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psnet.ahrq.gov/issue/older-adults-perceptions-feeling-safe-urban-and-rural-acute-care
October 17, 2018 - May 8, 2024
Medication errors in anesthesiology: is it time to train by example? … March 5, 2014
Physician patient communication failure facilitates medication errors in
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psnet.ahrq.gov/issue/defining-incidence-cardiorespiratory-instability-patients-step-down-units-using-electronic
September 04, 2013 - February 7, 2024
Paramedic self-reported medication errors. … January 14, 2011
Paramedic self-reported medication errors.
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psnet.ahrq.gov/issue/when-safety-climate-not-enough-examining-moderating-effects-psychosocial-hazards-nurse-safety
July 20, 2016 - The impact of safety organizing, trusted leadership, and care pathways on reported medication … errors in hospital nursing units. … February 2, 2011
An investigation of the relationship between safety climate and medication … errors as well as other nurse and patient outcomes.
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psnet.ahrq.gov/issue/identifying-psychiatric-diagnostic-errors-safer-dx-instrument
October 12, 2022 - September 28, 2022
Hospital medication errors: a cross sectional study.
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psnet.ahrq.gov/issue/impact-medication-reviews-potentially-inappropriate-medications-and-associated-costs-among
April 07, 2021 - June 17, 2020
Medication errors in community pharmacies: the need for commitment, transparency
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psnet.ahrq.gov/issue/assessing-teamwork-and-communication-authentic-patient-care-learning-environment
July 02, 2014 - January 18, 2012
Field test results of a new ambulatory care Medication Error and Adverse … December 21, 2014
Nursing student medication errors involving tubing and catheters: a
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psnet.ahrq.gov/issue/application-surgical-safety-standards-robotic-surgery-five-principles-ethics-nonmaleficence
October 19, 2022 - Review
Application of surgical safety standards to robotic surgery: five principles of ethics for nonmaleficence.
Citation Text:
Larson JA, Johnson MH, Bhayani SB. Application of surgical safety standards to robotic surgery: five principles of ethics for nonmaleficence. J Am Coll Surg. …
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psnet.ahrq.gov/issue/comparative-performance-pediatric-weight-estimation-techniques-human-factor-errors-analysis
March 30, 2022 - Study
Comparative performance of pediatric weight estimation techniques: a human factor errors analysis.
Citation Text:
Abdel-Rahman SM, Jacobsen R, Watts JL, et al. Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. Pediatr Emerg Care. 201…
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psnet.ahrq.gov/issue/no-more-blame-shame-developing-event-reporting-systems-may-go-long-way-reducing-patient-care
December 21, 2017 - Newspaper/Magazine Article
No more blame & shame: developing event-reporting systems may go a long way to reducing patient care errors in EMS.
Citation Text:
Rajasekaran K, Fairbanks RJ, Shah M. No more blame & shame. Developing event-reporting systems may go a long way to reducing patie…
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psnet.ahrq.gov/issue/role-cognitive-bias-breast-radiology-diagnostic-and-judgment-errors
April 24, 2018 - Commentary
The role of cognitive bias in breast radiology diagnostic and judgment errors.
Citation Text:
Loving VA, Valencia EM, Patel B, et al. The role of cognitive bias in breast radiology diagnostic and judgment errors. J Breast Imag. 2020. doi:10.1093/jbi/wbaa023.
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psnet.ahrq.gov/issue/hardwiring-patient-blood-management-harnessing-information-technology-optimize-transfusion
September 20, 2012 - Review
Hardwiring patient blood management: harnessing information technology to optimize transfusion practice.
Citation Text:
Dunbar NM, Szczepiorkowski ZM. Hardwiring patient blood management: harnessing information technology to optimize transfusion practice. Curr Opin Hematol. 2014;2…
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psnet.ahrq.gov/issue/blood-and-blood-products-transfusion-errors-what-can-we-do-improve-patient-safety
September 23, 2020 - Review
Blood and blood products transfusion errors: what can we do to improve patient safety.
Citation Text:
Brown C, Brown M. Blood and blood products transfusion errors: what can we do to improve patient safety? Br J Nurs. 2023;32(7):326-332. doi:10.12968/bjon.2023.32.7.326.
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psnet.ahrq.gov/issue/incidence-wrong-site-surgery-list-errors-2-year-period-single-national-health-service-board
March 27, 2019 - Study
Incidence of wrong-site surgery list errors for a 2-year period in a single national health service board.
Citation Text:
Geraghty A, Ferguson L, McIlhenny C, et al. Incidence of wrong-site surgery list errors for a 2-year period in a single national health service board. J Patient…
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psnet.ahrq.gov/issue/factors-influencing-hospital-prescribing-errors-systematic-review
March 23, 2022 - Review
Factors influencing in-hospital prescribing errors: a systematic review.
Citation Text:
Mahomedradja RF, Schinkel M, Sigaloff KCE, et al. Factors influencing in‐hospital prescribing errors: a systematic review. Br J Clin Pharmacol. 2023;89(6):1724-1735. doi:10.1111/bcp.15694.
Co…
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www.ahrq.gov/research/findings/final-reports/index.html?page=1
January 01, 2024 - Topic(s): Safe Practices Publication Date: June 2023
A Memory-Based Approach to Reducing Medication … Errors ( application/pdf 872791 ) Principal Investigators: Kazi, et al.
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www.ahrq.gov/patient-safety/reports/healthaffairs.html
March 01, 2019 - its commitment to lead patient-safety efforts nationwide, AHRQ has funded studies that aim to reduce medication … errors and adverse events, improve communication strategies that support better care coordination, and
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psnet.ahrq.gov/issue/near-injury-alters-procedures-virginia-mason
September 21, 2005 - Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression
May 27, 2020
ISMP medication … error report analysis. … August 31, 2011
Medication-error reporting and pharmacy resident experience during implementation
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psnet.ahrq.gov/issue/trends-health-information-technology-safety-technology-induced-errors-current-approaches
July 14, 2009 - Review
Trends in health information technology safety: from technology-induced errors to current approaches for ensuring technology safety.
Citation Text:
Borycki EM. Trends in health information technology safety: from technology-induced errors to current approaches for ensuring techn…
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psnet.ahrq.gov/issue/cost-serious-fall-related-injuries-three-midwestern-hospitals
January 03, 2017 - Study
The cost of serious fall-related injuries at three midwestern hospitals.
Citation Text:
Wong CA, Recktenwald AJ, Jones ML, et al. The cost of serious fall-related injuries at three Midwestern hospitals. Jt Comm J Qual Patient Saf. 2011;37(2):81-87.
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psnet.ahrq.gov/issue/quality-improvement-decrease-specimen-mislabeling-transfusion-medicine
September 11, 2024 - Study
Quality improvement to decrease specimen mislabeling in transfusion medicine.
Citation Text:
Quillen K, Murphy K. Quality improvement to decrease specimen mislabeling in transfusion medicine. Arch Pathol Lab Med. 2006;130(8):1196-1198.
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