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psnet.ahrq.gov/issue/interventions-postsurgical-opioid-prescribing-systematic-review
October 03, 2012 - Review
Emerging Classic
Interventions for postsurgical opioid prescribing: a systematic review.
Citation Text:
Wick EC, Sehgal NL. A Learning Health System Approach to the Opioid Crisis. JAMA Surg. 2018;153(10):948-954. doi:10.1001/jamasurg.2018.2731.
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psnet.ahrq.gov/issue/utility-and-assessment-non-technical-skills-rapid-response-systems-and-medical-emergency
June 22, 2009 - Review
Utility and assessment of non-technical skills for rapid response systems and medical emergency teams.
Citation Text:
Chalwin RP, Flabouris A. Utility and assessment of non-technical skills for rapid response systems and medical emergency teams. Intern Med J. 2013;43(9):962-9. d…
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psnet.ahrq.gov/issue/decision-making-processes-used-nurses-during-intravenous-drug-preparation-and-administration
June 29, 2022 - Study
Decision-making processes used by nurses during intravenous drug preparation and administration.
Citation Text:
Dougherty L, Sque M, Crouch R. Decision-making processes used by nurses during intravenous drug preparation and administration. J Adv Nurs. 2012;68(6):1302-11. doi:10.1…
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psnet.ahrq.gov/issue/adverse-event-protocol-interventional-pain-medicine-importance-organized-response
January 12, 2022 - Study
Adverse event protocol for interventional pain medicine: the importance of an organized response.
Citation Text:
Sitzman BT. Adverse Event Protocol for Interventional Pain Medicine: The Importance of an Organized Response. Pain Medicine. 2008;9(suppl 1). doi:10.1111/j.1526-4637.2…
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psnet.ahrq.gov/issue/venous-thromboembolism-after-trauma-never-event
January 12, 2022 - Study
Venous thromboembolism after trauma: a never event?
Citation Text:
Thorson CM, Ryan ML, Van Haren RM, et al. Venous thromboembolism after trauma: a never event?*. Crit Care Med. 2012;40(11):2967-73. doi:10.1097/CCM.0b013e31825bcb60.
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psnet.ahrq.gov/issue/leading-highly-visible-hospital-through-serious-reportable-event
February 15, 2023 - Commentary
Leading a highly visible hospital through a serious reportable event.
Citation Text:
Erickson JI. Leading a highly visible hospital through a serious reportable event. J Nurs Adm. 2012;42(3):131-3. doi:10.1097/NNA.0b013e31824808b6.
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psnet.ahrq.gov/issue/very-public-failure-lessons-quality-improvement-healthcare-organisations-bristol-royal
April 08, 2011 - Commentary
A very public failure: lessons for quality improvement in healthcare organisations from the Bristol Royal Infirmary.
Citation Text:
Walshe K, Offen N. A very public failure: lessons for quality improvement in healthcare organisations from the Bristol Royal Infirmary. Qual Heal…
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psnet.ahrq.gov/issue/patient-safety-public-health
July 19, 2023 - Commentary
Patient safety: this is public health.
Citation Text:
Card AJ. Patient safety: this is public health. J Healthc Risk Manag. 2014;34(1):6-12. doi:10.1002/jhrm.21145.
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psnet.ahrq.gov/issue/use-simulation-healthcare-systems-issues-team-building-task-training-education-and-high
October 03, 2011 - Review
The use of simulation in healthcare: from systems issues, to team building, to task training, to education and high stakes examinations.
Citation Text:
Orledge J, Phillips WJ, Murray B, et al. The use of simulation in healthcare: from systems issues, to team building, to task t…
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psnet.ahrq.gov/issue/responding-large-scale-testing-errors
December 18, 2008 - Commentary
Responding to large-scale testing errors.
Citation Text:
Valenstein PN, Alpern GA, Keren DF. Responding to Large-Scale Testing Errors: Table 1. Am J Clin Pathol. 2010;133(3). doi:10.1309/ajcpxlze0yynid0x.
