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psnet.ahrq.gov/issue/those-found-responsible-have-been-sacked-some-observations-usefulness-error
September 28, 2010 - Commentary
“Those found responsible have been sacked”: some observations on the usefulness of error.
Citation Text:
Cook RI, Nemeth CP. “Those found responsible have been sacked”: some observations on the usefulness of error. Cogn Tech Work. 2010;12(2):87-93. doi:10.1007/s10111-010-0149-…
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psnet.ahrq.gov/issue/use-medical-emergency-team-met-responses-detect-medical-errors
April 06, 2011 - Study
Use of medical emergency team (MET) responses to detect medical errors.
Citation Text:
Braithwaite RS, Devita MA, Mahidhara R, et al. Use of medical emergency team (MET) responses to detect medical errors. Qual Saf Health Care. 2004;13(4):255-259.
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psnet.ahrq.gov/issue/nurses-use-computerized-clinical-guidelines-improve-patient-safety-hospitals
June 06, 2018 - Review
Nurses' use of computerized clinical guidelines to improve patient safety in hospitals.
Citation Text:
Hovde B, Jensen KH, Alexander GL, et al. Nurses' Use of Computerized Clinical Guidelines to Improve Patient Safety in Hospitals. West J Nurs Res. 2015;37(7):877-98. doi:10.1177/0…
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psnet.ahrq.gov/issue/multi-disciplinary-approach-medication-safety-and-implication-nursing-education-and-practice
September 26, 2018 - Study
A multi-disciplinary approach to medication safety and the implication for nursing education and practice.
Citation Text:
Adhikari R, Tocher J, Smith P, et al. A multi-disciplinary approach to medication safety and the implication for nursing education and practice. Nurse Educ To…
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psnet.ahrq.gov/issue/clinical-and-medicolegal-implications-radiology-results-communication
August 20, 2018 - Review
The clinical and medicolegal implications of radiology results communication.
Citation Text:
Aryal B, Khorsand DA, Dubinsky TJ. The Clinical and Medicolegal Implications of Radiology Results Communication. Curr Probl Diagn Radiol. 2018;47(5):287-289. doi:10.1067/j.cpradiol.2017.09…
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psnet.ahrq.gov/issue/complying-acgme-resident-duty-hours-restrictions-restructuring-80-hour-workweek-enhance
August 04, 2021 - Study
Complying with ACGME resident duty hours restrictions: restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital.
Citation Text:
Ogden PE, Sibbitt S, Howell M, et al. Complying with ACGME resident duty hours restrictio…
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psnet.ahrq.gov/issue/health-outcomes-associated-potentially-inappropriate-medication-use-older-adults
June 29, 2011 - Study
Health outcomes associated with potentially inappropriate medication use in older adults.
Citation Text:
Fick DM, Mion LC, Beers MH, et al. Health outcomes associated with potentially inappropriate medication use in older adults. Res Nurs Health. 2008;31(1):42-51. doi:10.1002/nur…
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psnet.ahrq.gov/issue/s-teams-truly-multiprofessional-course-focusing-nontechnical-skills-improve-patient-safety
November 30, 2022 - Commentary
S-TEAMS: a truly multiprofessional course focusing on nontechnical skills to improve patient safety in the operating theater.
Citation Text:
Stewart-Parker E, Galloway R, Vig S. S-TEAMS: A Truly Multiprofessional Course Focusing on Nontechnical Skills to Improve Patient Safety…
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psnet.ahrq.gov/issue/patient-safety-interprofessional-learning-environment
May 30, 2008 - Commentary
Patient safety in an interprofessional learning environment.
Citation Text:
Horsburgh M, Merry A, Seddon M. Patient safety in an interprofessional learning environment. Med Educ. 2005;39(5):512-3.
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psnet.ahrq.gov/issue/case-adverse-drug-reaction-induced-dispensing-error
August 17, 2022 - Commentary
A case of adverse drug reaction induced by dispensing error.
Citation Text:
Gallelli L, Staltari O, Palleria C, et al. A case of adverse drug reaction induced by dispensing error. J Forensic Leg Med. 2012;19(8):497-8. doi:10.1016/j.jflm.2012.04.026.
