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psnet.ahrq.gov/issue/improving-patient-safety-through-systematic-evaluation-patient-outcomes
August 25, 2011 - Review
Improving patient safety through the systematic evaluation of patient outcomes.
Citation Text:
Forster AJ, Dervin G, Martin C, et al. Improving patient safety through the systematic evaluation of patient outcomes. Can J Surg. 2012;55(6):418-25. doi:10.1503/cjs.007811.
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psnet.ahrq.gov/issue/case-studies-patient-safety-research-classics-build-research-capacity-low-and-middle-income
September 29, 2017 - Study
Case studies of patient safety research classics to build research capacity in low- and middle-income countries.
Citation Text:
Andermann A, Wu AW, Lashoher A, et al. Case studies of patient safety research classics to build research capacity in low- and middle-income countries. …
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psnet.ahrq.gov/issue/directed-peer-review-surgical-pathology
December 03, 2014 - Commentary
Directed peer review in surgical pathology.
Citation Text:
Smith ML, Raab SS. Directed peer review in surgical pathology. Adv Anat Pathol. 2012;19(5):331-337. doi:10.1097/pap.0b013e31826661b7.
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psnet.ahrq.gov/issue/pediatric-medical-emergency-team-manages-complex-child-hypoxia-and-worried-parent
September 09, 2008 - Commentary
A pediatric medical emergency team manages a complex child with hypoxia and a worried parent.
Citation Text:
Shilkofski NA, Hunt EA. A pediatric medical emergency team manages a complex child with hypoxia and worried parent. Jt Comm J Qual Patient Saf. 2007;33(4):236-41, 185. …
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psnet.ahrq.gov/issue/older-adults-are-often-misdiagnosed-specialized-ers-and-trained-clinicians-can-help
July 28, 2021 - Newspaper/Magazine Article
Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help.
Citation Text:
Milne-Tyte A. Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. Health Shots. National Public Radio. July 30, 2024;
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psnet.ahrq.gov/issue/paramedic-self-reported-medication-errors-0
October 27, 2010 - Study
Paramedic self-reported medication errors.
Citation Text:
Vilke GM, Tornabene S, Stepanski B, et al. Paramedic self-reported medication errors. Prehosp Emerg Care. 2007;11(1):80-4.
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psnet.ahrq.gov/issue/weekend-versus-weekday-admission-and-mortality-myocardial-infarction
February 18, 2011 - Study
Weekend versus weekday admission and mortality from myocardial infarction.
Citation Text:
Kostis WJ, Demissie K, Marcella SW, et al. Weekend versus Weekday Admission and Mortality from Myocardial Infarction. New England Journal of Medicine. 2007;356(11). doi:10.1056/nejmoa063355.…
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psnet.ahrq.gov/issue/assessment-adverse-drug-events-among-patients-tertiary-care-medical-center
September 28, 2005 - Study
Assessment of adverse drug events among patients in a tertiary care medical center.
Citation Text:
Johnston PE, France DJ, Byrne DW, et al. Assessment of adverse drug events among patients in a tertiary care medical center. Am J Health Syst Pharm. 2006;63(22):2218-27.
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psnet.ahrq.gov/issue/parenteral-nutrition-errors-and-potential-errors-reported-over-past-10-years
June 20, 2018 - Study
Parenteral nutrition errors and potential errors reported over the past 10 years.
Citation Text:
Guenter P, Ayers P, Boullata JI, et al. Parenteral Nutrition Errors and Potential Errors Reported Over the Past 10 Years. Nutr Clin Pract. 2017;32(6):826-830. doi:10.1177/08845336177158…
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psnet.ahrq.gov/issue/twelve-tips-embedding-human-factors-and-ergonomics-principles-healthcare-education
January 09, 2018 - Commentary
Twelve tips for embedding human factors and ergonomics principles in healthcare education.
Citation Text:
Vosper H, Hignett S, Bowie P. Twelve tips for embedding human factors and ergonomics principles in healthcare education. Med Teach. 2017;40(4):357-363. doi:10.1080/0142159…
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psnet.ahrq.gov/issue/human-factor-improve-patients-safety-hospitals-urged-adjust-how-staff-use-new-technology
April 22, 2016 - Newspaper/Magazine Article
The human factor. To improve patients safety, hospitals urged to adjust for how staff use new technology.