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psnet.ahrq.gov/issue/work-arounds-observed-fourth-year-nursing-students
July 30, 2014 - Study
Work-arounds observed by fourth-year nursing students.
Citation Text:
Westphal J, Lancaster R, Park D. Work-Arounds Observed by Fourth-Year Nursing Students. West J Nurs Res. 2014;36(8):1002-18. doi:10.1177/0193945913511707.
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psnet.ahrq.gov/issue/whats-changed-1-year-after-radonda-vaughts-conviction
October 13, 2021 - Newspaper/Magazine Article
What's changed 1 year after RaDonda Vaught's conviction?
Citation Text:
What's changed 1 year after RaDonda Vaught's conviction? Bean M, Carbajal E. Becker's Hospital Review. March 29, 2023.
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psnet.ahrq.gov/issue/medication-error-identification-rates-pharmacy-medical-and-nursing-students
June 02, 2021 - Study
Medication error identification rates by pharmacy, medical, and nursing students.
Citation Text:
Warholak TL, Queiruga C, Roush R, et al. Medication error identification rates by pharmacy, medical, and nursing students. Am J Pharm Educ. 2011;75(2):24.
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psnet.ahrq.gov/issue/creating-fellowship-curriculum-patient-safety-and-quality
September 09, 2020 - Commentary
Creating a fellowship curriculum in patient safety and quality.
Citation Text:
Abookire SA, Gandhi TK, Kachalia A, et al. Creating a Fellowship Curriculum in Patient Safety and Quality. Am J Med Qual. 2016;31(1):27-30. doi:10.1177/1062860614549012.
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psnet.ahrq.gov/issue/clinical-nurse-specialists-leaders-rapid-response
July 19, 2023 - Commentary
Clinical nurse specialists as leaders in rapid response.
Citation Text:
Jenkins SD, Lindsey PL. Clinical nurse specialists as leaders in rapid response. Clin Nurse Spec. 2010;24(1):24-30. doi:10.1097/NUR.0b013e3181c4abe9.
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psnet.ahrq.gov/issue/application-surgical-safety-standards-robotic-surgery-five-principles-ethics-nonmaleficence
October 19, 2022 - Review
Application of surgical safety standards to robotic surgery: five principles of ethics for nonmaleficence.
Citation Text:
Larson JA, Johnson MH, Bhayani SB. Application of surgical safety standards to robotic surgery: five principles of ethics for nonmaleficence. J Am Coll Surg. …
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psnet.ahrq.gov/issue/driving-surgical-quality-using-operative-video
July 29, 2020 - Commentary
Driving surgical quality using operative video.
Citation Text:
O'Mahoney PRA, Yeo HL, Lange MM, et al. Driving Surgical Quality Using Operative Video. Surg Innov. 2016;23(4):337-40. doi:10.1177/1553350616643616.
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psnet.ahrq.gov/issue/characteristics-medical-liability-claims-against-dermatologists-1991-through-2015
July 29, 2020 - Study
Characteristics of medical liability claims against dermatologists from 1991 through 2015.
Citation Text:
Kornmehl H, Singh S, Adler BL, et al. Characteristics of Medical Liability Claims Against Dermatologists From 1991 Through 2015. JAMA Dermatol. 2018;154(2):160-166. doi:10.1001…
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psnet.ahrq.gov/issue/why-sociotechnical-framework-necessary-address-diagnostic-error
September 14, 2022 - Commentary
Why a sociotechnical framework is necessary to address diagnostic error.
Citation Text:
Ladell MM, Yale S, Bordini BJ, et al. Why a sociotechnical framework is necessary to address diagnostic error. BMJ Qual Saf. 2024;33(12):823-828. doi:10.1136/bmjqs-2024-017231.
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psnet.ahrq.gov/issue/twelve-tips-implementing-patient-safety-curriculum-undergraduate-programme-medicine
June 19, 2018 - Commentary
Twelve tips for implementing a patient safety curriculum in an undergraduate programme in medicine.
Citation Text:
Armitage G, Cracknell A, Forrest K, et al. Twelve tips for implementing a patient safety curriculum in an undergraduate programme in medicine. Med Teach. 2011;3…