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psnet.ahrq.gov/issue/can-aviation-industry-be-useful-teaching-oncology-about-safety
June 13, 2011 - Commentary
Can the aviation industry be useful in teaching oncology about safety?
Citation Text:
Davies JM, Delaney G. Can the Aviation Industry be Useful in Teaching Oncology about Safety? Clin Oncol (R Coll Radiol). 2017;29(10):669-675. doi:10.1016/j.clon.2017.06.007.
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psnet.ahrq.gov/issue/building-culture-safety-ophthalmology
March 14, 2022 - Commentary
Building a culture of safety in ophthalmology.
Citation Text:
Custer PL, Fitzgerald ME, Herman DC, et al. Building a Culture of Safety in Ophthalmology. Ophthalmology. 2016;123(9 Suppl):S40-5. doi:10.1016/j.ophtha.2016.06.019.
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psnet.ahrq.gov/issue/effectiveness-computerized-provider-order-entry-dose-range-checking-prescribing-errors
October 23, 2024 - Study
Effectiveness of computerized provider order entry with dose range checking on prescribing errors.
Citation Text:
Boling B, McKibben M, Hingl J, et al. Effectiveness of Computerized Provider Order Entry with Dose Range Checking on Prescribing Errors. J Patient Saf. 2008;1(4). doi…
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psnet.ahrq.gov/issue/internal-medicine-work-hours-trends-associations-and-implications-future
February 03, 2016 - Study
Internal medicine work hours: trends, associations, and implications for the future.
Citation Text:
Shiotani LM, Parkerton PH, Wenger N, et al. Internal medicine work hours: trends, associations, and implications for the future. Am J Med. 2008;121(1):80-5. doi:10.1016/j.amjmed.20…
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psnet.ahrq.gov/issue/improving-patient-safety-and-uniformity-care-standardized-regimen-use-oxytocin
May 01, 2013 - Commentary
Improving patient safety and uniformity of care by a standardized regimen for the use of oxytocin.
Citation Text:
Hayes EJ, Weinstein L. Improving patient safety and uniformity of care by a standardized regimen for the use of oxytocin. Am J Obstet Gynecol. 2008;198(6):622.e1…
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/scorecard-slides.html
December 01, 2017 - Designing a Scorecard for Sustainability: Slide Presentation
AHRQ Safety Program for Surgery
Slide 1: AHRQ Safety Program for Surgery—Sustainability
Designing a Scorecard for Sustainability
Slide 2: Learning Objectives
After this session, you will be able to–
Assess objectively your unit’s curre…
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psnet.ahrq.gov/issue/effects-rounding-patient-satisfaction-and-patient-safety-medical-surgical-unit
February 22, 2023 - Study
Effects of rounding on patient satisfaction and patient safety on a medical–surgical unit.
Citation Text:
WOODARD JENNIFERL. Effects of Rounding on Patient Satisfaction and Patient Safety on a Medical-Surgical Unit. Clin Nurs Specialist. 2009;23(4):200-206. doi:10.1097/nur.0b013e…
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psnet.ahrq.gov/issue/implementing-root-cause-analysis-area-health-service-views-participants
December 03, 2014 - Study
Implementing root cause analysis in an area health service: views of the participants.
Citation Text:
Middleton S, Walker C, Chester R. Implementing root cause analysis in an area health service: views of the participants. Aust Health Rev. 2005;29(4):422-8.
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psnet.ahrq.gov/issue/health-implications-apologizing-after-adverse-event
October 05, 2015 - Commentary
The health implications of apologizing after an adverse event.
Citation Text:
Allan A, McKillop D. The health implications of apologizing after an adverse event. Int J Qual Health Care. 2010;22(2):126-31. doi:10.1093/intqhc/mzq001.
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psnet.ahrq.gov/issue/towards-new-paradigm-laboratory-medicine-five-rights
November 18, 2016 - Commentary
Towards a new paradigm in laboratory medicine: the five rights.
