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psnet.ahrq.gov/issue/communication-errors-dispatch-air-medical-transport
July 03, 2014 - Study
Communication errors in dispatch of air medical transport.
Citation Text:
Vilensky D, MacDonald RD. Communication errors in dispatch of air medical transport. Prehosp Emerg Care. 2011;15(1):39-43. doi:10.3109/10903127.2011.519817.
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psnet.ahrq.gov/issue/contribution-labelling-safe-medication-administration-anaesthetic-practice
March 17, 2021 - Commentary
The contribution of labelling to safe medication administration in anaesthetic practice.
Citation Text:
Merry A, Shipp DH, Lowinger JS. The contribution of labelling to safe medication administration in anaesthetic practice. Best Pract Res Clin Anaesthesiol. 2011;25(2):145-1…
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psnet.ahrq.gov/issue/defensive-medicine-it-time-finally-slow-down-epidemic
November 18, 2016 - Commentary
Emerging Classic
Defensive medicine: it is time to finally slow down an epidemic.
Citation Text:
Vento S, Cainelli F, Vallone A. Defensive medicine: It is time to finally slow down an epidemic. World J Clin Cases. 2018;6(11):406-409. doi:10.12998/wjcc…
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psnet.ahrq.gov/issue/use-board-certification-and-recertification-pediatricians-health-plan-credentialing-policies
February 02, 2011 - Study
Use of board certification and recertification of pediatricians in health plan credentialing policies.
Citation Text:
Freed GL, Singer D, Lakhani I, et al. Use of board certification and recertification of pediatricians in health plan credentialing policies. JAMA. 2006;295(8):913…
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psnet.ahrq.gov/issue/system-weaknesses-contributing-causes-accidents-health-care
August 31, 2022 - Study
System weaknesses as contributing causes of accidents in health care.
Citation Text:
Ternov S, Akselsson R. System weaknesses as contributing causes of accidents in health care. Int J Qual Health Care. 2005;17(1):5-13.
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psnet.ahrq.gov/issue/national-survey-obstetric-anaesthetic-handovers
July 18, 2018 - Study
A national survey of obstetric anaesthetic handovers.
Citation Text:
Sabir N, Yentis SM, Holdcroft A. A national survey of obstetric anaesthetic handovers*. Anaesthesia. 2006;61(4). doi:10.1111/j.1365-2044.2006.04541.x.
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psnet.ahrq.gov/issue/classification-and-detection-errors-minimally-invasive-surgery
June 17, 2014 - Review
Classification and detection of errors in minimally invasive surgery.
Citation Text:
Rassweiler MC, Mamoulakis C, Kenngott HG, et al. Classification and detection of errors in minimally invasive surgery. J Endourol. 2011;25(11):1713-21. doi:10.1089/end.2011.0068.
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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-oversight-graduate-medical-education-enterprise-one-institutions-strategies-and
September 21, 2009 - Study
Improving oversight of the graduate medical education enterprise: one institution's strategies and tools.
Citation Text:
Afrin LB, Arana GW, Medio FJ, et al. Improving Oversight of the Graduate Medical Education Enterprise: One Institution???s Strategies and Tools. Academic Medic…
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psnet.ahrq.gov/issue/towards-organization-memory-exploring-organizational-generation-adverse-events-health-care
February 22, 2010 - Commentary
Towards an organization with a memory: exploring the organizational generation of adverse events in health care.
Citation Text:
Smith D, Toft B. Towards an organization with a memory: exploring the organizational generation of adverse events in health care. Health Serv Manag…
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psnet.ahrq.gov/issue/using-near-misses-analysis-prevent-wrong-site-surgery
April 24, 2018 - Study
Using "near misses" analysis to prevent wrong-site surgery.
Citation Text:
Yoon RS, Alaia MJ, Hutzler LH, et al. Using "near misses" analysis to prevent wrong-site surgery. J Healthc Qual. 2015;37(2):126-32. doi:10.1111/jhq.12037.
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psnet.ahrq.gov/issue/assessment-adverse-drug-events-among-patients-tertiary-care-medical-center
September 28, 2005 - Study
Assessment of adverse drug events among patients in a tertiary care medical center.
Citation Text:
Johnston PE, France DJ, Byrne DW, et al. Assessment of adverse drug events among patients in a tertiary care medical center. Am J Health Syst Pharm. 2006;63(22):2218-27.
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psnet.ahrq.gov/issue/preventing-medication-errors-information-age
February 15, 2023 - Commentary
Preventing medication errors in the information age.
Citation Text:
Godshall M, Riehl M. Preventing medication errors in the information age. Nursing (Brux). 2018;48(9):56-58. doi:10.1097/01.NURSE.0000544230.51598.38.
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psnet.ahrq.gov/issue/self-reported-adverse-events-health-care-cause-harm-population-based-survey
September 20, 2011 - Study
Self-reported adverse events in health care that cause harm: a population-based survey.
Citation Text:
Adams RJ, Tucker G, Price K, et al. Self-reported adverse events in health care that cause harm: a population-based survey. Med J Aust. 2009;190(9):484-8.
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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/unprofessional-workplace-conductdefining-and-defusing-it
November 12, 2014 - Commentary
Unprofessional workplace conduct...defining and defusing it.
Citation Text:
MacLean L, Coombs C, Breda K. Unprofessional workplace conduct..defining and defusing it. Nurs Manage. 2016;47(9):30-34. doi:10.1097/01.NUMA.0000491126.68354.be.
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psnet.ahrq.gov/issue/changing-narratives-patient-safety
April 17, 2019 - Commentary
Changing the narratives for patient safety.
Citation Text:
Pronovost P, Sutcliffe K, Basu L, et al. Changing the narratives for patient safety. Bull World Health Organ. 2017;95(6):478-480. doi:10.2471/BLT.16.178392.
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psnet.ahrq.gov/issue/implementing-safety-thermometer-tool-one-nhs-trust
March 19, 2019 - Commentary
Implementing the Safety Thermometer tool in one NHS trust.
Citation Text:
Buckley C, Cooney K, Sills E, et al. Implementing the Safety Thermometer tool in one NHS trust. Br J Nurs. 2014;23(5):268-72.
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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/safety-huddles-pacu-when-patient-self-medicates
December 14, 2016 - Commentary
Safety huddles in the PACU: when a patient self-medicates.
Citation Text:
Setaro J, Connolly M. Safety huddles in the PACU: when a patient self-medicates. J Perianesth Nurs. 2011;26(2):96-102. doi:10.1016/j.jopan.2011.01.010.
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