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psnet.ahrq.gov/issue/need-organizational-change-patient-safety-initiatives
May 12, 2010 - Study
The need for organizational change in patient safety initiatives.
Citation Text:
Anderson J, Ramanujam R, Hensel D, et al. The need for organizational change in patient safety initiatives. Int J Med Inform. 2006;75(12):809-17.
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psnet.ahrq.gov/issue/adverse-events-associated-procedural-sedation-and-analgesia-pediatric-emergency-department
June 12, 2019 - Study
Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs.
Citation Text:
Roback MG, Wathen JE, Bajaj L, et al. Adverse events associated with procedural sedation and analgesia in a pediatric emer…
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psnet.ahrq.gov/issue/epidemiology-medication-related-adverse-events-nursing-homes
March 28, 2012 - Review
Epidemiology of medication-related adverse events in nursing homes.
Citation Text:
Handler S, Wright RM, Ruby CM, et al. Epidemiology of medication-related adverse events in nursing homes. Am J Geriatr Pharmacother. 2006;4(3):264-72.
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psnet.ahrq.gov/issue/using-simulation-improve-systems
May 29, 2014 - Review
Using simulation to improve systems.
Citation Text:
Lundberg PW, Korndorffer JR. Using Simulation to Improve Systems. Surg Clin North Am. 2015;95(4):885-92. doi:10.1016/j.suc.2015.04.007.
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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/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/strategies-reduce-medication-errors-pediatric-ambulatory-settings
August 04, 2021 - Review
Strategies to reduce medication errors in pediatric ambulatory settings.
Citation Text:
Mehndiratta S. Strategies to reduce medication errors in pediatric ambulatory settings. J Postgrad Med. 2012;58(1):47-53. doi:10.4103/0022-3859.93252.
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psnet.ahrq.gov/issue/benefits-direct-observation-medication-administration-detect-errors
March 09, 2022 - Study
Benefits of direct observation in medication administration to detect errors.
Citation Text:
Diaz-Navarlaz T, Pronovost P, Beortegui E, et al. Benefits of Direct Observation in Medication Administration to Detect Errors. J Patient Saf. 2009;3(4). doi:10.1097/pts.0b013e31815b4cc3.…
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psnet.ahrq.gov/issue/preventing-medication-errors-neonatology-it-dream
April 21, 2021 - Review
Preventing medication errors in neonatology: is it a dream?
Citation Text:
Antonucci R, Porcella A. Preventing medication errors in neonatology: Is it a dream? World J Clin Pediatr. 2014;3(3):37-44. doi:10.5409/wjcp.v3.i3.37.
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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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