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psnet.ahrq.gov/issue/health-care-provider-use-private-sector-internal-error-reporting-systems
May 29, 2019 - Study
Health care provider use of private sector internal error-reporting systems.
Citation Text:
Roumm AR, Sciamanna CN, Nash DB. Health care provider use of private sector internal error-reporting systems. Am J Med Qual. 2005;20(6):304-12.
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psnet.ahrq.gov/issue/canary-measures-among-ahrq-patient-safety-indicators
November 27, 2012 - Study
"Canary measures" among the AHRQ Patient Safety Indicators.
Citation Text:
Yu H, Greenberg MD, Haviland AM, et al. "Canary measures" among the AHRQ patient safety indicators. Am J Med Qual. 2009;24(6):465-73. doi:10.1177/1062860609341585.
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psnet.ahrq.gov/issue/noise-operating-room-what-do-we-know-review-literature
August 13, 2014 - Review
Noise in the operating room—what do we know? A review of the literature.
Citation Text:
Hasfeldt D, Laerkner E, Birkelund R. Noise in the operating room--what do we know? A review of the literature. J Perianesth Nurs. 2010;25(6):380-6. doi:10.1016/j.jopan.2010.10.001.
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psnet.ahrq.gov/issue/story-behind-story-physician-skepticism-about-relying-clinical-information-technologies
July 14, 2010 - Study
The story behind the story: physician skepticism about relying on clinical information technologies to reduce medical errors.
Citation Text:
McAlearney AS, Chisolm DJ, Schweikhart S, et al. The story behind the story: physician skepticism about relying on clinical information tec…
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psnet.ahrq.gov/issue/medical-errors-recovered-critical-care-nurses
June 04, 2008 - Study
Medical errors recovered by critical care nurses.
Citation Text:
Dykes PC, Rothschild JM, Hurley A. Medical errors recovered by critical care nurses. J Nurs Adm. 2010;40(5):241-6. doi:10.1097/NNA.0b013e3181da408e.
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psnet.ahrq.gov/issue/medication-safety-operating-room-literature-and-expert-based-recommendations
October 19, 2022 - Review
Medication safety in the operating room: literature and expert-based recommendations.
Citation Text:
Wahr JA, Abernathy JH, Lazarra EH, et al. Medication safety in the operating room: literature and expert-based recommendations. Br J Anaesth. 2017;118(1):32-43. doi:10.1093/bja/aew…
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psnet.ahrq.gov/issue/why-do-hundreds-us-women-die-annually-childbirth
June 14, 2019 - Commentary
Why do hundreds of US women die annually in childbirth?
Citation Text:
Slomski A. Why Do Hundreds of US Women Die Annually in Childbirth? JAMA. 2019;321(13):1239-1241. doi:10.1001/jama.2019.0714.
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psnet.ahrq.gov/issue/reporting-medication-errors-residents-diabetes
August 23, 2017 - Commentary
Reporting medication errors: residents with diabetes.
Citation Text:
Milligan F, Gadsby R, Ghaleb MA, et al. Reporting medication errors: residents with diabetes. Nursing and Residential Care. 2014;16(11). doi:10.12968/nrec.2014.16.11.617.
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psnet.ahrq.gov/issue/patient-safety-where-nursing-education
December 06, 2017 - Commentary
Patient safety: where is nursing education?
Citation Text:
Gregory DM, Guse LW, Dick DD, et al. Patient safety: where is nursing education? J Nurs Educ. 2007;46(2):79-82. doi:10.3928/01484834-20070201-08.
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psnet.ahrq.gov/issue/what-about-doctors-impact-medical-errors
January 14, 2015 - Commentary
What about doctors? The impact of medical errors.
Citation Text:
Elwahab SA, Doherty E. What about doctors? The impact of medical errors. Surgeon. 2014;12(6):297-300. doi:10.1016/j.surge.2014.06.004.
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psnet.ahrq.gov/issue/rural-hospital-nursing-better-environments-shared-vision-and-qualitysafety-engagement
February 16, 2011 - Study
Rural hospital nursing: better environments = shared vision and quality/safety engagement.
Citation Text:
Newhouse RP, Morlock L, Pronovost P, et al. Rural hospital nursing: Better environments = shared vision and quality/safety engagement. J Nurs Admin. 2009;39(4):189-195. doi:…
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psnet.ahrq.gov/issue/surgeons-vigilance-operating-room
November 12, 2014 - Study
Surgeon's vigilance in the operating room.
Citation Text:
Zheng B, Tien G, Atkins SM, et al. Surgeon's vigilance in the operating room. Am J Surg. 2011;201(5):673-7. doi:10.1016/j.amjsurg.2011.01.016.
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psnet.ahrq.gov/issue/diagnostic-pitfalls-paediatric-ischaemic-stroke
December 14, 2016 - Study
Diagnostic pitfalls in paediatric ischaemic stroke.
Citation Text:
Braun KPJ, Kappelle J, Kirkham FJ, et al. Diagnostic pitfalls in paediatric ischaemic stroke. Dev Med Child Neurol. 2006;48(12):985-90.
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psnet.ahrq.gov/issue/evaluation-drug-interaction-software-identify-alerts-transplant-medications
November 16, 2022 - Study
Evaluation of drug interaction software to identify alerts for transplant medications.
Citation Text:
Smith WD, Hatton RC, Fann AL, et al. Evaluation of drug interaction software to identify alerts for transplant medications. Ann Pharmacother. 2005;39(1):45-50.
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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/medical-error-care-unrepresented-disclosure-and-apology-vulnerable-patient-population
March 13, 2024 - Commentary
Medical error in the care of the unrepresented: disclosure and apology for a vulnerable patient population.
Citation Text:
Byju AS, Mayo K. Medical error in the care of the unrepresented: disclosure and apology for a vulnerable patient population. J Med Ethics. 2019;45(12):821…
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psnet.ahrq.gov/issue/association-between-organizational-culture-and-ability-benefit-just-culture-training
August 04, 2021 - Study
The association between organizational culture and the ability to benefit from "just culture" training.
Citation Text:
David DS. The Association Between Organizational Culture and the Ability to Benefit From "Just Culture" Training. J Patient Saf. 2019;15(1):e3-e7. doi:10.1097/PTS.…
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psnet.ahrq.gov/issue/underdiagnosis-hypertension-using-electronic-health-records
November 16, 2022 - Study
Underdiagnosis of hypertension using electronic health records.
Citation Text:
Banerjee D, Chung S, Wong EC, et al. Underdiagnosis of hypertension using electronic health records. Am J Hypertens. 2012;25(1):97-102. doi:10.1038/ajh.2011.179.
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psnet.ahrq.gov/issue/ashp-guidelines-preventing-medication-errors-chemotherapy-and-biotherapy
September 07, 2016 - Organizational Policy/Guidelines
ASHP guidelines on preventing medication errors with chemotherapy and biotherapy.
Citation Text:
Goldspiel B, Hoffman JM, Griffith NL, et al. ASHP guidelines on preventing medication errors with chemotherapy and biotherapy. Am J Health Syst Pharm. 2015;72…
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psnet.ahrq.gov/issue/fallacy-single-diagnosis
October 05, 2022 - Study
The fallacy of a single diagnosis.
Citation Text:
Redelmeier DA, Shafir E. The fallacy of a single diagnosis. Med Decis Making. 2023;43(2):183-190. doi:10.1177/0272989x221121343.
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