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psnet.ahrq.gov/issue/adverse-events-and-near-miss-reporting-nhs
August 30, 2023 - Study
Adverse events and near miss reporting in the NHS.
Citation Text:
Shaw R. Adverse events and near miss reporting in the NHS. Quality and Safety in Health Care. 2005;14(4). doi:10.1136/qshc.2004.010553.
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psnet.ahrq.gov/issue/reporting-patient-safety-incidents-first-experiences-chiropractic-reporting-and-learning
September 11, 2024 - Study
The reporting of patient safety incidents—first experiences with the chiropractic reporting and learning system (CRLS): a pilot study.
Citation Text:
Thiel H, Bolton J. The reporting of patient safety incidents—first experiences with the chiropractic reporting and learning syst…
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psnet.ahrq.gov/issue/educational-intervention-increase-speaking-behaviors-nurses-and-improve-patient-safety
May 08, 2013 - Study
An educational intervention to increase "speaking-up" behaviors in nurses and improve patient safety.
Citation Text:
Sayre MM, McNeese-Smith D, Leach LS, et al. An educational intervention to increase "speaking-up" behaviors in nurses and improve patient safety. J Nurs Care Qual.…
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psnet.ahrq.gov/issue/patient-safety-interprofessional-learning-environment
May 30, 2008 - Commentary
Patient safety in an interprofessional learning environment.
Citation Text:
Horsburgh M, Merry A, Seddon M. Patient safety in an interprofessional learning environment. Med Educ. 2005;39(5):512-3.
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psnet.ahrq.gov/issue/patterns-errors-contributing-trauma-mortality-lessons-learned-2594-deaths
March 24, 2021 - Study
Patterns of errors contributing to trauma mortality: lessons learned from 2,594 deaths.
Citation Text:
Gruen RL, Jurkovich GJ, McIntyre LK, et al. Patterns of Errors Contributing to Trauma Mortality. Transactions of the .. Meeting of the American Surgical Association. 2006;124. d…
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psnet.ahrq.gov/issue/teaching-medical-error-apologies-development-multi-component-intervention
August 04, 2021 - Study
Teaching medical error apologies: development of a multi-component intervention.
Citation Text:
Gillies RA, Speers SH, Young SE, et al. Teaching medical error apologies: development of a multi-component intervention. Fam Med. 2011;43(6):400-6.
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psnet.ahrq.gov/issue/errors-and-omissions-anesthesia-pilot-study-using-pilots-checklist
September 23, 2020 - Study
Errors and omissions in anesthesia: a pilot study using a pilot's checklist.
Citation Text:
Hart EM, Owen H. Errors and omissions in anesthesia: a pilot study using a pilot's checklist. Anesth Analg. 2005;101(1):246-50, table of contents.
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psnet.ahrq.gov/issue/health-literacy-medication-errors-and-health-outcomes-there-relationship
January 02, 2008 - Review
Health literacy, medication errors, and health outcomes: is there a relationship?
Citation Text:
Warner A, Menachemi N, Brooks RG. Health Literacy, Medication Errors, and Health Outcomes: Is There a Relationship? Hosp Pharm. 2010;41(6):542-551. doi:10.1310/hpj4106-538.
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psnet.ahrq.gov/issue/accuracy-adverse-drug-event-reports-collected-using-automated-dispensing-system
April 06, 2022 - Study
Accuracy of adverse-drug-event reports collected using an automated dispensing system.
Citation Text:
Romero A, Malone DC. Accuracy of adverse-drug-event reports collected using an automated dispensing system. Am J Health Syst Pharm. 2005;62(13):1375-80.
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psnet.ahrq.gov/issue/web-based-incident-reporting-system-and-multidisciplinary-collaborative-projects-patient
October 27, 2010 - Study
A web-based incident reporting system and multidisciplinary collaborative projects for patient safety in a Japanese hospital.
