Aff (Millwood). 2018;37(7):1178-1181. doi:10.1377/hlthaff.2017.1550.
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psnet.ahrq.gov/issue/slowly-vanishing-prescription-pad
April 08, 2019 - Commentary
The (slowly) vanishing prescription pad.
Citation Text:
Steinbrook R. The (slowly) vanishing prescription pad. N Engl J Med. 2008;359(2):115-7. doi:10.1056/NEJMp0802864.
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psnet.ahrq.gov/issue/pediatric-quality-and-safety
August 01, 2018 - Newsletter/Journal
Pediatric Quality and Safety.
Citation Text:
Pediatric Quality and Safety. Brilli RJ, McClead RE Jr, eds. Alphen aan den Rijn, The Netherlands: Wolters Kluwer. ISSN: 2472-0054.
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psnet.ahrq.gov/issue/cms-ruling-venous-thromboembolism-after-total-knee-or-hip-arthroplasty-weighing-risks-and
June 21, 2016 - Commentary
The CMS ruling on venous thromboembolism after total knee or hip arthroplasty: weighing risks and benefits.
Citation Text:
Streiff MB, Haut ER. The CMS ruling on venous thromboembolism after total knee or hip arthroplasty: weighing risks and benefits. JAMA. 2009;301(10):1063…
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psnet.ahrq.gov/issue/smart-pumps-implications-nurse-leaders
February 02, 2022 - Commentary
Smart pumps: implications for nurse leaders.
Citation Text:
Kirkbride G, Vermace B. Smart pumps: implications for nurse leaders. Nurs Adm Q. 2011;35(2):110-118. doi:10.1097/NAQ.0b013e31820fbdc0.
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psnet.ahrq.gov/issue/standardizing-hand-processes
June 03, 2020 - Commentary
Standardizing hand-off processes.
Citation Text:
Gregory BSC. Standardizing hand-off processes. AORN J. 2006;84(6):1059-61.
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psnet.ahrq.gov/issue/internally-developed-online-adverse-drug-reaction-and-medication-error-reporting-systems
July 12, 2010 - Commentary
Internally-developed online adverse drug reaction and medication error reporting systems.
Citation Text:
Smith KM, Trapskin PJ, Empey PE, et al. Internally-Developed Online Adverse Drug Reaction and Medication Error Reporting Systems. Hosp Pharm. 2010;41(5):428-436. doi:10.131…