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psnet.ahrq.gov/issue/predictive-combinations-monitor-alarms-preceding-hospital-code-blue-events
March 18, 2020 - Study
Predictive combinations of monitor alarms preceding in-hospital code blue events.
Citation Text:
Hu X, Sapo M, Nenov V, et al. Predictive combinations of monitor alarms preceding in-hospital code blue events. J Biomed Inform. 2012;45(5):913-21. doi:10.1016/j.jbi.2012.03.001.
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psnet.ahrq.gov/issue/implementation-patient-centeredness-enhance-patient-safety
June 24, 2010 - Commentary
Implementation of patient centeredness to enhance patient safety.
Citation Text:
Berntsen KJ. Implementation of patient centeredness to enhance patient safety. J Nurs Care Qual. 2006;21(1):15-19.
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psnet.ahrq.gov/issue/structural-empowerment-magnet-hospital-characteristics-and-patient-safety-culture-making-link
May 28, 2014 - Study
Structural empowerment, Magnet hospital characteristics, and patient safety culture: making the link.
Citation Text:
Armstrong KJ, Laschinger H. Structural empowerment, Magnet hospital characteristics, and patient safety culture: making the link. J Nurs Care Qual. 2006;21(2):124-…
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psnet.ahrq.gov/issue/application-aronsons-taxonomy-medication-errors-nursing
January 15, 2009 - Study
The application of Aronson's taxonomy to medication errors in nursing.
Citation Text:
Johnson M, Young H. The application of Aronson's taxonomy to medication errors in nursing. J Nurs Care Qual. 2011;26(2):128-35. doi:10.1097/NCQ.0b013e3181f54b14.
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psnet.ahrq.gov/issue/teaching-novice-clinicians-how-reduce-diagnostic-waste-and-errors-applying-toyota-production
June 19, 2019 - Commentary
Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System.
Citation Text:
Radhakrishnan NS, Singh H, Southwick FS. Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System.…
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psnet.ahrq.gov/issue/creating-oversight-infrastructure-electronic-health-record-related-patient-safety-hazards
May 22, 2015 - Commentary
Creating an oversight infrastructure for electronic health record–related patient safety hazards.
Citation Text:
Singh H, Classen D, Sittig DF. Creating an oversight infrastructure for electronic health record-related patient safety hazards. J Patient Saf. 2011;7(4):169-74. …
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psnet.ahrq.gov/issue/college-students-return-crisis-campus-care-awaits
September 09, 2020 - Newspaper/Magazine Article
As college students return, a crisis in campus care awaits.
Citation Text:
Abelson J, Tran AB, Kornfield M, et al. As college students return, a crisis in campus care awaits. The Seattle Times. 2020;July 13.
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psnet.ahrq.gov/issue/did-hospital-engagement-networks-actually-improve-care
July 18, 2016 - Commentary
Did hospital engagement networks actually improve care?
Citation Text:
Pronovost P, Jha AK. Did hospital engagement networks actually improve care? N Engl J Med. 2014;371(8):691-693. doi:10.1056/NEJMp1405800.
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psnet.ahrq.gov/issue/how-do-community-pharmacies-recover-e-prescription-errors
November 04, 2014 - Study
How do community pharmacies recover from e-prescription errors?
Citation Text:
Odukoya OK, Stone JA, Chui MA. How do community pharmacies recover from e-prescription errors? Res Social Adm Pharm. 2014;10(6):837-852. doi:10.1016/j.sapharm.2013.11.009.
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psnet.ahrq.gov/issue/evaluation-causes-and-frequency-medication-errors-during-information-technology-downtime
October 03, 2011 - Study
Evaluation of causes and frequency of medication errors during information technology downtime.
Citation Text:
Hanuscak TL, Szeinbach SL, Seoane-Vazquez E, et al. Evaluation of causes and frequency of medication errors during information technology downtime. Am J Health Syst Pharm…
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psnet.ahrq.gov/issue/between-flags-implementing-rapid-response-system-scale
June 08, 2011 - Commentary
'Between the flags': implementing a rapid response system at scale.
