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psnet.ahrq.gov/issue/sleep-sleepiness-fatigue-and-performance-12-hour-shift-nurses
July 22, 2010 - Study
Sleep, sleepiness, fatigue, and performance of 12-hour–shift nurses.
Citation Text:
Geiger-Brown J, Rogers VE, Trinkoff AM, et al. Sleep, Sleepiness, Fatigue, and Performance of 12-Hour-Shift Nurses. Chronobiol Int. 2012;29(2). doi:10.3109/07420528.2011.645752.
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psnet.ahrq.gov/issue/occurrence-wrong-site-surgery-self-reported-candidates-certification-american-board
June 03, 2020 - Study
The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board of Orthopaedic Surgery.
Citation Text:
James MA, Seiler JG, Harrast JJ, et al. The occurrence of wrong-site surgery self-reported by candidates for certification by the Americ…
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psnet.ahrq.gov/issue/observational-study-drug-formulation-manipulation-pediatric-versus-adult-inpatients
June 08, 2022 - Study
Observational study of drug formulation manipulation in pediatric versus adult inpatients.
Citation Text:
Spishock S, Meyers R, Robinson CA, et al. Observational Study of Drug Formulation Manipulation in Pediatric Versus Adult Inpatients. J Patient Saf. 2021;17(1):e10-e14. doi:10.1…
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psnet.ahrq.gov/issue/creating-distraction-simulation-safe-medication-administration
May 27, 2011 - Commentary
Creating a distraction simulation for safe medication administration.
Citation Text:
Thomas CM, McIntosh CE, Allen R. Creating a Distraction Simulation for Safe Medication Administration. Clin Simul Nurs. 2014;10(8). doi:10.1016/j.ecns.2014.03.004.
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psnet.ahrq.gov/issue/surgical-management-and-outcomes-165-colonoscopic-perforations-single-institution
November 16, 2022 - Study
Surgical management and outcomes of 165 colonoscopic perforations from a single institution.
Citation Text:
Iqbal CW, Cullinane DC, Schiller HJ, et al. Surgical management and outcomes of 165 colonoscopic perforations from a single institution. Arch Surg. 2008;143(7):701-6; discu…
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psnet.ahrq.gov/issue/all-clear-preparing-it-downtime
November 16, 2022 - Commentary
All CLEAR? Preparing for IT downtime.
Citation Text:
Kashiwagi DT, Sexton MD, Graves ES, et al. All CLEAR? Preparing for IT Downtime. Am J Med Qual. 2017;32(5):547-551. doi:10.1177/1062860616667546.
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psnet.ahrq.gov/issue/controlled-substance-drug-diversion-healthcare-workers-threat-patient-safety
April 05, 2023 - Special or Theme Issue
Controlled substance drug diversion by healthcare workers as a threat to patient safety.
Citation Text:
Controlled substance drug diversion by healthcare workers as a threat to patient safety. ISMP Medication Safety Alert! Acute care edition. February 23, 2023;28(4…
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psnet.ahrq.gov/issue/elephant-patient-safety-what-you-see-depends-how-you-look
June 22, 2022 - Commentary
Classic
The elephant of patient safety: what you see depends on how you look.
Citation Text:
Shojania KG. The elephant of patient safety: what you see depends on how you look. Jt Comm J Qual Patient Saf. 2010;36(9):399-401.
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psnet.ahrq.gov/issue/patient-and-clinician-experiences-uncertainty-diagnostic-process-current-understanding-and
March 11, 2020 - Commentary
Patient and clinician experiences of uncertainty in the diagnostic process: current understanding and future directions.
Citation Text:
Meyer AND, Giardina TD, Khawaja L, et al. Patient and clinician experiences of uncertainty in the diagnostic process: current understanding a…
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psnet.ahrq.gov/issue/patient-misidentification-laboratory-medicine-qualitative-analysis-227-root-cause-analysis
August 28, 2024 - Study
Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis reports in the Veterans Health Administration.
Citation Text:
Dunn EJ, Moga PJ. Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis …
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psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-dispensing-and-administration-2017
September 30, 2020 - Study
ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2017.
Citation Text:
Schneider PJ, Pedersen CA, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Dispensing and administration-2017. Am J Health Syst Pharm.…
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psnet.ahrq.gov/issue/frequency-medication-administration-timing-error-hospitals-systematic-review
March 15, 2023 - Review
Frequency of medication administration timing error in hospitals: a systematic review.
Citation Text:
Pullam T, Russell CL, White-Lewis S. Frequency of medication administration timing error in hospitals: a systematic review. J Nurs Care Qual. 2023;38(2):126-133. doi:10.1097/ncq.0…
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psnet.ahrq.gov/issue/impact-safety-organizing-trusted-leadership-and-care-pathways-reported-medication-errors
January 18, 2011 - Study
The impact of safety organizing, trusted leadership, and care pathways on reported medication errors in hospital nursing units.
Citation Text:
Vogus TJ, Sutcliffe K. The impact of safety organizing, trusted leadership, and care pathways on reported medication errors in hospital n…
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psnet.ahrq.gov/issue/just-culture-foundation-staff-safety-perioperative-environment
June 09, 2021 - Commentary
Just culture: the foundation of staff safety in the perioperative environment.
Citation Text:
Fencl JL, Willoughby C, Jackson K. Just culture: the foundation of staff safety in the perioperative environment. AORN J. 2021;113(4):329-336. doi:10.1002/aorn.13352.
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psnet.ahrq.gov/issue/identifying-patients-whose-symptoms-are-underrecognized-during-treatment-breast-radiotherapy
May 25, 2022 - Study
Identifying patients whose symptoms are underrecognized during treatment with breast radiotherapy.
Citation Text:
doi:10.1001/jamaoncol.2022.0114.
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psnet.ahrq.gov/issue/crossing-global-quality-chasm-improving-health-care-worldwide
June 15, 2011 - Book/Report
Classic
Crossing the Global Quality Chasm: Improving Health Care Worldwide.
Citation Text:
Crossing the Global Quality Chasm: Improving Health Care Worldwide. Committee on Improving the Quality of Health Care Globally. National Academies of Sciences,…
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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/electronic-prescription-writing-errors-pediatric-emergency-department
November 16, 2022 - Study
Electronic prescription writing errors in the pediatric emergency department.
Citation Text:
Nelson CE, Selbst SM. Electronic prescription writing errors in the pediatric emergency department. Pediatr Emerg Care. 2015;31(5):368-72. doi:10.1097/PEC.0000000000000428.
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psnet.ahrq.gov/issue/perioperative-handoff-enhancement-opportunities-through-technology-and-artificial
March 20, 2019 - Review
Perioperative handoff enhancement opportunities through technology and artificial intelligence: a narrative review.
Citation Text:
Sparling J, Hong Mershon B, Abraham J. Perioperative handoff enhancement opportunities through technology and artificial intelligence: a narrative rev…
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psnet.ahrq.gov/issue/evidence-synthesis-perioperative-handoffs-call-balanced-sociotechnical-solutions
June 23, 2021 - Review
An evidence synthesis on perioperative handoffs: a call for balanced sociotechnical solutions.
Citation Text:
Abraham J, Duffy C, Kandasamy M, et al. An evidence synthesis on perioperative handoffs: a call for balanced sociotechnical solutions. Int J Med Inform. 2023;174:105038. d…