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psnet.ahrq.gov/issue/quality-improvement-and-patient-safety-activities-academic-departments-medicine
July 02, 2014 - Study
Quality improvement and patient safety activities in academic departments of medicine.
Citation Text:
Neeman N, Sehgal NL, Davis RB, et al. Quality improvement and patient safety activities in academic departments of medicine. Am J Med. 2012;125(8):831-5. doi:10.1016/j.amjmed.201…
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psnet.ahrq.gov/issue/improving-quality-and-safety-patient-care-cardiac-anesthesia
September 26, 2012 - Review
Improving the quality and safety of patient care in cardiac anesthesia.
Citation Text:
Merry A, Weller J, Mitchell SJ. Improving the quality and safety of patient care in cardiac anesthesia. J Cardiothorac Vasc Anesth. 2014;28(5):1341-51. doi:10.1053/j.jvca.2014.02.018.
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psnet.ahrq.gov/issue/using-improvement-science-methods-increase-accuracy-surgical-consents
October 05, 2011 - Study
Using improvement science methods to increase accuracy of surgical consents.
Citation Text:
Mercurio P, Ellis AS, Schoettker PJ, et al. Using improvement science methods to increase accuracy of surgical consents. AORN J. 2014;100(1):42-53. doi:10.1016/j.aorn.2013.07.023.
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psnet.ahrq.gov/issue/medication-errors-new-approaches-prevention
November 18, 2016 - Review
Medication errors—new approaches to prevention.
Citation Text:
Merry A, Anderson BJ. Medication errors--new approaches to prevention. Paediatr Anaesth. 2011;21(7):743-53. doi:10.1111/j.1460-9592.2011.03589.x.
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psnet.ahrq.gov/issue/leading-highly-visible-hospital-through-serious-reportable-event
February 15, 2023 - Commentary
Leading a highly visible hospital through a serious reportable event.
Citation Text:
Erickson JI. Leading a highly visible hospital through a serious reportable event. J Nurs Adm. 2012;42(3):131-3. doi:10.1097/NNA.0b013e31824808b6.
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psnet.ahrq.gov/issue/preventing-medication-errors-community-pharmacy-root-cause-analysis-transcription-errors
March 24, 2011 - Study
Preventing medication errors in community pharmacy: root-cause analysis of transcription errors.
Citation Text:
Knudsen P, Herborg H, Mortensen AR, et al. Preventing medication errors in community pharmacy: root-cause analysis of transcription errors. Qual Saf Health Care. 2007;1…
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psnet.ahrq.gov/issue/care-and-outcomes-patients-hospital-stroke
September 18, 2024 - Study
Care and outcomes of patients with in-hospital stroke.
Citation Text:
Saltman AP, Silver FL, Fang J, et al. Care and Outcomes of Patients With In-Hospital Stroke. JAMA Neurol. 2015;72(7):749-55. doi:10.1001/jamaneurol.2015.0284.
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-hhs-guidance-regarding-patient-safety-work
December 24, 2008 - Government Resource
Patient Safety and Quality Improvement Act of 2005--HHS guidance regarding patient safety work product and providers' external obligations.
Citation Text:
Patient Safety and Quality Improvement Act of 2005--HHS guidance regarding patient safety work product and provid…
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psnet.ahrq.gov/issue/state-sepsis-mandates-new-era-regulation-hospital-quality
October 02, 2019 - Commentary
State sepsis mandates—a new era for regulation of hospital quality.
Citation Text:
Hershey TB, Kahn JM. State Sepsis Mandates - A New Era for Regulation of Hospital Quality. N Engl J Med. 2017;376(24):2311-2313. doi:10.1056/NEJMp1611928.
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psnet.ahrq.gov/issue/three-perspectives-changes-resident-work-environment-and-duty-hours
September 02, 2020 - Commentary
Three perspectives on changes in resident work environment and duty hours.
