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psnet.ahrq.gov/issue/using-multi-method-user-centred-prospective-hazard-analysis-assess-care-quality-and-patient
May 27, 2011 - Study
Using a multi-method, user centred, prospective hazard analysis to assess care quality and patient safety in a care pathway.
Citation Text:
Dean JE, Hutchinson A, Escoto KH, et al. Using a multi-method, user centred, prospective hazard analysis to assess care quality and patient …
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psnet.ahrq.gov/issue/surgeon-reported-conflict-intensivists-about-postoperative-goals-care
September 26, 2012 - Study
Surgeon-reported conflict with intensivists about postoperative goals of care.
Citation Text:
Olson TJP, Brasel KJ, Redmann AJ, et al. Surgeon-reported conflict with intensivists about postoperative goals of care. JAMA Surg. 2013;148(1):29-35. doi:10.1001/jamasurgery.2013.403.
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psnet.ahrq.gov/issue/reporting-hazards-and-near-misses-ambulatory-care-setting
October 19, 2011 - Study
Reporting of hazards and near-misses in the ambulatory care setting.
Citation Text:
Schnall R, Bakken S. Reporting of hazards and near-misses in the ambulatory care setting. J Nurs Care Qual. 2011;26(4):328-334. doi:10.1097/NCQ.0b013e3182109204.
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psnet.ahrq.gov/issue/caregiver-perspectives-safety-home-dementia-care
January 20, 2010 - Study
Caregiver perspectives on safety in home dementia care.
Citation Text:
Lach HW, Chang Y-P. Caregiver perspectives on safety in home dementia care. West J Nurs Res. 2007;29(8):993-1014.
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psnet.ahrq.gov/issue/diagnostic-reasoning-and-cognitive-biases-nurse-practitioners
October 19, 2022 - Review
Diagnostic reasoning and cognitive biases of nurse practitioners.
Citation Text:
Lawson TN. Diagnostic Reasoning and Cognitive Biases of Nurse Practitioners. J Nurs Educ. 2018;57(4):203-208. doi:10.3928/01484834-20180322-03.
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psnet.ahrq.gov/issue/analgesic-prescribing-errors-and-associated-medication-characteristics
November 01, 2003 - Study
Analgesic prescribing errors and associated medication characteristics.
Citation Text:
Smith HS, Lesar TS. Analgesic prescribing errors and associated medication characteristics. The journal of pain : official journal of the American Pain Society. 2011;12(1):29-40. doi:10.1016/j.…
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psnet.ahrq.gov/issue/industry-automates-adverse-events-continue-haunt-caregivers
February 08, 2023 - Newspaper/Magazine Article
As industry automates, adverse events continue to haunt caregivers.
Citation Text:
Wetzel TG. As industry automates, adverse events haunt caregivers. Health data management. 2011;19(2):86, 88, 90 passim.
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psnet.ahrq.gov/issue/drug-induced-hypoglycaemia-new-insight-old-problem
October 19, 2022 - Study
Drug-induced hypoglycaemia--new insight into an old problem.
Citation Text:
Ching CK, Lai CK, Poon WT, et al. Drug-induced hypoglycaemia--new insight into an old problem. Hong Kong Med J. 2006;12(5):334-8.
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psnet.ahrq.gov/issue/voluntarily-reported-emergency-department-errors
June 20, 2011 - Study
Voluntarily reported emergency department errors.
Citation Text:
Henneman PL, Blank FSJ, Smithline HA, et al. Voluntarily Reported Emergency Department Errors. J Patient Saf. 2008;1(3):126-132. doi:10.1097/01.jps.0000175694.39559.12.
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psnet.ahrq.gov/issue/effect-barcode-assisted-medication-administration-emergency-department-medication-errors
May 19, 2014 - Study
Effect of barcode-assisted medication administration on emergency department medication errors.
Citation Text:
Bonkowski J, Carnes C, Melucci J, et al. Effect of barcode-assisted medication administration on emergency department medication errors. Acad Emerg Med. 2013;20(8):801-6.…
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psnet.ahrq.gov/issue/it-time-define-antimicrobial-never-events
November 16, 2022 - Commentary
It is time to define antimicrobial never events.
