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psnet.ahrq.gov/issue/drug-shortages-fdas-ability-respond-should-be-strengthened
April 15, 2009 - Congressional Testimony
Drug Shortages: FDA's Ability to Respond Should Be Strengthened.
Citation Text:
Drug Shortages: FDA's Ability to Respond Should Be Strengthened. Testimony before the Committee on Health, Education, Labor, and Pensions, US Senate. US Government Accountability Offic…
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psnet.ahrq.gov/issue/medication-safety-operating-room-literature-and-expert-based-recommendations
October 19, 2022 - Review
Medication safety in the operating room: literature and expert-based recommendations.
Citation Text:
Wahr JA, Abernathy JH, Lazarra EH, et al. Medication safety in the operating room: literature and expert-based recommendations. Br J Anaesth. 2017;118(1):32-43. doi:10.1093/bja/aew…
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psnet.ahrq.gov/issue/critical-phase-distractions-anaesthesia-and-sterile-cockpit-concept
April 24, 2018 - Study
Critical phase distractions in anaesthesia and the sterile cockpit concept.
Citation Text:
Broom MA, Capek AL, Carachi P, et al. Critical phase distractions in anaesthesia and the sterile cockpit concept. Anaesthesia. 2011;66(3):175-179. doi:10.1111/j.1365-2044.2011.06623.x.
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psnet.ahrq.gov/issue/fixing-healthcare-inside-today
February 28, 2011 - Commentary
Classic
Fixing healthcare from the inside, today.
Citation Text:
Spear SJ. Fixing health care from the inside, today. Harv Bus Rev. 2005;83(9):78-91, 158.
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psnet.ahrq.gov/issue/science-human-factors-separating-fact-fiction
January 07, 2015 - Commentary
The science of human factors: separating fact from fiction.
Citation Text:
Russ AL, Fairbanks RJ, Karsh B-T, et al. The science of human factors: separating fact from fiction. BMJ Qual Saf. 2013;22(10):802-8. doi:10.1136/bmjqs-2012-001450.
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psnet.ahrq.gov/issue/5th-anniversary-universal-protocol-pitfalls-and-pearls-revisited
December 21, 2014 - Commentary
The 5th anniversary of the "Universal Protocol": pitfalls and pearls revisited.
Citation Text:
Stahel PF, Mehler PS, Clarke TJ, et al. The 5th anniversary of the "Universal Protocol": pitfalls and pearls revisited. Patient Saf Surg. 2009;3(1):14. doi:10.1186/1754-9493-3-14. …
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psnet.ahrq.gov/issue/natural-history-retained-surgical-items-supports-need-team-training-early-recognition-and
January 18, 2013 - Study
Natural history of retained surgical items supports the need for team training, early recognition, and prompt retrieval.
Citation Text:
Stawicki P, Cook CH, Anderson HL, et al. Natural history of retained surgical items supports the need for team training, early recognition, and pr…
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psnet.ahrq.gov/issue/computerization-can-create-safety-hazards-bar-coding-near-miss
March 11, 2011 - Commentary
Classic
Computerization can create safety hazards: a bar-coding near miss.
Citation Text:
McDonald CJ. Computerization can create safety hazards: a bar-coding near miss. Ann Intern Med. 2006;144(7):510-6.
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psnet.ahrq.gov/issue/addressing-healthcare-associated-infections-and-antimicrobial-resistance-organizational
January 31, 2024 - Commentary
Addressing healthcare-associated infections and antimicrobial resistance from an organizational perspective: progress and challenges.
Citation Text:
Murray E, Holmes A. Addressing healthcare-associated infections and antimicrobial resistance from an organizational perspectiv…
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psnet.ahrq.gov/issue/critical-review-systems-approach-within-patient-safety-research
June 16, 2021 - Review
A critical review of the systems approach within patient safety research.
Citation Text:
Waterson P. A critical review of the systems approach within patient safety research. Ergonomics. 2009;52(10):1185-1195. doi:10.1080/00140130903042782.
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psnet.ahrq.gov/issue/patient-safety-north-america-beyond-operate-through-your-initials-and-sign-your-site
March 18, 2009 - Meeting/Conference Proceedings
Patient safety in North America: beyond "operate through your initials" and "sign your site."
Citation Text:
Wong DA, Lewis B, Herndon JH, et al. Patient Safety in North America: Beyond “Operate Through Your Initials” and “Sign Your Site”*. doi:10.2106/jb…
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psnet.ahrq.gov/issue/safe-use-cellular-telephones-hospitals-fundamental-principles-and-case-studies
August 04, 2021 - Commentary
Safe use of cellular telephones in hospitals: fundamental principles and case studies.
Citation Text:
Cohen T, Ellis WS, Morrissey JJ, et al. Safe use of cellular telephones in hospitals: fundamental principles and case studies. J Healthc Inf Manag. 2005;19(4):38-48.
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psnet.ahrq.gov/issue/computerized-physician-order-entry-helpful-or-harmful
January 06, 2018 - Commentary
Classic
Computerized physician order entry: helpful or harmful?
Citation Text:
Berger RG, Kichak JP. Computerized physician order entry: helpful or harmful? J Am Med Inform Assoc. 2004;11(2):100-3.
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psnet.ahrq.gov/issue/effects-mental-demands-during-dispensing-perceived-medication-safety-and-employee-well-being
May 16, 2012 - Study
Effects of mental demands during dispensing on perceived medication safety and employee well-being: a study of workload in pediatric hospital pharmacies.
Citation Text:
Holden RJ, Patel NR, Scanlon M, et al. Effects of mental demands during dispensing on perceived medication safe…
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psnet.ahrq.gov/issue/human-factors-engineering-healthcare-systems-problem-human-error-and-accident-management
June 13, 2011 - Commentary
Human factors engineering in healthcare systems: the problem of human error and accident management.
Citation Text:
Cacciabue PC, Vella G. Human factors engineering in healthcare systems: the problem of human error and accident management. Int J Med Inform. 2010;79(4):e1-17.…
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psnet.ahrq.gov/issue/health-care-getting-safer
December 14, 2016 - Commentary
Is health care getting safer?
Citation Text:
Vincent CA, Aylin PP, Franklin BD, et al. Is health care getting safer? BMJ. 2008;337:a2426. doi:10.1136/bmj.a2426.
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psnet.ahrq.gov/issue/schwartz-center-rounds-evaluation-interdisciplinary-approach-enhancing-patient-centered
October 14, 2020 - Study
The Schwartz Center Rounds: evaluation of an interdisciplinary approach to enhancing patient-centered communication, teamwork, and provider support.
Citation Text:
Lown BA, Manning CF. The Schwartz Center Rounds: evaluation of an interdisciplinary approach to enhancing patient-ce…
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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/exploring-causes-junior-doctors-prescribing-mistakes-qualitative-study
September 09, 2015 - Study
Exploring the causes of junior doctors' prescribing mistakes: a qualitative study.
Citation Text:
Lewis PJ, Ashcroft DM, Dornan T, et al. Exploring the causes of junior doctors' prescribing mistakes: a qualitative study. Br J Clin Pharmacol. 2014;78(2):310-9. doi:10.1111/bcp.12332.…
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psnet.ahrq.gov/issue/interruptions-level-one-trauma-center-case-study
January 02, 2017 - Study
Interruptions in a level one trauma center: a case study.
Citation Text:
Brixey J, Tang Z, Robinson DJ, et al. Interruptions in a level one trauma center: a case study. Int J Med Inform. 2008;77(4):235-41.
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