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psnet.ahrq.gov/issue/talking-behind-their-backs-negative-gossip-and-burnout-hospitals
April 17, 2024 - Study
Talking behind their backs: negative gossip and burnout in hospitals.
Citation Text:
Georganta K, Panagopoulou E, Montgomery A. Talking behind their backs: Negative gossip and burnout in Hospitals. Burn Res. 2014;1(2). doi:10.1016/j.burn.2014.07.003.
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psnet.ahrq.gov/issue/prevalence-risk-factors-and-outcomes-idle-intravenous-catheters-integrative-review
August 29, 2018 - Review
Prevalence, risk factors, and outcomes of idle intravenous catheters: an integrative review.
Citation Text:
Becerra MB, Shirley D, Safdar N. Prevalence, risk factors, and outcomes of idle intravenous catheters: An integrative review. Am J Infect Control. 2016;44(10):e167-e172. doi…
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psnet.ahrq.gov/issue/safety-issues-related-electronic-medical-record-emr-synthesis-literature-last-decade-2000
January 20, 2016 - Review
Safety issues related to the electronic medical record (EMR): synthesis of the literature from the last decade, 2000–2009.
Citation Text:
Harrington L, Kennerly DA, Johnson C. Safety issues related to the electronic medical record (EMR): synthesis of the literature from the last…
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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/industry-automates-adverse-events-continue-haunt-caregivers
February 08, 2023 - Newspaper/Magazine Article
As industry automates, adverse events continue to haunt caregivers.
Citation Text:
Wetzel TG. As industry automates, adverse events haunt caregivers. Health data management. 2011;19(2):86, 88, 90 passim.
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digital.ahrq.gov/ahrq-funded-projects/medication-metronome-project
January 01, 2023 - The Medication Metronome Project
Project Final Report ( PDF , 850.24 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this…
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psnet.ahrq.gov/issue/what-prevents-incident-disclosure-and-what-can-be-done-promote-it
February 20, 2012 - Study
What prevents incident disclosure, and what can be done to promote it?
Citation Text:
Iedema R, Allen S, Sorensen R, et al. What prevents incident disclosure, and what can be done to promote it? Jt Comm J Qual Patient Saf. 2011;37(9):409-417.
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psnet.ahrq.gov/issue/acog-committee-opinion-621-patient-safety-and-health-information-technology
May 22, 2019 - Commentary
ACOG Committee Opinion #621: patient safety and health information technology.
Citation Text:
Improvement C on PS and Q, Management C on P. Committee opinion no. 621: Patient safety and health information technology. Obstet Gynecol. 2015;125(1):282-3. doi:10.1097/01.AOG.000045…
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psnet.ahrq.gov/issue/retained-foreign-bodies-after-surgery
November 23, 2011 - Study
Retained foreign bodies after surgery.
Citation Text:
Lincourt AE, Harrell A, Cristiano J, et al. Retained Foreign Bodies After Surgery. Journal of Surgical Research. 2007;138(2). doi:10.1016/j.jss.2006.08.001.
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psnet.ahrq.gov/issue/medical-error-and-decision-making-learning-past-and-present-intensive-care
June 26, 2024 - Review
Medical error and decision making: learning from the past and present in intensive care.
Citation Text:
Bucknall TK. Medical error and decision making: Learning from the past and present in intensive care. Australian Critical Care. 2010;23(3). doi:10.1016/j.aucc.2010.06.001.
C…
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psnet.ahrq.gov/issue/new-view-human-error-origins-ambiguities-successes-and-critiques
August 12, 2020 - Commentary
The ‘new view’ of human error. Origins, ambiguities, successes and critiques.
Citation Text:
Le Coze JC. The ‘new view’ of human error. Origins, ambiguities, successes and critiques. Safety Sci. 2022;154:105853. doi:10.1016/j.ssci.2022.105853.
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psnet.ahrq.gov/issue/sources-and-types-discrepancies-between-electronic-medical-records-and-actual-outpatient
July 19, 2023 - Study
Sources and types of discrepancies between electronic medical records and actual outpatient medication use.
Citation Text:
Orrico KB. Sources and types of discrepancies between electronic medical records and actual outpatient medication use. J Manag Care Pharm. 2008;14(7):626-631…
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psnet.ahrq.gov/issue/acgmes-final-duty-hour-standards-special-pgy-1-limits-and-strategic-napping
December 09, 2020 - Commentary
The ACGME’s final duty-hour standards—special PGY-1 limits and strategic napping.
Citation Text:
Iglehart JK. The ACGME's final duty-hour standards—special PGY-1 limits and strategic napping. N Engl J Med. 2010;363(17):1589-1591.
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psnet.ahrq.gov/issue/alarm-fatigue-impacts-patient-safety
December 02, 2020 - Review
Alarm fatigue: impacts on patient safety.
Citation Text:
Ruskin KJ, Hueske-Kraus D. Alarm fatigue: impacts on patient safety. Curr Opin Anaesthesiol. 2015;28(6):685-690. doi:10.1097/ACO.0000000000000260.
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psnet.ahrq.gov/issue/winning-battle-standardization
March 02, 2022 - Newspaper/Magazine Article
Winning the battle for standardization.
Citation Text:
Durkee RP, Richard LW. Winning the battle for standardization. The U.S. Army Medical Department examines the EMR to develop a standardized process for medication reconciliation documentation. Health Manag…
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psnet.ahrq.gov/issue/disclosure-adverse-events-and-errors-surgical-care-challenges-and-strategies-improvement
December 01, 2021 - Review
Disclosure of adverse events and errors in surgical care: challenges and strategies for improvement.
Citation Text:
Lipira LE, Gallagher TH. Disclosure of adverse events and errors in surgical care: challenges and strategies for improvement. World J Surg. 2014;38(7):1614-21. doi:1…
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psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan
December 18, 2013 - Book/Report
Health IT Patient Safety Action and Surveillance Plan.
Citation Text:
Health IT Patient Safety Action and Surveillance Plan. Washington, DC: Office of the National Coordinator for Health Information Technology; July 2, 2013.
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psnet.ahrq.gov/issue/direct-oral-anticoagulants-new-drugs-practical-problems-how-can-nurses-help-prevent-patient
November 16, 2022 - Commentary
Direct oral anticoagulants: new drugs with practical problems. How can nurses help prevent patient harm?
Citation Text:
Barras MA, Hughes D, Ullner M. Direct oral anticoagulants: New drugs with practical problems. How can nurses help prevent patient harm? Nurs Health Sci. 2016…
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psnet.ahrq.gov/issue/speaking-and-sharing-information-improves-trainee-neonatal-resuscitations
April 08, 2011 - Study
Speaking up and sharing information improves trainee neonatal resuscitations.
Citation Text:
Katakam LI, Trickey AW, Thomas EJ. Speaking up and sharing information improves trainee neonatal resuscitations. J Patient Saf. 2012;8(4):202-9. doi:10.1097/PTS.0b013e3182699b4f.
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psnet.ahrq.gov/issue/chemotherapy-home-care-one-teams-performance-improvement-journey-toward-reducing-medication
November 16, 2016 - Commentary
Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors.
Citation Text:
Ewen BM, Combs R, Popelas C, et al. Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors. Home Healthc N…