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psnet.ahrq.gov/issue/patient-safety-public-health
July 19, 2023 - Commentary
Patient safety: this is public health.
Citation Text:
Card AJ. Patient safety: this is public health. J Healthc Risk Manag. 2014;34(1):6-12. doi:10.1002/jhrm.21145.
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psnet.ahrq.gov/issue/quality-improvement-universal-protocol-use-office-based-gastrointestinal-procedure-units
November 16, 2022 - Commentary
Quality improvement: Universal Protocol use in office-based gastrointestinal procedure units.
Citation Text:
Hardee LK. Quality improvement: universal protocol use in office-based gastrointestinal procedure units. Gastroenterol Nurs. 2012;35(6):380-2. doi:10.1097/SGA.0b013e3…
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psnet.ahrq.gov/issue/cms-proposal-suppress-hospital-safety-data-angers-advocates-agency-says-covid-disruptions
June 15, 2022 - Newspaper/Magazine Article
CMS proposal to suppress hospital safety data angers advocates — agency says COVID disruptions, staff shortages hamper ability to fairly score poor performers.
Citation Text:
CMS proposal to suppress hospital safety data angers advocates — agency says COVID dis…
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psnet.ahrq.gov/issue/whats-sound-managing-alarm-fatigue
April 26, 2023 - Newspaper/Magazine Article
What's that sound? Managing alarm fatigue.
Citation Text:
George TP, Martin V. Whatʼs that sound? Managing alarm fatigue. Nursing Made Incredibly Easy!. 2014;12(5). doi:10.1097/01.nme.0000452689.19763.3f.
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psnet.ahrq.gov/issue/residual-anaesthesia-drugs-intravenous-lines-silent-threat
July 13, 2010 - Commentary
Residual anaesthesia drugs in intravenous lines—a silent threat?
Citation Text:
Bowman S, Raghavan K, Walker IA. Residual anaesthesia drugs in intravenous lines--a silent threat? Anaesthesia. 2013;68(6):557-61. doi:10.1111/anae.12287.
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psnet.ahrq.gov/issue/role-technology-clinician-clinician-communication
September 09, 2015 - Commentary
The role of technology in clinician-to-clinician communication.
Citation Text:
McElroy LM, Ladner DP, Holl JL. The role of technology in clinician-to-clinician communication. BMJ Qual Saf. 2013;22(12):981-3. doi:10.1136/bmjqs-2013-002191.
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psnet.ahrq.gov/issue/characteristics-patients-misdiagnosed-alzheimers-disease-and-their-medication-use-analysis
June 16, 2011 - Study
Characteristics of patients misdiagnosed with Alzheimer's disease and their medication use: an analysis of the NACC-UDS database.
Citation Text:
Gaugler JE, Ascher-Svanum H, Roth DL, et al. Characteristics of patients misdiagnosed with Alzheimer's disease and their medication use:…
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psnet.ahrq.gov/issue/nurses-practice-environments-error-interception-practices-and-inpatient-medication-errors
December 15, 2011 - Study
Nurses' practice environments, error interception practices, and inpatient medication errors.
Citation Text:
Flynn L, Liang Y, Dickson GL, et al. Nurses' practice environments, error interception practices, and inpatient medication errors. J Nurs Scholarsh. 2012;44(2):180-6. doi:…
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psnet.ahrq.gov/issue/learning-action-developing-safety-improvement-capabilities-through-action-learning
October 16, 2012 - Study
Learning in action: developing safety improvement capabilities through action learning.
Citation Text:
Christiansen A, Prescott T, Ball J. Learning in action: developing safety improvement capabilities through action learning. Nurse Educ Today. 2014;34(2):243-7. doi:10.1016/j.ned…
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psnet.ahrq.gov/issue/family-identified-barriers-medication-reconciliation
September 01, 2018 - Study
Family-identified barriers to medication reconciliation.
Citation Text:
Riley-Lawless K. Family-identified barriers to medication reconciliation. J Spec Pediatr Nurs. 2009;14(2):94-101. doi:10.1111/j.1744-6155.2009.00182.x.
