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psnet.ahrq.gov/issue/pediatric-antidepressant-medication-errors-national-error-reporting-database
September 21, 2008 - Study
Pediatric antidepressant medication errors in a national error reporting database.
Citation Text:
Rinke ML, Bundy DG, Shore AD, et al. Pediatric antidepressant medication errors in a national error reporting database. J Dev Behav Pediatr. 2010;31(2):129-36. doi:10.1097/DBP.0b013e…
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psnet.ahrq.gov/issue/big-dog-effect-variability-assessing-causes-error-diagnoses-patients-lung-cancer
March 28, 2012 - Study
The "Big Dog" effect: variability assessing the causes of error in diagnoses of patients with lung cancer.
Citation Text:
Raab SS, Meier FA, Zarbo RJ, et al. The "Big Dog" effect: variability assessing the causes of error in diagnoses of patients with lung cancer. J Clin Oncol. 2…
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psnet.ahrq.gov/issue/reporting-medication-errors-residents-diabetes
August 23, 2017 - Commentary
Reporting medication errors: residents with diabetes.
Citation Text:
Milligan F, Gadsby R, Ghaleb MA, et al. Reporting medication errors: residents with diabetes. Nursing and Residential Care. 2014;16(11). doi:10.12968/nrec.2014.16.11.617.
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psnet.ahrq.gov/issue/roadmap-patient-safety-research-approaches-and-roadforks
July 17, 2019 - Review
Roadmap for patient safety research: approaches and roadforks.
Citation Text:
Hofoss D, Deilkås E. Roadmap for patient safety research: approaches and roadforks. Scand J Public Health. 2008;36(8):812-7. doi:10.1177/1403494808096168.
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psnet.ahrq.gov/issue/comprehensive-perinatal-patient-safety-program-reduce-preventable-adverse-outcomes-and-costs
September 29, 2010 - Study
A comprehensive perinatal patient safety program to reduce preventable adverse outcomes and costs of liability claims.
Citation Text:
Simpson KR, Kortz CC, Knox E. A comprehensive perinatal patient safety program to reduce preventable adverse outcomes and costs of liability claims.…
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psnet.ahrq.gov/issue/improving-teamwork-general-medical-units-when-teams-do-not-work-face-face
June 12, 2013 - Study
Improving teamwork on general medical units: when teams do not work face-to-face.
Citation Text:
McComb SA, Henneman EA, Hinchey KT, et al. Improving teamwork on general medical units: when teams do not work face-to-face. Jt Comm J Qual Patient Saf. 2012;38(10):471-478.
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psnet.ahrq.gov/issue/creating-fair-and-just-culture-one-institutions-path-toward-organizational-change
July 23, 2014 - Commentary
Creating a fair and just culture: one institution's path toward organizational change.
Citation Text:
Connor M, Duncombe D, Barclay E, et al. Creating a fair and just culture: one institution's pat toward organizational change. Jt Comm J Qual Patient Saf. 2007;33(10):617-24.
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psnet.ahrq.gov/issue/guideline-implementation-team-communication
October 15, 2014 - Commentary
Guideline implementation: team communication.
Citation Text:
Link T. Guideline Implementation: Team Communication: 1.8 www.aornjournal.org/content/cme. AORN J. 2018;108(2):165-177. doi:10.1002/aorn.12300.
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psnet.ahrq.gov/issue/does-insulin-double-checking-procedure-improve-patient-safety
April 24, 2018 - Study
Does an insulin double-checking procedure improve patient safety?
Citation Text:
Modic MB, Albert NM, Sun Z, et al. Does an Insulin Double-Checking Procedure Improve Patient Safety? J Nurs Adm. 2016;46(3):154-60. doi:10.1097/NNA.0000000000000314.
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psnet.ahrq.gov/issue/10-years-why-time-out-still-matters
November 08, 2013 - Commentary
10 years in, why time out still matters.
Citation Text:
Guglielmi CL, Canacari EG, DuPree ES, et al. 10 years in, why time out still matters. AORN J. 2014;99(6):783-794. doi:10.1016/j.aorn.2014.04.009.
