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psnet.ahrq.gov/issue/outcomes-wake-safe-pediatric-anesthesia-quality-improvement-initiative
December 22, 2018 - Study
Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative.
Citation Text:
Haché M, Sun LS, Gadi G, et al. Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. Paediatr Anaesth. 2020;30(12):1348-1354. doi:10.1111/pan.14044. …
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psnet.ahrq.gov/issue/evaluation-occult-fractures-injured-children
August 20, 2014 - Study
Evaluation for occult fractures in injured children.
Citation Text:
Wood JN, French B, Song L, et al. Evaluation for Occult Fractures in Injured Children. Pediatrics. 2015;136(2):232-40. doi:10.1542/peds.2014-3977.
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psnet.ahrq.gov/issue/diagnostic-errors-neonatal-intensive-care-unit-state-science-and-new-directions
March 23, 2022 - Review
Diagnostic errors in the neonatal intensive care unit: state of the science and new directions.
Citation Text:
Shafer G, Singh H, Suresh G. Diagnostic errors in the neonatal intensive care unit: State of the science and new directions. Semin Perinatol. 2019;43(8):151175. doi:10.10…
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psnet.ahrq.gov/issue/improving-transitions-care-patients-warfarin-safe-transitions-anticoagulation-report
April 22, 2011 - Study
Improving transitions of care for patients on warfarin: the Safe Transitions Anticoagulation Report.
Citation Text:
Dunn AS, Shetreat-Klein A, Berman J, et al. Improving transitions of care for patients on warfarin: The safe transitions anticoagulation report. J Hosp Med. 2015;10(9…
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psnet.ahrq.gov/issue/epidemiology-healthcare-harm-new-zealand-general-practice-retrospective-records-review-study
December 01, 2021 - Study
Epidemiology of healthcare harm in New Zealand general practice: a retrospective records review study.
Citation Text:
doi:http://doi.org/10.1136/bmjopen-2020-048316.
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DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
D…
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psnet.ahrq.gov/issue/those-found-responsible-have-been-sacked-some-observations-usefulness-error
September 28, 2010 - Commentary
“Those found responsible have been sacked”: some observations on the usefulness of error.
Citation Text:
Cook RI, Nemeth CP. “Those found responsible have been sacked”: some observations on the usefulness of error. Cogn Tech Work. 2010;12(2):87-93. doi:10.1007/s10111-010-0149-…
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psnet.ahrq.gov/issue/acute-stroke-chameleons-university-hospital-risk-factors-circumstances-and-outcomes
March 05, 2025 - Study
Acute stroke chameleons in a university hospital: risk factors, circumstances, and outcomes.
Citation Text:
Richoz B, Hugli O, Dami F, et al. Acute stroke chameleons in a university hospital: Risk factors, circumstances, and outcomes. Neurology. 2015;85(6):505-11. doi:10.1212/WNL.0…
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psnet.ahrq.gov/issue/medication-errors-pediatric-liquid-acetaminophen-after-standardization-concentration-and
May 19, 2021 - Study
Medication errors with pediatric liquid acetaminophen after standardization of concentration and packaging improvements.
Citation Text:
Brass EP, Reynolds KM, Burnham RI, et al. Medication Errors With Pediatric Liquid Acetaminophen After Standardization of Concentration and Packagi…
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psnet.ahrq.gov/issue/intervention-enhance-nursing-staff-teamwork-and-engagement
June 21, 2010 - Study
An intervention to enhance nursing staff teamwork and engagement.
Citation Text:
Kalisch BJ, Curley M, Stefanov S. An intervention to enhance nursing staff teamwork and engagement. J Nurs Adm. 2007;37(2):77-84.
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psnet.ahrq.gov/issue/sorry-i-meant-patients-left-side-impact-distraction-left-right-discrimination
July 10, 2024 - Study
'Sorry, I meant the patient's left side': impact of distraction on left-right discrimination.