Citation Text:
Three perspectives on changes in resident work environment and duty hours. Bilimoria KY, Meyers MO, Mouawad NJ, et al. JAMA Surg. 2017;152(10):903-908.
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psnet.ahrq.gov/issue/filling-gaps-institute-safe-medication-practices-ismp-do-not-crush-list-immediate-release
July 21, 2021 - Study
Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products
Citation Text:
Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products Uttaro E, Zhao F, Schweigha…
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psnet.ahrq.gov/issue/preventable-errors-organ-transplantation-emerging-patient-safety-issue
September 09, 2015 - Commentary
Preventable errors in organ transplantation: an emerging patient safety issue?
Citation Text:
Ison MG, Holl JL, Ladner D. Preventable errors in organ transplantation: an emerging patient safety issue? Am J Transplant. 2012;12(9):2307-12. doi:10.1111/j.1600-6143.2012.04139.x.…
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psnet.ahrq.gov/issue/full-disclosure-adverse-events-patients-and-families-icu-wouldnt-you-want-know
May 26, 2021 - Commentary
Full disclosure of adverse events to patients and families in the ICU: wouldn't you want to know?
Citation Text:
Doucette E, Fazio S, LaSalle V, et al. Full disclosure of adverse events to patients and families in the ICU: wouldn't you want to know? Dynamics. 2010;21(3):16-9. …
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psnet.ahrq.gov/issue/incorrect-use-smart-infusion-pump-operating-room-or-leads-milrinone-overdose
June 03, 2020 - Newspaper/Magazine Article
Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose.
Citation Text:
Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose. ISMP Medication Safety Alert! Acute care edition. May 7…
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psnet.ahrq.gov/issue/infection-prevention-emergency-department
July 13, 2016 - Review
Infection prevention in the emergency department.
Citation Text:
Liang SY, Theodoro DL, Schuur JD, et al. Infection prevention in the emergency department. Ann Emerg Med. 2014;64(3):299-313. doi:10.1016/j.annemergmed.2014.02.024.
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psnet.ahrq.gov/issue/common-and-consequential-fractures-should-not-be-missed-children
May 04, 2022 - Commentary
Common and consequential fractures that should not be missed in children.
Citation Text:
Tougas C, Brimmo O. Common and consequential fractures that should not be missed in children. Pediatr Ann. 2022;51(9):e357-e363. doi:10.3928/19382359-20220706-05.
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psnet.ahrq.gov/issue/infection-prevention-compendium-long-term-care-facilities
November 08, 2017 - Tools/Toolkit
Infection Prevention Compendium For Long-Term Care Facilities.
Citation Text:
Infection Prevention Compendium For Long-Term Care Facilities. Center for Healthy Aging--New York Academy of Medicine, Yale School of Nursing.
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psnet.ahrq.gov/issue/cough-and-cold-medication-adverse-events-after-market-withdrawal-and-labeling-revision
September 23, 2020 - Study
Cough and cold medication adverse events after market withdrawal and labeling revision.
Citation Text:
Hampton LM, Nguyen DB, Edwards JR, et al. Cough and cold medication adverse events after market withdrawal and labeling revision. Pediatrics. 2013;132(6):1047-54. doi:10.1542/peds…
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psnet.ahrq.gov/issue/innovative-mobile-approach-patient-safety-services-case-taiwan-health-care-provider
September 27, 2017 - Commentary
An innovative mobile approach for patient safety services: the case of a Taiwan health care provider.
Citation Text:
Chao CC, Jen WY, Hung MC, et al. An innovative mobile approach for patient safety services: The case of a Taiwan health care provider. Technovation. 2007;2…
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psnet.ahrq.gov/issue/medication-errors-intravenous-drug-preparation-and-administration-multicentre-audit-uk
December 04, 2015 - Study
Medication errors in intravenous drug preparation and administration: a multicentre audit in the UK, Germany and France.
Citation Text:
Cousins DH, Sabatier B, Begue D, et al. Medication errors in intravenous drug preparation and administration: a multicentre audit in the UK, Ger…