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psnet.ahrq.gov/issue/comprehensive-analysis-medication-dosing-error-related-cpoe
June 01, 2005 - Commentary
Comprehensive analysis of a medication dosing error related to CPOE.
Citation Text:
Horsky J, Kuperman GJ, Patel VL. Comprehensive Analysis of a Medication Dosing Error Related to CPOE: Table 1. J Am Med Info Assoc. 2005;12(4). doi:10.1197/jamia.m1740.
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psnet.ahrq.gov/issue/learning-mistakes-and-near-mistakes-using-root-cause-analysis-risk-management-tool
June 19, 2024 - Commentary
Learning from mistakes and near mistakes: using root cause analysis as a risk management tool.
Citation Text:
Cerniglia-Lowensen J. Learning From Mistakes and Near Mistakes: Using Root Cause Analysis as a Risk Management Tool. J Radiol Nurs. 2015;34(1). doi:10.1016/j.jradnu.20…
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psnet.ahrq.gov/issue/speaking-about-dangers-hidden-curriculum
September 30, 2020 - Commentary
Speaking up about the dangers of the hidden curriculum.
Citation Text:
Liao JM, Thomas EJ, Bell SK. Speaking up about the dangers of the hidden curriculum. Health Aff (Millwood). 2014;33(1):168-171. doi:10.1377/hlthaff.2013.1073.
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psnet.ahrq.gov/issue/patients-expectations-benefits-and-harms-treatments-screening-and-tests-systematic-review
September 29, 2017 - Review
Patients' expectations of the benefits and harms of treatments, screening, and tests: a systematic review.
Citation Text:
Hoffmann TC, Del Mar C. Patients' expectations of the benefits and harms of treatments, screening, and tests: a systematic review. JAMA Intern Med. 2015;175(2)…
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psnet.ahrq.gov/issue/healthcare-personnel-attire-non-operating-room-settings
January 04, 2019 - Commentary
Healthcare personnel attire in non–operating-room settings.
Citation Text:
Bearman G, Bryant K, Leekha S, et al. Healthcare personnel attire in non-operating-room settings. Infect Control Hosp Epidemiol. 2014;35(2):107-21. doi:10.1086/675066.
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psnet.ahrq.gov/issue/isolation-precautions-visitors
March 02, 2014 - Organizational Policy/Guidelines
Isolation precautions for visitors.
Citation Text:
Munoz-Price LS, Banach DB, Bearman G, et al. Isolation Precautions for Visitors. Infect Control Hosp Epidemiol. 2015;36(7):747-758. doi:10.1017/ice.2015.67.
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psnet.ahrq.gov/issue/intensive-care-units-communication-between-nurses-and-physicians-and-patients-outcomes
May 28, 2008 - Study
Intensive care units, communication between nurses and physicians, and patients' outcomes.
Citation Text:
Manojlovich M, Antonakos CL, Ronis DL. Intensive care units, communication between nurses and physicians, and patients' outcomes. Am J Crit Care. 2009;18(1):21-30. doi:10.403…
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psnet.ahrq.gov/issue/multidisciplinary-system-detecting-medication-errors-antineoplastic-chemotherapy
March 09, 2022 - Study
Multidisciplinary system for detecting medication errors in antineoplastic chemotherapy.
Citation Text:
Serrano-Fabiá A, Albert-Marí A, Almenar-Cubells D, et al. Multidisciplinary system for detecting medication errors in antineoplastic chemotherapy. J Oncol Pharm Pract. 2010;16(…
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psnet.ahrq.gov/issue/computerized-physician-order-entry-injectable-antineoplastic-drugs-epidemiologic-study
October 19, 2022 - Study
Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of prescribing medication errors.
Citation Text:
Nerich V, Limat S, Demarchi M, et al. Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of pr…
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psnet.ahrq.gov/issue/validity-agency-healthcare-research-and-quality-patient-safety-indicators-academic-medical
October 19, 2022 - Study
Validity of Agency for Healthcare Research and Quality Patient Safety Indicators at an academic medical center.
