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psnet.ahrq.gov/issue/prevention-potential-errors-resuscitation-medications-orders-means-computerised-physician
July 05, 2013 - Study
Prevention of potential errors in resuscitation medications orders by means of a computerised physician order entry in paediatric critical care.
Citation Text:
Prevention of potential errors in resuscitation medications orders by means of a computerised physician order entry in p…
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psnet.ahrq.gov/issue/managing-acute-adverse-event-radiology-department
June 14, 2011 - Commentary
Managing an acute adverse event in a radiology department.
Citation Text:
Kruskal JB, Siewert B, Anderson SW, et al. Managing an acute adverse event in a radiology department. Radiographics. 2008;28(5):1237-50. doi:10.1148/rg.285085064.
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-0
December 21, 2011 - Commentary
Patient Safety and Quality Improvement Act of 2005.
Citation Text:
Fassett WE. Patient Safety and Quality Improvement Act of 2005. Ann Pharmacother. 2006;40(5):917-24.
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psnet.ahrq.gov/issue/full-disclosure-adverse-events-patients-and-families-icu-wouldnt-you-want-know
May 26, 2021 - Commentary
Full disclosure of adverse events to patients and families in the ICU: wouldn't you want to know?
Citation Text:
Doucette E, Fazio S, LaSalle V, et al. Full disclosure of adverse events to patients and families in the ICU: wouldn't you want to know? Dynamics. 2010;21(3):16-9. …
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psnet.ahrq.gov/issue/nurses-behaviors-and-visual-scanning-patterns-may-reduce-patient-identification-errors
December 12, 2012 - Study
Nurses' behaviors and visual scanning patterns may reduce patient identification errors.
Citation Text:
Marquard J, Henneman PL, He Z, et al. Nurses' behaviors and visual scanning patterns may reduce patient identification errors. J Exp Psychol Appl. 2011;17(3):247-56. doi:10.1037/…
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psnet.ahrq.gov/issue/medication-safety-operating-room-literature-and-expert-based-recommendations
October 19, 2022 - Review
Medication safety in the operating room: literature and expert-based recommendations.
Citation Text:
Wahr JA, Abernathy JH, Lazarra EH, et al. Medication safety in the operating room: literature and expert-based recommendations. Br J Anaesth. 2017;118(1):32-43. doi:10.1093/bja/aew…
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psnet.ahrq.gov/issue/hcup-statistical-brief-313-trends-severe-maternal-morbidity-complications-patient
December 16, 2009 - Book/Report
HCUP Statistical Brief #312. Trends in Severe Maternal Morbidity Complications by Patient Characteristics, 2016-2021.
Citation Text:
Reid LD. Hcup Statistical Brief #313. Trends In Severe Maternal Morbidity Complications By Patient Characteristics, 2016-2021. Rockville, MD: A…
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psnet.ahrq.gov/issue/countering-cognitive-biases-minimising-low-value-care
May 11, 2019 - Review
Countering cognitive biases in minimising low value care.
Citation Text:
Scott IA, Soon J, Elshaug AG, et al. Countering cognitive biases in minimising low value care. Med J Aust. 2017;206(9):407-411.
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psnet.ahrq.gov/issue/chronology-medication-errors-nurses-accumulation-stresses-and-ptsd-symptoms
September 23, 2020 - Study
Chronology of medication errors by nurses: accumulation of stresses and PTSD symptoms.
Citation Text:
Rassin M, Kanti T, Silner D. Chronology of medication errors by nurses: accumulation of stresses and PTSD symptoms. Issues Ment Health Nurs. 2005;26(8):873-86.
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psnet.ahrq.gov/issue/physician-health-and-wellbeing-provide-challenges-patient-safety-and-outcome-quality-across
October 14, 2015 - Study
Physician health and wellbeing provide challenges to patient safety and outcome quality across the careerspan.
Citation Text:
Williams BW, Flanders P. Physician health and wellbeing provide challenges to patient safety and outcome quality across the careerspan. Australas Psychiatry…
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psnet.ahrq.gov/issue/using-quantitative-risk-register-promote-learning-patient-safety-reporting-system
September 24, 2010 - Study
Using a quantitative risk register to promote learning from a patient safety reporting system.
