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psnet.ahrq.gov/issue/novel-approach-cardiac-alarm-management-telemetry-units
October 27, 2021 - Study
Novel approach to cardiac alarm management on telemetry units.
Citation Text:
Whalen DA, Covelle PM, Piepenbrink JC, et al. Novel approach to cardiac alarm management on telemetry units. J Cardiovasc Nurs. 2014;29(5):E13-22. doi:10.1097/JCN.0000000000000114.
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psnet.ahrq.gov/issue/measuring-safety-culture-ambulatory-setting-safety-attitudes-questionnaire-ambulatory-version
June 16, 2011 - Study
Classic
Measuring safety culture in the ambulatory setting: The Safety Attitudes Questionnaire—Ambulatory Version.
Citation Text:
Modak I, Sexton B, Lux TR, et al. Measuring safety culture in the ambulatory setting: the safety attitudes questionnaire--am…
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psnet.ahrq.gov/issue/safety-medication-use-primary-care
March 04, 2011 - Review
Safety of medication use in primary care.
Citation Text:
Olaniyan JO, Ghaleb M, Dhillon S, et al. Safety of medication use in primary care. Int J Pharm Pract. 2015;23(1):3-20. doi:10.1111/ijpp.12120.
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DOI Google Scholar PubMed BibTeX EndNote X3 X…
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psnet.ahrq.gov/issue/medication-orders-are-written-clearly-and-transcribed-accurately-implementing-medication
May 27, 2011 - Commentary
Medication orders are written clearly and transcribed accurately – implementing Medication Management Standard 3.20 and National Patient Safety Goal 2b.
Citation Text:
Laselle TJ, May SK. Medication Orders are Written Clearly and Transcribed Accurately – Implementing Medicatio…
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psnet.ahrq.gov/issue/uptake-quality-related-event-standards-practice-community-pharmacies
November 09, 2016 - Study
Uptake of quality-related event standards of practice by community pharmacies.
Citation Text:
Boyle TA, Bishop A, Overmars C, et al. Uptake of Quality-Related Event Standards of Practice by Community Pharmacies. J Pharm Pract. 2015;28(5):442-9. doi:10.1177/0897190014522066.
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psnet.ahrq.gov/issue/using-lean-automation-human-touch-improve-medication-safety-step-closer-perfect-dose
September 16, 2015 - Study
Using Lean "automation with a human touch" to improve medication safety: a step closer to the "perfect dose."
Citation Text:
Ching JM, Williams BL, Idemoto LM, et al. Using lean "automation with a human touch" to improve medication safety: a step closer to the "perfect dose". Jt Co…
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psnet.ahrq.gov/issue/public-sector-organizational-failure-study-collective-denial-uk-national-health-service
June 03, 2020 - Study
Public sector organizational failure: a study of collective denial in the UK national health service.
Citation Text:
Hendy J, Tucker DA. Public sector organizational failure: a study of collective denial in the UK national health service. J Bus Ethics. 2020;2021;172:691–706. doi:10…
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psnet.ahrq.gov/issue/americans-experiences-medical-errors-and-views-patient-safety
January 06, 2015 - Book/Report
Classic
Americans' Experiences With Medical Errors and Views on Patient Safety.
Citation Text:
Americans' Experiences With Medical Errors and Views on Patient Safety. Chicago, IL: NORC at the University of Chicago and IHI/NPSF Lucian Leape Institute;…
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psnet.ahrq.gov/issue/challenges-and-opportunities-improving-patient-safety-through-human-factors-and-systems
September 11, 2019 - Commentary
Emerging Classic
Challenges and opportunities for improving patient safety through human factors and systems engineering.
Citation Text:
Carayon P, Wooldridge A, Hose B-Z, et al. Challenges And Opportunities For Improving Patient Safety Through Human …
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psnet.ahrq.gov/issue/anesthetic-mishaps-breaking-chain-accident-evolution
April 08, 2011 - Commentary
Classic
Anesthetic mishaps: breaking the chain of accident evolution.
Citation Text:
Gaba DM, Maxwell M, DeAnda A. Anesthetic mishaps: breaking the chain of accident evolution. Anesthesiology. 1987;66(5):670-6.
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Goo…
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psnet.ahrq.gov/issue/safe-patients-smart-hospitals-how-one-doctors-checklist-can-help-us-change-health-care-inside
January 27, 2021 - Book/Report
Classic
Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help Us Change Health Care from the Inside Out.
Citation Text:
Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help Us Change Health Care from the Inside Out. Prono…
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psnet.ahrq.gov/web-mm/turn-other-cheek
October 26, 2010 - Outcome of 6 years of protocol use for preventing wrong site office surgery. … February 10, 2012
Outcome of 6 years of protocol use for preventing wrong site office … August 2, 2015
Outcome of 6 years of protocol use for preventing wrong site office surgery
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psnet.ahrq.gov/web-mm/refused-medication-error
November 01, 2005 - is problematic on many levels, this commentary focuses on the three likely causes of the unfortunate outcome … transfer can be discussed and improved upon.( 11 ) Several best practices might have led to a different outcome … overcome those barriers to effectively communicate.( 7 ) Such practices might have led to a better outcome
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psnet.ahrq.gov/node/49466/psn-pdf
October 14, 2004 - studies cite practitioner communication
skills as a factor in malpractice.(1,2) Furthermore, the tragic outcome … /psnet.ahrq.gov/web-mm/hard-swallow
https://psnet.ahrq.gov//#references
were made NPO pending the outcome … clinicians at the time, could have led to follow-up actions to mitigate or avert an
adverse patient outcome
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psnet.ahrq.gov/node/49833/psn-pdf
June 01, 2018 - challenges us to
review potential system and cognitive factors that could have contributed to this outcome … This case represents the treatment of a stroke mimic or misdiagnosis that contributed to an adverse
outcome … Association of outcome with early stroke treatment: pooled
analysis of ATLANTIS, ECASS, and NINDS rt-PA
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psnet.ahrq.gov/issue/testing-classification-model-emergency-department-errors
March 02, 2010 - October 26, 2010
EMS helicopter crashes: what influences fatal outcome?
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psnet.ahrq.gov/issue/leadership-challenge-staff-nurse-perceptions-after-organizational-teamstepps-initiative
May 11, 2016 - May 11, 2016
A human factors intervention in a hospital--evaluating the outcome of a
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psnet.ahrq.gov/issue/did-hospital-engagement-networks-actually-improve-care
July 18, 2016 - surgery using criteria validated from the adult population: justifying the need for pediatric-focused outcome
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psnet.ahrq.gov/issue/systems-analysis-critical-incidents-london-protocol
April 06, 2016 - June 28, 2017
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome
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psnet.ahrq.gov/issue/safety-inpatient-pediatric-otolaryngology-service-many-small-errors-few-adverse-events
October 27, 2010 - surgery using criteria validated from the adult population: justifying the need for pediatric-focused outcome