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psnet.ahrq.gov/issue/handoffs-and-communication-underappreciated-roles-situational-awareness-and-inattentional
February 01, 2003 - Commentary
Handoffs and communication: the underappreciated roles of situational awareness and inattentional blindness.
Citation Text:
Gosbee JW. Handoffs and communication: the underappreciated roles of situational awareness and inattentional blindness. Clin Obstet Gynecol. 2010;53(3)…
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psnet.ahrq.gov/issue/medication-orders-future-start-dates-how-far-away-too-far
March 15, 2022 - Newspaper/Magazine Article
Medication orders with future start dates: how far away is too far?
Citation Text:
Medication orders with future start dates: how far away is too far? ISMP Medication Safety Alert! Acute care edition. July 14, 2022:27(14):1-4.
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psnet.ahrq.gov/issue/human-cognition-and-dynamics-failure-rescue-lewis-blackman-case
April 24, 2018 - Commentary
Human cognition and the dynamics of failure to rescue: the Lewis Blackman case.
Citation Text:
Acquaviva K, Haskell H, Johnson J. Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. J Prof Nurs. 2013;29(2):95-101. doi:10.1016/j.profnurs.2012.12.009.…
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psnet.ahrq.gov/issue/value-library-and-information-services-patient-care-results-multisite-study
April 24, 2018 - Study
The value of library and information services in patient care: results of a multisite study.
Citation Text:
Marshall JG, Sollenberger J, Easterby-Gannett S, et al. The value of library and information services in patient care: results of a multisite study. J Med Libr Assoc. 2013;1…
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psnet.ahrq.gov/issue/effectiveness-analysis-healthcare-systems-using-systems-theoretic-approach
August 10, 2022 - Study
An effectiveness analysis of healthcare systems using a systems theoretic approach.
Citation Text:
Chuang S, Inder K. An effectiveness analysis of healthcare systems using a systems theoretic approach. BMC Health Serv Res. 2009;9:195. doi:10.1186/1472-6963-9-195.
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psnet.ahrq.gov/issue/towards-safer-better-healthcare-harnessing-natural-properties-complex-sociotechnical-systems
April 08, 2011 - Commentary
Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems.
Citation Text:
Braithwaite J, Runciman WB, Merry AF. Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems. Qual Saf Health …
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psnet.ahrq.gov/issue/improving-medication-safety-icu-pharmacists-role
April 20, 2022 - Commentary
Improving medication safety in the ICU: the pharmacist's role.
Citation Text:
Lee AJ, Chiao TB, Lam JT, et al. Improving Medication Safety in the ICU: The Pharmacist's Role. Hosp Pharm. 2010;42(4):337-344. doi:10.1310/hpj4204-337.
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psnet.ahrq.gov/issue/malpractice-liability-and-health-care-quality-review
April 13, 2011 - Review
Emerging Classic
Malpractice liability and health care quality: a review
Citation Text:
Mello MM, Frakes MD, Blumenkranz E, et al. Malpractice liability and health care quality: A review . JAMA. 2020;323(4):352-366. doi:10.1001/jama.2019.21411.
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psnet.ahrq.gov/issue/influence-causes-and-contexts-medical-errors-emergency-medicine-residents-responses-their
April 11, 2011 - Study
The influence of the causes and contexts of medical errors on emergency medicine residents' responses to their errors: an exploration.
Citation Text:
Hobgood C, Hevia A, Tamayo-Sarver JH, et al. The influence of the causes and contexts of medical errors on emergency medicine resi…
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psnet.ahrq.gov/issue/reducing-warfarin-medication-interactions-interrupted-time-series-evaluation
May 27, 2011 - Study
Reducing warfarin medication interactions: an interrupted time series evaluation.
Citation Text:
Feldstein AC, Smith DH, Perrin N, et al. Reducing warfarin medication interactions: an interrupted time series evaluation. Arch Intern Med. 2006;166(9):1009-15.
