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psnet.ahrq.gov/issue/error-medicine
November 02, 2014 - Commentary
Classic
Error in medicine.
Citation Text:
Leape L. Error in medicine. JAMA. 1994;272(23):1851-1857.
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psnet.ahrq.gov/issue/acr-guidance-document-mr-safe-practices-2013
November 18, 2016 - Commentary
ACR guidance document on MR safe practices: 2013.
Citation Text:
Safety EP on, Kanal E, Barkovich J, et al. ACR guidance document on MR safe practices: 2013. J Magn Reson Imaging. 2013;37(3):501-530. doi:10.1002/jmri.24011.
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psnet.ahrq.gov/issue/joint-statement-multiple-patients-ventilator
May 24, 2015 - Organizational Policy/Guidelines
Joint Statement on Multiple Patients Per Ventilator.
Citation Text:
Joint Statement on Multiple Patients Per Ventilator. The Anesthesia Patient Safety Foundation, Society of Critical Care Medicine, American Association for Respiratory Care, American Soc…
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psnet.ahrq.gov/issue/avoiding-iatrogenic-harm-patient-and-family-while-discussing-goals-care-near-end-life
September 09, 2010 - Review
Avoiding iatrogenic harm to patient and family while discussing goals of care near the end of life.
Citation Text:
Weiner JS, Roth J. Avoiding iatrogenic harm to patient and family while discussing goals of care near the end of life. J Palliat Med. 2006;9(2):451-63.
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psnet.ahrq.gov/issue/case-report-medication-error-eye-beholder
April 17, 2019 - Commentary
Case report of a medication error: in the eye of the beholder.
Citation Text:
Naunton M, Nor K, Bartholomaeus A, et al. Case report of a medication error. Medicine (Baltimore). 2016;95(28):e4186. doi:10.1097/md.0000000000004186.
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psnet.ahrq.gov/issue/introducing-patient-safety-professional-why-what-who-how-and-where
July 03, 2014 - Commentary
Introducing the patient safety professional: why, what, who, how, and where?
Citation Text:
Saint S, Krein SL, Manojlovich M, et al. Introducing the patient safety professional: why, what, who, how, and where? J Patient Saf. 2011;7(4):175-80. doi:10.1097/PTS.0b013e318230e58…
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psnet.ahrq.gov/issue/human-factors-home-health-care-conceptual-model-examining-safety-and-quality-concerns
November 21, 2018 - Commentary
The human factors of home health care: a conceptual model for examining safety and quality concerns.
Citation Text:
Henriksen K, Joseph A, Zayas-Cabán T. The Human Factors of Home Health Care. J Patient Saf. 2009;5(4):229-236. doi:10.1097/pts.0b013e3181bd1c2a.
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psnet.ahrq.gov/issue/how-can-we-keep-patients-dementia-safe-our-acute-hospitals-review-challenges-and-solutions
February 04, 2015 - Review
How can we keep patients with dementia safe in our acute hospitals? A review of challenges and solutions.
Citation Text:
George J, Long SJ, Vincent CA. How can we keep patients with dementia safe in our acute hospitals? A review of challenges and solutions. J R Soc Med. 2013;1…
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psnet.ahrq.gov/issue/antecedents-severe-and-nonsevere-medication-errors
February 15, 2011 - Study
Antecedents of severe and nonsevere medication errors.
Citation Text:
Chang Y-K, Mark BA. Antecedents of severe and nonsevere medication errors. J Nurs Scholarsh. 2009;41(1):70-8. doi:10.1111/j.1547-5069.2009.01253.x.
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psnet.ahrq.gov/issue/medication-errors-and-response-bias-tip-iceberg
February 07, 2024 - Study
Medication errors and response bias: the tip of the iceberg.
Citation Text:
Bar-Oz B, Goldman M, Lahat E, et al. Medication errors and response bias: the tip of the iceberg. Isr Med Assoc J. 2008;10(11):771-4.
