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psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis-chemotherapy-preparation-process
March 09, 2022 - Study
Healthcare failure mode and effect analysis in the chemotherapy preparation process.
Citation Text:
Pueyo-López C, Sánchez-Cuervo M, Vélez-Díaz-Pallarés M, et al. Healthcare failure mode and effect analysis in the chemotherapy preparation process. J Oncol Pharm Pract. 2021;27(7):15…
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psnet.ahrq.gov/issue/comparative-accuracy-diagnosis-collective-intelligence-multiple-physicians-vs-individual
January 23, 2017 - Study
Emerging Classic
Comparative accuracy of diagnosis by collective intelligence of multiple physicians vs individual physicians.
Citation Text:
Barnett ML, Boddupalli D, Nundy S, et al. Comparative Accuracy of Diagnosis by Collective Intelligence of Multiple…
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psnet.ahrq.gov/issue/using-failure-mode-effect-and-criticality-analysis-improve-safety-cancer-treatment
October 21, 2020 - Study
Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription and administration process.
Citation Text:
Buja A, De Luca G, Ottolitri K, et al. Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment…
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psnet.ahrq.gov/issue/focused-team-engagements-enhance-interprofessional-collaboration-and-safety-behaviors-among
March 02, 2022 - Study
Focused team engagements to enhance interprofessional collaboration and safety behaviors among novice nurses and medical residents.
Citation Text:
Manuel R, Barber A, Kern J, et al. Focused team engagements to enhance interprofessional collaboration and safety behaviors among novic…
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psnet.ahrq.gov/issue/harmful-medication-errors-involving-unfractionated-and-low-molecular-weight-heparin-three
October 23, 2018 - Study
Harmful medication errors involving unfractionated and low-molecular-weight heparin in three patient safety reporting programs.
Citation Text:
Grissinger MC, Hicks RW, Keroack MA, et al. Harmful medication errors involving unfractionated and low-molecular-weight heparin in three pa…
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psnet.ahrq.gov/issue/anticoagulant-medication-errors-nursing-homes-characteristics-causes-outcomes-and-association
December 15, 2011 - Study
Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association with patient harm.
Citation Text:
Desai RJ, Williams CE, Greene SB, et al. Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association with…
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psnet.ahrq.gov/issue/using-pediatric-trigger-tool-estimate-total-harm-burden-hospital-acquired-conditions
July 03, 2016 - Study
Using a pediatric trigger tool to estimate total harm burden hospital-acquired conditions represent.
Citation Text:
Stockwell DC, Landrigan CP, Schuster MA, et al. Using a Pediatric Trigger Tool to Estimate Total Harm Burden Hospital-acquired Conditions Represent. Pediatr Qual Saf.…
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psnet.ahrq.gov/issue/repeat-prescribing-medications-system-centred-risk-management-model-primary-care
January 20, 2016 - Study
Repeat prescribing of medications: a system-centred risk management model for primary care organisations.
Citation Text:
Price J, Man SL, Bartlett S, et al. Repeat prescribing of medications: A system-centred risk management model for primary care organisations. J Eval Clin Pract. …
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psnet.ahrq.gov/issue/golden-state-medical-supply-inc-issues-voluntary-nationwide-recall-atenolol-25-mg-tablets-and
June 20, 2018 - Press Release/Announcement
Golden State Medical Supply, Inc. Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets and Clopidogrel 75 mg Tablets Due to a Label Mix-up.
Citation Text:
Golden State Medical Supply, Inc. Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets…
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psnet.ahrq.gov/issue/design-and-impact-novel-surgery-specific-second-victim-peer-support-program
March 09, 2022 - Study
Emerging Classic
Design and impact of a novel surgery-specific second victim peer support program.
Citation Text:
El Hechi MW, Bohnen JD, Westfal M, et al. Design and Impact of a Novel Surgery-Specific Second Victim Peer Support Program. J Am Coll Surg. 2…
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psnet.ahrq.gov/issue/eliciting-willingness-pay-prevent-hospital-medication-administration-errors-uk-contingent
March 28, 2012 - Study
Eliciting willingness-to-pay to prevent hospital medication administration errors in the UK: a contingent valuation survey.
