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psnet.ahrq.gov/issue/design-retrospective-patient-record-study-occurrence-adverse-events-among-patients-dutch
December 29, 2014 - Study
Design of a retrospective patient record study on the occurrence of adverse events among patients in Dutch hospitals.
Citation Text:
Zegers M, de Bruijne M, Wagner C, et al. Design of a retrospective patient record study on the occurrence of adverse events among patients in Dutch…
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psnet.ahrq.gov/issue/medication-orders-are-written-clearly-and-transcribed-accurately-implementing-medication
May 27, 2011 - Commentary
Medication orders are written clearly and transcribed accurately – implementing Medication Management Standard 3.20 and National Patient Safety Goal 2b.
Citation Text:
Laselle TJ, May SK. Medication Orders are Written Clearly and Transcribed Accurately – Implementing Medicatio…
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psnet.ahrq.gov/issue/implementing-standardized-reporting-and-safety-checklists
September 29, 2017 - Study
Implementing standardized reporting and safety checklists.
Citation Text:
Stevens JD, Bader MK, Luna MA, et al. Cultivating quality: implementing standardized reporting and safety checklists. Am J Nurs. 2011;111(5):48-53. doi:10.1097/01.naj.0000398051.07923.69.
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psnet.ahrq.gov/issue/role-failure-mode-and-effects-analysis-health-care
December 22, 2021 - Newspaper/Magazine Article
The role of failure mode and effects analysis in health care.
Citation Text:
Fibuch E, Ahmed A. The role of failure mode and effects analysis in health care. Physician Exec. 2014;40(4):28-32.
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psnet.ahrq.gov/issue/structural-racism-and-adverse-maternal-health-outcomes-systematic-review
February 15, 2023 - Review
Structural racism and adverse maternal health outcomes: a systematic review.
Citation Text:
Hailu EM, Maddali SR, Snowden JM, et al. Structural racism and adverse maternal health outcomes: a systematic review. Health Place. 2022;78:102923. doi:10.1016/j.healthplace.2022.102923.
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psnet.ahrq.gov/issue/emergency-department-visits-antibiotic-associated-adverse-events
October 31, 2014 - Study
Emergency department visits for antibiotic-associated adverse events.
Citation Text:
Shehab N, Patel PR, Srinivasan A, et al. Emergency department visits for antibiotic-associated adverse events. Clin Infect Dis. 2008;47(6):735-43. doi:10.1086/591126.
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psnet.ahrq.gov/issue/safe-implementation-standard-concentration-infusions-paediatric-intensive-care
June 17, 2014 - Study
Safe implementation of standard concentration infusions in paediatric intensive care.
Citation Text:
Arenas-López S, Stanley IM, Tunstell P, et al. Safe implementation of standard concentration infusions in paediatric intensive care. Journal of Pharmacy and Pharmacology. 2016;69(5)…
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psnet.ahrq.gov/issue/equipped-overcoming-barriers-change-improve-quality-care-theories-change
May 23, 2018 - Commentary
Equipped: overcoming barriers to change to improve quality of care (theories of change).
Citation Text:
Lachman P, Runnacles J, Dudley J, et al. Equipped: overcoming barriers to change to improve quality of care (theories of change). Arch Dis Child Educ Pract Ed. 2015;100(1):1…
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psnet.ahrq.gov/issue/speaking-patient-safety-and-staff-well-being-qualitative-study
November 16, 2016 - Study
'Speaking Up' for patient safety and staff well-being: a qualitative study.
Citation Text:
Delpino R, Lees-Deutsch L, Solanki B. ‘Speaking Up’ for patient safety and staff well-being: a qualitative study. BMJ Open Qual. 2023;12(2):e002047. doi:10.1136/bmjoq-2022-002047.
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psnet.ahrq.gov/issue/impact-pharmacist-led-discharge-medication-reconciliation-error-and-patient-harm-prevention
March 27, 2019 - Study
Impact of pharmacist-led discharge medication reconciliation on error and patient harm prevention at a large academic medical center.