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psnet.ahrq.gov/issue/protocol-safe-use-hazardous-drugs-or
May 13, 2015 - Study
A protocol for the safe use of hazardous drugs in the OR.
Citation Text:
Hemingway MW, Meleis L, Oliver J, et al. A protocol for the safe use of hazardous drugs in the OR. AORN J. 2020;111(3). doi:10.1002/aorn.12960.
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psnet.ahrq.gov/issue/patterns-errors-contributing-trauma-mortality-lessons-learned-2594-deaths
March 24, 2021 - Study
Patterns of errors contributing to trauma mortality: lessons learned from 2,594 deaths.
Citation Text:
Gruen RL, Jurkovich GJ, McIntyre LK, et al. Patterns of Errors Contributing to Trauma Mortality. Transactions of the .. Meeting of the American Surgical Association. 2006;124. d…
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psnet.ahrq.gov/issue/health-literacy-medication-errors-and-health-outcomes-there-relationship
January 02, 2008 - Review
Health literacy, medication errors, and health outcomes: is there a relationship?
Citation Text:
Warner A, Menachemi N, Brooks RG. Health Literacy, Medication Errors, and Health Outcomes: Is There a Relationship? Hosp Pharm. 2010;41(6):542-551. doi:10.1310/hpj4106-538.
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psnet.ahrq.gov/issue/feasibility-first-developing-public-performance-indicators-patient-safety-and-clinical
February 27, 2014 - Study
Feasibility first: developing public performance indicators on patient safety and clinical effectiveness for Dutch hospitals.
Citation Text:
Berg M, Meijerink Y, Gras M, et al. Feasibility first: developing public performance indicators on patient safety and clinical effectivenes…
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psnet.ahrq.gov/issue/lessons-learned-basic-evidence-based-advice-preventing-medication-errors-children
December 22, 2008 - Commentary
Lessons learned: basic evidence-based advice for preventing medication errors in children.
Citation Text:
Thomas DO. Lessons learned: basic evidence-based advice for preventing medication errors in children. Journal of emergency nursing: JEN : official publication of the Eme…
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psnet.ahrq.gov/issue/mental-models-basic-concept-human-factors-design-infection-prevention
April 26, 2017 - Commentary
Mental models: a basic concept for human factors design in infection prevention.
Citation Text:
Sax H, Clack L. Mental models: a basic concept for human factors design in infection prevention. J Hosp Infect. 2015;89(4):335-9. doi:10.1016/j.jhin.2014.12.008.
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psnet.ahrq.gov/issue/system-safety-approach-assessing-risks-sepsis-treatment-process
February 03, 2021 - Study
A system safety approach to assessing risks in the sepsis treatment process.
Citation Text:
Kaya GK. A system safety approach to assessing risks in the sepsis treatment process. Appl Ergon. 2021;94:103408. doi:10.1016/j.apergo.2021.103408.
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psnet.ahrq.gov/issue/medicine-wandering-mind-mind-wandering-medical-practice
August 28, 2017 - Review
Medicine for the wandering mind: mind wandering in medical practice.
Citation Text:
Smallwood J, Mrazek MD, Schooler JW. Medicine for the wandering mind: mind wandering in medical practice. Med Educ. 2011;45(11):1072-80. doi:10.1111/j.1365-2923.2011.04074.x.
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psnet.ahrq.gov/issue/nurses-response-parents-speaking-efforts-ensure-their-hospitalized-childs-safety-attribution
May 13, 2020 - Study
Nurses' response to parents' 'speaking-up' efforts to ensure their hospitalized child's safety: an attribution theory perspective.
Citation Text:
Bsharat S, Drach-Zahavy A. Nurses' response to parents' 'speaking-up' efforts to ensure their hospitalized child's safety: an attributio…
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psnet.ahrq.gov/issue/potential-risk-medication-discrepancies-and-reconciliation-errors-admission-and-discharge
March 09, 2022 - Study
Potential risk of medication discrepancies and reconciliation errors at admission and discharge from an inpatient medical service.
Citation Text:
Climente-Martí M, García-Mañón ER, Artero-Mora A, et al. Potential risk of medication discrepancies and reconciliation errors at admis…