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psnet.ahrq.gov/issue/events-inspired-change-importance-sharing-what-happened-stop-it-happening-again
August 07, 2024 - Commentary
Events that inspired change: the importance of sharing what happened to stop it from happening again.
Citation Text:
Myers E, Allen C. Events that inspired change: the importance of sharing what happened to stop it from happening again. Patient Saf. 2023;5(1):62-63. doi:10.339…
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psnet.ahrq.gov/issue/college-students-return-crisis-campus-care-awaits
September 09, 2020 - Newspaper/Magazine Article
As college students return, a crisis in campus care awaits.
Citation Text:
Abelson J, Tran AB, Kornfield M, et al. As college students return, a crisis in campus care awaits. The Seattle Times. 2020;July 13.
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psnet.ahrq.gov/issue/electronic-prescribing-within-electronic-health-record-reduces-ambulatory-prescribing-errors
March 21, 2017 - Study
Electronic prescribing within an electronic health record reduces ambulatory prescribing errors.
Citation Text:
Dupree E, Anderson R, McEvoy MD, et al. Professionalism: a necessary ingredient in a culture of safety. Jt Comm J Qual Patient Saf. 2011;37(10):447-455.
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psnet.ahrq.gov/issue/how-do-community-pharmacies-recover-e-prescription-errors
November 04, 2014 - Study
How do community pharmacies recover from e-prescription errors?
Citation Text:
Odukoya OK, Stone JA, Chui MA. How do community pharmacies recover from e-prescription errors? Res Social Adm Pharm. 2014;10(6):837-852. doi:10.1016/j.sapharm.2013.11.009.
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psnet.ahrq.gov/issue/limits-opioid-prescribing-leave-patients-chronic-pain-vulnerable
March 27, 2019 - Commentary
Limits on opioid prescribing leave patients with chronic pain vulnerable.
Citation Text:
Rubin R. Limits on Opioid Prescribing Leave Patients With Chronic Pain Vulnerable. JAMA. 2019;321(21):2059-2062. doi:10.1001/jama.2019.5188.
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psnet.ahrq.gov/issue/between-flags-implementing-rapid-response-system-scale
June 08, 2011 - Commentary
'Between the flags': implementing a rapid response system at scale.
Citation Text:
Hughes C, Pain C, Braithwaite J, et al. 'Between the flags': implementing a rapid response system at scale. BMJ Qual Saf. 2014;23(9):714-7. doi:10.1136/bmjqs-2014-002845.
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psnet.ahrq.gov/issue/failure-report-poor-care-breach-moral-and-professional-expectation
March 05, 2025 - Commentary
Failure to report poor care as a breach of moral and professional expectation.
Citation Text:
Ion R, Olivier S, Darbyshire P. Failure to report poor care as a breach of moral and professional expectation. Nurs Inq. 2019;26(3):e12299. doi:10.1111/nin.12299.
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psnet.ahrq.gov/issue/medication-error-care-hivaids-patients-electronic-surveillance-confirmation-and-adverse
September 28, 2022 - Study
Medication error in the care of HIV/AIDS patients: electronic surveillance, confirmation, and adverse events.
Citation Text:
DeLorenze GN, Follansbee SF, Nguyen DP, et al. Medication error in the care of HIV/AIDS patients: electronic surveillance, confirmation, and adverse events…
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psnet.ahrq.gov/issue/interruptions-clinical-nursing-practice
September 26, 2018 - Study
Interruptions in clinical nursing practice.
Citation Text:
Sørensen EE, Brahe L. Interruptions in clinical nursing practice. J Clin Nurs. 2014;23(9-10):1274-82. doi:10.1111/jocn.12329.
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psnet.ahrq.gov/issue/discharge-rounds-80-hour-workweek-importance-trauma-nurse-practitioner
October 19, 2022 - Study
Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner.
Citation Text:
Haan JM, Dutton RP, Willis M, et al. Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner. J Trauma. 2007;63(2):339-43.
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psnet.ahrq.gov/issue/pharmacist-outpatient-prescription-review-emergency-department-pediatric-tertiary-hospital
March 15, 2016 - Study
Pharmacist outpatient prescription review in the emergency department: a pediatric tertiary hospital experience.
Citation Text:
Shah D, Manzi S. Pharmacist Outpatient Prescription Review in the Emergency Department: A Pediatric Tertiary Hospital Experience. Pediatr Emerg Care. 2018…
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psnet.ahrq.gov/issue/indian-health-service-actions-needed-improve-use-data-adverse-events
September 07, 2016 - Book/Report
Indian Health Service: Actions Needed to Improve Use of Data on Adverse Events.
Citation Text:
Indian Health Service: Actions Needed to Improve Use of Data on Adverse Events. Washington, DC: United States Government Accounting Office; July 10, 2023. Publication GAO-23-1…
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psnet.ahrq.gov/issue/bringing-equity-lens-patient-safety-event-reporting
September 21, 2009 - Commentary
Bringing the equity lens to patient safety event reporting.
Citation Text:
Gandhi TK, Schulson LB, Thomas AD. Bringing the equity lens to patient safety event reporting. Jt Comm J Qual Patient Saf. 2024;50(1):87-89. doi:10.1016/j.jcjq.2023.09.003.
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psnet.ahrq.gov/issue/wake-safe-and-root-cause-analysis-quality-improvement-pediatric-anesthesia
February 03, 2021 - Commentary
Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia.
Citation Text:
Tjia I, Rampersad S, Varughese AM, et al. Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. Anesth Analg. 2014;119(1):122-136. doi:10.1213/ANE.000…
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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/e-prescribing-focused-review-and-new-approach-addressing-safety-pharmacies-and-primary-care
January 07, 2015 - Review
E-prescribing: a focused review and new approach to addressing safety in pharmacies and primary care.
Citation Text:
Odukoya OK, Chui MA. E-prescribing: a focused review and new approach to addressing safety in pharmacies and primary care. Res Social Adm Pharm. 2013;9(6):996-100…
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psnet.ahrq.gov/issue/policies-promote-shared-responsibility-safer-electronic-health-records
August 25, 2021 - Commentary
Policies to promote shared responsibility for safer electronic health records.
Citation Text:
Sittig DF, Singh H. Policies to promote shared responsibility for safer electronic health records. JAMA. 2021;326(15):1477-1478. doi:10.1001/jama.2021.13945.
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psnet.ahrq.gov/issue/human-factors-healthcare-welcome-progress-still-scratching-surface
June 16, 2021 - Commentary
Human factors in healthcare: welcome progress, but still scratching the surface.
Citation Text:
Waterson P, Catchpole K. Human factors in healthcare: welcome progress, but still scratching the surface. BMJ Qual Saf. 2016;25(7):480-4. doi:10.1136/bmjqs-2015-005074.
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psnet.ahrq.gov/issue/managing-clinical-failure-complex-adaptive-system-perspective
August 13, 2014 - Study
Managing clinical failure: a complex adaptive system perspective.
Citation Text:
Matthews JI, Thomas PT. Managing clinical failure: a complex adaptive system perspective. Int J Health Care Qual Assur. 2007;20(3):184-194. doi:10.1108/09526860710743336.
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psnet.ahrq.gov/issue/quantifying-and-characterizing-adverse-events-dermatologic-surgery
November 16, 2022 - Study
Quantifying and characterizing adverse events in dermatologic surgery.
Citation Text:
O'Neill JL, Lee YS, Solomon JA, et al. Quantifying and characterizing adverse events in dermatologic surgery. Dermatol Surg. 2013;39(6):872-878. doi:10.1111/dsu.12165.
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