Citation Text:
Zheng L, Pon T, Bajorek SA, et al. Impact of pharmacist‐led discharge medication reconciliation on error and patient harm prevention …
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psnet.ahrq.gov/issue/guideline-opioid-therapy-and-chronic-noncancer-pain
June 17, 2014 - Review
Guideline for opioid therapy and chronic noncancer pain.
Citation Text:
Busse JW, Craigie S, Juurlink DN, et al. Guideline for opioid therapy and chronic noncancer pain. CMAJ. 2017;189(18):E659-E666. doi:10.1503/cmaj.170363.
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psnet.ahrq.gov/issue/addressing-nursing-shortages-and-patient-safety-using-maslows-hierarchy-needs
April 26, 2023 - Commentary
Addressing nursing shortages and patient safety using Maslow's hierarchy of needs.
Citation Text:
Giuffrida P, Davila S. Addressing nursing shortages and patient safety using Maslow's hierarchy of needs. Nursing. 2024;54(1):35-40. doi:10.1097/01.nurse.0000995608.56374.f5.
Co…
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psnet.ahrq.gov/issue/organizational-factors-promote-error-reporting-healthcare-scoping-review
June 01, 2022 - Review
Organizational factors that promote error reporting in healthcare: a scoping review.
Citation Text:
Wawersik D, Palaganas J. Organizational factors that promote error reporting in healthcare: a scoping review. J Healthc Manag. 2022;67(4):283-301. doi:10.1097/jhm-d-21-00166.
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psnet.ahrq.gov/issue/identifying-resilience-system-safety-review-trauma-and-orthopaedic-theatres
October 19, 2011 - Commentary
Identifying resilience: a system safety review of trauma and orthopaedic theatres.
Citation Text:
Wills VE. Identifying resilience: a system safety review of trauma and orthopaedic theatres. Ergonomics. 2024;Epub Aug 9. doi:10.1080/00140139.2024.2343930.
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psnet.ahrq.gov/issue/improving-team-members-attention-during-or-briefing-or-time-out
November 10, 2021 - Study
Improving team members' attention during the OR briefing or time out.
Citation Text:
Braverman A. Improving team members' attention during the OR briefing or time out. AORN Journal. 2024;119(6):421-427. doi:10.1002/aorn.14144.
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psnet.ahrq.gov/issue/hardwiring-patient-blood-management-harnessing-information-technology-optimize-transfusion
September 20, 2012 - Review
Hardwiring patient blood management: harnessing information technology to optimize transfusion practice.
Citation Text:
Dunbar NM, Szczepiorkowski ZM. Hardwiring patient blood management: harnessing information technology to optimize transfusion practice. Curr Opin Hematol. 2014;2…
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psnet.ahrq.gov/issue/description-and-factors-associated-missed-nursing-care-acute-care-community-hospital
August 15, 2012 - Study
Emerging Classic
Description and factors associated with missed nursing care in an acute care community hospital.
Citation Text:
Duffy JR, Culp S, Padrutt T. Description and factors associated with missed nursing care in an acute care community hospital. J…
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psnet.ahrq.gov/issue/limits-safety-organizations-accidents-and-nuclear-weapons
July 28, 2013 - Book/Report
Classic
The Limits of Safety: Organizations, Accidents and Nuclear Weapons.
Citation Text:
The Limits of Safety: Organizations, Accidents and Nuclear Weapons. Sagan SD. Princeton NJ: Princeton University Press; 1993. ISBN: 9780691032214.
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psnet.ahrq.gov/issue/patient-misidentification-laboratory-medicine-qualitative-analysis-227-root-cause-analysis
August 28, 2024 - Study
Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis reports in the Veterans Health Administration.
Citation Text:
Dunn EJ, Moga PJ. Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis …
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psnet.ahrq.gov/issue/positive-predictive-value-ahrq-accidental-puncture-or-laceration-patient-safety-indicator
April 03, 2017 - Slideset
Positive predictive value of the AHRQ accidental puncture or laceration patient safety indicator.
Citation Text:
Utter GH, Zrelak PA, Baron R, et al. Positive predictive value of the AHRQ accidental puncture or laceration patient safety indicator. Ann Surg. 2009;250(6):1041-5.…