Citation Text:
Mansfield JG, Caplan RA, Campos JS, et al. Using a quantitative risk register to promote learning from a patient safety reporting system. Jt Comm J Qual Patient Saf. 2015;4…
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psnet.ahrq.gov/issue/physicians-and-cognitive-decline-challenge-state-medical-boards
July 29, 2020 - Commentary
Physicians and cognitive decline: a challenge for state medical boards.
Citation Text:
Hoffman S. Physicians and cognitive decline: a challenge for state medical boards. J Med Regulation. 2022;108(2):19-28. doi:10.30770/2572-1852-108.2.19.
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psnet.ahrq.gov/issue/introducing-new-technology-operating-room-measuring-impact-job-performance-and-satisfaction
May 18, 2022 - Study
Introducing new technology into the operating room: measuring the impact on job performance and satisfaction.
Citation Text:
Stahl JE, Egan MT, Goldman JM, et al. Introducing new technology into the operating room: measuring the impact on job performance and satisfaction. Surgery…
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psnet.ahrq.gov/issue/reengineering-hospital-discharge-protocol-improve-patient-safety-reduce-costs-and-boost
May 20, 2009 - Commentary
Reengineering hospital discharge: a protocol to improve patient safety, reduce costs, and boost patient satisfaction.
Citation Text:
Clancy CM. Reengineering hospital discharge: a protocol to improve patient safety, reduce costs, and boost patient satisfaction. Am J Med Qual…
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psnet.ahrq.gov/issue/patient-safety-knowledge-and-its-determinants-medical-trainees
July 29, 2020 - Study
Patient safety knowledge and its determinants in medical trainees.
Citation Text:
Kerfoot P, Conlin PR, Travison T, et al. Patient safety knowledge and its determinants in medical trainees. J Gen Intern Med. 2007;22(8):1150-4.
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psnet.ahrq.gov/issue/learning-without-borders-review-implementation-medical-error-reporting-medecins-sans
December 21, 2022 - Study
Learning without borders: a review of the implementation of medical error reporting in Médecins Sans Frontières.
Citation Text:
Shanks L, Bil K, Fernhout J. Learning without Borders: A Review of the Implementation of Medical Error Reporting in Médecins Sans Frontières. PLoS One. 20…
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psnet.ahrq.gov/issue/diagnostic-errors-impact-educational-intervention-pediatric-primary-care
July 22, 2020 - Study
Diagnostic errors: impact of an educational intervention on pediatric primary care.
Citation Text:
Walsh JN, Knight M, Lee AJ. Diagnostic Errors: Impact of an Educational Intervention on Pediatric Primary Care. Journal of Pediatric Health Care. 2017;32(1). doi:10.1016/j.pedhc.2017.…
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psnet.ahrq.gov/issue/medication-manager-results-medication-bedside-pilot-pediatric-teaching-institution
December 20, 2023 - Study
The Medication Manager: results of a medication at the bedside pilot in a pediatric teaching institution.
Citation Text:
Wagner D, Pasko D, Glenn D, et al. The Medication Manager. J Patient Saf. 2010;6(2). doi:10.1097/pts.0b013e3181cb43b4.
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psnet.ahrq.gov/issue/learning-action-developing-safety-improvement-capabilities-through-action-learning
October 16, 2012 - Study
Learning in action: developing safety improvement capabilities through action learning.
Citation Text:
Christiansen A, Prescott T, Ball J. Learning in action: developing safety improvement capabilities through action learning. Nurse Educ Today. 2014;34(2):243-7. doi:10.1016/j.ned…
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psnet.ahrq.gov/issue/environmental-changes-increase-hospital-safety-dementia-patients
January 10, 2011 - Commentary
Environmental changes increase hospital safety for dementia patients.
Citation Text:
Goodall D. Environmental changes increase hospital safety for dementia patients. Holist Nurs Pract. 2006;20(2):80-84.
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