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psnet.ahrq.gov/issue/pediatric-rapid-response-teams-academic-medical-center
November 21, 2016 - Study
Pediatric rapid response teams in the academic medical center.
Citation Text:
Mistry KP, Turi J, Hueckel RM, et al. Pediatric Rapid Response Teams in the Academic Medical Center. Clin Pediatr Emerg Med. 2006;7(4). doi:10.1016/j.cpem.2006.08.010.
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psnet.ahrq.gov/issue/rolling-out-rapid-response-team
November 11, 2020 - Commentary
Rolling out the rapid response team.
Citation Text:
Gallagher-Ford L, Fineout-Overholt E, Melnyk BM, et al. Rolling out the rapid response team. Am J Nurs. 2011;111(5):42-47. doi:10.1097/01.naj.0000398050.30793.0f.
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psnet.ahrq.gov/issue/strategies-improve-patient-safety-outcome-indicator-preventing-or-reducing-falls
March 24, 2021 - Commentary
Strategies to improve the patient safety outcome indicator: preventing or reducing falls.
Citation Text:
Bright L. Strategies to improve the patient safety outcome indicator: preventing or reducing falls. Home Healthc Nurse. 2005;23(1):29-36.
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psnet.ahrq.gov/issue/nurses-perceptions-how-rapid-response-teams-affect-nurse-team-and-system
May 20, 2019 - Study
Nurses' perceptions of how rapid response teams affect the nurse, team, and system.
Citation Text:
Williams DJ, Newman A, Jones CB, et al. Nurses' perceptions of how rapid response teams affect the nurse, team, and system. J Nurs Care Qual. 2011;26(3):265-72. doi:10.1097/NCQ.0b01…
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psnet.ahrq.gov/issue/decreasing-errors-pediatric-continuous-intravenous-infusions
January 06, 2017 - Study
Decreasing errors in pediatric continuous intravenous infusions.
Citation Text:
Lehmann CU, Kim G, Gujral R, et al. Decreasing errors in pediatric continuous intravenous infusions. Pediatr Crit Care Med. 2006;7(3):225-30.
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psnet.ahrq.gov/issue/detection-medication-related-problems-hospital-practice-review
June 16, 2021 - Review
Detection of medication-related problems in hospital practice: a review.
Citation Text:
Manias E. Detection of medication-related problems in hospital practice: a review. Br J Clin Pharmacol. 2013;76(1):7-20. doi:10.1111/bcp.12049.
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psnet.ahrq.gov/issue/rapid-response-teams-seen-through-eyes-nurse
June 03, 2010 - Study
Rapid response teams seen through the eyes of the nurse.
Citation Text:
Shapiro SE, Donaldson NE, Scott MB. Rapid response teams seen through the eyes of the nurse. Am J Nurs. 2010;110(6):28-34; quiz 35-36. doi:10.1097/01.NAJ.0000377686.64479.84.
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psnet.ahrq.gov/issue/profiles-patient-safety-misplaced-femoral-line-guidewire-and-multiple-failures-detect-foreign
April 03, 2017 - Commentary
Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest radiography.
Citation Text:
Lum TE, Fairbanks RJ, Pennington EC, et al. Profiles in Patient Safety: Misplaced Femoral Line Guidewire and Multiple Failures t…
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psnet.ahrq.gov/issue/academic-detailing-improve-laboratory-testing-among-outpatient-medication-users
September 24, 2010 - Study
Academic detailing to improve laboratory testing among outpatient medication users.
Citation Text:
Lafata JE, Gunter MJ, Hsu J, et al. Academic detailing to improve laboratory testing among outpatient medication users. Med Care. 2007;45(10):966-72.
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psnet.ahrq.gov/issue/how-radiation-oncologists-would-disclose-errors-results-survey-radiation-oncologists-and
December 14, 2016 - Study
How radiation oncologists would disclose errors: results of a survey of radiation oncologists and trainees.
Citation Text:
Evans SB, Yu JB, Chagpar A. How radiation oncologists would disclose errors: results of a survey of radiation oncologists and trainees. Int J Radiat Oncol Bi…
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psnet.ahrq.gov/issue/annotated-bibliography-understanding-ambulatory-care-practices-context-patient-safety-and
March 02, 2010 - Commentary
Annotated bibliography: an update to: "Understanding ambulatory care practices in the context of patient safety and quality improvement."
