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psnet.ahrq.gov/issue/office-based-anesthesia-safety-and-outcomes
February 18, 2019 - Review
Office-based anesthesia: safety and outcomes.
Citation Text:
Shapiro FE, Punwani N, Rosenberg NM, et al. Office-Based Anesthesia. Anesth Analg. 2014;119(2):276-285. doi:10.1213/ane.0000000000000313.
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psnet.ahrq.gov/issue/concept-analysis-wrong-site-surgery
June 11, 2014 - Review
Concept analysis: wrong-site surgery.
Citation Text:
Watson DS. Concept analysis: wrong-site surgery. AORN J. 2015;101(6):650-6. doi:10.1016/j.aorn.2015.03.012.
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psnet.ahrq.gov/issue/time-out-professional-and-organizational-ethics-speaking-or
November 08, 2017 - Commentary
Time-out: the professional and organizational ethics of speaking up in the OR.
Citation Text:
Berlinger N, Dietz E. Time-out: The Professional and Organizational Ethics of Speaking Up in the OR. AMA J Ethics. 2016;18(9):925-32. doi:10.1001/journalofethics.2016.18.9.stas1-1609.…
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psnet.ahrq.gov/issue/health-information-technology-and-its-effects-hospital-costs-outcomes-and-patient-safety
January 29, 2018 - Study
Health information technology and its effects on hospital costs, outcomes, and patient safety.
Citation Text:
Encinosa W, Bae J. Health information technology and its effects on hospital costs, outcomes, and patient safety. Inquiry. 2011;48(4):288-303.
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psnet.ahrq.gov/issue/cost-hospital-wide-activities-improve-patient-safety-and-infection-control-multi-centre-study
January 15, 2009 - Study
Cost of hospital-wide activities to improve patient safety and infection control: a multi-centre study in Japan.
Citation Text:
Fukuda H, Imanaka Y, Hayashida K. Cost of hospital-wide activities to improve patient safety and infection control: a multi-centre study in Japan. Healt…
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psnet.ahrq.gov/issue/impact-standard-medication-chart-prescribing-errors-and-after-audit
May 02, 2012 - Study
Impact of a standard medication chart on prescribing errors: a before-and-after audit.
Citation Text:
Coombes ID, Stowasser DA, Reid C, et al. Impact of a standard medication chart on prescribing errors: a before-and-after audit. Qual Saf Health Care. 2009;18(6):478-85. doi:10.11…
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psnet.ahrq.gov/issue/2007-guide-state-adverse-event-reporting-systems
November 29, 2009 - Book/Report
2007 Guide to State Adverse Event Reporting Systems.
Citation Text:
2007 Guide to State Adverse Event Reporting Systems. Rosenthal J, Takach M. Portland, ME: National Academy for State Health Policy; December 2007. Publication No. 2007-301.
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psnet.ahrq.gov/issue/organization-and-representation-patient-safety-data-current-status-and-issues-around
January 21, 2011 - Commentary
Organization and representation of patient safety data: current status and issues around generalizability and scalability.
Citation Text:
Boxwala AA, Dierks M, Keenan M, et al. Organization and representation of patient safety data: current status and issues around generalizab…
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psnet.ahrq.gov/issue/addressing-nursing-work-environment-promote-patient-safety
September 27, 2017 - Commentary
Addressing the nursing work environment to promote patient safety.
Citation Text:
Lin L, Liang BA. Addressing the nursing work environment to promote patient safety. Nurs Forum. 2007;42(1):20-30.
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psnet.ahrq.gov/issue/physicians-personal-experiences-cancer-neck-patient-errors-my-care
August 25, 2021 - Commentary
A physician's personal experiences as a cancer of the neck patient: errors in my care.
Citation Text:
Brook I. A Physician’s Personal Experiences as a Cancer of the Neck Patient: Errors in My Care. Am J Med Qual. 2011;26(1):73-74. doi:10.1177/1062860610381917.
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psnet.ahrq.gov/issue/do-you-hear-what-i-hear-communication-practices-about-medications-between-physicians-and
August 02, 2016 - Study
Do you hear what I hear? Communication practices about medications between physicians and clients with chronic illness in Canada.
Citation Text:
Do you hear what I hear? Communication practices about medications between physicians and clients with chronic illness in Canada. Sears…
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psnet.ahrq.gov/issue/patient-misidentification-oncology-care
March 22, 2006 - Commentary
Patient misidentification in oncology care.
Citation Text:
Patient misidentification in oncology care. Schulmeister L. Clin J Oncol Nurs. 2008;12:495-498.
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psnet.ahrq.gov/issue/non-luer-connectors-are-we-nearly-there-yet
March 01, 2023 - Commentary
Non-Luer connectors: are we nearly there yet?
Citation Text:
Cook TM. Non-Luer connectors: are we nearly there yet? Anaesthesia. 2012;67(7):784-792. doi:10.1111/j.1365-2044.2012.07154.x.
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psnet.ahrq.gov/issue/fallacious-reasoning-and-complexity-root-causes-clinical-inertia
June 17, 2020 - Commentary
Fallacious reasoning and complexity as root causes of clinical inertia.
Citation Text:
Miles RW. Fallacious reasoning and complexity as root causes of clinical inertia. J Am Med Dir Assoc. 2007;8(6):349-54.
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psnet.ahrq.gov/issue/computerized-provider-order-entry-and-prescribing-and-evidence-safe-practice-update-clinical
November 03, 2015 - Review
Computerized provider order entry and prescribing and the evidence for safe practice: update for the clinical nurse specialist.
Citation Text:
O'Malley P. Computerized provider order entry and prescribing and the evidence for safe practice: update for the clinical nurse speciali…
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psnet.ahrq.gov/issue/get-clue-it-can-be-all-too-easy-make-assessment-errors-field-heres-some-tips-prevent-you
May 01, 2024 - Newspaper/Magazine Article
Get a clue: it can be all too easy to make assessment errors in the field; here's some tips to prevent you from making mistakes.
Citation Text:
Rubin M. Get a clue: It can be all too easy to make assessment errors in the field; here's some tips to prevent you …
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psnet.ahrq.gov/issue/62-year-old-woman-skin-cancer-who-experienced-wrong-site-surgery
December 01, 2021 - Commentary
Classic
A 62-year-old woman with skin cancer who experienced wrong-site surgery.
Citation Text:
Gallagher TH. A 62-year-old woman with skin cancer who experienced wrong-site surgery: review of medical error. JAMA. 2009;302(6):669-77. doi:10.1001/jam…
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psnet.ahrq.gov/issue/11-medicine-mistakes-avoid
March 20, 2024 - Newspaper/Magazine Article
11 medicine mistakes to avoid.
Citation Text:
Crouch M. 11 medicine mistakes to avoid. AARP. August 06, 2024;
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psnet.ahrq.gov/issue/poor-physician-patient-communication-and-medical-error
August 23, 2023 - Commentary
Poor physician-patient communication and medical error.
Citation Text:
Poor physician-patient communication and medical error. Lazris A, Roth AR, Haskell H, et al. Am Fam Physician. 2021;103(12):757-759.
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psnet.ahrq.gov/issue/how-avoid-paediatric-medication-errors-users-guide-literature
May 26, 2011 - Review
How to avoid paediatric medication errors: a user's guide to the literature.
Citation Text:
Walsh KE, Kaushal R, Chessare JB. How to avoid paediatric medication errors: a user's guide to the literature. Arch Dis Child. 2005;90(7):698-702.
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