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psnet.ahrq.gov/issue/computerized-ecg-friend-and-foe
December 04, 2024 - Review
Emerging Classic
The computerized ECG: friend and foe.
Citation Text:
Smulyan H. The Computerized ECG: Friend and Foe. Am J Med. 2019;132(2):153-160. doi:10.1016/j.amjmed.2018.08.025.
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psnet.ahrq.gov/issue/vital-signs-overdoses-prescription-opioid-pain-relievers-united-states-1999-2008
February 27, 2019 - Study
Vital signs: overdoses of prescription opioid pain relievers- United States, 1999-2008.
Citation Text:
Prevention C for DC and. Vital signs: overdoses of prescription opioid pain relievers---United States, 1999--2008. MMWR Morb Mortal Wkly Rep. 2011;60(43):1487-92.
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www.ahrq.gov/sites/default/files/publications/files/system-design_0.pdf
July 01, 2011 - Designing Consumer Reporting Systems for Patient Safety Events: Project Overview
Advancing Excellence in Health Care • www.ahrq.gov
Agency for Healthcare Research and Quality PATIENT
SAFETY
Designing Consumer Reporting
Systems for Patient Safety Events
Background
It’s been nearly a decade since the Institute of
M…
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psnet.ahrq.gov/issue/reducing-potentially-fatal-errors-associated-high-doses-insulin-successful-multifaceted
August 17, 2016 - Study
Reducing potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary prevention strategy.
Citation Text:
Dooley MJ, Wiseman M, McRae A, et al. Reducing potentially fatal errors associated with high doses of insulin: a successful mul…
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psnet.ahrq.gov/issue/health-literacy-informed-communication-reduce-discharge-medication-errors-hospitalized
July 12, 2023 - Study
Health literacy-informed communication to reduce discharge medication errors in hospitalized children: a randomized clinical trial.
Citation Text:
Carroll AR, Johnson JA, Stassun JC, et al. Health literacy-informed communication to reduce discharge medication errors in hospitalized…
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psnet.ahrq.gov/issue/safer-and-more-appropriate-opioid-prescribing-large-healthcare-systems-comprehensive-approach
June 10, 2020 - Study
Safer and more appropriate opioid prescribing: a large healthcare system's comprehensive approach.
Citation Text:
Losby JL, Hyatt JD, Kanter MH, et al. Safer and more appropriate opioid prescribing: a large healthcare system's comprehensive approach. J Eval Clin Pract. 2017;23(6):1…
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psnet.ahrq.gov/issue/clinical-relevance-and-risk-factors-associated-medication-administration-time-errors
May 08, 2017 - Study
Clinical relevance of and risk factors associated with medication administration time errors.
Citation Text:
Teunissen R, Bos J, Pot H, et al. Clinical relevance of and risk factors associated with medication administration time errors. Am J Health Syst Pharm. 2013;70(12):1052-6. …
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psnet.ahrq.gov/issue/establishing-safe-container-learning-simulation-role-presimulation-briefing
September 16, 2015 - Commentary
Establishing a safe container for learning in simulation: the role of the presimulation briefing.
Citation Text:
Rudolph JW, Raemer D, Simon R. Establishing a safe container for learning in simulation: the role of the presimulation briefing. Simul Healthc. 2014;9(6):339-49. do…
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psnet.ahrq.gov/issue/inaccuracy-ecg-interpretations-reported-poison-center
January 20, 2021 - Study
Inaccuracy of ECG interpretations reported to the poison center.
Citation Text:
Prosser JM, Smith SW, Rhim ES, et al. Inaccuracy of ECG interpretations reported to the poison center. Ann Emerg Med. 2011;57(2):122-7. doi:10.1016/j.annemergmed.2010.09.019.
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psnet.ahrq.gov/issue/post-event-debriefings-during-neonatal-care-why-are-we-not-doing-them-and-how-can-we-start
January 15, 2014 - Commentary
Post-event debriefings during neonatal care: why are we not doing them, and how can we start?