Citation Text:
Plebani M. Towards a new paradigm in laboratory medicine: the five rights. Clin Chem Lab Med. 2016;54(12):1881-1891. doi:10.1515/cclm-2016-0848.
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psnet.ahrq.gov/issue/assessing-clinical-handover-between-paramedics-and-trauma-team
January 19, 2011 - Study
Assessing clinical handover between paramedics and the trauma team.
Citation Text:
Evans S, Murray A, Patrick I, et al. Assessing clinical handover between paramedics and the trauma team. Injury. 2010;41(5):460-4. doi:10.1016/j.injury.2009.07.065.
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psnet.ahrq.gov/issue/relationship-between-patient-safety-culture-and-patient-outcomes-systematic-review
March 11, 2020 - Review
The relationship between patient safety culture and patient outcomes: a systematic review.
Citation Text:
DiCuccio MH. The Relationship Between Patient Safety Culture and Patient Outcomes: A Systematic Review. J Patient Saf. 2015;11(3):135-42. doi:10.1097/PTS.0000000000000058.
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psnet.ahrq.gov/issue/enhanced-morbidity-and-mortality-meeting-and-patient-safety-education-specialty-trainees
December 31, 2012 - Study
Enhanced morbidity and mortality meeting and patient safety education for specialty trainees.
Citation Text:
Singh HP, Durani P, Dias JJ. Enhanced Morbidity and Mortality Meeting and Patient Safety Education for Specialty Trainees. J Patient Saf. 2019;15(1):37-48. doi:10.1097/PTS.0…
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psnet.ahrq.gov/issue/adverse-drug-event-prevention-and-detection-older-emergency-department-patients
November 16, 2022 - Commentary
Adverse drug event prevention and detection in older emergency department patients.
Citation Text:
Koehl JL. Adverse drug event prevention and detection in older emergency department patients. Clin Geriatr Med. 2023;39(4):635-645. doi:10.1016/j.cger.2023.04.008.
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psnet.ahrq.gov/issue/training-situational-awareness-reduce-surgical-errors-operating-room
November 21, 2012 - Review
Training situational awareness to reduce surgical errors in the operating room.
Citation Text:
Graafland M, Schraagen JMC, Boermeester MA, et al. Training situational awareness to reduce surgical errors in the operating room. Br J Surg. 2015;102(1):16-23. doi:10.1002/bjs.9643.
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psnet.ahrq.gov/issue/trend-analysis-radiation-therapy-incidents-over-seven-years
December 20, 2023 - Study
Trend analysis of radiation therapy incidents over seven years.
Citation Text:
Bissonnette J-P, Medlam G. Trend analysis of radiation therapy incidents over seven years. Radiother Oncol. 2010;96(1):139-44. doi:10.1016/j.radonc.2010.05.002.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-153-section-7c-appendix-9.pdf
June 30, 2009 - Section 7.C, Appendix 9, Socioeconomic Status Table
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psnet.ahrq.gov/issue/surgical-procedure-grid-safety-and-operating-room-communication-multisite-surgery
June 17, 2014 - Commentary
A surgical procedure grid for safety and operating room communication in multisite surgery.
Citation Text:
Insalaco LF, Spiegel JH. A Surgical Procedure Grid for Safety and Operating Room Communication in Multisite Surgery. JAMA Facial Plast Surg. 2018;20(3):185-186. doi:10.10…
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psnet.ahrq.gov/issue/how-can-principles-complexity-science-be-applied-improve-coordination-care-complex-pediatric
October 19, 2022 - Commentary
How can the principles of complexity science be applied to improve the coordination of care for complex pediatric patients?
Citation Text:
Matlow AG, Wright JG, Zimmerman B, et al. How can the principles of complexity science be applied to improve the coordination of care fo…
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psnet.ahrq.gov/issue/inside-closed-loop-medication-strategy-medication-management-targets-stages-which-errors
January 30, 2013 - Study
Inside a closed-loop medication strategy: medication management targets stages in which errors occur, step by step.
Citation Text:
Williams CT. Inside a closed-loop medication strategy. Nurs Manag. 2004;35 Suppl 5:8-9, 24.
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