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psnet.ahrq.gov/issue/speaking-ethical-action-exercise
February 13, 2014 - Commentary
Speaking up: an ethical action exercise.
Citation Text:
Dwyer J, Faber-Langendoen K. Speaking Up: An Ethical Action Exercise. Acad Med. 2018;93(4):602-605. doi:10.1097/ACM.0000000000002047.
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psnet.ahrq.gov/issue/interruptions-and-medication-administration-critical-care
December 08, 2021 - Review
Interruptions and medication administration in critical care.
Citation Text:
Bower R, Jackson C, Manning JC. Interruptions and medication administration in critical care. Nurs Crit Care. 2015;20(4):183-95. doi:10.1111/nicc.12185.
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psnet.ahrq.gov/issue/certain-uncertainties-modes-patient-safety-healthcare
April 04, 2011 - Study
Certain uncertainties: modes of patient safety in healthcare.
Citation Text:
Jerak-Zuiderent S. Certain uncertainties: modes of patient safety in healthcare. Soc Stud Sci. 2012;42(5):732-52.
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psnet.ahrq.gov/issue/developing-tool-assessing-competency-root-cause-analysis
May 01, 2014 - Study
Developing a tool for assessing competency in root cause analysis.
Citation Text:
Gupta P, Varkey P. Developing a tool for assessing competency in root cause analysis. Jt Comm J Qual Patient Saf. 2009;35(1):36-42.
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psnet.ahrq.gov/issue/filling-gaps-institute-safe-medication-practices-ismp-do-not-crush-list-immediate-release
July 21, 2021 - Study
Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products
Citation Text:
Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products Uttaro E, Zhao F, Schweigha…
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psnet.ahrq.gov/issue/decision-making-processes-used-nurses-during-intravenous-drug-preparation-and-administration
June 29, 2022 - Study
Decision-making processes used by nurses during intravenous drug preparation and administration.
Citation Text:
Dougherty L, Sque M, Crouch R. Decision-making processes used by nurses during intravenous drug preparation and administration. J Adv Nurs. 2012;68(6):1302-11. doi:10.1…
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psnet.ahrq.gov/issue/five-new-ways-advance-diagnostic-safety-your-clinical-practice
June 30, 2021 - Commentary
Five new ways to advance diagnostic safety in your clinical practice.
Citation Text:
Five new ways to advance diagnostic safety in your clinical practice. Bradford A, Goeschel C, Shofer M, et al. Am Fam Physician. 2023;108(1):14-16.
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psnet.ahrq.gov/issue/perceptions-medical-errors-cancer-care-analysis-how-news-media-describe-sentinel-events
September 11, 2013 - Study
Perceptions of medical errors in cancer care: an analysis of how the news media describe sentinel events.
Citation Text:
Li JW, Morway L, Velasquez A, et al. Perceptions of medical errors in cancer care: an analysis of how the news media describe sentinel events. J Patient Saf. 201…
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psnet.ahrq.gov/issue/adverse-drug-events-elderly
April 21, 2011 - Review
Adverse drug events in the elderly.
Citation Text:
Cresswell KM, Fernando B, McKinstry B, et al. Adverse drug events in the elderly. Br Med Bull. 2007;83(1). doi:10.1093/bmb/ldm016.
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psnet.ahrq.gov/issue/improving-self-reporting-adverse-drug-events-west-virginia-hospital
March 10, 2011 - Study
Improving self-reporting of adverse drug events in a West Virginia hospital.
Citation Text:
Schade CP, Hannah K, Ruddick P, et al. Improving self-reporting of adverse drug events in a West Virginia hospital. Am J Med Qual. 2006;21(5):335-41.
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psnet.ahrq.gov/issue/understanding-patient-safety-and-quality-outcome-data
July 19, 2023 - Commentary
Understanding patient safety and quality outcome data.
Citation Text:
Easter K, Tamburri LM. Understanding Patient Safety and Quality Outcome Data. Crit Care Nurse. 2018;38(6):58-66. doi:10.4037/ccn2018979.
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psnet.ahrq.gov/issue/getting-boards-board-engaging-governing-boards-quality-and-safety
February 17, 2017 - Commentary
Getting boards on board: engaging governing boards in quality and safety.
Citation Text:
Conway JB. Getting boards on board: engaging governing boards in quality and safety. Jt Comm J Qual Saf. 2008;34(4):214-220.
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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/achieving-perfect-handoff-patient-transfers-building-teamwork-and-trust
October 08, 2016 - Commentary
Achieving the 'perfect handoff' in patient transfers: building teamwork and trust.
Citation Text:
Clarke D, Werestiuk K, Schoffner A, et al. Achieving the 'perfect handoff' in patient transfers: building teamwork and trust. J Nurs Manag. 2012;20(5):592-8. doi:10.1111/j.1365-…
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psnet.ahrq.gov/issue/influence-language-barriers-outcomes-hospital-care-general-medicine-inpatients
May 16, 2012 - Study
Influence of language barriers on outcomes of hospital care for general medicine inpatients.
Citation Text:
Karliner LS, Kim SE, Meltzer DO, et al. Influence of language barriers on outcomes of hospital care for general medicine inpatients. J Hosp Med. 2010;5(5):276-82. doi:10.10…
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psnet.ahrq.gov/issue/cost-poor-blood-specimen-quality-and-errors-preanalytical-processes
April 22, 2009 - Review
The cost of poor blood specimen quality and errors in preanalytical processes.
Citation Text:
Green SF. The cost of poor blood specimen quality and errors in preanalytical processes. Clin Biochem. 2013;46(13-14):1175-9. doi:10.1016/j.clinbiochem.2013.06.001.
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psnet.ahrq.gov/issue/facilitating-and-impeding-factors-physicians-error-disclosure-structured-literature-review
September 12, 2011 - Review
Facilitating and impeding factors for physicians' error disclosure: a structured literature review.
Citation Text:
Kaldjian LC, Jones EW, Rosenthal GE. Facilitating and impeding factors for physicians' error disclosure: a structured literature review. Jt Comm J Qual Patient Saf. 2…
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psnet.ahrq.gov/issue/teaching-medical-students-recognise-and-report-errors
March 01, 2023 - Commentary
Teaching medical students to recognise and report errors.
Citation Text:
Mohsin SU, Ibrahim Y, Levine D. Teaching medical students to recognise and report errors. BMJ Open Qual. 2019;8(2):e000558. doi:10.1136/bmjoq-2018-000558.
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psnet.ahrq.gov/issue/impact-care-quality-commission-provider-performance-room-improvement
November 18, 2015 - Book/Report
Impact of the Care Quality Commission on Provider Performance: Room for Improvement?
Citation Text:
Impact of the Care Quality Commission on Provider Performance: Room for Improvement? Smithson R, Richardson E, Roberts J, et al. The King's Fund, Alliance Manchester Business S…