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psnet.ahrq.gov/issue/understanding-communication-during-hospitalist-service-changes-mixed-methods-study
December 14, 2022 - Study
Understanding communication during hospitalist service changes: a mixed methods study.
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doi:10.1002/jhm.523.
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psnet.ahrq.gov/issue/importance-establishing-regimen-concordance-preventing-medication-errors-anticoagulant-care
January 02, 2017 - Study
The importance of establishing regimen concordance in preventing medication errors in anticoagulant care.
Citation Text:
Schillinger D, Wang F, Rodriguez M, et al. The importance of establishing regimen concordance in preventing medication errors in anticoagulant care. J Health C…
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psnet.ahrq.gov/issue/moving-patient-safety-ambulatory-settings-and-beyond
October 02, 2019 - Commentary
Moving patient safety into ambulatory settings and beyond.
Citation Text:
Ricciardi R, Shofer M. Moving Patient Safety Into Ambulatory Settings and Beyond. J Nurs Care Qual. 2018;33(3):195-199. doi:10.1097/NCQ.0000000000000329.
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psnet.ahrq.gov/issue/pediatric-safety-incidents-intensive-care-reporting-system
May 27, 2011 - Study
Pediatric safety incidents from an intensive care reporting system.
Citation Text:
Pediatric safety incidents from an intensive care reporting system. Skapik JL; Pronovost PJ; Miller MR; Thompson DA; Wu AW.
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psnet.ahrq.gov/issue/addressing-opioid-epidemic-there-role-physician-education
February 22, 2023 - Book/Report
Addressing the Opioid Epidemic: Is There a Role for Physician Education?
Citation Text:
Addressing the Opioid Epidemic: Is There a Role for Physician Education? Schnell M, Currie J. Cambridge, MA: National Bureau of Economic Research; August 2017. Working Paper No. 23645.
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psnet.ahrq.gov/issue/disclosing-medical-errors-views-united-states-and-united-kingdom
September 23, 2020 - Commentary
Disclosing medical errors: views from the United States and the United Kingdom.
Citation Text:
Thornton JA, Harrison MJ. Letter: Duration of action of AH8165. Br J Anaesth. 1975;47(9):1033.
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psnet.ahrq.gov/issue/other-opioid-crisis-hospital-shortages-lead-patient-pain-medical-errors
April 08, 2020 - Newspaper/Magazine Article
The other opioid crisis: hospital shortages lead to patient pain, medical errors.
Citation Text:
The other opioid crisis: hospital shortages lead to patient pain, medical errors. Bartolone P. Kaiser Health News. March 16, 2018.
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psnet.ahrq.gov/issue/rate-and-costs-attributable-intravenous-patient-controlled-analgesia-errors
April 29, 2010 - Study
The rate and costs attributable to intravenous patient-controlled analgesia errors.
Citation Text:
Meissner B, Nelson W, Hicks R (R), et al. The rate and costs attributable to intravenous patient-controlled analgesia errors. Hosp Pharm. 2010;44(4):312-324. doi:10.1310/hpj4404-312. …
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psnet.ahrq.gov/issue/emergency-department-communication-links-and-patterns
October 23, 2013 - Study
Emergency department communication links and patterns.
Citation Text:
Fairbanks RJ, Bisantz A, Sunm M. Emergency department communication links and patterns. Ann Emerg Med. 2007;50(4):396-406.
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psnet.ahrq.gov/issue/implementing-pediatric-surgical-safety-checklist-or-and-beyond
March 09, 2016 - Commentary
Implementing a pediatric surgical safety checklist in the OR and beyond.
Citation Text:
Norton EK, Rangel SJ. Implementing a Pediatric Surgical Safety Checklist in the OR and Beyond. AORN J. 2010;92(1). doi:10.1016/j.aorn.2009.11.069.
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psnet.ahrq.gov/issue/access-prescription-opioids-primum-non-nocere-teachable-moment
July 02, 2019 - Commentary
Access to prescription opioids—Primum Non Nocere: a teachable moment.
Citation Text:
Tyler PD, Larochelle MR, Mafi JN. Access to Prescription Opioids-Primum Non Nocere: A Teachable Moment. JAMA Intern Med. 2016;176(9):1251-2. doi:10.1001/jamainternmed.2016.3926.
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psnet.ahrq.gov/issue/what-patient-really-taking-discrepancies-between-surgery-and-anesthesiology-preoperative
August 04, 2021 - Study
What is the patient really taking? Discrepancies between surgery and anesthesiology preoperative medication histories.
Citation Text:
Burda SA, Hobson D, Pronovost PJ. What is the patient really taking? Discrepancies between surgery and anesthesiology preoperative medication hist…
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psnet.ahrq.gov/issue/patient-safety-and-technology
June 24, 2009 - Commentary
Patient safety and technology.
Citation Text:
Henneman EA. Patient safety and technology. AACN Adv Crit Care. 2009;20(2):128-132. doi:10.1097/NCI.0b013e3181a0b468.
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psnet.ahrq.gov/issue/hospitals-slow-adopt-patient-apology-policies
April 22, 2016 - Newspaper/Magazine Article
Hospitals slow to adopt patient apology policies.
Citation Text:
Rice S. Hospitals slow to adopt patient apology policies. Modern healthcare. 2015;45(33):16, 29-30.
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psnet.ahrq.gov/issue/impact-successful-speaking-program-health-care-worker-hand-hygiene-behavior
February 11, 2015 - Commentary
Impact of a successful speaking up program on health-care worker hand hygiene behavior.
Citation Text:
Impact of a successful speaking up program on health-care worker hand hygiene behavior. Linam MW; Honeycutt MD; Gilliam CH; Wisdom CM; Deshpande JK.
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psnet.ahrq.gov/issue/engaging-patients-and-family-members-patient-safety-experience-new-york-city-health-and
October 19, 2022 - Study
Engaging patients and family members in patient safety—the experience of the New York City Health and Hospitals Corporation.
Citation Text:
Wale JB, Moon RR. Engaging patients and family members in patient safety--the experience of the New York City Health and Hospitals Corporation…
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psnet.ahrq.gov/issue/special-issue-prescription-drug-misuse
November 25, 2020 - Special or Theme Issue
Special Issue on Prescription Drug Misuse.
Citation Text:
Special Issue on Prescription Drug Misuse. Rickles NM, Fleming ML, Björnsdottir I, eds. Res Social Adm Pharm. 2019;15:907-1056.
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psnet.ahrq.gov/issue/frustrated-your-ehr-dont-blame-your-vendor-safety-shared-responsibility
May 13, 2015 - Commentary
Frustrated with your EHR? Don't blame your vendor—safety is a shared responsibility.
Citation Text:
Frustrated with your EHR? Don't blame your vendor—safety is a shared responsibility. Singh H, Sittig DF. NEJM Catalyst. December 7, 2017.
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psnet.ahrq.gov/issue/va-hospitals-flooded-complaints-about-care
August 09, 2017 - Newspaper/Magazine Article
VA hospitals flooded with complaints about care.
Citation Text:
VA hospitals flooded with complaints about care. Estes A. Boston Globe. September 16, 2017.
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psnet.ahrq.gov/issue/smarter-clinical-checklists-how-minimize-checklist-fatigue-and-maximize-clinician-performance
July 10, 2017 - Commentary
Smarter clinical checklists: how to minimize checklist fatigue and maximize clinician performance.
Citation Text:
Grigg EB. Smarter Clinical Checklists: How to Minimize Checklist Fatigue and Maximize Clinician Performance. Anesth Analg. 2015;121(2):570-3. doi:10.1213/ANE.00000…