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psnet.ahrq.gov/issue/complexity-and-safetyFebruary 01, 2012 - Commentary Complexity and safety. Citation Text: Carrillo RA. Complexity and safety. J Safety Res. 2011;42(4):293-300. doi:10.1016/j.jsr.2011.06.003. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
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psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-improve-emergency-department-handoff-processesOctober 19, 2022 - Commentary Use of failure mode and effects analysis to improve emergency department handoff processes. Citation Text: Sorrentino P. Use of Failure Mode and Effects Analysis to Improve Emergency Department Handoff Processes. Clin Nurse Spec. 2016;30(1):28-37. doi:10.1097/NUR.0000000000000…
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psnet.ahrq.gov/issue/injection-practices-among-clinicians-united-states-health-care-settingsJanuary 06, 2017 - Study Injection practices among clinicians in United States health care settings. Citation Text: Pugliese G, Gosnell C, Bartley JM, et al. Injection practices among clinicians in United States health care settings. Am J Infect Control. 2010;38(10):789-798. doi:10.1016/j.ajic.2010.09.00…
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psnet.ahrq.gov/issue/systematic-review-intraoperative-anesthesia-handoffs-and-handoff-toolsMarch 10, 2021 - Review Systematic review of intraoperative anesthesia handoffs and handoff tools. Citation Text: Abraham J, Pfeifer E, Doering M, et al. Systematic review of intraoperative anesthesia handoffs and handoff tools. Anesth Analg. 2021;132(6):1563-1575. doi:10.1213/ane.0000000000005367. Cop…
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psnet.ahrq.gov/issue/patient-safety-dilemma-obesity-surgical-patientOctober 29, 2012 - Study A patient safety dilemma: obesity in the surgical patient. Citation Text: Goode V, Phillips E, DeGuzman P, et al. A Patient Safety Dilemma: Obesity in the Surgical Patient. AANA J. 2016;84(6):404-412. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML E…
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psnet.ahrq.gov/issue/how-communication-among-members-health-care-team-affects-maternal-morbidity-and-mortalityNovember 12, 2014 - Commentary How communication among members of the health care team affects maternal morbidity and mortality. Citation Text: Brennan RA, Keohane CA. How Communication Among Members of the Health Care Team Affects Maternal Morbidity and Mortality. J Obstet Gynecol Neonatal Nurs. 2016;45(6)…
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psnet.ahrq.gov/issue/drug-induced-hypoglycaemia-new-insight-old-problemOctober 19, 2022 - Study Drug-induced hypoglycaemia--new insight into an old problem. Citation Text: Ching CK, Lai CK, Poon WT, et al. Drug-induced hypoglycaemia--new insight into an old problem. Hong Kong Med J. 2006;12(5):334-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…
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psnet.ahrq.gov/issue/letter-health-care-providers-safe-use-surgical-staplers-and-staplesOctober 20, 2021 - Press Release/Announcement Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples. Citation Text: Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples. US Food and Drug Administration. October 7, 2021. Copy Citation Save S…
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psnet.ahrq.gov/issue/two-sides-every-story-dual-perspectives-method-examining-interruptions-healthcareSeptember 29, 2017 - Commentary Two sides to every story: the Dual Perspectives Method for examining interruptions in healthcare. Citation Text: McCurdie T, Sanderson P, Aitken LM, et al. Two sides to every story: The Dual Perspectives Method for examining interruptions in healthcare. Appl Ergon. 2017;58:102…
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psnet.ahrq.gov/issue/drone-delivery-medications-review-landscape-and-legal-considerationsMay 18, 2022 - Commentary Emerging Classic Drone delivery of medications: review of the landscape and legal considerations. Citation Text: Lin CA, Shah K, Mauntel LCC, et al. Drone delivery of medications: Review of the landscape and legal considerations. Am J Health Syst Phar…
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psnet.ahrq.gov/issue/advances-patient-safety-and-medical-liabilityMay 01, 2017 - Book/Report Classic Advances in Patient Safety and Medical Liability. Citation Text: Advances in Patient Safety and Medical Liability. Battles J, Azam I, Grady M, Reback K, eds. Rockville, MD: Agency for Healthcare Research and Quality; 2017. AHRQ Publication No…
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psnet.ahrq.gov/issue/conceptualising-learning-resilient-performance-scoping-literature-reviewOctober 09, 2024 - Review Conceptualising learning from resilient performance: a scoping literature review. Citation Text: Degerman H, Wallo A. Conceptualising learning from resilient performance: a scoping literature review. Appl Ergon. 2024;115:104165. doi:10.1016/j.apergo.2023.104165. Copy Citation …
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psnet.ahrq.gov/issue/creating-better-discharge-summary-improvement-quality-and-timeliness-using-electronicDecember 21, 2014 - Study Creating a better discharge summary: improvement in quality and timeliness using an electronic discharge summary. Citation Text: O'Leary KJ, Liebovitz DM, Feinglass J, et al. Creating a better discharge summary: improvement in quality and timeliness using an electronic discharge …
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psnet.ahrq.gov/issue/improving-follow-abnormal-cancer-screens-using-electronic-health-records-trust-verify-testJuly 14, 2010 - Study Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test result communication. Citation Text: Singh H, Wilson L, Petersen L, et al. Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test r…
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psnet.ahrq.gov/issue/do-trainees-feel-they-belong-teamAugust 16, 2017 - Study Do trainees feel that they belong to a team? Citation Text: Price S, Lusznat R. Do trainees feel that they belong to a team? The Clin Teach. 2018;15(3):240-244. doi:10.1111/tct.12664. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33779/psn-pdfMarch 01, 2015 - Handoffs and Transitions January 22, 2014 Sehgal NL. Handoffs and Transitions. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/handoffs-and-transitions Annual Perspective 2014 Despite recent efforts to promote clinical integration, the United States health care system remains highly fragmented. From it… -
psnet.ahrq.gov/issue/hospitalisation-medication-misadventures-among-older-adults-and-without-dementia-5-yearAugust 18, 2021 - June 28, 2017 Medicines management, medication errors and adverse medication events in
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psnet.ahrq.gov/issue/qualitative-analysis-outpatient-medication-use-community-settings-observed-safetyOctober 26, 2022 - November 2, 2011 Out-of-hospital medication errors: a 6-year analysis of the national
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psnet.ahrq.gov/issue/overrides-medication-related-clinical-decision-support-alerts-outpatientsSeptember 01, 2016 - Although computerized provider order entry in the outpatient setting was intended to prevent medication … errors , the utility of this intervention may have been limited by alert fatigue .
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psnet.ahrq.gov/issue/speaking-same-language-ahrq-seeks-common-method-safety-reportingJuly 05, 2023 - May 27, 2015 Computerized physician order entry, a factor in medication errors: descriptive
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