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psnet.ahrq.gov/issue/iv-push-gap-analysis-tool-gat-helps-uncover-national-priorities-safe-injection-practices
August 14, 2019 - Newspaper/Magazine Article
IV Push Gap Analysis Tool (GAT) helps uncover national priorities for safe injection practices.
Citation Text:
IV Push Gap Analysis Tool (GAT) helps uncover national priorities for safe injection practices. ISMP Medication Safety Alert! Acute Care Edition. Augu…
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psnet.ahrq.gov/issue/medication-errors-overview-clinicians
September 20, 2011 - Review
Medication errors: an overview for clinicians.
Citation Text:
Wittich CM, Burkle CM, Lanier WL. Medication errors: an overview for clinicians. Mayo Clin Proc. 2014;89(8):1116-25. doi:10.1016/j.mayocp.2014.05.007.
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psnet.ahrq.gov/issue/why-do-hundreds-us-women-die-annually-childbirth
June 14, 2019 - Commentary
Why do hundreds of US women die annually in childbirth?
Citation Text:
Slomski A. Why Do Hundreds of US Women Die Annually in Childbirth? JAMA. 2019;321(13):1239-1241. doi:10.1001/jama.2019.0714.
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psnet.ahrq.gov/issue/bar-code-label-requirement-human-drug-products-and-biological-products
October 21, 2015 - Regulation
Bar code label requirement for human drug products and biological products.
Citation Text:
Bar code label requirement for human drug products and biological products. Food and Drug Administration. Fed Register. February 26, 2004;69 9119-9171.
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psnet.ahrq.gov/issue/pediatric-antidepressant-medication-errors-national-error-reporting-database
September 21, 2008 - Study
Pediatric antidepressant medication errors in a national error reporting database.
Citation Text:
Rinke ML, Bundy DG, Shore AD, et al. Pediatric antidepressant medication errors in a national error reporting database. J Dev Behav Pediatr. 2010;31(2):129-36. doi:10.1097/DBP.0b013e…
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psnet.ahrq.gov/issue/evaluation-inpatient-computerized-medication-reconciliation-system
February 15, 2011 - Study
Evaluation of an inpatient computerized medication reconciliation system.
Citation Text:
Turchin A, Hamann C, Schnipper JL, et al. Evaluation of an inpatient computerized medication reconciliation system. J Am Med Inform Assoc. 2008;15(4):449-52. doi:10.1197/jamia.M2561.
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psnet.ahrq.gov/issue/improving-teamwork-general-medical-units-when-teams-do-not-work-face-face
June 12, 2013 - Study
Improving teamwork on general medical units: when teams do not work face-to-face.
Citation Text:
McComb SA, Henneman EA, Hinchey KT, et al. Improving teamwork on general medical units: when teams do not work face-to-face. Jt Comm J Qual Patient Saf. 2012;38(10):471-478.
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psnet.ahrq.gov/issue/using-simulation-teach-nursing-students-and-licensed-clinicians-obstetric-emergencies
November 11, 2020 - Commentary
Using simulation to teach nursing students and licensed clinicians obstetric emergencies.
Citation Text:
Alderman JT. Using simulation to teach nursing students and licensed clinicians obstetric emergencies. MCN Am J Matern Child Nurs. 2012;37(6):394-400. doi:10.1097/NMC.0b0…
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psnet.ahrq.gov/issue/prospective-study-patient-safety-operating-room
July 25, 2012 - Study
Classic
A prospective study of patient safety in the operating room.
Citation Text:
Christian CK, Gustafson ML, Roth EM, et al. A prospective study of patient safety in the operating room. Surgery. 2006;139(2):159-173.
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psnet.ahrq.gov/issue/improving-patient-care-linking-evidence-based-medicine-and-evidence-based-management
October 06, 2011 - Commentary
Improving patient care by linking evidence-based medicine and evidence-based management.
Citation Text:
Shortell SM, Rundall TG, Hsu J. Improving Patient Care by Linking Evidence-Based Medicine and Evidence-Based Management. JAMA. 2007;298(6). doi:10.1001/jama.298.6.673.
