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psnet.ahrq.gov/issue/tenfold-therapeutic-dosing-errors-young-children-reported-us-poison-control-centers
July 10, 2024 - Study
Tenfold therapeutic dosing errors in young children reported to US poison control centers.
Citation Text:
Crouch BI, Caravati M, Moltz E. Tenfold therapeutic dosing errors in young children reported to U.S. poison control centers. Am J Health Syst Pharm. 2009;66(14):1292-6. doi:10…
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psnet.ahrq.gov/issue/meta-analyses-effects-standardized-handoff-protocols-patient-provider-and-organizational
June 01, 2022 - Review
Meta-analyses of the effects of standardized handoff protocols on patient, provider, and organizational outcomes.
Citation Text:
Keebler JR, Lazzara EH, Patzer BS, et al. Meta-Analyses of the Effects of Standardized Handoff Protocols on Patient, Provider, and Organizational Outcom…
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psnet.ahrq.gov/issue/organizational-perspectives-nurse-executives-15-hospitals-impact-and-effectiveness-rapid
August 03, 2022 - Study
Organizational perspectives of nurse executives in 15 hospitals on the impact and effectiveness of rapid response teams.
Citation Text:
Smith PL, McSweeney J. Organizational Perspectives of Nurse Executives in 15 Hospitals on the Impact and Effectiveness of Rapid Response Teams. Jt…
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psnet.ahrq.gov/issue/hassle-dispensary-pilot-study-proactive-risk-monitoring-tool-organisational-learning-based
January 21, 2015 - Study
Hassle in the dispensary: pilot study of a proactive risk monitoring tool for organisational learning based on narratives and staff perceptions.
Citation Text:
Sujan M-A, Ingram C, McConkey T, et al. Hassle in the dispensary: pilot study of a proactive risk monitoring tool for or…
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psnet.ahrq.gov/issue/systematic-assessment-culture-review-tool-assess-errors-clinical-microbiology-laboratory
November 16, 2022 - Study
Systematic assessment of culture review as a tool to assess errors in the clinical microbiology laboratory.
Citation Text:
Goodyear N, Ulness BK, Prentice JL, et al. Systematic assessment of culture review as a tool to assess errors in the clinical microbiology laboratory. Arch P…
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psnet.ahrq.gov/issue/does-concept-safety-culture-help-or-hinder-systems-thinking-safety
October 12, 2011 - Commentary
Does the concept of safety culture help or hinder systems thinking in safety?
Citation Text:
Reiman T, Rollenhagen C. Does the concept of safety culture help or hinder systems thinking in safety? Accid Anal Prev. 2014;68(July):5-15. doi:10.1016/j.aap.2013.10.033.
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psnet.ahrq.gov/issue/assessing-clinical-reasoning-targeting-higher-levels-pyramid
June 15, 2022 - Commentary
Assessing clinical reasoning: targeting the higher levels of the pyramid.
Citation Text:
Thampy H, Willert E, Ramani S. Assessing Clinical Reasoning: Targeting the Higher Levels of the Pyramid. J Gen Intern Med. 2019;34(8):1631-1636. doi:10.1007/s11606-019-04953-4.
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psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-elderly-veterans-are-we-using-wrong-drug-wrong-dose-or
August 15, 2012 - Study
Potentially inappropriate prescribing in elderly veterans: are we using the wrong drug, wrong dose, or wrong duration?
Citation Text:
Pugh MJV, Fincke BG, Bierman AS, et al. Potentially Inappropriate Prescribing in Elderly Veterans: Are We Using the Wrong Drug, Wrong Dose, or Wro…
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psnet.ahrq.gov/issue/impact-restraint-management-bundle-restraint-use-intensive-care-unit
October 18, 2023 - Commentary
Impact of a restraint management bundle on restraint use in an intensive care unit.
Citation Text:
Hall DK, Zimbro KS, Maduro RS, et al. Impact of a Restraint Management Bundle on Restraint Use in an Intensive Care Unit. J Nurs Care Qual. 2018;33(2):143-148. doi:10.1097/NCQ.00…
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psnet.ahrq.gov/issue/two-cultures-modern-science-and-technology-safety-and-validity-does-medicine-have-update
January 12, 2022 - Commentary
Two cultures in modern science and technology: for safety and validity does medicine have to update?