Citation Text:
Sawyer T, Loren D, Halamek LP. Post-event debriefings during neonatal care: why are we not doing them, and how can we start? J Perinatol. 2016;36(6):415-9. doi:10.1038/…
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psnet.ahrq.gov/issue/language-discordance-and-patient-care-babel
October 30, 2024 - Commentary
Language discordance and patient care-Babel.
Citation Text:
Huson TA. Language discordance and patient care-Babel. JAMA Intern Med. 2024;184(11):1287-1288. doi:10.1001/jamainternmed.2024.4273.
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psnet.ahrq.gov/issue/using-system-analysis-build-safety-culture-improving-reliability-epidural-analgesia
January 14, 2009 - Study
Using system analysis to build a safety culture: improving the reliability of epidural analgesia.
Citation Text:
Garnerin P, Huchet-Belouard A, Diby M, et al. Using system analysis to build a safety culture: improving the reliability of epidural analgesia. Acta Anaesthesiol Scand…
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psnet.ahrq.gov/issue/influence-formulation-and-medicine-delivery-system-medication-administration-errors-care
March 23, 2011 - Study
The influence of formulation and medicine delivery system on medication administration errors in care homes for older people.
Citation Text:
Alldred DP, Standage C, Fletcher O, et al. The influence of formulation and medicine delivery system on medication administration errors in…
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psnet.ahrq.gov/issue/reasons-not-reporting-patient-safety-incidents-general-practice-qualitative-study
February 24, 2010 - Study
Reasons for not reporting patient safety incidents in general practice: a qualitative study.
Citation Text:
Kousgaard MB, Joensen AS, Thorsen T. Reasons for not reporting patient safety incidents in general practice: a qualitative study. Scand J Prim Health Care. 2012;30(4):199-2…
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psnet.ahrq.gov/issue/simulation-based-medical-error-disclosure-training-pediatric-healthcare-professionals
April 11, 2011 - Study
Simulation-based medical error disclosure training for pediatric healthcare professionals.
Citation Text:
Wayman KI, Yaeger KA, Sharek PJ, et al. Simulation-based medical error disclosure training for pediatric healthcare professionals. J Healthc Qual. 2007;29(4):12-9.
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psnet.ahrq.gov/issue/creating-spaces-intensive-care-safe-communication-video-reflexive-ethnographic-study
December 18, 2013 - Study
Creating spaces in intensive care for safe communication: a video-reflexive ethnographic study.
Citation Text:
Hor S-Y, Iedema R, Manias E. Creating spaces in intensive care for safe communication: a video-reflexive ethnographic study. BMJ Qual Saf. 2014;23(12):1007-13. doi:10.1136…
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psnet.ahrq.gov/issue/surgical-skill-predicted-ability-detect-errors
September 02, 2020 - Study
Surgical skill is predicted by the ability to detect errors.
Citation Text:
Bann S, Khan M, Datta V, et al. Surgical skill is predicted by the ability to detect errors. Am J Surg. 2005;189(4):412-5.
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psnet.ahrq.gov/issue/using-simulation-based-training-improve-patient-safety-what-does-it-take
August 30, 2006 - Commentary
Using simulation-based training to improve patient safety: what does it take?
Citation Text:
Salas E, Wilson K, Burke S, et al. Using simulation-based training to improve patient safety: what does it take? Jt Comm J Qual Patient Saf. 2005;31(7):363-71.
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psnet.ahrq.gov/issue/prevalence-and-predictability-low-yield-inpatient-laboratory-diagnostic-tests
November 13, 2024 - Journal Article
Prevalence and predictability of low-yield inpatient laboratory diagnostic tests.
Citation Text:
Xu S, Hom J, Balasubramanian S, et al. Prevalence and Predictability of Low-Yield Inpatient Laboratory Diagnostic Tests. JAMA Netw Open. 2019;2(9):e1910967. doi:10.1001/jamane…
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psnet.ahrq.gov/issue/improving-transitions-care-patients-warfarin-safe-transitions-anticoagulation-report
April 22, 2011 - Study
Improving transitions of care for patients on warfarin: the Safe Transitions Anticoagulation Report.
Citation Text:
Dunn AS, Shetreat-Klein A, Berman J, et al. Improving transitions of care for patients on warfarin: The safe transitions anticoagulation report. J Hosp Med. 2015;10(9…