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psnet.ahrq.gov/issue/bar-code-technology-medication-administration-medication-errors-and-nurse-satisfaction
July 29, 2020 - Study
Bar-code technology for medication administration: medication errors and nurse satisfaction.
Citation Text:
Fowler SB, Sohler P, Zarillo DF. Bar-code technology for medication administration: medication errors and nurse satisfaction. Medsurg Nurs. 2009;18(2):103-9.
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psnet.ahrq.gov/issue/handling-injectable-medications-anaesthesia-guidelines-association-anaesthetists
March 14, 2022 - Organizational Policy/Guidelines
Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists.
Citation Text:
Kinsella SM, Boaden B, El‐Ghazali S, et al. Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists. …
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psnet.ahrq.gov/issue/nature-human-error-implications-surgical-practice
March 24, 2021 - Review
Nature of human error: implications for surgical practice.
Citation Text:
Cuschieri A. Nature of human error: implications for surgical practice. Ann Surg. 2006;244(5):642-8.
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psnet.ahrq.gov/issue/spreading-human-factors-expertise-healthcare-untangling-knots-people-and-systems
May 01, 2024 - Commentary
Spreading human factors expertise in healthcare: untangling the knots in people and systems.
Citation Text:
Catchpole K. Spreading human factors expertise in healthcare: untangling the knots in people and systems. BMJ Qual Saf. 2013;22(10):793-7. doi:10.1136/bmjqs-2013-002036…
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psnet.ahrq.gov/issue/va-health-care-selected-credentialing-requirements-seven-medical-facilities-met-aspect
July 05, 2006 - Government Resource
VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileging Process Needs Improvement.
Citation Text:
VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileg…
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psnet.ahrq.gov/issue/annotated-bibliography-understanding-ambulatory-care-practices-context-patient-safety-and
March 02, 2010 - Commentary
Annotated bibliography: an update to: "Understanding ambulatory care practices in the context of patient safety and quality improvement."
Citation Text:
Kumar PR, Nash DB. Annotated Bibliography: An Update to “Understanding Ambulatory Care Practices in the Context of Patient S…
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psnet.ahrq.gov/issue/national-emergency-department-safety-study-study-rationale-and-design
June 16, 2009 - Commentary
The National Emergency Department Safety Study: study rationale and design.
Citation Text:
Sullivan AF, Camargo CA, Cleary PD, et al. The National Emergency Department Safety Study: Study Rationale and Design. Acad Emerg Med. 2007;14(12):1182-1189. doi:10.1197/j.aem.2007.07.…
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psnet.ahrq.gov/issue/patient-handoffs-cross-cover-or-night-shift-better
December 07, 2009 - Study
Patient handoffs: is cross cover or night shift better?
Citation Text:
Higgins A, Brannen ML, Heiman HL, et al. Patient Handoffs: Is Cross Cover or Night Shift Better? J Patient Saf. 2017;13(2):88-92. doi:10.1097/PTS.0000000000000126.
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psnet.ahrq.gov/issue/quality-minute-new-brief-and-structured-technique-quality-improvement-education-during
January 09, 2019 - Commentary
The "Quality Minute"—a new, brief, and structured technique for quality improvement education during the morbidity and mortality conference.
Citation Text:
Hoffman RL, Morris JB, Kelz RR. The “Quality Minute”—A New, Brief, and Structured Technique for Quality Improvement Educa…
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psnet.ahrq.gov/issue/errors-and-adverse-events-otolaryngology
October 27, 2010 - Review
Errors and adverse events in otolaryngology.
Citation Text:
Shah RK, Roberson DW, Healy GB. Errors and adverse events in otolaryngology. Curr Opin Otolaryngol Head Neck Surg. 2006;14(3):164-9.
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psnet.ahrq.gov/issue/artificial-intelligence-systems-complex-decision-making-acute-care-medicine-review
March 16, 2011 - Review
Emerging Classic
Artificial intelligence systems for complex decision-making in acute care medicine: a review.