Citation Text:
Rice S, Tahir D. The human factor. To improve patients safety, hospitals urged to adjust for how staff use new technology. Modern healthcare…
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psnet.ahrq.gov/issue/medication-reconciliation-emergency-department-opportunities-workflow-redesign
August 04, 2021 - Commentary
Medication reconciliation in the emergency department: opportunities for workflow redesign.
Citation Text:
Hummel J, Evans PC, Lee H. Medication reconciliation in the emergency department: opportunities for workflow redesign. Qual Saf Health Care. 2010;19(6):531-5. doi:10.11…
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psnet.ahrq.gov/issue/medication-errors-and-response-bias-tip-iceberg
February 07, 2024 - Study
Medication errors and response bias: the tip of the iceberg.
Citation Text:
Bar-Oz B, Goldman M, Lahat E, et al. Medication errors and response bias: the tip of the iceberg. Isr Med Assoc J. 2008;10(11):771-4.
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psnet.ahrq.gov/node/33620/psn-pdf
September 01, 2005 - In response to “Getting to the Root of the Matter” (June
2005)
September 1, 2005
Grondin L, Saint S, Flanders S, et al. In response to “Getting to the Root of the Matter” (June 2005). PSNet
[internet]. 2005.
https://psnet.ahrq.gov/perspective/response-getting-root-matter-june-2005
In response to "Getting to the R…
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psnet.ahrq.gov/issue/single-patient-rooms-safe-patient-centered-hospitals
April 01, 2016 - Commentary
Single-patient rooms for safe patient-centered hospitals.
Citation Text:
Detsky ME. Single-Patient Rooms for Safe Patient-Centered Hospitals. JAMA. 2008;300(8). doi:10.1001/jama.300.8.954.
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psnet.ahrq.gov/issue/pursuit-perfection-hospitals-take-heightened-actions-reduce-adverse-events
November 18, 2020 - Newspaper/Magazine Article
The pursuit of perfection: hospitals take heightened actions to reduce adverse events.
Citation Text:
May EL. The pursuit of perfection: hospitals take heightened actions to reduce adverse events. Healthcare executive. 2012;27(2):26-8, 30-3.
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psnet.ahrq.gov/issue/patient-safety-out-hours-primary-care-review-patient-records
June 16, 2021 - Study
Patient safety in out-of-hours primary care: a review of patient records.
Citation Text:
Smits M, Huibers L, Kerssemeijer B, et al. Patient safety in out-of-hours primary care: a review of patient records. BMC Health Serv Res. 2010;10:335. doi:10.1186/1472-6963-10-335.
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psnet.ahrq.gov/issue/identifying-nontechnical-skills-associated-safety-emergency-department-scoping-review
December 12, 2012 - Review
Identifying nontechnical skills associated with safety in the emergency department: a scoping review of the literature.
Citation Text:
Flowerdew L, Brown R, Vincent CA, et al. Identifying nontechnical skills associated with safety in the emergency department: a scoping review of…
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psnet.ahrq.gov/issue/can-you-multitask-evidence-and-limitations-task-switching-and-multitasking-emergency-medicine
October 19, 2022 - Review
Can you multitask? Evidence and limitations of task switching and multitasking in emergency medicine.
Citation Text:
Skaugset M, Farrell S, Carney M, et al. Can You Multitask? Evidence and Limitations of Task Switching and Multitasking in Emergency Medicine. Ann Emerg Med. 2016;68…
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psnet.ahrq.gov/issue/cost-poor-blood-specimen-quality-and-errors-preanalytical-processes
April 22, 2009 - Review
The cost of poor blood specimen quality and errors in preanalytical processes.
Citation Text:
Green SF. The cost of poor blood specimen quality and errors in preanalytical processes. Clin Biochem. 2013;46(13-14):1175-9. doi:10.1016/j.clinbiochem.2013.06.001.
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