Citation Text:
Nakajima K, Kurata Y, Takeda H. A web-based incident reporting system and multidisciplinary collaborative projects for patient safety in a …
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psnet.ahrq.gov/issue/realist-synthesis-interprofessional-patient-safety-activities-and-healthcare-student
July 01, 2019 - Review
A realist synthesis of interprofessional patient safety activities and healthcare student attitudes towards patient safety.
Citation Text:
Cleary E, Bloomfield J, Frotjold A, et al. A realist synthesis of interprofessional patient safety activities and healthcare student attitudes…
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psnet.ahrq.gov/issue/impact-restraint-management-bundle-restraint-use-intensive-care-unit
October 18, 2023 - Commentary
Impact of a restraint management bundle on restraint use in an intensive care unit.
Citation Text:
Hall DK, Zimbro KS, Maduro RS, et al. Impact of a Restraint Management Bundle on Restraint Use in an Intensive Care Unit. J Nurs Care Qual. 2018;33(2):143-148. doi:10.1097/NCQ.00…
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psnet.ahrq.gov/issue/medicines-safety-anaesthetic-practice
February 02, 2022 - Review
Medicines safety in anaesthetic practice.
Citation Text:
Mackay E, Jennings J, Webber S. Medicines safety in anaesthetic practice. BJA Edu. 2019;19(5):151-157. doi:10.1016/j.bjae.2019.01.001.
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psnet.ahrq.gov/issue/automatic-detection-omissions-medication-lists
December 31, 2014 - Study
Automatic detection of omissions in medication lists.
Citation Text:
Hasan S, Duncan GT, Neill DB, et al. Automatic detection of omissions in medication lists. J Am Med Inform Assoc. 2011;18(4):449-58. doi:10.1136/amiajnl-2011-000106.
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psnet.ahrq.gov/issue/parenteral-nutrition-prescribing-processes-using-computerized-prescriber-order-entry
September 11, 2019 - Study
Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety.
Citation Text:
Hilmas E, Peoples JD. Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety. JPEN …
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psnet.ahrq.gov/issue/limited-health-literacy-barrier-medication-reconciliation-ambulatory-care
March 24, 2010 - Study
Limited health literacy is a barrier to medication reconciliation in ambulatory care.
Citation Text:
Persell SD, Osborn CY, Richard R, et al. Limited health literacy is a barrier to medication reconciliation in ambulatory care. J Gen Intern Med. 2007;22(11):1523-6.
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psnet.ahrq.gov/issue/improving-quality-written-prescriptions-general-hospital-influence-10-years-serial-audits-and
August 24, 2022 - Study
Improving the quality of written prescriptions in a general hospital: the influence of 10 years of serial audits and targeted interventions.
Citation Text:
Gommans J, McIntosh P, Bee S, et al. Improving the quality of written prescriptions in a general hospital: the influence of …
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psnet.ahrq.gov/issue/sensitivity-adverse-event-cost-estimates-diagnostic-coding-error
March 03, 2011 - Study
The sensitivity of adverse event cost estimates to diagnostic coding error.
Citation Text:
Wardle G, Wodchis WP, Laporte A, et al. The sensitivity of adverse event cost estimates to diagnostic coding error. Health Serv Res. 2012;47(3 Pt 1):984-1007. doi:10.1111/j.1475-6773.2011.0…
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psnet.ahrq.gov/issue/implementation-computerized-prescriber-order-entry-four-academic-medical-centers
May 18, 2022 - Commentary
Implementation of computerized prescriber order entry in four academic medical centers.
Citation Text:
Cooley TW, May D, Alwan M, et al. Implementation of computerized prescriber order entry in four academic medical centers. Am J Health Syst Pharm. 2012;69(24):2166-73. doi:1…
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psnet.ahrq.gov/issue/effect-emergency-medicine-pharmacists-medication-error-reporting-emergency-department
July 26, 2011 - Study
Effect of emergency medicine pharmacists on medication-error reporting in an emergency department.
Citation Text:
Weant KA, Humphries RL, Hite K, et al. Effect of emergency medicine pharmacists on medication-error reporting in an emergency department. Am J Health Syst Pharm. 2010…