Citation Text:
Ramanathan R, Leavell P, Stockslager G, et al. Validity of Agency for Healthcare Research and Quality Patient Safety Indicators at an academic medical cen…
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psnet.ahrq.gov/issue/teaching-hospital-financial-status-and-patient-outcomes-following-acgme-duty-hour-reform
November 26, 2014 - Study
Teaching hospital financial status and patient outcomes following ACGME duty hour reform.
Citation Text:
Navathe AS, Silber JH, Small DS, et al. Teaching hospital financial status and patient outcomes following ACGME duty hour reform. Health Serv Res. 2013;48(2 Pt 1):476-98. doi:…
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psnet.ahrq.gov/issue/patient-safety-examining-adequacy-5-rights-medication-administration
March 02, 2016 - Commentary
Patient safety: examining the adequacy of the 5 rights of medication administration.
Citation Text:
Macdonald M. Patient safety: examining the adequacy of the 5 rights of medication administration. Clin Nurse Spec. 2010;24(4):196-201. doi:10.1097/NUR.0b013e3181e3605f.
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psnet.ahrq.gov/issue/point-care-cognitive-support-technology-emergency-departments-scoping-review-technology
August 03, 2022 - Review
Point-of-care cognitive support technology in emergency departments: a scoping review of technology acceptance by clinicians.
Citation Text:
Jun S, Plint AC, Campbell SM, et al. Point-of-care Cognitive Support Technology in Emergency Departments: A Scoping Review of Technology Acc…
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psnet.ahrq.gov/issue/missed-diagnoses-acute-cardiac-ischemia-emergency-department
November 30, 2012 - Study
Classic
Missed diagnoses of acute cardiac ischemia in the emergency department.
Citation Text:
Pope JH, Aufderheide TP, Ruthazer R, et al. Missed diagnoses of acute cardiac ischemia in the emergency department. N Engl J Med. 2000;342(16):1163-1170. doi:10.…
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psnet.ahrq.gov/issue/effect-critical-access-hospital-conversion-patient-safety
October 19, 2022 - Study
Effect of critical access hospital conversion on patient safety.
Citation Text:
Li P, Schneider JE, Ward MM. Effect of critical access hospital conversion on patient safety. Health Serv Res. 2007;42(6 Pt 1):2089-108; discussion 2294-323.
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psnet.ahrq.gov/issue/risk-factors-adverse-drug-events-10-year-analysis
September 27, 2017 - Study
Risk factors for adverse drug events: a 10-year analysis.
Citation Text:
Evans S, Lloyd JF, Stoddard GJ, et al. Risk factors for adverse drug events: a 10-year analysis. Ann Pharmacother. 2005;39(7-8):1161-8.
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psnet.ahrq.gov/issue/bedside-shift-reports-what-does-evidence-say
October 19, 2022 - Review
Bedside shift reports: what does the evidence say?
Citation Text:
Gregory S, Tan D, Tilrico M, et al. Bedside shift reports: what does the evidence say? J Nurs Adm. 2014;44(10):541-5. doi:10.1097/NNA.0000000000000115.
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psnet.ahrq.gov/issue/error-disclosure-new-domain-safety-culture-assessment
September 01, 2018 - Study
Error disclosure: a new domain for safety culture assessment.
Citation Text:
Etchegaray J, Gallagher TH, Bell SK, et al. Error disclosure: a new domain for safety culture assessment. BMJ Qual Saf. 2012;21(7):594-9. doi:10.1136/bmjqs-2011-000530.
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psnet.ahrq.gov/issue/quality-improvement-and-patient-safety-organizations-anesthesiology
March 07, 2018 - Commentary
Quality improvement and patient safety organizations in anesthesiology.
Citation Text:
Dutton RP. Quality improvement and patient safety organizations in anesthesiology. AMA J Ethics. 2015;17(3):248-52. doi:10.1001/journalofethics.2015.17.3.pfor1-1503.
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psnet.ahrq.gov/issue/operating-manual-based-usability-evaluation-medical-devices-effective-patient-safety
September 24, 2016 - Study
Operating manual-based usability evaluation of medical devices: an effective patient safety screening method.
Citation Text:
Turley JP, Johnson TR, Smith DP, et al. Operating manual-based usability evaluation of medical devices: an effective patient safety screening method. Jt Comm…