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psnet.ahrq.gov/issue/nil-os-orders-imaging-teachable-moment
November 13, 2024 - Commentary
Nil per os orders for imaging: a teachable moment.
Citation Text:
Wickerham AL, Schultz EJ, Lewine EB. Nil per Os Orders for Imaging: A Teachable Moment. JAMA Intern Med. 2017;177(11):1670-1671. doi:10.1001/jamainternmed.2017.3943.
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psnet.ahrq.gov/issue/what-constitutes-prescribing-error-paediatrics
March 05, 2010 - Study
What constitutes a prescribing error in paediatrics?
Citation Text:
Ghaleb MA, Barber N, Franklin D, et al. What constitutes a prescribing error in paediatrics? Qual Saf Health Care. 2005;14(5):352-7.
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psnet.ahrq.gov/issue/concept-error-and-malpractice-radiology
January 24, 2018 - Commentary
The concept of error and malpractice in radiology.
Citation Text:
Pinto A, Brunese L, Pinto F, et al. The concept of error and malpractice in radiology. Semin Ultrasound CT MR. 2012;33(4):275-9. doi:10.1053/j.sult.2012.01.009.
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psnet.ahrq.gov/issue/interns-overestimate-effectiveness-their-hand-communication
March 02, 2011 - Study
Interns overestimate the effectiveness of their hand-off communication.
Citation Text:
Chang VY, Arora V, Lev-Ari S, et al. Interns overestimate the effectiveness of their hand-off communication. Pediatrics. 2010;125(3):491-496. doi:10.1542/peds.2009-0351.
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psnet.ahrq.gov/issue/effect-surgical-safety-checklists-pediatric-surgical-complications-ontario
December 07, 2016 - Study
Effect of surgical safety checklists on pediatric surgical complications in Ontario.
Citation Text:
O'Leary JD, Wijeysundera DN, Crawford MW. Effect of surgical safety checklists on pediatric surgical complications in Ontario. CMAJ. 2016;188(9):E191-E198. doi:10.1503/cmaj.151333.
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psnet.ahrq.gov/issue/monitoring-medication-errors-outpatient-settings
December 31, 2014 - Review
Monitoring for medication errors in outpatient settings.
Citation Text:
Balkrishnan R, Foss CE, Pawaskar M, et al. Monitoring for medication errors in outpatient settings. J Dermatolog Treat. 2009;20(4):229-32. doi:10.1080/09546630802607487.
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psnet.ahrq.gov/issue/reducing-medication-errors-using-applied-technology
January 07, 2011 - Commentary
Reducing medication errors by using applied technology.
Citation Text:
Caesar BR, Hutchinson B. Reducing medication errors by using applied technology. Nursing (Brux). 2006;36(8):24-25.
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psnet.ahrq.gov/issue/nurse-aides-ratings-resident-safety-culture-nursing-homes
November 27, 2012 - Study
Nurse aides' ratings of the resident safety culture in nursing homes.
Citation Text:
Castle NG. Nurse Aides' ratings of the resident safety culture in nursing homes. Int J Qual Health Care. 2006;18(5):370-6.
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psnet.ahrq.gov/issue/2008-john-m-eisenberg-patient-safety-and-quality-awards
March 28, 2018 - Award Recipient
2008 John M. Eisenberg Patient Safety and Quality Awards.
Citation Text:
2008 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2008;34(12):691-712.
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psnet.ahrq.gov/issue/understanding-safer-practices-health-care-prologue-role-indicators
May 07, 2008 - Study
Understanding safer practices in health care: a prologue for the role of indicators.
Citation Text:
Kazandjian VA, Wicker K, Ogunbo S, et al. Understanding safer practices in health care: a prologue for the role of indicators. J Eval Clin Pract. 2005;11(2):161-70.
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psnet.ahrq.gov/issue/contribution-sociotechnical-factors-health-information-technology-related-sentinel-events
September 18, 2024 - Study
The contribution of sociotechnical factors to health information technology–related sentinel events.
Citation Text:
Castro GM, Buczkowski L, Hafner JM. The Contribution of Sociotechnical Factors to Health Information Technology-Related Sentinel Events. Jt Comm J Qual Patient Saf. 2…
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psnet.ahrq.gov/issue/how-talk-about-patient-safety
June 24, 2019 - Book/Report
How to Talk About Patient Safety.
Citation Text:
How to Talk About Patient Safety. Hendricks R, O'Neil M, Volmert A. Boston, MA: Betsy Lehman Center for Patient Safety; March 2019.
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psnet.ahrq.gov/issue/error-tracking-clinical-biochemistry-laboratory
June 10, 2020 - Study
Error tracking in a clinical biochemistry laboratory.
Citation Text:
Szecsi PB, Ødum L. Error tracking in a clinical biochemistry laboratory. Clin Chem Lab Med. 2009;47(10). doi:10.1515/cclm.2009.272.
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psnet.ahrq.gov/issue/improving-communication-between-teams-managing-boarded-patients-surgical-specialty-ward
September 29, 2017 - Commentary
Improving the communication between teams managing boarded patients on a surgical specialty ward.
Citation Text:
Puvaneswaralingam S, Ross D. Improving the communication between teams managing boarded patients on a surgical specialty ward. BMJ Qual Improv Rep. 2016;5(1). doi:1…
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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/surgical-ward-round-quality-and-impact-variable-patient-outcomes
June 17, 2015 - Study
Surgical ward round quality and impact on variable patient outcomes.
Citation Text:
Pucher PH, Aggarwal R, Darzi A. Surgical ward round quality and impact on variable patient outcomes. Ann Surg. 2014;259(2):222-6. doi:10.1097/SLA.0000000000000376.
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psnet.ahrq.gov/issue/learning-safe-prescribing-during-post-take-ward-rounds
August 14, 2013 - Newspaper/Magazine Article
Learning safe prescribing during post-take ward rounds.
Citation Text:
Conroy-Smith E, Herring R, Caldwell G. Learning safe prescribing during post-take ward rounds. The clinical teacher. 2011;8(2):75-8. doi:10.1111/j.1743-498X.2011.00432.x.
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psnet.ahrq.gov/issue/always-having-say-youre-sorry-ethical-response-making-mistakes-professional-practice
September 09, 2011 - Review
Always having to say you're sorry: an ethical response to making mistakes in professional practice.
Citation Text:
Crigger NJ. Always having to say you're sorry: an ethical response to making mistakes in professional practice. Nurs Ethics. 2004;11(6):568-76.
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psnet.ahrq.gov/issue/quality-improvement-healthcare-new-zealand-part-2-are-our-patients-safe-and-what-are-we-doing
April 01, 2015 - Commentary
Quality improvement in healthcare in New Zealand. Part 2: are our patients safe--and what are we doing about it?
Citation Text:
Merry A, Seddon M, Quality EPI and. Quality improvement in healthcare in New Zealand. Part 2: are our patients safe--and what are we doing about it…
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psnet.ahrq.gov/issue/doctors-new-dilemma
November 13, 2024 - Commentary
The doctor's new dilemma.
Citation Text:
Koven S. The Doctor's New Dilemma. N Engl J Med. 2016;374(7):608-9. doi:10.1056/NEJMp1513708.
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