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psnet.ahrq.gov/issue/classification-and-detection-errors-minimally-invasive-surgery
June 17, 2014 - Review
Classification and detection of errors in minimally invasive surgery.
Citation Text:
Rassweiler MC, Mamoulakis C, Kenngott HG, et al. Classification and detection of errors in minimally invasive surgery. J Endourol. 2011;25(11):1713-21. doi:10.1089/end.2011.0068.
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psnet.ahrq.gov/issue/value-inking-breast-cores-reduce-specimen-mix
January 14, 2011 - Study
The value of inking breast cores to reduce specimen mix-up.
Citation Text:
Renshaw AA, Kish R, Gould EW. The value of inking breast cores to reduce specimen mix-up. Am J Clin Pathol. 2007;127(2):271-2.
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psnet.ahrq.gov/issue/supervision-autonomy-and-medical-error-teaching-clinic
November 26, 2014 - Commentary
Supervision, autonomy, and medical error in the teaching clinic.
Citation Text:
Cossman JP, Wang M, Fischer AA. Supervision, autonomy, and medical error in the teaching clinic. J Am Acad Dermatol. 2018;79(5):981-983. doi:10.1016/j.jaad.2017.12.033.
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psnet.ahrq.gov/issue/emergency-medical-and-health-providers-perceptions-key-issues-prehospital-patient-safety
January 11, 2017 - Study
Emergency medical and health providers' perceptions of key issues in prehospital patient safety.
Citation Text:
Atack L, Maher J. Emergency medical and health providers' perceptions of key issues in prehospital patient safety. Prehosp Emerg Care. 2010;14(1):95-102. doi:10.3109/10…
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psnet.ahrq.gov/issue/human-factors-curriculum-surgical-clerkship-students
September 24, 2008 - Study
A human factors curriculum for surgical clerkship students.
Citation Text:
Cahan MA, Larkin AC, Starr S, et al. A human factors curriculum for surgical clerkship students. Arch Surg. 2010;145(12):1151-7. doi:10.1001/archsurg.2010.252.
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psnet.ahrq.gov/issue/year-1-medical-undergraduates-knowledge-and-attitudes-medical-error
March 24, 2011 - Study
Year 1 medical undergraduates' knowledge of and attitudes to medical error.
Citation Text:
Flin R, Patey R, Jackson J, et al. Year 1 medical undergraduates' knowledge of and attitudes to medical error. Med Educ. 2009;43(12):1147-55. doi:10.1111/j.1365-2923.2009.03499.x.
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psnet.ahrq.gov/issue/prospective-review-adverse-events-during-interhospital-transfers-neonates-dedicated-neonatal
March 03, 2011 - Study
A prospective review of adverse events during interhospital transfers of neonates by a dedicated neonatal transfer service.
Citation Text:
Lim MTC, Ratnavel N. A prospective review of adverse events during interhospital transfers of neonates by a dedicated neonatal transfer servi…
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psnet.ahrq.gov/issue/towards-safer-neonatal-transfer-importance-critical-incident-review
October 02, 2019 - Study
Towards safer neonatal transfer: the importance of critical incident review.
Citation Text:
Moss SJ. Towards safer neonatal transfer: the importance of critical incident review. Arch Dis Child. 2005;90(7). doi:10.1136/adc.2004.066639.
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psnet.ahrq.gov/issue/learning-samples-one-or-fewer
December 21, 2017 - Review
Classic
Learning from samples of one or fewer.
Citation Text:
Learning from samples of one or fewer. March JG, Sproull LS, Tamuz M. Org Sci.1991;2:1-13. (reprinted in: Qual Saf Health Care 2003;12:465-472.)
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psnet.ahrq.gov/issue/priorities-pediatric-patient-safety-research
May 26, 2011 - Study
Priorities for pediatric patient safety research.
Citation Text:
Hoffman JM, Keeling NJ, Forrest CB, et al. Priorities for Pediatric Patient Safety Research. Pediatrics. 2019;143(2). doi:10.1542/peds.2018-0496.
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