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psnet.ahrq.gov/issue/polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable-moment
September 29, 2017 - Commentary
Polypharmacy in the elderly--when good drugs lead to bad outcomes: a teachable moment.
Citation Text:
Carroll C, Hassanin A. Polypharmacy in the Elderly-When Good Drugs Lead to Bad Outcomes: A Teachable Moment. JAMA Intern Med. 2017;177(6):871. doi:10.1001/jamainternmed.2017.0…
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psnet.ahrq.gov/issue/assessing-patient-safety-united-states-challenges-and-opportunities
July 07, 2021 - Review
Assessing patient safety in the United States: challenges and opportunities.
Citation Text:
Zhan C, Kelley E, Yang HP, et al. Assessing patient safety in the United States: challenges and opportunities. Med Care. 2005;43(3 Suppl):I42-I47.
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psnet.ahrq.gov/issue/did-hospital-engagement-networks-actually-improve-care
July 18, 2016 - Commentary
Did hospital engagement networks actually improve care?
Citation Text:
Pronovost P, Jha AK. Did hospital engagement networks actually improve care? N Engl J Med. 2014;371(8):691-693. doi:10.1056/NEJMp1405800.
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psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-maternal-transport-briefing-form-and
September 08, 2021 - Organizational Policy/Guidelines
Society for Maternal-Fetal Medicine Special Statement: a maternal transport briefing form and checklist.
Citation Text:
Gibson KS, McLean D. Society for Maternal-Fetal Medicine Special Statement: A maternal transport briefing form and checklist. Am J Obst…
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psnet.ahrq.gov/issue/electronic-prescribing-reduced-prescribing-errors-pediatric-renal-outpatient-clinic
July 08, 2008 - Study
Electronic prescribing reduced prescribing errors in a pediatric renal outpatient clinic.
Citation Text:
Jani Y, Ghaleb M, Marks SD, et al. Electronic prescribing reduced prescribing errors in a pediatric renal outpatient clinic. J Pediatr. 2008;152(2):214-8. doi:10.1016/j.jpeds.…
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psnet.ahrq.gov/issue/health-information-technologies-hazardous-dark-side
January 24, 2024 - Commentary
Health information technologies: from hazardous to the dark side.
Citation Text:
Saunders C, Rutkowski AF, Pluyter J, et al. Health information technologies: From hazardous to the dark side. J Assoc Inf Sci Technol. 2016;67(7). doi:10.1002/asi.23671.
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psnet.ahrq.gov/issue/no-shortcuts-safer-opioid-prescribing
March 30, 2016 - Commentary
Classic
No shortcuts to safer opioid prescribing.
Citation Text:
Dowell D, Haegerich T, Chou R. No Shortcuts to Safer Opioid Prescribing. N Engl J Med. 2019;380(24):2285-2287. doi:10.1056/NEJMp1904190.
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psnet.ahrq.gov/issue/cpoe-it-dont-come-easy
May 27, 2009 - Newspaper/Magazine Article
CPOE: it don't come easy.
Citation Text:
Anderson HJ. CPOE: it don't come easy. Health Data Manag. 2009;17(1):18-20, 22, 24 passim.
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psnet.ahrq.gov/issue/undertriage-elderly-trauma-patients-state-designated-trauma-centers
December 08, 2021 - Study
Undertriage of elderly trauma patients to state-designated trauma centers.
Citation Text:
Chang DC, Bass RR, Cornwell EE, et al. Undertriage of elderly trauma patients to state-designated trauma centers. Arch Surg. 2008;143(8):776-782. doi:10.1001/archsurg.143.8.776.
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psnet.ahrq.gov/issue/patient-safety-challenges-low-income-and-middle-income-countries
May 23, 2018 - Review
Patient safety challenges in low-income and middle-income countries.
Citation Text:
Steffner KR, McQueen KAK, Gelb AW. Patient safety challenges in low-income and middle-income countries. Curr Opin Anaesthesiol. 2014;27(6):623-9. doi:10.1097/ACO.0000000000000121.
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