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psnet.ahrq.gov/issue/implementation-protocol-reduce-occurrence-retained-sponges-after-vaginal-delivery
May 18, 2022 - Commentary
Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery.
Citation Text:
Lutgendorf MA, Schindler LL, Hill JB, et al. Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Mil Med. 2011;176(6):702-704.…
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psnet.ahrq.gov/issue/enhancing-pediatric-perioperative-patient-safety
January 28, 2015 - Commentary
Enhancing pediatric perioperative patient safety.
Citation Text:
Johnson Q, McVey J. Enhancing Pediatric Perioperative Patient Safety. AORN J. 2017;106(5):434-442. doi:10.1016/j.aorn.2017.09.007.
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psnet.ahrq.gov/issue/effect-surgical-safety-checklists-pediatric-surgical-complications-ontario
December 07, 2016 - Study
Effect of surgical safety checklists on pediatric surgical complications in Ontario.
Citation Text:
O'Leary JD, Wijeysundera DN, Crawford MW. Effect of surgical safety checklists on pediatric surgical complications in Ontario. CMAJ. 2016;188(9):E191-E198. doi:10.1503/cmaj.151333.
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psnet.ahrq.gov/issue/implementing-surgical-checklist-more-checking-box
July 16, 2014 - Study
Implementing a surgical checklist: more than checking a box.
Citation Text:
Levy SM, Senter CE, Hawkins RB, et al. Implementing a surgical checklist: more than checking a box. Surgery. 2012;152(3):331-6. doi:10.1016/j.surg.2012.05.034.
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psnet.ahrq.gov/issue/impact-dedicated-medication-nurses-medication-administration-error-rate-randomized-controlled
September 24, 2010 - Study
Classic
The impact of dedicated medication nurses on the medication administration error rate: a randomized controlled trial.
Citation Text:
Greengold NL, Shane R, Schneider PJ, et al. The impact of dedicated medication nurses on the medication administr…
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psnet.ahrq.gov/issue/sleep-deprivation-physician-performance-and-patient-safety
November 13, 2024 - Commentary
Sleep deprivation, physician performance, and patient safety.
Citation Text:
Olson EJ, Drage LA, Auger R. Sleep deprivation, physician performance, and patient safety. Chest. 2009;136(5):1389-1396. doi:10.1378/chest.08-1952.
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psnet.ahrq.gov/issue/automation-failures-and-patient-safety
November 21, 2012 - Review
Automation failures and patient safety.
Citation Text:
Ruskin KJ, Ruskin AC, O’Connor M. Automation failures and patient safety. Curr Opin Anaesthesiol. 2020;33(6):788-792. doi:10.1097/aco.0000000000000935.
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psnet.ahrq.gov/issue/chemotherapy-medication-errors
May 19, 2014 - Review
Emerging Classic
Chemotherapy medication errors.
Citation Text:
Weingart SN, Zhang L, Sweeney M, et al. Chemotherapy medication errors. Lancet Oncol. 2018;19(4):e191-e199. doi:10.1016/S1470-2045(18)30094-9.
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psnet.ahrq.gov/issue/quality-improvement-decrease-specimen-mislabeling-transfusion-medicine
September 11, 2024 - Study
Quality improvement to decrease specimen mislabeling in transfusion medicine.
Citation Text:
Quillen K, Murphy K. Quality improvement to decrease specimen mislabeling in transfusion medicine. Arch Pathol Lab Med. 2006;130(8):1196-1198.
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psnet.ahrq.gov/issue/impact-patient-safety-mandates-medical-education-united-states
June 01, 2011 - Review
Impact of patient safety mandates on medical education in the United States.
Citation Text:
Kane JM, Brannen ML, Kern E. Impact of Patient Safety Mandates on Medical Education in the United States. J Patient Saf. 2008;4(2):93-97. doi:10.1097/pts.0b013e318173f7b5.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-0745-141009.pdf
September 03, 2014 - Topic 0610 CE of Treatments for Uterine Fibroids NSD FINAL
Comparative Effectiveness of Treatments for
Uterine Fibroids
Nominati…
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psnet.ahrq.gov/issue/medmarx-5th-anniversary-data-report-chartbook-2003-findings-and-trends-1999-2003
August 24, 2015 - Book/Report
MEDMARX 5th Anniversary Data Report: A Chartbook of 2003 Findings and Trends 1999-2003.
Citation Text:
MEDMARX 5th Anniversary Data Report: A Chartbook of 2003 Findings and Trends 1999-2003. Hicks RW, Santell JP, Cousins DD, et al. Rockville, MD: USP Center for …
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psnet.ahrq.gov/issue/reporting-and-learning-systems-medication-errors-role-pharmacovigilance-centres
May 18, 2022 - Book/Report
Reporting and Learning Systems for Medication Errors: The Role of Pharmacovigilance Centres.
Citation Text:
Reporting and Learning Systems for Medication Errors: The Role of Pharmacovigilance Centres. Bencheikh SR, Cousins D, Benabdallah G, et al. Geneva, Switzerland: World H…
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psnet.ahrq.gov/issue/pursuit-endpoint-diagnoses-cognitive-forcing-strategy-avoid-premature-diagnostic-closure
November 02, 2022 - Commentary
Pursuit of "endpoint diagnoses" as a cognitive forcing strategy to avoid premature diagnostic closure.
Citation Text:
Kaplan HM, Birnbaum JF, Kulkarni PA. Pursuit of “endpoint diagnoses” as a cognitive forcing strategy to avoid premature diagnostic closure. Diagnosis (Berl). 2…
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psnet.ahrq.gov/issue/top-10-list-safe-and-effective-sign-out
April 12, 2019 - Commentary
The top 10 list for a safe and effective sign-out.
Citation Text:
Kemp CD, Bath JM, Berger J, et al. The top 10 list for a safe and effective sign-out. Arch Surg. 2008;143(10):1008-10. doi:10.1001/archsurg.143.10.1008.
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psnet.ahrq.gov/issue/preventing-medication-errors-hospitals-through-systems-approach-and-technological-innovation
September 11, 2019 - Commentary
Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for 2010.
Citation Text:
Crane J, Crane FG. Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for…
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psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan
December 18, 2013 - Book/Report
Health IT Patient Safety Action and Surveillance Plan.
Citation Text:
Health IT Patient Safety Action and Surveillance Plan. Washington, DC: Office of the National Coordinator for Health Information Technology; July 2, 2013.
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psnet.ahrq.gov/issue/error-tracking-clinical-biochemistry-laboratory
June 10, 2020 - Study
Error tracking in a clinical biochemistry laboratory.
Citation Text:
Szecsi PB, Ødum L. Error tracking in a clinical biochemistry laboratory. Clin Chem Lab Med. 2009;47(10). doi:10.1515/cclm.2009.272.
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psnet.ahrq.gov/issue/why-do-interns-make-prescribing-errors-qualitative-study
December 16, 2009 - Study
Why do interns make prescribing errors? A qualitative study.
Citation Text:
Coombes ID, Stowasser DA, Coombes JA, et al. Why do interns make prescribing errors? A qualitative study. Med J Aust. 2008;188(2):89-94.
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psnet.ahrq.gov/issue/making-business-case-quality-and-safety
January 19, 2022 - Commentary
Making the business case for quality and safety.
Citation Text:
Shah RK, Reinhart R, Cronin J. Making the business case for quality and safety. Otolaryngol Clin North Am. 2022;55(1):105-113. doi:10.1016/j.otc.2021.07.008.
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