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psnet.ahrq.gov/issue/important-change-heparin-container-labels-clearly-state-total-drug-strength
December 16, 2020 - Government Resource
Important change to heparin container labels to clearly state the total drug strength.
Citation Text:
Important change to heparin container labels to clearly state the total drug strength. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; Dece…
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psnet.ahrq.gov/issue/will-human-factors-restore-faith-gmc
January 12, 2022 - Commentary
Will human factors restore faith in the GMC?
Citation Text:
Morgan L, Benson D, McCulloch P. Will human factors restore faith in the GMC? BMJ. 2019;364:l1037. doi:10.1136/bmj.l1037.
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psnet.ahrq.gov/issue/reforming-veterans-health-administration-beyond-palliation-symptoms
May 11, 2019 - Commentary
Reforming the Veterans Health Administration—beyond palliation of symptoms.
Citation Text:
Giroir BP, Wilensky GR. Reforming the Veterans Health Administration--Beyond Palliation of Symptoms. N Engl J Med. 2015;373(18):1693-5. doi:10.1056/NEJMp1511438.
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psnet.ahrq.gov/issue/preventable-errors-operating-room-part-2-retained-foreign-objects-sharps-injuries-and-wrong
April 25, 2018 - Review
Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong site surgery.
Citation Text:
Dagi F, Berguer R, Moore S, et al. Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong site surg…
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psnet.ahrq.gov/issue/excessive-work-hours-physicians-training-el-salvador-putting-patients-risk
August 04, 2021 - Commentary
Excessive work hours of physicians in training in El Salvador: putting patients at risk.
Citation Text:
Taylor KRF. Excessive work hours of physicians in training in El Salvador: putting patients at risk. PLoS Med. 2007;4(7):e205.
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psnet.ahrq.gov/issue/computer-based-medication-error-reporting-insights-and-implications
August 02, 2010 - Study
Computer based medication error reporting: insights and implications.
Citation Text:
Miller MR, Clark JS, Lehmann CU. Computer based medication error reporting: insights and implications. Qual Saf Health Care. 2006;15(3):208-13.
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psnet.ahrq.gov/issue/longitudinal-analyses-nurse-staffing-and-patient-outcomes-more-about-failure-rescue
February 24, 2021 - Study
Longitudinal analyses of nurse staffing and patient outcomes: more about failure to rescue.
Citation Text:
Seago JA, Williamson A, Atwood C. Longitudinal Analyses of Nurse Staffing and Patient Outcomes. J Nurs Admin. 2006;36(1):13-21. doi:10.1097/00005110-200601000-00005.
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psnet.ahrq.gov/issue/alcohol-and-drug-testing-health-professionals-following-preventable-adverse-events-bad-idea
January 02, 2017 - Commentary
Alcohol and drug testing of health professionals following preventable adverse events: a bad idea.
Citation Text:
Banja J. Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. Am J Bioeth. 2014;14(12):25-36. doi:10.1080/15265161.20…
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psnet.ahrq.gov/issue/leading-clinical-handover-improvement-change-strategy-implement-best-practices-acute-care
May 18, 2022 - Commentary
Leading clinical handover improvement: a change strategy to implement best practices in the acute care setting.
Citation Text:
Clarke CM, Persaud DD. Leading Clinical Handover Improvement. J Patient Saf. 2011;7(1):11-18. doi:10.1097/pts.0b013e31820c98a8.
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psnet.ahrq.gov/issue/medication-reconciliation-qualitative-analysis-clinicians-perceptions
October 10, 2015 - Study
Medication reconciliation: a qualitative analysis of clinicians' perceptions.
Citation Text:
Vogelsmeier A, Pepper GA, Oderda L, et al. Medication reconciliation: A qualitative analysis of clinicians' perceptions. Res Social Adm Pharm. 2013;9(4):419-30. doi:10.1016/j.sapharm.201…
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psnet.ahrq.gov/issue/bearing-witness-ethics-practice-storying-physicians-medical-mistake-narratives
July 17, 2024 - Study
Bearing witness to the ethics of practice: storying physicians' medical mistake narratives.