Citation Text:
McKinley J, Dempster M, Gormley GJ. 'Sorry, I meant the patient's left side': impact of distraction on left-right discrimination. Med Educ. 2015;49(4):427-35. doi:10.1111/me…
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psnet.ahrq.gov/issue/nursing-practice-hospitalised-older-people-safety-and-harm
April 24, 2018 - Review
Nursing practice with hospitalised older people: safety and harm.
Citation Text:
Dahlke SA, Hunter KF, Negrin K. Nursing practice with hospitalised older people: Safety and harm. Int J Older People Nurs. 2019;14(1):e12220. doi:10.1111/opn.12220.
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psnet.ahrq.gov/issue/errors-and-nonadherence-pediatric-oral-chemotherapy-use
April 08, 2020 - Study
Errors and nonadherence in pediatric oral chemotherapy use.
Citation Text:
Walsh KE, Ryan J, Daraiseh N, et al. Errors and Nonadherence in Pediatric Oral Chemotherapy Use. Oncology. 2016;91(4):231-236.
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psnet.ahrq.gov/issue/department-veterans-affairs-chief-resident-quality-and-patient-safety-program-model-spread
September 05, 2018 - Commentary
Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: a model to spread change.
Citation Text:
Watts B, Paull DE, Williams LC, et al. Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: A Model to Spread Change. A…
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psnet.ahrq.gov/issue/design-patient-safety-systems-based-risk-identification-framework
February 03, 2021 - Study
Emerging Classic
Design for patient safety: a systems-based risk identification framework.
Citation Text:
Simsekler MCE, Ward JR, Clarkson J. Design for patient safety: a systems-based risk identification framework. Ergonomics. 2018;61(8):1046-1064. doi:10…
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psnet.ahrq.gov/issue/using-portable-digital-technology-clinical-care-and-critical-incidents-new-model
June 29, 2011 - Commentary
Using portable digital technology for clinical care and critical incidents: a new model.
Citation Text:
Bolsin S, Faunce T, Colson M. Using portable digital technology for clinical care and critical incidents: a new model. Aust Health Rev. 2005;29(3):297-305.
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psnet.ahrq.gov/issue/influence-bullying-nursing-practice-errors-systematic-review
January 30, 2019 - Review
The influence of bullying on nursing practice errors: a systematic review.
Citation Text:
Johnson AH, Benham‐Hutchins M. The Influence of Bullying on Nursing Practice Errors: A Systematic Review. AORN J. 2020;111(2). doi:10.1002/aorn.12923.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/blood-pressure-flowchart.pdf
August 24, 2018 - controlling high blood pressure
Controlling High Blood
Pressure
Was the patient aged 18 years or
older on the first day of the
measurement period?
Yes
Was the patient aged 85 years or
younger on the last day of the
measurement period?
Yes
No
Did the patient have at least one
face to face visit with an e…
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psnet.ahrq.gov/issue/integrating-patient-safety-education-early-medical-education-utilizing-cadaver-sponges-and
September 23, 2020 - Commentary
Integrating patient safety education into early medical education utilizing cadaver, sponges, and an inter-professional team.
Citation Text:
Kutaimy R, Zhang L, Blok D, et al. Integrating patient safety education into early medical education utilizing cadaver, sponges, and an …
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psnet.ahrq.gov/issue/improving-patient-safety-and-optimizing-nursing-teamwork-using-crew-resource-management
March 13, 2013 - Study
Improving patient safety and optimizing nursing teamwork using crew resource management techniques.
Citation Text:
West P, Sculli GL, Fore AM, et al. Improving patient safety and optimizing nursing teamwork using crew resource management techniques. J Nurs Adm. 2012;42(1):15-20. do…
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psnet.ahrq.gov/issue/occurrence-potential-patient-safety-events-among-trauma-patients-are-they-random
July 19, 2018 - Study
The occurrence of potential patient safety events among trauma patients: are they random?
Citation Text:
Chang DC, Handly N, Abdullah F, et al. The occurrence of potential patient safety events among trauma patients: are they random? Ann Surg. 2008;247(2):327-34. doi:10.1097/SLA.…