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psnet.ahrq.gov/issue/drug-induced-hypoglycaemia-new-insight-old-problem
October 19, 2022 - Study
Drug-induced hypoglycaemia--new insight into an old problem.
Citation Text:
Ching CK, Lai CK, Poon WT, et al. Drug-induced hypoglycaemia--new insight into an old problem. Hong Kong Med J. 2006;12(5):334-8.
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psnet.ahrq.gov/issue/medication-errors-involving-intravenous-administration-route-characteristics-voluntarily
January 31, 2018 - Review
Medication errors involving the intravenous administration route: characteristics of voluntarily reported medication errors.
Citation Text:
Wolf ZR. Medication Errors Involving the Intravenous Administration Route: Characteristics of Voluntarily Reported Medication Errors. J Infus…
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psnet.ahrq.gov/issue/whole-patient-measure-safety-using-administrative-data-assess-probability-highly-undesirable
March 19, 2014 - Study
Whole-patient measure of safety: using administrative data to assess the probability of highly undesirable events during hospitalization.
Citation Text:
Perla RJ, Hohmann S, Annis K. Whole-patient measure of safety: using administrative data to assess the probability of highly und…
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psnet.ahrq.gov/issue/depth-investigation-causes-prescribing-errors-foundation-trainees-relation-their-medical
May 16, 2012 - Book/Report
An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study.
Citation Text:
An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUI…
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psnet.ahrq.gov/issue/studying-critical-values-adverse-event-identification-following-critical-laboratory-values
September 01, 2018 - Study
Studying critical values: adverse event identification following a critical laboratory values study at the Ohio State University Medical Center.
Citation Text:
Jenkins JJ, Crawford M, Bissell MG. Studying critical values: adverse event identification following a critical laborato…
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psnet.ahrq.gov/issue/model-developing-high-reliability-teams
September 01, 2018 - Commentary
A model for developing high-reliability teams.
Citation Text:
Riley W, Davis SE, Miller KK, et al. A model for developing high-reliability teams. J Nurs Manag. 2010;18(5):556-63. doi:10.1111/j.1365-2834.2010.01121.x.
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psnet.ahrq.gov/issue/fatigue-hospital-nurses-supernurse-culture-barrier-addressing-problems-qualitative-interview
July 08, 2020 - Study
Fatigue in hospital nurses—'Supernurse' culture is a barrier to addressing problems: a qualitative interview study.
Citation Text:
Steege LM, Rainbow JG. Fatigue in hospital nurses - 'Supernurse' culture is a barrier to addressing problems: A qualitative interview study. Int J Nurs…
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psnet.ahrq.gov/issue/fda-alerts-health-care-providers-compounders-and-patients-dosing-errors-associated-compounded
February 15, 2024 - Press Release/Announcement
FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products.
Citation Text:
FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injecta…
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psnet.ahrq.gov/issue/wake-safe-usa-international-patient-safety
August 23, 2023 - Study
Wake Up Safe in the USA & international patient safety.
Citation Text:
Iyer RS, Dave N, Du T, et al. Wake Up Safe in the USA & international patient safety. Paediatr Anaesth. 2024;34(9):958-969. doi:10.1111/pan.14920.
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psnet.ahrq.gov/issue/its-not-all-about-me-motivating-hand-hygiene-among-health-care-professionals-focusing
May 29, 2019 - Study
It's not all about me: motivating hand hygiene among health care professionals by focusing on patients.
Citation Text:
Grant AM, Hofmann DA. It's not all about me: motivating hand hygiene among health care professionals by focusing on patients. Psychol Sci. 2011;22(12):1494-9. do…
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psnet.ahrq.gov/issue/just-culture-its-more-policy
July 05, 2017 - Study
Just culture: it's more than policy.
Citation Text:
Paradiso L, Sweeney N. Just culture: It's more than policy. Nurs Manage. 2019;50(6):38-45. doi:10.1097/01.NUMA.0000558482.07815.ae.
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psnet.ahrq.gov/issue/impact-hospital-accreditation-quality-improvement-healthcare-systematic-review
September 23, 2020 - Review
Impact of hospital accreditation on quality improvement in healthcare: a systematic review.
Citation Text:
Alhawajreh MJ, Paterson AS, Jackson WJ. Impact of hospital accreditation on quality improvement in healthcare: a systematic review. PLoS ONE. 2023;18(12):e0294180. doi:10.137…
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psnet.ahrq.gov/issue/improving-care-teams-functioning-recommendations-team-science
June 24, 2020 - Commentary
Improving care teams' functioning: recommendations from team science.
Citation Text:
Fiscella K, Mauksch L, Bodenheimer T, et al. Improving Care Teams' Functioning: Recommendations from Team Science. Jt Comm J Qual Patient Saf. 2017;43(7):361-368. doi:10.1016/j.jcjq.2017.03.00…
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psnet.ahrq.gov/issue/innovative-teaching-situational-awareness
November 04, 2020 - Commentary
Innovative teaching in situational awareness.
Citation Text:
Gregory A, Hogg G, Ker J. Innovative teaching in situational awareness. Clin Teach. 2015;12(5):331-5. doi:10.1111/tct.12310.
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psnet.ahrq.gov/issue/overextended-fighting-fatigue-long-shifts
January 29, 2018 - Commentary
Overextended: fighting the fatigue of long shifts.
Citation Text:
Douglass JA. Overextended: Fighting the fatigue of long shifts. Nursing (Brux). 2014;44(3):67-8. doi:10.1097/01.NURSE.0000441895.42899.0c.
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psnet.ahrq.gov/issue/clinical-handover-patients-arriving-ambulance-emergency-department-literature-review
May 04, 2010 - Review
Clinical handover of patients arriving by ambulance to the emergency department: a literature review.
Citation Text:
Bost N, Crilly J, Wallis M, et al. Clinical handover of patients arriving by ambulance to the emergency department - a literature review. Int Emerg Nurs. 2010;18(…
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psnet.ahrq.gov/issue/creating-physician-led-quality-imperative
March 20, 2019 - Commentary
Creating a physician-led quality imperative.
Citation Text:
Nelson MF, Merriman CS, Magnusson PT, et al. Creating a physician-led quality imperative. Am J Med Qual. 2014;29(6):508-16. doi:10.1177/1062860613509683.
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psnet.ahrq.gov/issue/guided-prescription-psychotropic-medications-geriatric-inpatients
February 04, 2018 - Study
Guided prescription of psychotropic medications for geriatric inpatients.
Citation Text:
Peterson JF, Kuperman GJ, Shek C, et al. Guided prescription of psychotropic medications for geriatric inpatients. Arch Intern Med. 2005;165(7):802-7.
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psnet.ahrq.gov/issue/understanding-swiss-cheese-model-and-its-application-patient-safety
May 25, 2022 - Commentary
Classic
Understanding the "Swiss cheese model" and its application to patient safety.
Citation Text:
Wiegmann DA, J. Wood L, N. Cohen T, et al. Understanding the "Swiss cheese model" and its application to patient safety. J Patient Saf. 2022;18(2):119…
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psnet.ahrq.gov/issue/impact-pharmacist-directed-pain-management-service-inpatient-opioid-use-pain-control-and
February 11, 2015 - Study
Impact of a pharmacist-directed pain management service on inpatient opioid use, pain control, and patient safety.
Citation Text:
Impact of a pharmacist-directed pain management service on inpatient opioid use, pain control, and patient safety. Poirier RH; Brown CS; Baggenstos YT; …