Citation Text:
Liu J, Kaye KS, Mercuro NJ, et al. It is time to define antimicrobial never events. Infect Control Hosp Epidemiol. 2019;40(2):206-207. doi:10.1017/ice.2018.313.
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psnet.ahrq.gov/issue/label-design-affects-medication-safety-operating-room-crisis-controlled-simulation-study
April 24, 2018 - Study
Label design affects medication safety in an operating room crisis: a controlled simulation study.
Citation Text:
Estock JL, Murray AW, Mizah MT, et al. Label Design Affects Medication Safety in an Operating Room Crisis: A Controlled Simulation Study. J Patient Saf. 2018;14(2):101-…
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psnet.ahrq.gov/issue/self-reported-adverse-events-health-care-cause-harm-population-based-survey
September 20, 2011 - Study
Self-reported adverse events in health care that cause harm: a population-based survey.
Citation Text:
Adams RJ, Tucker G, Price K, et al. Self-reported adverse events in health care that cause harm: a population-based survey. Med J Aust. 2009;190(9):484-8.
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psnet.ahrq.gov/issue/hospital-safety-scores-do-grades-really-matter
September 24, 2017 - Study
Hospital safety scores: do grades really matter?
Citation Text:
Gonzalez AA, Ghaferi AA. Hospital Safety Scores: do grades really matter? JAMA Surg. 2014;149(5):413-4.
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psnet.ahrq.gov/issue/task-uncertainty-and-communication-during-nursing-shift-handovers
August 20, 2018 - Study
Task uncertainty and communication during nursing shift handovers.
Citation Text:
Mayor E, Bangerter A, Aribot M. Task uncertainty and communication during nursing shift handovers. J Adv Nurs. 2012;68(9):1956-66. doi:10.1111/j.1365-2648.2011.05880.x.
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psnet.ahrq.gov/issue/errors-administration-intravenous-medication-brazilian-hospitals
October 05, 2022 - Study
Errors in the administration of intravenous medication in Brazilian hospitals.
Citation Text:
Anselmi ML, Peduzzi M, dos Santos CB. Errors in the administration of intravenous medication in Brazilian hospitals. J Clin Nurs. 2007;16(10). doi:10.1111/j.1365-2702.2007.01834.x.
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psnet.ahrq.gov/issue/error-body-weight-estimation-leads-inadequate-parenteral-anticoagulation
April 14, 2021 - Study
Error in body weight estimation leads to inadequate parenteral anticoagulation.
Citation Text:
Macedo LG dos R, de Oliveira L, Pintão MC, et al. Error in body weight estimation leads to inadequate parenteral anticoagulation. Am J Emerg Med. 2011;29(6):613-7. doi:10.1016/j.ajem.20…
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psnet.ahrq.gov/issue/ems-helicopter-crashes-what-influences-fatal-outcome
September 23, 2020 - Study
EMS helicopter crashes: what influences fatal outcome?
Citation Text:
Baker SP, Grabowski JG, Dodd RS, et al. EMS helicopter crashes: what influences fatal outcome? Ann Emerg Med. 2006;47(4):351-356.
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psnet.ahrq.gov/issue/bar-code-verification-reducing-not-eliminating-medication-errors
September 27, 2016 - Study
Bar-code verification: reducing but not eliminating medication errors.
Citation Text:
Henneman PL, Marquard J, Fisher DL, et al. Bar-code verification: reducing but not eliminating medication errors. J Nurs Adm. 2012;42(12):562-6. doi:10.1097/NNA.0b013e318274b545.
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psnet.ahrq.gov/issue/inpatient-fall-prevention-initiative-tertiary-care-hospital
October 19, 2022 - Study
An inpatient fall prevention initiative in a tertiary care hospital.
Citation Text:
Weinberg J, Proske D, Szerszen A, et al. An inpatient fall prevention initiative in a tertiary care hospital. Jt Comm J Qual Patient Saf. 2011;37(7):317-325.
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