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psnet.ahrq.gov/issue/comparison-voluntarily-reported-medication-errors-intensive-care-and-general-care-units
October 26, 2010 - Study
A comparison of voluntarily reported medication errors in intensive care and general care units.
Citation Text:
Kane-Gill SL, Kowiatek JG, Weber RJ. A comparison of voluntarily reported medication errors in intensive care and general care units. Qual Saf Health Care. 2010;19(1):5…
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psnet.ahrq.gov/issue/epidemiology-and-patient-outcome-after-medical-emergency-team-calls-triggered-atrial
March 05, 2010 - Study
Epidemiology and patient outcome after medical emergency team calls triggered by atrial fibrillation.
Citation Text:
Schneider A, Calzavacca P, Jones D, et al. Epidemiology and patient outcome after medical emergency team calls triggered by atrial fibrillation. Resuscitation. 2011…
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psnet.ahrq.gov/issue/disruptive-physician-behavior-importance-recognition-and-intervention-and-its-impact-patient
January 26, 2022 - Commentary
Disruptive physician behavior: the importance of recognition and intervention and its impact on patient safety.
Citation Text:
John PR, Heitt MC. Disruptive Physician Behavior: The Importance of Recognition and Intervention and Its Impact on Patient Safety. J Hosp Med. 2018;13…
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psnet.ahrq.gov/issue/comprehensive-analysis-medication-dosing-error-related-cpoe
June 01, 2005 - Commentary
Comprehensive analysis of a medication dosing error related to CPOE.
Citation Text:
Horsky J, Kuperman GJ, Patel VL. Comprehensive Analysis of a Medication Dosing Error Related to CPOE: Table 1. J Am Med Info Assoc. 2005;12(4). doi:10.1197/jamia.m1740.
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psnet.ahrq.gov/issue/methicillin-resistant-staphylococcus-aureus-disease-three-communities
July 03, 2014 - Study
Methicillin-resistant Staphylococcus aureus disease in three communities.
Citation Text:
Fridkin SK, Hageman JC, Morrison M, et al. Methicillin-resistant Staphylococcus aureus disease in three communities. N Engl J Med. 2005;352(14):1436-44.
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www.ahrq.gov/research/publications/search.html?page=16
September 01, 2012 - Search Publications
The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 161 - 170 of 191 Publications displayed
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psnet.ahrq.gov/issue/cognitive-error-most-frequent-contributory-factor-cases-medical-injury-study-verdicts
September 25, 2013 - Study
Cognitive error as the most frequent contributory factor in cases of medical injury: a study on verdict's judgment among closed claims in Japan.
Citation Text:
Tokuda Y, Kishida N, Konishi R, et al. Cognitive error as the most frequent contributory factor in cases of medical inju…
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psnet.ahrq.gov/issue/proposal-surgical-checklist-ambulatory-oral-surgery
January 17, 2012 - Commentary
Proposal for a 'surgical checklist' for ambulatory oral surgery.
Citation Text:
Perea-Pérez B, Santiago-Sáez A, García-Marín F, et al. Proposal for a 'surgical checklist' for ambulatory oral surgery. Int J Oral Maxillofac Surg. 2011;40(9):949-54. doi:10.1016/j.ijom.2011.04.0…
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psnet.ahrq.gov/issue/recognising-and-responding-cutting-corners-when-providing-nursing-care-qualitative-study
July 01, 2017 - Study
Recognising and responding to 'cutting corners' when providing nursing care: a qualitative study.
Citation Text:
Jones A, Johnstone M-J, Duke M. Recognising and responding to 'cutting corners' when providing nursing care: a qualitative study. J Clin Nurs. 2016;25(15-16):2126-33. do…
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psnet.ahrq.gov/issue/parental-involvement-preoperative-surgical-safety-checklist-welcomed-both-parents-and-staff
April 12, 2011 - Study
Parental involvement in the preoperative surgical safety checklist is welcomed by both parents and staff.
