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psnet.ahrq.gov/issue/medication-error-alerts-warfarin-orders-detected-bar-code-assisted-medication-administration
July 03, 2014 - Study
Medication-error alerts for warfarin orders detected by a bar-code-assisted medication administration system.
Citation Text:
FitzHenry F, Doran J, Lobo B, et al. Medication-error alerts for warfarin orders detected by a bar-code-assisted medication administration system. Am J Hea…
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psnet.ahrq.gov/issue/patients-and-families-perspectives-patient-safety-end-life-video-reflexive-ethnography-study
December 18, 2013 - Study
Patients' and families' perspectives of patient safety at the end of life: a video-reflexive ethnography study.
Citation Text:
Collier A, Sorensen R, Iedema R. Patients' and families' perspectives of patient safety at the end of life: a video-reflexive ethnography study. Int J Qual…
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psnet.ahrq.gov/issue/case-based-learning-patient-safety-lessons-learnt-program-uk-junior-doctors
July 15, 2015 - Commentary
Case-based learning for patient safety: the Lessons Learnt program for UK junior doctors.
Citation Text:
Ahmed M, Arora S, Baker P, et al. Case-based learning for patient safety: the Lessons Learnt program for UK junior doctors. World J Surg. 2012;36(5):956-8. doi:10.1007/s0…
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psnet.ahrq.gov/issue/delirium-hospitalized-older-adults
December 15, 2008 - Commentary
Delirium in hospitalized older adults.
Citation Text:
Marcantonio ER. Delirium in Hospitalized Older Adults. N Engl J Med. 2017;377(15):1456-1466. doi:10.1056/NEJMcp1605501.
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psnet.ahrq.gov/issue/conscious-sedation-general-ward-met-and-clinical-governance
January 05, 2017 - Commentary
Conscious sedation on a general ward: the MET and clinical governance.
Citation Text:
Warrillow S, Bellomo R, Jones D. Conscious sedation on a general ward: the MET and clinical governance. Jt Comm J Qual Patient Saf. 2007;33(2):112-7, 61.
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psnet.ahrq.gov/issue/rapid-response-systems
September 30, 2010 - Commentary
Rapid response systems.
Citation Text:
Hillman KM, Chen J, Jones D. Rapid response systems. Med J Aust. 2014;201(9):519-21.
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psnet.ahrq.gov/issue/morbidity-and-mortality-conference-grand-rounds-and-acgmes-core-competencies
November 16, 2022 - Commentary
Morbidity and mortality conference, grand rounds, and the ACGME's core competencies.
Citation Text:
Kravet SJ, Howell E, Wright SM. Morbidity and mortality conference, grand rounds, and the ACGME's core competencies. J Gen Intern Med. 2006;21(11):1192-4.
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psnet.ahrq.gov/issue/model-recovering-medical-errors-coronary-care-unit
June 02, 2010 - Study
A model of recovering medical errors in the coronary care unit.
Citation Text:
Hurley A, Rothschild JM, Moore ML, et al. A model of recovering medical errors in the coronary care unit. Heart Lung. 2008;37(3):219-26. doi:10.1016/j.hrtlng.2007.06.002.
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psnet.ahrq.gov/issue/multi-tiered-approach-safety-education
January 31, 2018 - Commentary
A multi-tiered approach to safety education.
Citation Text:
Oates K, Sammut J, Kennedy P. A multi-tiered approach to safety education. Clin Teach. 2013;10(4):214-8. doi:10.1111/tct.12037.
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psnet.ahrq.gov/issue/developing-national-patient-safety-education-framework-australia
February 07, 2024 - Commentary
Developing a national patient safety education framework for Australia.
Citation Text:
Walton MM, Shaw T, Barnet S, et al. Developing a national patient safety education framework for Australia. Qual Saf Health Care. 2006;15(6):437-42.
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psnet.ahrq.gov/issue/using-simulation-improve-systems
May 29, 2014 - Review
Using simulation to improve systems.
Citation Text:
Lundberg PW, Korndorffer JR. Using Simulation to Improve Systems. Surg Clin North Am. 2015;95(4):885-92. doi:10.1016/j.suc.2015.04.007.
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psnet.ahrq.gov/issue/medication-errors-ambulatory-treatment-pediatric-attention-deficit-hyperactivity-disorder
April 08, 2011 - Study
Medication errors in the ambulatory treatment of pediatric attention deficit hyperactivity disorder.
Citation Text:
Bundy DG, Rinke ML, Shore AD, et al. Medication errors in the ambulatory treatment of pediatric attention deficit hyperactivity disorder. Jt Comm J Qual Patient Sa…
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psnet.ahrq.gov/issue/automated-operating-room-team-approach-patient-safety-and-communication
November 16, 2022 - Study
The automated operating room: a team approach to patient safety and communication.
Citation Text:
Nissan J, Campos V, Delgado H, et al. The automated operating room: a team approach to patient safety and communication. JAMA Surg. 2014;149(11):1209-10. doi:10.1001/jamasurg.2014.1825…
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psnet.ahrq.gov/issue/does-training-human-patient-simulation-translate-improved-patient-safety-and-outcome
September 12, 2018 - Review
Does training with human patient simulation translate to improved patient safety and outcome?
Citation Text:
Shear TD, Greenberg SB, Tokarczyk A. Does training with human patient simulation translate to improved patient safety and outcome? Curr Opin Anaesthesiol. 2013;26(2):159-…
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psnet.ahrq.gov/issue/lessons-learned-building-culture-patient-safety-within-veterans-health-administration
November 06, 2019 - Congressional Testimony
Lessons Learned? Building a Culture of Patient Safety Within the Veterans Health Administration.
Citation Text:
Lessons Learned? Building a Culture of Patient Safety Within the Veterans Health Administration. US House of Representatives Committee on Veterans' Affa…
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psnet.ahrq.gov/issue/computerized-provider-order-entry-strategies-successful-implementation
February 15, 2017 - Commentary
Computerized provider order entry: strategies for successful implementation.
Citation Text:
Jones S, Moss J. Computerized Provider Order Entry. J Nurs Admin. 2006;36(3):136-139. doi:10.1097/00005110-200603000-00007.
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psnet.ahrq.gov/issue/2008-john-m-eisenberg-patient-safety-and-quality-awards
March 28, 2018 - Award Recipient
2008 John M. Eisenberg Patient Safety and Quality Awards.
Citation Text:
2008 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2008;34(12):691-712.
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psnet.ahrq.gov/issue/workplace-bullying-risk-and-safety-professionals
May 05, 2021 - Study
Workplace bullying in risk and safety professionals.
Citation Text:
Brewer G, Holt B, Malik S. Workplace bullying in risk and safety professionals. J Safety Res. 2018;64:129-133. doi:10.1016/j.jsr.2017.12.015.
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psnet.ahrq.gov/issue/patient-safety-issues-continue-plague-american-hospitals
November 20, 2015 - Commentary
Patient safety issues continue to plague American hospitals.
Citation Text:
Wilensky GR. Patient Safety Issues Continue to Plague American Hospitals. The Milbank Q. 2019;97(3):641-644. doi:10.1111/1468-0009.12406.
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psnet.ahrq.gov/issue/implementing-root-cause-analysis-area-health-service-views-participants
December 03, 2014 - Study
Implementing root cause analysis in an area health service: views of the participants.
Citation Text:
Middleton S, Walker C, Chester R. Implementing root cause analysis in an area health service: views of the participants. Aust Health Rev. 2005;29(4):422-8.
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