Citation Text:
Lynn LA. Artificial intelligence systems for complex decision-making in acute care medicine: a review. Patient Saf Surg. 2019;13:…
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psnet.ahrq.gov/issue/stories-sharp-end-case-studies-safety-improvement
October 07, 2008 - Study
Stories from the sharp end: case studies in safety improvement.
Citation Text:
Stories from the sharp end: case studies in safety improvement. McCarthy D; Blumenthal D. Milbank Q. 2006;84(1):165-200
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psnet.ahrq.gov/issue/system-errors-intrapartum-electronic-fetal-monitoring-case-review
May 16, 2012 - Commentary
System errors in intrapartum electronic fetal monitoring: a case review.
Citation Text:
Miller L. System errors in intrapartum electronic fetal monitoring: a case review. J Midwifery Womens Health. 2005;50(6):507-16.
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psnet.ahrq.gov/issue/adverse-drug-events-incidence-and-risk-reduction-across-care-continuum
April 12, 2019 - Image/Poster
ADVERSE drug events: incidence and risk reduction across the care continuum.
Citation Text:
Wanderer JP, Rathmell JP. ADVERSE Drug Events: Incidence & risk reduction across the care continuum. Anesthesiology. 2016;124(1):A23. doi:10.1097/01.anes.0000473722.20007.03.
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psnet.ahrq.gov/issue/why-isnt-time-out-being-implemented-exploratory-study
May 04, 2010 - Study
Why isn't 'time out' being implemented? An exploratory study.
Citation Text:
Gillespie BM, Chaboyer W, Wallis M, et al. Why isn't 'time out' being implemented? An exploratory study. Qual Saf Health Care. 2010;19(2):103-6. doi:10.1136/qshc.2008.030593.
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psnet.ahrq.gov/issue/meta-analysis-surgical-safety-checklist-effects-teamwork-communication-morbidity-mortality
April 12, 2017 - Review
Meta-analysis of surgical safety checklist effects on teamwork, communication, morbidity, mortality, and safety.
Citation Text:
Lyons VE, Popejoy LL. Meta-analysis of surgical safety checklist effects on teamwork, communication, morbidity, mortality, and safety. West J Nurs Res.…
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psnet.ahrq.gov/issue/frequency-medication-error-pediatric-anesthesia-systematic-review-and-meta-analytic-estimate
December 11, 2024 - Review
Frequency of medication error in pediatric anesthesia: a systematic review and meta-analytic estimate.
Citation Text:
Feinstein MM, Pannunzio AE, Castro P. Frequency of medication error in pediatric anesthesia: A systematic review and meta-analytic estimate. Paediatr Anaesth. 2018…
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psnet.ahrq.gov/issue/guided-prescription-psychotropic-medications-geriatric-inpatients
February 04, 2018 - Study
Guided prescription of psychotropic medications for geriatric inpatients.
Citation Text:
Peterson JF, Kuperman GJ, Shek C, et al. Guided prescription of psychotropic medications for geriatric inpatients. Arch Intern Med. 2005;165(7):802-7.
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psnet.ahrq.gov/issue/jcaho-patient-safety-event-taxonomy-standardized-terminology-and-classification-schema-near
June 04, 2014 - Commentary
Classic
The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events.
Citation Text:
Chang A, Schyve PM, Croteau RJ, et al. The JCAHO patient safety event taxonomy: a standardized t…
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psnet.ahrq.gov/issue/adverse-events-hospitals-patients-point-view
December 29, 2014 - Review
Adverse events in hospitals: the patient's point of view.
Citation Text:
Guijarro M, Andrés JMA, Mira JJ, et al. Adverse events in hospitals: the patient's point of view. Qual Saf Health Care. 2010;19(2):144-7. doi:10.1136/qshc.2007.025585.
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