Citation Text:
Becker RE. Two cultures in modern science and technology: for safety and validity does medicine have to update? J Patient Saf. 2020;16(1):e46-e50. doi:10.1097/pt…
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psnet.ahrq.gov/issue/latent-risk-assessment-tool-health-care-leaders
September 05, 2018 - Commentary
Latent risk assessment tool for health care leaders.
Citation Text:
Paine LA, Holzmueller CG, Elliott R, et al. Latent risk assessment tool for health care leaders. J Healthc Risk Manag. 2018;38(2):36-46. doi:10.1002/jhrm.21316.
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psnet.ahrq.gov/issue/rural-community-members-perceptions-harm-medical-mistakes-high-plains-research-network-hprn
February 03, 2011 - Study
Rural community members' perceptions of harm from medical mistakes: a High Plains Research Network (HPRN) study.
Citation Text:
Van Vorst RF, Araya-Guerra R, Felzien M, et al. Rural community members' perceptions of harm from medical mistakes: a High Plains Research Network (HPRN…
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psnet.ahrq.gov/issue/spectrum-harm-associated-modern-medicine
July 26, 2023 - Commentary
The spectrum of harm associated with modern medicine.
Citation Text:
Schattner A. The spectrum of harm associated with modern medicine. J Gen Intern Med. 2022;37(3):664-667. doi:10.1007/s11606-021-06997-x.
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psnet.ahrq.gov/issue/sustained-improvement-neonatal-intensive-care-unit-safety-attitudes-after-teamwork-training
March 26, 2015 - Study
Sustained improvement in neonatal intensive care unit safety attitudes after teamwork training.
Citation Text:
Murphy T, Laptook A, Bender J. Sustained Improvement in Neonatal Intensive Care Unit Safety Attitudes After Teamwork Training. J Patient Saf. 2018;14(3):174-180. doi:10.10…
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psnet.ahrq.gov/issue/elopement-evidence-based-mitigation-and-management
October 19, 2022 - Study
Elopement: evidence-based mitigation and management.
Citation Text:
Marlett JE, Vacovsky BA, Krug EA, et al. Elopement: evidence‐based mitigation and management. Worldviews Evid Based Nurs. 2024;20(6):634-641. doi:10.1111/wvn.12683.
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psnet.ahrq.gov/issue/safety-home-healthcare-sector-development-new-household-safety-checklist
July 29, 2020 - Study
Safety in the home healthcare sector: development of a new household safety checklist.
Citation Text:
Gershon RRM, Dailey M, Magda LA, et al. Safety in the home healthcare sector: development of a new household safety checklist. J Patient Saf. 2012;8(2):51-9. doi:10.1097/PTS.0b0…
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psnet.ahrq.gov/issue/fixed-dose-combination-antihypertensives-and-risk-medication-errors
September 28, 2016 - Study
Fixed-dose combination antihypertensives and risk of medication errors.
Citation Text:
Moriarty F, Bennett K, Fahey T. Fixed-dose combination antihypertensives and risk of medication errors. Heart. 2019;105(3):204-209. doi:10.1136/heartjnl-2018-313492.
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psnet.ahrq.gov/issue/am-i-safe-here-improving-patients-perceptions-safety-hospitals
June 25, 2010 - Study
Am I safe here? Improving patients' perceptions of safety in hospitals.
Citation Text:
Wolosin RJ, Vercler L, Matthews JL. Am I safe here?: improving patients' perceptions of safety in hospitals. J Nurs Care Qual. 2006;21(1):30-40.
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psnet.ahrq.gov/issue/end-beginning-patient-safety-five-years-after-err-human
March 02, 2011 - Commentary
Classic
The end of the beginning: patient safety five years after 'To Err Is Human.'
Citation Text:
Wachter RM. The End Of The Beginning: Patient Safety Five Years After ‘To Err Is Human’. Health Aff. 2004;23(Suppl1). doi:10.1377/hlthaff.w4.534.
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psnet.ahrq.gov/issue/rating-raters-inconsistent-quality-health-care-performance-measurement
March 27, 2018 - Commentary
Rating the raters: the inconsistent quality of health care performance measurement.
Citation Text:
Shahian DM, Normand S-LT, Friedberg MW, et al. Rating the Raters: The Inconsistent Quality of Health Care Performance Measurement. Ann Surg. 2016;264(1):36-8. doi:10.1097/SLA.000…