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psnet.ahrq.gov/issue/system-based-approach-managing-patient-safety-ambulatory-care-and-beyond
December 09, 2020 - Newspaper/Magazine Article
A system-based approach to managing patient safety in ambulatory care (and beyond).
Citation Text:
A system-based approach to managing patient safety in ambulatory care (and beyond). Burger C, Eaton P, Hess K, et al. Patient Saf Qual Healthc. December 12, 2017.…
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psnet.ahrq.gov/issue/rapid-response-systems-implementation-evidence-base
September 24, 2010 - Commentary
Rapid response systems: from implementation to evidence base.
Citation Text:
Sarani B, Scott SD. Rapid response systems: from implementation to evidence base. Jt Comm J Qual Patient Saf. 2010;36(11):514-7, 481.
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psnet.ahrq.gov/issue/near-misses-paradoxical-realities-everyday-clinical-practice
May 04, 2012 - Study
Near misses: paradoxical realities in everyday clinical practice.
Citation Text:
Jeffs L, Affonso DD, Macmillan K. Near misses: paradoxical realities in everyday clinical practice. Int J Nurs Pract. 2008;14(6):486-94. doi:10.1111/j.1440-172X.2008.00724.x.
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psnet.ahrq.gov/issue/how-safety-compromised-when-hospital-equipment-poor-fit-patients-who-are-obese
October 07, 2020 - Study
How safety is compromised when hospital equipment is a poor fit for patients who are obese.
Citation Text:
Kukielka E. How safety is compromised when hospital equipment is a poor fit for patients who are obese. Patient Saf J. 2020;2(1):48-56. doi:10.33940/data/2020.3.4.
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psnet.ahrq.gov/issue/content-and-context-change-shift-report-medical-and-surgical-units
September 24, 2016 - Study
The content and context of change of shift report on medical and surgical units.
Citation Text:
Staggers N, Jennings BM. The content and context of change of shift report on medical and surgical units. J Nurs Adm. 2009;39(9):393-8. doi:10.1097/NNA.0b013e3181b3b63a.
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psnet.ahrq.gov/issue/impact-pharmacists-participation-hospitalists-rounds
March 16, 2022 - Study
The impact of a pharmacist's participation on hospitalists' rounds.
Citation Text:
Patel R, Butler K, Garrett D, et al. The Impact of a Pharmacist's Participation on Hospitalists' Rounds. Hosp Pharm. 2010;45(2). doi:10.1310/hpj4502-129.
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psnet.ahrq.gov/issue/rapid-response-teams-and-continuous-quality-improvement
April 05, 2023 - Study
Rapid response teams and continuous quality improvement.
Citation Text:
Rapid response teams and continuous quality improvement. Dailey MS, Durkin S, Gulczynski B, et al. Patient Saf Qual Healthc. Nov/Dec 2009;6:28-31.
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psnet.ahrq.gov/issue/tangible-handoff-team-approach-advancing-structured-communication-labor-and-delivery
June 12, 2013 - Commentary
The tangible handoff: a team approach for advancing structured communication in labor and delivery.
Citation Text:
Block M, Ehrenworth JF, Cuce VM, et al. The tangible handoff: a team approach for advancing structured communication in labor and delivery. Jt Comm J Qual Patient…
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psnet.ahrq.gov/issue/nurses-perception-shift-handovers-europe-results-european-nurses-early-exit-study
September 24, 2016 - Study
Nurses' perception of shift handovers in Europe - results from the European Nurses' Early Exit Study.
Citation Text:
Meissner A, Hasselhorn H-M, Estryn-Behar M, et al. Nurses' perception of shift handovers in Europe: results from the European Nurses' Early Exit Study. J Adv Nurs.…
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psnet.ahrq.gov/issue/developing-and-evaluating-trigger-response-system
August 29, 2018 - Study
Developing and evaluating a trigger response system.
Citation Text:
Cherry K, Martinek J, Esleck S, et al. Developing and Evaluating a Trigger Response System. The Joint Commission Journal on Quality and Patient Safety. 2016;35(6). doi:10.1016/s1553-7250(09)35047-3.
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