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psnet.ahrq.gov/issue/iatroref-study-medical-errors-are-associated-symptoms-depression-icu-staff-not-burnout-or
April 12, 2011 - December 6, 2013
Automated drug dispensing system reduces medication errors in an intensive
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psnet.ahrq.gov/node/35372/psn-pdf
June 06, 2018 - Paralyzed by mistakes: preventing errors with
neuromuscular blocking agents.
June 6, 2018
ISMP Medication Safety Alert! Acute Care Edition. September 22, 2005;10:1-3.
https://psnet.ahrq.gov/issue/paralyzed-mistakes-preventing-errors-neuromuscular-blocking-agents
This article provides examples of incidents involvin…
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psnet.ahrq.gov/node/41441/psn-pdf
July 08, 2021 - issue/national-diabetes-inpatient-audit-2017
This annual report identified a significant number of medication … errors associated with diabetes care in
acute hospitals in England and Wales.
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psnet.ahrq.gov/node/36899/psn-pdf
April 12, 2011 - role-communication-paediatric-drug-safety
The authors review the literature on how communication can help to manage and prevent medication … errors.
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psnet.ahrq.gov/node/847047/psn-pdf
April 05, 2023 - Making polypharmacy safer for children with medical
complexity.
April 5, 2023
Feinstein JA, Orth LE. Making polypharmacy safer for children with medical complexity. J Pediatr.
2023;254:4-10. doi:10.1016/j.jpeds.2022.10.012.
https://psnet.ahrq.gov/issue/making-polypharmacy-safer-children-medical-complexity
Childre…
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psnet.ahrq.gov/issue/latest-heparin-fatality-speaks-loudly-what-have-you-done-stop-bleeding
May 03, 2023 - Newspaper/Magazine Article
Latest heparin fatality speaks loudly—what have you done to stop the bleeding?
Citation Text:
Latest heparin fatality speaks loudly—what have you done to stop the bleeding? ISMP Medication Safety Alert! Acute Care Edition. April 8, 2010;15:1-3.
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psnet.ahrq.gov/issue/medical-team-training
December 17, 2008 - Book/Report
Medical Team Training.
Citation Text:
Medical Team Training. Oakbrook, IL: Joint Commission Resources; 2008. ISBN: 9781599400921.
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psnet.ahrq.gov/node/39655/psn-pdf
July 07, 2010 - Errors of diagnosis in pediatric practice: a multisite
survey.
July 7, 2010
Singh H, Thomas EJ, Wilson L, et al. Errors of diagnosis in pediatric practice: a multisite survey. Pediatrics.
2010;126(1):70-9. doi:10.1542/peds.2009-3218.
https://psnet.ahrq.gov/issue/errors-diagnosis-pediatric-practice-multisite-survey…
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psnet.ahrq.gov/issue/effect-restriction-number-concurrently-open-records-electronic-health-record-wrong-patient
July 09, 2018 - Computerized prescriber order entry–related patient safety reports: analysis of 2522 medication … errors.
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psnet.ahrq.gov/issue/potential-medication-overdose-enfit-low-dose-tip-syringe-fda-safety-communication
October 28, 2020 - Press Release/Announcement
Potential for medication overdose with ENFit low dose tip syringe: FDA Safety Communication.
Citation Text:
Potential for medication overdose with ENFit low dose tip syringe: FDA Safety Communication. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug A…
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psnet.ahrq.gov/issue/leveraging-electronic-health-record-improve-quality-and-safety-rheumatology
June 12, 2019 - Review
Leveraging the electronic health record to improve quality and safety in rheumatology.
Citation Text:
Schmajuk G, Yazdany J. Leveraging the electronic health record to improve quality and safety in rheumatology. Rheumatol Int. 2017;37(10):1603-1610. doi:10.1007/s00296-017-3804-4. …
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psnet.ahrq.gov/issue/reasons-after-hours-calls-hospital-floor-nurses-call-physicians
March 21, 2017 - Study
Reasons for after-hours calls by hospital floor nurses to on-call physicians.
Citation Text:
Bernstam E, Pancheri KK, Johnson CM, et al. Reasons for after-hours calls by hospital floor nurses to on-call physicians. Jt Comm J Qual Patient Saf. 2007;33(6):342-9.
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psnet.ahrq.gov/issue/leadership-initiative-improve-communication-and-enhance-safety
March 11, 2009 - Commentary
A leadership initiative to improve communication and enhance safety.
Citation Text:
Donahue M, Miller M, Smith L, et al. A Leadership Initiative to Improve Communication and Enhance Safety. American Journal of Medical Quality. 2011;26(3). doi:10.1177/1062860610387410.
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psnet.ahrq.gov/issue/towards-unified-model-accident-causation-refining-and-validating-systems-thinking-safety
March 14, 2022 - Commentary
Towards a unified model of accident causation: refining and validating the systems thinking safety tenets.
Citation Text:
Salmon PM, Hulme A, Walker GH, et al. Towards a unified model of accident causation: refining and validating the systems thinking safety tenets. Ergonomics…
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psnet.ahrq.gov/issue/electronic-health-record-use-and-quality-ambulatory-care-united-states
May 31, 2023 - Study
Electronic health record use and the quality of ambulatory care in the United States.
Citation Text:
Linder JA, Ma J, Bates DW, et al. Electronic health record use and the quality of ambulatory care in the United States. Arch Intern Med. 2007;167(13):1400-5.
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psnet.ahrq.gov/issue/electronic-medical-record-availability-and-primary-care-depression-treatment
November 16, 2022 - Study
Electronic medical record availability and primary care depression treatment.
Citation Text:
Harman JS, Rost KM, Harle CA, et al. Electronic medical record availability and primary care depression treatment. J Gen Intern Med. 2012;27(8):962-7. doi:10.1007/s11606-012-2001-0.
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psnet.ahrq.gov/issue/nurses-workarounds-acute-healthcare-settings-scoping-review
December 08, 2021 - Review
Nurses' workarounds in acute healthcare settings: a scoping review.
Citation Text:
Debono DS, Greenfield D, Travaglia J, et al. Nurses' workarounds in acute healthcare settings: a scoping review. BMC Health Serv Res. 2013;13:175. doi:10.1186/1472-6963-13-175.
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psnet.ahrq.gov/issue/safely-implementing-health-information-and-converging-technologies
May 14, 2018 - Sentinel Event Alerts
Safely implementing health information and converging technologies.
Citation Text:
Safely implementing health information and converging technologies. Sentinel event alert. 2008;(42):1-4.
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psnet.ahrq.gov/issue/work-arounds-observed-fourth-year-nursing-students
July 30, 2014 - Study
Work-arounds observed by fourth-year nursing students.
Citation Text:
Westphal J, Lancaster R, Park D. Work-Arounds Observed by Fourth-Year Nursing Students. West J Nurs Res. 2014;36(8):1002-18. doi:10.1177/0193945913511707.
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psnet.ahrq.gov/issue/ahrq-health-information-technology-research-2018-year-review
May 07, 2014 - Government Resource
AHRQ Health Information Technology Research: 2018 Year in Review.
Citation Text:
AHRQ Health Information Technology Research: 2018 Year in Review. AHRQ Health Information Technology Research: 2018 Year in Review. (Prepared by John Snow, Inc. Under Contract No. HHSN316…