Citation Text:
Kumar PR, Nash DB. Annotated Bibliography: An Update to “Understanding Ambulatory Care Practices in the Context of Patient S…
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psnet.ahrq.gov/issue/potential-false-positive-results-antigen-tests-rapid-detection-sars-cov-2-letter-clinical
April 08, 2020 - Press Release/Announcement
Potential for false positive results with antigen tests for rapid detection of SARS-CoV-2--letter to clinical laboratory staff and health care providers.
Citation Text:
Potential for false positive results with antigen tests for rapid detection of SARS-CoV-2--l…
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psnet.ahrq.gov/issue/multi-level-strategies-achieve-resilience-organisation-operating-capacity-case-study-trauma
November 20, 2024 - Study
Multi-level strategies to achieve resilience for an organisation operating at capacity: a case study at a trauma centre.
Citation Text:
Miller A, Xiao Y. Multi-level strategies to achieve resilience for an organisation operating at capacity: a case study at a trauma centre. Cogni…
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psnet.ahrq.gov/issue/oversight-hearing-recent-patient-safety-issues
November 06, 2019 - Congressional Testimony
Oversight Hearing on Recent Patient Safety Issues.
Citation Text:
Oversight Hearing on Recent Patient Safety Issues. U.S. Department of Veterans Affairs. Hearing before the Committee on Veterans’ Affairs, House of Representatives, Subcommittee on Oversight and…
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psnet.ahrq.gov/issue/patient-safety-moving-bar-prison-health-care-standards
August 28, 2024 - Commentary
Patient safety: moving the bar in prison health care standards.
Citation Text:
Stern MF, Greifinger RB, Mellow J. Patient safety: moving the bar in prison health care standards. Am J Public Health. 2010;100(11):2103-2110. doi:10.2105/AJPH.2009.184242.
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psnet.ahrq.gov/issue/nurse-reports-adverse-events-during-sedation-procedures-pediatric-hospital
November 02, 2016 - Study
Nurse reports of adverse events during sedation procedures at a pediatric hospital.
Citation Text:
Lightdale JR, Mahoney LB, Fredette ME, et al. Nurse reports of adverse events during sedation procedures at a pediatric hospital. J Perianesth Nurs. 2009;24(5):300-6. doi:10.1016/j.j…
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psnet.ahrq.gov/issue/collaborating-or-selling-patients-conceptual-framework-emergency-department-inpatient-handoff
December 21, 2017 - Commentary
Collaborating—or "selling" patients? A conceptual framework for emergency department-to-inpatient handoff negotiations.
Citation Text:
Hilligoss B, Mansfield JA, Patterson ES, et al. Collaborating-or "Selling" Patients? A Conceptual Framework for Emergency Department-to-Inpati…
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psnet.ahrq.gov/issue/nurse-interruptions-pre-and-post-implementation-point-care-medication-administration-system
March 11, 2015 - Study
Nurse interruptions pre- and post-implementation of a point-of-care medication administration system.
Citation Text:
Stamp KD, Willis DG. Nurse interruptions pre- and postimplementation of a point-of-care medication administration system. J Nurs Care Qual. 2010;25(3):231-239. doi:1…
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psnet.ahrq.gov/issue/ambulance-personnel-perceptions-near-misses-and-adverse-events-pediatric-patients
July 16, 2008 - Study
Ambulance personnel perceptions of near misses and adverse events in pediatric patients.
Citation Text:
Cushman JT, Fairbanks RJ, O'Gara KG, et al. Ambulance personnel perceptions of near misses and adverse events in pediatric patients. Prehosp Emerg Care. 2010;14(4):477-84. doi:…
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psnet.ahrq.gov/issue/improving-patient-safety-hospitals-contributions-high-reliability-theory-and-normal-accident
October 13, 2010 - Commentary
Improving patient safety in hospitals: contributions of high-reliability theory and normal accident theory.
Citation Text:
Tamuz M, Harrison MI. Improving patient safety in hospitals: Contributions of high-reliability theory and normal accident theory. Health Serv Res. 2006;…