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psnet.ahrq.gov/issue/impact-incident-disclosure-behaviors-medical-malpractice-claims
September 27, 2023 - Study
The impact of incident disclosure behaviors on medical malpractice claims.
Citation Text:
Giraldo P, Sato L, Castells X. The Impact of Incident Disclosure Behaviors on Medical Malpractice Claims. J Patient Saf. 2020;16(4):e-225-e229. doi:10.1097/PTS.0000000000000342.
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psnet.ahrq.gov/issue/prevention-surgical-malpractice-claims-surgical-safety-checklist
September 20, 2011 - Study
Prevention of surgical malpractice claims by a surgical safety checklist.
Citation Text:
de Vries EN, Eikens-Jansen MP, Hamersma AM, et al. Prevention of surgical malpractice claims by use of a surgical safety checklist. Ann Surg. 2011;253(3):624-8. doi:10.1097/SLA.0b013e31820688…
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psnet.ahrq.gov/issue/iatrogenic-harm-caused-diagnostic-errors-fibrodysplasia-ossificans-progressiva
November 16, 2022 - Study
Iatrogenic harm caused by diagnostic errors in fibrodysplasia ossificans progressiva.
Citation Text:
Kitterman JA, Kantanie S, Rocke DM, et al. Iatrogenic harm caused by diagnostic errors in fibrodysplasia ossificans progressiva. Pediatrics. 2005;116(5):e654-61.
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psnet.ahrq.gov/issue/using-simulation-teach-nursing-students-and-licensed-clinicians-obstetric-emergencies
November 11, 2020 - Commentary
Using simulation to teach nursing students and licensed clinicians obstetric emergencies.
Citation Text:
Alderman JT. Using simulation to teach nursing students and licensed clinicians obstetric emergencies. MCN Am J Matern Child Nurs. 2012;37(6):394-400. doi:10.1097/NMC.0b0…
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psnet.ahrq.gov/issue/global-burden-diagnostic-errors-primary-care
May 25, 2022 - Review
The global burden of diagnostic errors in primary care.
Citation Text:
Singh H, Schiff G, Graber ML, et al. The global burden of diagnostic errors in primary care. BMJ Qual Saf. 2017;26(6):484-494. doi:10.1136/bmjqs-2016-005401.
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psnet.ahrq.gov/issue/better-understanding-downsides-low-value-healthcare-could-reduce-harm
August 11, 2021 - Commentary
Better understanding the downsides of low value healthcare could reduce harm.
Citation Text:
Brownlee SM, Korenstein D. Better understanding the downsides of low value healthcare could reduce harm. BMJ. 2021;372:n117. doi:10.1136/bmj.n117.
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psnet.ahrq.gov/issue/prospective-study-patient-safety-operating-room
July 25, 2012 - Study
Classic
A prospective study of patient safety in the operating room.
Citation Text:
Christian CK, Gustafson ML, Roth EM, et al. A prospective study of patient safety in the operating room. Surgery. 2006;139(2):159-173.
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psnet.ahrq.gov/issue/medication-governance-preventing-errors-and-promoting-patient-safety
November 08, 2023 - Commentary
Medication governance: preventing errors and promoting patient safety.
Citation Text:
Kavanagh C. Medication governance: preventing errors and promoting patient safety. Br J Nurs. 2017;26(3):159-165. doi:10.12968/bjon.2017.26.3.159.
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psnet.ahrq.gov/issue/transforming-health-care-environment-collaborative
October 07, 2015 - Commentary
Transforming the health care environment collaborative.
Citation Text:
Burgess C, Curry MP. Transforming the health care environment collaborative. AORN J. 2014;99(4):529-39. doi:10.1016/j.aorn.2014.01.012.
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psnet.ahrq.gov/issue/adverse-events-hospitals-overview-key-issues
January 14, 2009 - Book/Report
Adverse Events in Hospitals: Overview of Key Issues.
Citation Text:
Adverse Events in Hospitals: Overview of Key Issues. Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-07-00470. …