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psnet.ahrq.gov/issue/how-series-errors-led-recurrent-hypoglycemia
April 23, 2014 - Commentary
How a series of errors led to recurrent hypoglycemia.
Citation Text:
Singh R. How a series of errors led to recurrent hypoglycemia. J Fam Pract. 2006;55(6):489-97.
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psnet.ahrq.gov/issue/workplace-bullying-or-results-descriptive-study
December 21, 2017 - Study
Workplace bullying in the OR: results of a descriptive study.
Citation Text:
Chipps E, Stelmaschuk S, Albert NM, et al. Workplace Bullying in the OR: Results of a Descriptive Study. AORN J. 2013;98(5). doi:10.1016/j.aorn.2013.08.015.
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psnet.ahrq.gov/issue/speaking-reduce-noise-or
July 26, 2023 - Commentary
Speaking up to reduce noise in the OR.
Citation Text:
Ford DA. Speaking Up to Reduce Noise in the OR. AORN J. 2015;102(1):85-9. doi:10.1016/j.aorn.2015.04.019.
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psnet.ahrq.gov/issue/dissemination-and-implementation-equity-focused-evidence-based-interventions-healthcare
April 20, 2022 - Grant Announcement
Dissemination and Implementation of Equity-Focused Evidence-Based Interventions in Healthcare Delivery Systems (R18).
Citation Text:
Dissemination and Implementation of Equity-Focused Evidence-Based Interventions in Healthcare Delivery Systems (R18). Rockville, MD: Age…
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psnet.ahrq.gov/issue/covid-19-exposes-potential-gaps-ppe-training-effectiveness
May 26, 2021 - Newspaper/Magazine Article
COVID-19 exposes potential gaps in PPE training, effectiveness.
Citation Text:
COVID-19 exposes potential gaps in PPE training, effectiveness. Ault A. Medscape Medical News. April 6, 2020.
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psnet.ahrq.gov/issue/role-apology-laws-medical-malpractice
July 29, 2020 - Commentary
The role of apology laws in medical malpractice.
Citation Text:
The role of apology laws in medical malpractice. Ross NE, Newman WJ. J Am Acad Psychiatry Law. 2021;49(3):406-414.
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psnet.ahrq.gov/issue/tension-between-promoting-mobility-and-preventing-falls-hospital
April 24, 2018 - Commentary
The tension between promoting mobility and preventing falls in the hospital.
Citation Text:
Growdon ME, Shorr RI, Inouye SK. The Tension Between Promoting Mobility and Preventing Falls in the Hospital. JAMA Intern Med. 2017;177(6):759-760. doi:10.1001/jamainternmed.2017.0840. …
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psnet.ahrq.gov/issue/josies-story-patient-safety-curriculum
July 24, 2019 - Toolkit
Josie's Story: A Patient Safety Curriculum.
Citation Text:
Josie's Story: A Patient Safety Curriculum. Kaprielian VS, Sullivan DT, eds. Chapel Hill, NC: Josie King Foundation; Duke University School of Medicine; 2013.
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psnet.ahrq.gov/issue/implementing-aorn-recommended-practices-prevention-retained-surgical-items
January 05, 2017 - Commentary
Implementing AORN recommended practices for prevention of retained surgical items.
Citation Text:
Goldberg JL, Feldman DL. Implementing AORN recommended practices for prevention of retained surgical items. AORN J. 2012;95(2):205-16; quiz 217-9. doi:10.1016/j.aorn.2011.11.010…
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psnet.ahrq.gov/issue/medication-allergy-and-adverse-drug-event-discrepancies-ambulatory-care
July 13, 2022 - Study
Medication, allergy, and adverse drug event discrepancies in ambulatory care.
Citation Text:
Stephens M, Fox B, Kukulka G, et al. Medication, allergy, and adverse drug event discrepancies in ambulatory care. Fam Med. 2008;40(2):107-10.
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psnet.ahrq.gov/issue/getting-surgery-right
February 15, 2011 - Study
Getting surgery right.
Citation Text:
Clarke JR, Johnston J, Finley ED. Getting surgery right. Ann Surg. 2007;246(3):395-403, discussion 403-5.
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psnet.ahrq.gov/issue/failure-mode-and-effect-analysis-technique-prevent-chemotherapy-errors
May 30, 2008 - Commentary
Failure mode and effect analysis: a technique to prevent chemotherapy errors.
Citation Text:
Sheridan-Leos N, Schulmeister L, Hartranft S. Failure mode and effect analysis: a technique to prevent chemotherapy errors. Clin J Oncol Nurs. 2006;10(3):393-8.
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psnet.ahrq.gov/issue/medication-administration-errors-understanding-issues
December 15, 2011 - Review
Medication administration errors: understanding the issues.
Citation Text:
McBride-Henry K, Foureur M. Medication administration errors: understanding the issues. Aust J Adv Nurs. 2006;23(3):33-41.
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psnet.ahrq.gov/issue/office-based-surgery-and-patient-outcomes
October 06, 2021 - Review
Office-based surgery and patient outcomes.
Citation Text:
Young S, Shapiro FE, Urman RD. Office-based surgery and patient outcomes. Curr Opin Anaesthesiol. 2018;31(6):707-712. doi:10.1097/ACO.0000000000000655.
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psnet.ahrq.gov/issue/how-avoid-seven-deadly-sins-surgery
June 17, 2014 - Commentary
How to avoid the 'seven deadly sins of surgery.'
Citation Text:
Kirby R, Challacombe B, Dasgupta P, et al. How to avoid the 'seven deadly sins of surgery'. BJU Int. 2012;109(2):171-3. doi:10.1111/j.1464-410X.2011.10802.x.
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psnet.ahrq.gov/issue/assessing-medication-safety-settings-not-designated-solely-pediatric-patients
February 01, 2023 - Newspaper/Magazine Article
Assessing medication safety in settings not designated solely for pediatric patients.
Citation Text:
Assessing medication safety in settings not designated solely for pediatric patients. ISMP Medication Safety Alert! Acute care edition. June 15, 2023;28(12);1-5…
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psnet.ahrq.gov/issue/culture-work-aviation-and-medicine-national-organizational-and-professional-influences
November 03, 2021 - Book/Report
Classic
Culture at Work in Aviation and Medicine: National, Organizational, and Professional Influences.
Citation Text:
Culture at Work in Aviation and Medicine: National, Organizational, and Professional Influences. Helmreich RL, Merritt AC. Brookfi…
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psnet.ahrq.gov/issue/surveillance-strategy-improving-patient-safety-acute-and-critical-care-units
September 27, 2016 - Commentary
Surveillance: a strategy for improving patient safety in acute and critical care units.
Citation Text:
Henneman EA, Gawlinski A, Giuliano KK. Surveillance: A strategy for improving patient safety in acute and critical care units. Crit Care Nurse. 2012;32(2):e9-18. doi:10.403…
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psnet.ahrq.gov/issue/certified-pharmacy-technicians-views-their-medication-preparation-errors-and-educational
June 03, 2015 - Study
Certified pharmacy technicians' views on their medication preparation errors and educational needs.
Citation Text:
Desselle SP. Certified pharmacy technicians' views on their medication preparation errors and educational needs. Am J Health Syst Pharm. 2005;62(19):1992-7.
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psnet.ahrq.gov/issue/communication-patterns-uk-emergency-department
June 17, 2010 - Study
Communication patterns in a UK emergency department.
Citation Text:
Woloshynowych M, Davis R, Brown R, et al. Communication patterns in a UK emergency department. Ann Emerg Med. 2007;50(4):407-13.
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