Citation Text:
Corbally MT, Tierney E. Parental involvement in the preoperative surgical safety checklist is welcomed by both parents and staff. Int J Pediatr. 2014;2014:791490…
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psnet.ahrq.gov/issue/potassium-and-phosphorus-repletion-hospitalized-patients-implications-clinical-practice-and
May 09, 2014 - Study
Potassium and phosphorus repletion in hospitalized patients: implications for clinical practice and the potential use of healthcare information technology to improve prescribing and patient safety.
Citation Text:
Hemstreet BA, Stolpman N, Badesch DB, et al. Potassium and phosphor…
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psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-hospitalized-elders
February 17, 2011 - Study
Potentially inappropriate medication use in hospitalized elders.
Citation Text:
Rothberg MB, Pekow PS, Liu F, et al. Potentially inappropriate medication use in hospitalized elders. J Hosp Med. 2008;3(2):91-102. doi:10.1002/jhm.290.
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psnet.ahrq.gov/issue/patient-safety-examining-adequacy-5-rights-medication-administration
March 02, 2016 - Commentary
Patient safety: examining the adequacy of the 5 rights of medication administration.
Citation Text:
Macdonald M. Patient safety: examining the adequacy of the 5 rights of medication administration. Clin Nurse Spec. 2010;24(4):196-201. doi:10.1097/NUR.0b013e3181e3605f.
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psnet.ahrq.gov/issue/using-computerized-sign-out-system-improve-physician-nurse-communication
September 28, 2016 - Study
Using a computerized sign-out system to improve physician–nurse communication.
Citation Text:
Sidlow R, Katz-Sidlow RJ. Using a computerized sign-out system to improve physician-nurse communication. Jt Comm J Qual Patient Saf. 2006;32(1):32-36.
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psnet.ahrq.gov/issue/hospital-image-repair-strategies-organizational-apology-and-medical-errors-analysis-coxhealth
July 17, 2024 - Commentary
Hospital image repair strategies, organizational apology, and medical errors: an analysis of the CoxHealth brain over-radiation case.
Citation Text:
Carmack HJ. Hospital Image Repair Strategies, Organizational Apology, and Medical Errors: An Analysis of the CoxHealth Brain Ove…
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psnet.ahrq.gov/issue/learning-failure-need-independent-safety-investigation-healthcare
September 24, 2018 - Commentary
Learning from failure: the need for independent safety investigation in healthcare.
Citation Text:
Macrae C, Vincent CA. Learning from failure: the need for independent safety investigation in healthcare. J R Soc Med. 2014;107(11):439-443. doi:10.1177/0141076814555939.
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psnet.ahrq.gov/issue/attitudes-and-practices-related-clinical-alarms-follow-survey
June 11, 2014 - Study
Attitudes and practices related to clinical alarms: a follow-up survey.
Citation Text:
Ruppel H, Funk M, Clark T, et al. Attitudes and Practices Related to Clinical Alarms: A Follow-up Survey. Am J Crit Care. 2018;27(2):114-123. doi:10.4037/ajcc2018185.
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psnet.ahrq.gov/issue/handover-after-pediatric-heart-surgery-simple-tool-improves-information-exchange
July 03, 2016 - Study
Handover after pediatric heart surgery: a simple tool improves information exchange.
Citation Text:
Zavalkoff SR, Razack SI, Lavoie J, et al. Handover after pediatric heart surgery: a simple tool improves information exchange. Pediatr Crit Care Med. 2011;12(3):309-13. doi:10.1097/…
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psnet.ahrq.gov/issue/human-factors-and-quality-improvement-emergency-department-reducing-potential-errors-blood
October 14, 2011 - Study
Human factors and quality improvement in the emergency department: reducing potential errors in blood collection.
Citation Text:
Bashkin O, Caspi S, Swissa A, et al. Human Factors and Quality Improvement in the Emergency Department: Reducing Potential Errors in Blood Collection. J …
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psnet.ahrq.gov/issue/medication-safety-program-reduces-adverse-drug-events-community-hospital
April 24, 2018 - Study
Medication safety program reduces adverse drug events in a community hospital.
Citation Text:
Cohen MM, Kimmel NL, Benage MK, et al. Medication safety program reduces adverse drug events in a community hospital. Qual Saf Health Care. 2005;14(3):169-74.
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