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psnet.ahrq.gov/issue/medication-mix-what-happened-vanderbilt-and-how-it-impacts-health-care-providers
March 18, 2020 - Commentary
Medication mix-up: what happened at Vanderbilt and how it impacts health care providers.
Citation Text:
Medication mix-up: what happened at Vanderbilt and how it impacts health care providers. Michel C, Talley C. J Health Life Sci Law. 2022;17(1):71
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psnet.ahrq.gov/issue/serious-threat-patient-safety-unintended-misuse-fentanyl-patches
September 24, 2010 - Commentary
A serious threat to patient safety: the unintended misuse of FentaNYL patches.
Citation Text:
Paparella S. A serious threat to patient safety: the unintended misuse of FentaNYL patches. J Emerg Nurs. 2013;39(3):245-247. doi:10.1016/j.jen.2013.01.007.
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psnet.ahrq.gov/issue/fallacious-reasoning-and-complexity-root-causes-clinical-inertia
June 17, 2020 - Commentary
Fallacious reasoning and complexity as root causes of clinical inertia.
Citation Text:
Miles RW. Fallacious reasoning and complexity as root causes of clinical inertia. J Am Med Dir Assoc. 2007;8(6):349-54.
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psnet.ahrq.gov/issue/designing-safer-radiology-department
March 04, 2015 - Commentary
Designing a safer radiology department.
Citation Text:
Johnson D, Miranda R, Osborn HH, et al. Designing a safer radiology department. AJR Am J Roentgenol. 2012;198(2):398-404. doi:10.2214/AJR.11.7234.
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psnet.ahrq.gov/issue/verbal-medication-orders-or
March 06, 2024 - Commentary
Verbal medication orders in the OR.
Citation Text:
Hendrickson T. Verbal medication orders in the OR. AORN J. 2007;86(4):626-9.
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psnet.ahrq.gov/issue/using-standardised-patients-objective-structured-clinical-examination-patient-safety-tool
April 21, 2010 - Commentary
Using standardised patients in an objective structured clinical examination as a patient safety tool.
Citation Text:
Battles JB, Wilkinson SL, Lee SJ. Using standardised patients in an objective structured clinical examination as a patient safety tool. Qual Saf Health Care. …
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psnet.ahrq.gov/issue/health-care-governance-quality-and-safety-new-agenda
August 09, 2023 - Review
Health care governance for quality and safety: the new agenda.
Citation Text:
Clough J, Nash DB. Health care governance for quality and safety: the new agenda. Am J Med Qual. 2007;22(3):203-13.
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psnet.ahrq.gov/issue/assessing-teamwork-and-communication-authentic-patient-care-learning-environment
July 02, 2014 - Commentary
Assessing teamwork and communication in the authentic patient care learning environment.
Citation Text:
Haftel HM, Hicks PJ. Assessing teamwork and communication in the authentic patient care learning environment. Pediatrics. 2011;127(4):601-3. doi:10.1542/peds.2010-3767.
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psnet.ahrq.gov/issue/respectful-trusting-relationships-are-essential-patient-safety-especially-surgeon
December 08, 2024 - Meeting/Conference Proceedings
Respectful, trusting relationships are essential for patient safety, especially the surgeon-anesthesiologist dyad.
Citation Text:
Respectful, trusting relationships are essential for patient safety, especially the surgeon-anesthesiologist dyad. Cooper J. An…
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psnet.ahrq.gov/issue/disclosure-medical-errors-right-thing-do
September 13, 2010 - Commentary
Disclosure of medical errors: the right thing to do.
Citation Text:
Schuer KM, AAPA QCC of the. Disclosure of medical errors: the right thing to do. JAAPA. 2010;23(8):27-9.
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psnet.ahrq.gov/issue/patient-death-after-inadvertent-infusion-prn-medication-hanging-bedside-intravenous-iv-pole
April 17, 2024 - Newspaper/Magazine Article
Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole.
Citation Text:
Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole. ISMP Medication Safety Alert! Acute Care. 20…
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psnet.ahrq.gov/issue/patient-safety-and-medical-liability-current-status-and-agenda-future
January 01, 2015 - Review
Patient safety and medical liability: current status and an agenda for the future.
Citation Text:
Abuhamad A, Grobman WA. Patient safety and medical liability: current status and an agenda for the future. Obstet Gynecol. 2010;116(3):570-7. doi:10.1097/AOG.0b013e3181eeb785.
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psnet.ahrq.gov/issue/techniques-improve-patient-safety-hospitals-what-nurse-administrators-need-know
December 22, 2008 - Review
Techniques to improve patient safety in hospitals: what nurse administrators need to know.
Citation Text:
Fagan MJ. Techniques to improve patient safety in hospitals: what nurse administrators need to know. J Nurs Adm. 2012;42(9):426-430. doi:10.1097/NNA.0b013e3182664df5.
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psnet.ahrq.gov/issue/utility-online-medication-error-reporting-system
September 30, 2020 - Study
Utility of an online medication-error-reporting system.
Citation Text:
Savage SW, Schneider PJ, Pedersen CA. Utility of an online medication-error-reporting system. Am J Health Syst Pharm. 2005;62(21):2265-70.
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psnet.ahrq.gov/issue/audit-handover-ent-unit
October 28, 2020 - Study
Audit of handover in an ENT unit.
Citation Text:
Ellul D, Robson AK. Audit of handover in an ENT unit. J Laryngol Otol. 2011;125(9):924-7. doi:10.1017/S0022215111000880.
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psnet.ahrq.gov/issue/legislative-report-general-assembly-adverse-event-reporting
May 20, 2009 - Book/Report
Legislative Report to the General Assembly: Adverse Event Reporting.
Citation Text:
Legislative Report to the General Assembly: Adverse Event Reporting. Pino R, Furniss WH, Mueller L, Olson JC. Hartford, CT: Connecticut Department of Public Health; October 2016.
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psnet.ahrq.gov/issue/which-clinical-errors-lead-referral-uk-paediatricians-national-clinical-assessment-service
January 22, 2014 - Study
Which clinical errors lead to the referral of UK paediatricians to the National Clinical Assessment Service?
Citation Text:
Raine J, Scarrott D. Which clinical errors lead to the referral of UK paediatricians to the National Clinical Assessment Service? Eur J Pediatr. 2012;171(10…
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psnet.ahrq.gov/issue/when-my-father-died
July 01, 2011 - Commentary
When my father died.
Citation Text:
Van Spall HGC. When my father died. Ann Intern Med. 2007;146(12):893-894.
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psnet.ahrq.gov/issue/relationship-between-safety-climate-and-occupational-burnout-healthcare-organizations
February 08, 2023 - Study
On the relationship between safety climate and occupational burnout in healthcare organizations.
Citation Text:
Zarei E, Khakzad N, Reniers G, et al. On the relationship between safety climate and occupational burnout in healthcare organizations. Saf Sci. 2016;89:1-10. doi:10.1016/…
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psnet.ahrq.gov/issue/systemic-methodology-risk-management-healthcare-sector
December 23, 2020 - Commentary
A systemic methodology for risk management in healthcare sector.
Citation Text:
Cagliano AC, Grimaldi S, Rafele C. A systemic methodology for risk management in healthcare sector. Saf Sci. 2011;49(5). doi:10.1016/j.ssci.2011.01.006.
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