Citation Text:
Carmack HJ. Bearing witness to the ethics of practice: storying physicians' medical mistake narratives. Health Commun. 2010;25(5):449-58. doi:10.1080/10410236.2010.484876.
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psnet.ahrq.gov/issue/foundations-teaching-surgeons-address-contributions-systems-operating-room-team-conflict
December 21, 2014 - Study
Foundations for teaching surgeons to address the contributions of systems to operating room team conflict.
Citation Text:
Rogers DA, Lingard LA, Boehler ML, et al. Foundations for teaching surgeons to address the contributions of systems to operating room team conflict. Am J Surg.…
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psnet.ahrq.gov/issue/covid-19-can-last-several-months-diseases-long-haulers-have-endured-relentless-waves
April 03, 2005 - Newspaper/Magazine Article
COVID-19 can last for several months. The disease’s “long-haulers” have endured relentless waves of debilitating symptoms—and disbelief from doctors and friends.
Citation Text:
Young E. COVID-19 can last for several months. The disease’s “long-haulers” have end…
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psnet.ahrq.gov/issue/practical-approach-measure-quality-handwritten-medication-orders-tool-improvement
September 24, 2010 - Study
A practical approach to measure the quality of handwritten medication orders: a tool for improvement.
Citation Text:
Garbutt J, Milligan P, McNaughton C, et al. A Practical Approach to Measure the Quality of Handwritten Medication Orders. J Patient Saf. 2008;1(4). doi:10.1097/01.…
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psnet.ahrq.gov/issue/ahrqs-hospital-survey-patient-safety-culture-psychometric-analyses
February 18, 2011 - Study
AHRQ's Hospital Survey on Patient Safety Culture: psychometric analyses.
Citation Text:
Blegen MA, Gearhart S, O'Brien R, et al. AHRQ's hospital survey on patient safety culture: psychometric analyses. J Patient Saf. 2009;5(3):139-44. doi:10.1097/PTS.0b013e3181b53f6e.
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psnet.ahrq.gov/issue/rapid-response-teams-qualitative-analysis-their-effectiveness
November 02, 2010 - Study
Rapid response teams: qualitative analysis of their effectiveness.
Citation Text:
Leach LS, Mayo AM. Rapid response teams: qualitative analysis of their effectiveness. Am J Crit Care. 2013;22(3):198-210. doi:10.4037/ajcc2013990.
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psnet.ahrq.gov/issue/addressing-disease-related-malnutrition-hospitalized-patients-call-national-goal
June 12, 2018 - Commentary
Addressing disease-related malnutrition in hospitalized patients: a call for a national goal.
Citation Text:
Guenter P, Jensen G, Patel V, et al. Addressing Disease-Related Malnutrition in Hospitalized Patients: A Call for a National Goal. Jt Comm J Qual Patient Saf. 2015;41(1…
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psnet.ahrq.gov/issue/using-ora-explore-relationship-nursing-unit-communication-patient-safety-and-quality-outcomes
December 11, 2008 - Study
Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes.
Citation Text:
Effken JA, Carley KM, Gephart SM, et al. Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes. Int J Me…
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psnet.ahrq.gov/issue/preventing-medication-errors-small-and-rural-hospitals
May 19, 2021 - Newspaper/Magazine Article
Preventing medication errors at small and rural hospitals.
Citation Text:
Preventing medication errors at small and rural hospitals. McCook A. Preventing medication errors at small and rural hospitals. Pharmacy Practice News. May 6, 2020.
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psnet.ahrq.gov/issue/role-nursing-surveillance-keeping-patients-safe
July 14, 2009 - Commentary
The role of nursing surveillance in keeping patients safe.
Citation Text:
Dresser S. The role of nursing surveillance in keeping patients safe. J Nurs Adm. 2012;42(7-8):361-368. doi:10.1097/NNA.0b013e3182619377.
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