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psnet.ahrq.gov/issue/leapfrog-groups-cpoe-standard-and-evaluation-tool
November 17, 2009 - Newspaper/Magazine Article
The Leapfrog Group's CPOE standard and evaluation tool.
Citation Text:
The Leapfrog Group's CPOE standard and evaluation tool. Metzger JB, Welebob E, Turisco F, et al. Patient Saf Qual Healthc. July/August 2008;5:22-25.
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psnet.ahrq.gov/issue/factors-influencing-patient-safety-during-postoperative-handover
March 03, 2021 - Review
Factors influencing patient safety during postoperative handover.
Citation Text:
Factors influencing patient safety during postoperative handover. Rose M, Newman SD. AANA J. 2016;84:329-338.
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psnet.ahrq.gov/issue/performance-improvement-plan-increase-nurse-adherence-use-medication-safety-software
March 13, 2024 - Commentary
A performance improvement plan to increase nurse adherence to use of medication safety software.
Citation Text:
Gavriloff C. A Performance Improvement Plan to Increase Nurse Adherence to Use of Medication Safety Software. J Pediatr Nurs. 2011;27(4). doi:10.1016/j.pedn.2011.0…
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psnet.ahrq.gov/issue/ambiguities-chronic-illness-management-and-challenges-medical-error-paradigm
July 02, 2014 - Study
Ambiguities of chronic illness management and challenges to the medical error paradigm.
Citation Text:
Lutfey KE, Freese J. Ambiguities of chronic illness management and challenges to the medical error paradigm. Soc Sci Med. 2007;64(2):314-25.
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psnet.ahrq.gov/issue/patient-safety-strategies-call-physician-leadership
January 13, 2021 - Commentary
Patient safety strategies: a call for physician leadership.
Citation Text:
Shine KI. Patient safety strategies: a call for physician leadership. Ann Intern Med. 2013;158(5 Pt 1):353-4. doi:10.7326/0003-4819-158-5-201303050-00011.
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psnet.ahrq.gov/issue/accidents-claiming-and-regional-subcultures-are-medical-errors-and-malpractice-lawsuits
October 16, 2024 - Study
Accidents, claiming, and regional subcultures: are medical errors and malpractice lawsuits related to social capital?
Citation Text:
Williams J. Accidents, claiming, and regional subcultures: Are medical errors and malpractice lawsuits related to social capital? J Safety Res. 200…
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psnet.ahrq.gov/issue/concurrent-and-overlapping-surgeries-additional-measures-warranted
August 17, 2022 - Book/Report
Concurrent and Overlapping Surgeries: Additional Measures Warranted.
Citation Text:
Concurrent and Overlapping Surgeries: Additional Measures Warranted. US Senate Finance Committee. December 6, 2016.
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psnet.ahrq.gov/issue/disclosing-adverse-events-you-said-it-now-write-it
July 14, 2010 - Commentary
Disclosing adverse events: you said it, now write it.
Citation Text:
Monson MS. Disclosing adverse events: you said it, now write it. Nurs Manage. 2006;37(8):16-7, 55.
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psnet.ahrq.gov/issue/nearly-all-hospital-pharmacists-say-drug-shortages-are-negatively-impacting-care-third-say
September 15, 2021 - Newspaper/Magazine Article
Nearly all hospital pharmacists say drug shortages are negatively impacting care; a third say impacts are ‘critical.’
Citation Text:
Nearly all hospital pharmacists say drug shortages are negatively impacting care; a third say impacts are ‘critical.’ McPhillips…
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psnet.ahrq.gov/issue/what-causes-near-misses-and-how-are-they-mitigated
April 16, 2008 - Study
What causes near-misses and how are they mitigated?
Citation Text:
Speroni KG, Fisher J, Dennis M, et al. What causes near-misses and how are they mitigated? Nursing (Brux). 2013;43(4):19-24. doi:10.1097/01.NURSE.0000427995.92553.ef.
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psnet.ahrq.gov/issue/meaning-justice-safety-incident-reporting
April 11, 2011 - Commentary
The meaning of justice in safety incident reporting.
Citation Text:
Weiner BJ, Hobgood C, Lewis MA. The meaning of justice in safety incident reporting. Soc Sci Med. 2008;66(2):403-13.
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psnet.ahrq.gov/issue/when-public-health-goes-wrong-toward-new-concept-public-health-error
September 02, 2020 - Commentary
When public health goes wrong: toward a new concept of public health error.
Citation Text:
Bavli I. When public health goes wrong: toward a new concept of public health error. J Law Med Ethics. 2023;51(2):385-402. doi:10.1017/jme.2023.67.
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psnet.ahrq.gov/issue/need-systems-integration-health-care
July 01, 2017 - Commentary
The need for systems integration in health care.
Citation Text:
Mathews SC, Pronovost P. The need for systems integration in health care. JAMA. 2011;305(9):934-5. doi:10.1001/jama.2011.237.
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psnet.ahrq.gov/issue/medical-emergency-team-calls-need-communicate-resuscitation-plan
November 26, 2014 - Commentary
Medical emergency team calls: the need to communicate a resuscitation plan.
Citation Text:
MacPartlin M, Hillman KM. Medical emergency team calls: the need to communicate a resuscitation plan. Jt Comm J Qual Patient Saf. 2007;33(1):54-6, 1.
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psnet.ahrq.gov/issue/national-prescription-drug-take-back-day
May 20, 2020 - Press Release/Announcement
National Prescription Drug Take Back Day.
Citation Text:
National Prescription Drug Take Back Day. Drug Enforcement Administration. April 22, 2023.
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psnet.ahrq.gov/issue/clinical-drug-interactions-outpatients-university-hospital-thailand
September 20, 2011 - Study
Clinical drug interactions in outpatients of a university hospital in Thailand.
Citation Text:
Janchawee B, Owatranporn T, Mahatthanatrakul W, et al. Clinical drug interactions in outpatients of a university hospital in Thailand. J Clin Pharm Ther. 2005;30(6):583-90.
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psnet.ahrq.gov/issue/night-and-day-shedding-light-hours-care
September 28, 2010 - Commentary
Like night and day — shedding light on off-hours care.
Citation Text:
Shulkin DJ. Like night and day--shedding light on off-hours care. N Engl J Med. 2008;358(20):2091-3. doi:10.1056/NEJMp0707144.
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psnet.ahrq.gov/issue/normalization-deviance-do-we-unknowingly-accept-doing-wrong-thing
May 23, 2018 - Commentary
The normalization of deviance: do we (un)knowingly accept doing the wrong thing?
Citation Text:
Prielipp RC, Magro M, Morell RC, et al. The normalization of deviance: do we (un)knowingly accept doing the wrong thing? AANA J. 2010;78(4):284-7.
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psnet.ahrq.gov/issue/medical-error-leads-tragedy-how-do-we-inform-patient
April 08, 2018 - Commentary
A medical error leads to tragedy: how do we inform the patient?
Citation Text:
Baumrucker SJ. A medical error leads to tragedy: how do we inform the patient? Am J Hosp Palliat Care. 2006;23(5):417-21.
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psnet.ahrq.gov/issue/decreasing-patient-misidentification-chemotherapy-administration
July 19, 2023 - Commentary
Decreasing patient misidentification before chemotherapy administration.
Citation Text:
Spruill A, Eron B, Coghill A, et al. Decreasing patient misidentification before chemotherapy administration. Clin J Oncol Nurs. 2009;13(6):716-7. doi:10.1188/09.CJON.716-717.
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