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psnet.ahrq.gov/issue/effect-clinical-history-accuracy-electrocardiograph-interpretation-among-doctors-working
March 20, 2019 - Study
The effect of clinical history on accuracy of electrocardiograph interpretation among doctors working in emergency departments.
Citation Text:
Cruz MF, Edwards J, Dinh MM, et al. The effect of clinical history on accuracy of electrocardiograph interpretation among doctors working…
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psnet.ahrq.gov/issue/achieving-climate-patient-safety-focusing-relationships
December 19, 2017 - Study
Achieving a climate for patient safety by focusing on relationships.
Citation Text:
Manojlovich M, Kerr M, Davies B, et al. Achieving a climate for patient safety by focusing on relationships. Int J Qual Health Care. 2014;26(6):579-84. doi:10.1093/intqhc/mzu068.
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psnet.ahrq.gov/issue/cognitive-and-system-factors-contributing-diagnostic-errors-radiology
October 29, 2012 - Review
Cognitive and system factors contributing to diagnostic errors in radiology.
Citation Text:
Lee CS, Nagy PG, Weaver SJ, et al. Cognitive and system factors contributing to diagnostic errors in radiology. AJR Am J Roentgenol. 2013;201(3):611-7. doi:10.2214/AJR.12.10375.
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psnet.ahrq.gov/issue/review-australian-incident-monitoring-system
July 23, 2008 - Study
Review of the Australian Incident Monitoring System.
Citation Text:
Spigelman AD, Swan J. Review of the Australian incident monitoring system. ANZ J Surg. 2005;75(8):657-61.
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psnet.ahrq.gov/issue/improving-patient-safety-identifying-latent-failures-successful-operations
September 15, 2010 - Study
Improving patient safety by identifying latent failures in successful operations.
Citation Text:
Catchpole K, Giddings AEB, Wilkinson M, et al. Improving patient safety by identifying latent failures in successful operations. Surgery. 2007;142(1):102-10.
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psnet.ahrq.gov/issue/strategies-preventing-distractions-and-interruptions-or
January 23, 2008 - Study
Strategies for preventing distractions and interruptions in the OR.
Citation Text:
Clark GJ. Strategies for preventing distractions and interruptions in the OR. AORN J. 2013;97(6):702-707. doi:10.1016/j.aorn.2013.01.018.
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psnet.ahrq.gov/issue/patient-safety-climate-hospitals-act-locally-variation-across-units
August 27, 2012 - Study
Patient safety climate in hospitals: act locally on variation across units.
Citation Text:
Campbell EG, Singer SJ, Kitch BT, et al. Patient safety climate in hospitals: act locally on variation across units. Jt Comm J Qual Patient Saf. 2010;36(7):319-26.
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psnet.ahrq.gov/issue/introducing-new-technology-operating-room-measuring-impact-job-performance-and-satisfaction
May 18, 2022 - Study
Introducing new technology into the operating room: measuring the impact on job performance and satisfaction.
Citation Text:
Stahl JE, Egan MT, Goldman JM, et al. Introducing new technology into the operating room: measuring the impact on job performance and satisfaction. Surgery…
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psnet.ahrq.gov/issue/emergency-department-image-interpretation-accuracy-influence-immediate-reporting-radiology
November 09, 2022 - Study
Emergency department image interpretation accuracy: the influence of immediate reporting by radiology.
Citation Text:
Snaith B, Hardy M. Emergency department image interpretation accuracy: The influence of immediate reporting by radiology. Int Emerg Nurs. 2014;22(2):63-8. doi:10.10…
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psnet.ahrq.gov/issue/medical-error-care-unrepresented-disclosure-and-apology-vulnerable-patient-population
March 13, 2024 - Commentary
Medical error in the care of the unrepresented: disclosure and apology for a vulnerable patient population.
Citation Text:
Byju AS, Mayo K. Medical error in the care of the unrepresented: disclosure and apology for a vulnerable patient population. J Med Ethics. 2019;45(12):821…