Citation Text:
Hill SR, Bhattarai N, Tolley CL, et al. Eliciting willingness-to-pay to prevent hospital medication administration errors in the UK: a continge…
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psnet.ahrq.gov/issue/evaluation-second-victim-peer-support-program-perceptions-second-victim-experiences-and
December 23, 2020 - Study
Evaluation of a second victim peer support program on perceptions of second victim experiences and supportive resources in pediatric clinical specialties using the second victim experience and support tool (SVEST).
Citation Text:
Finney RE, Czinski S, Fjerstad K, et al. Evaluation …
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psnet.ahrq.gov/issue/investigating-association-alerts-national-mortality-surveillance-system-subsequent-hospital
October 20, 2021 - Study
Investigating the association of alerts from a national mortality surveillance system with subsequent hospital mortality in England: an interrupted time series analysis.
Citation Text:
Cecil E, Bottle A, Esmail A, et al. Investigating the association of alerts from a national morta…
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psnet.ahrq.gov/issue/use-unit-based-interventions-improve-quality-care-hospitalized-medical-patients-national
November 01, 2023 - Study
Use of unit-based interventions to improve the quality of care for hospitalized medical patients: a national survey.
Citation Text:
O'Leary KJ, Johnson J, Manojlovich M, et al. Use of Unit-Based Interventions to Improve the Quality of Care for Hospitalized Medical Patients: A Natio…
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psnet.ahrq.gov/issue/disclosure-hospital-adverse-events-and-its-association-patients-ratings-quality-care
December 29, 2014 - Study
Disclosure of hospital adverse events and its association with patients' ratings of the quality of care.
Citation Text:
López L, Weissman JS, Schneider EC, et al. Disclosure of hospital adverse events and its association with patients' ratings of the quality of care. Arch Intern Me…
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psnet.ahrq.gov/issue/using-human-factors-and-ergonomics-principles-prevent-inpatient-falls
November 09, 2022 - Study
Using human factors and ergonomics principles to prevent inpatient falls.
Citation Text:
Kwok Y-ting, Lam M-sang. Using human factors and ergonomics principles to prevent inpatient falls. BMJ Open Qual. 2022;11(1):e001696. doi:10.1136/bmjoq-2021-001696.
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psnet.ahrq.gov/issue/nature-magnitude-and-reporting-compliance-device-related-events-intravenous-patient
March 20, 2024 - Study
The nature, magnitude, and reporting compliance of device-related events for intravenous patient-controlled analgesia in the FDA Manufacturer and User Facility Device Experience (MAUDE) database.
Citation Text:
Lawal OD, Mohanty M, Elder H, et al. The nature, magnitude, and reporti…
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psnet.ahrq.gov/issue/prescription-errors-related-use-computerized-provider-order-entry-system-pediatric-patients
November 07, 2018 - Study
Prescription errors related to the use of computerized provider order-entry system for pediatric patients.
Citation Text:
Alhanout K, Bun S-S, Retornaz K, et al. Prescription errors related to the use of computerized provider order-entry system for pediatric patients. Int J Med Inf…
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psnet.ahrq.gov/issue/multispecialty-physician-online-survey-reveals-burnout-related-adverse-event-involvement-may
July 13, 2022 - Study
Multispecialty physician online survey reveals that burnout related to adverse event involvement may be mitigated by peer support.
Citation Text:
Gupta K, Rivadeneira NA, Lisker S, et al. Multispecialty physician online survey reveals that burnout related to adverse event involveme…
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psnet.ahrq.gov/node/39634/psn-pdf
December 04, 2016 - We meant no harm, yet we made a mistake; why not
apologize for it? A student's view.
December 4, 2016
Sanford DE, Fleming DA. We meant no harm, yet we made a mistake; why not apologize for it? A student's
view. HEC Forum. 2010;22(2):159-69. doi:10.1007/s10730-010-9131-8.
https://psnet.ahrq.gov/issue/we-meant-no-ha…