Citation Text:
Hughes C, Pain C, Braithwaite J, et al. 'Between the flags': implementing a rapid response system at scale. BMJ Qual Saf. 2014;23(9):714-7. doi:10.1136/bmjqs-2014-002845.
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psnet.ahrq.gov/issue/six-steps-head-hand-simulator-based-transfer-oriented-psychological-training-improve-patient
August 20, 2018 - Commentary
Six steps from head to hand: a simulator based transfer oriented psychological training to improve patient safety.
Citation Text:
Müller MP, Hänsel M, Stehr SN, et al. Six steps from head to hand: a simulator based transfer oriented psychological training to improve patient …
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psnet.ahrq.gov/issue/going-solid-model-system-dynamics-and-consequences-patient-safety
August 01, 2018 - Commentary
Classic
"Going solid": a model of system dynamics and consequences for patient safety.
Citation Text:
Cook R, Rasmussen J. "Going solid": a model of system dynamics and consequences for patient safety. Qual Saf Health Care. 2005;14(2):130-4.
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psnet.ahrq.gov/issue/medication-error-care-hivaids-patients-electronic-surveillance-confirmation-and-adverse
September 28, 2022 - Study
Medication error in the care of HIV/AIDS patients: electronic surveillance, confirmation, and adverse events.
Citation Text:
DeLorenze GN, Follansbee SF, Nguyen DP, et al. Medication error in the care of HIV/AIDS patients: electronic surveillance, confirmation, and adverse events…
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psnet.ahrq.gov/issue/interruptions-clinical-nursing-practice
September 26, 2018 - Study
Interruptions in clinical nursing practice.
Citation Text:
Sørensen EE, Brahe L. Interruptions in clinical nursing practice. J Clin Nurs. 2014;23(9-10):1274-82. doi:10.1111/jocn.12329.
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psnet.ahrq.gov/issue/multicenter-multidisciplinary-high-alert-medication-collaborative-improve-patient-safety
December 04, 2016 - Study
A multicenter, multidisciplinary, high-alert medication collaborative to improve patient safety: the Singapore experience.
Citation Text:
Khoo AL, Teng M, Lim BP, et al. A multicenter, multidisciplinary, high-alert medication collaborative to improve patient safety: the Singapor…
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psnet.ahrq.gov/issue/pediatric-medication-safety-emergency-department
October 19, 2022 - Commentary
Pediatric medication safety in the emergency department.
Citation Text:
Cadwell SM. Pediatric medication safety in the emergency department. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 2008;34(4):375-7. doi:10.1016…
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psnet.ahrq.gov/issue/relationship-between-systems-level-factors-and-hand-hygiene-adherence
September 28, 2011 - Study
Relationship between systems-level factors and hand hygiene adherence.
Citation Text:
Dunn-Navarra A-M, Cohen B, Stone PW, et al. Relationship between systems-level factors and hand hygiene adherence. J Nurs Care Qual. 2011;26(1):30-38. doi:10.1097/NCQ.0b013e3181e15c71.
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psnet.ahrq.gov/issue/introducing-new-technology-safely
April 01, 2010 - Commentary
Introducing new technology safely.
Citation Text:
Mytton OT, Velazquez A, Banken R, et al. Introducing new technology safely. Qual Saf Health Care. 2010;19 Suppl 2:i9-14. doi:10.1136/qshc.2009.038554.
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psnet.ahrq.gov/issue/excuse-me-teaching-interns-speak
January 18, 2013 - Study
"Excuse me": teaching interns to speak up.
Citation Text:
O'Connor P, Byrne D, O'Dea A, et al. "Excuse me:" teaching interns to speak up. Jt Comm J Qual Patient Saf. 2013;39(9):426-431.
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