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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/mislabeled-units-umbilical-cord-blood-detected-quality-assurance-program-transplantation
October 19, 2022 - Study
Mislabeled units of umbilical cord blood detected by a quality assurance program at the transplantation center.
Citation Text:
McCullough JS, McKenna D, Kadidlo D, et al. Mislabeled units of umbilical cord blood detected by a quality assurance program at the transplantation cente…
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psnet.ahrq.gov/issue/medication-safety-messages-patients-web-portal-medcheck-intervention
September 11, 2013 - Study
Medication safety messages for patients via the web portal: the MedCheck intervention.
Citation Text:
Weingart SN, Hamrick HE, Tutkus S, et al. Medication safety messages for patients via the web portal: the MedCheck intervention. Int J Med Inform . 2008;77(3):161-168.
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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/effect-implementation-barcode-technology-and-electronic-medication-administration-record
February 24, 2011 - Study
Effect of the implementation of barcode technology and an electronic medication administration record on adverse drug events.
Citation Text:
Truitt E, Thompson R, Blazey-Martin D, et al. Effect of the Implementation of Barcode Technology and an Electronic Medication Administration …
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psnet.ahrq.gov/issue/was-close-call-endorsing-broad-definition-near-misses-health-care
August 31, 2016 - Commentary
"That was a close call": endorsing a broad definition of near misses in health care.
Citation Text:
Marks CM, Kasda E, Paine LA, et al. "That was a close call": endorsing a broad definition of near misses in health care. Jt Comm J Qual Patient Saf. 2013;39(10):475-479.
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psnet.ahrq.gov/issue/risk-factors-retained-surgical-items-meta-analysis-and-proposed-risk-stratification-system
January 18, 2013 - Study
Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system.
Citation Text:
Moffatt-Bruce SD, Cook CH, Steinberg SM, et al. Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. J Surg Res. 2014;190(…
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psnet.ahrq.gov/issue/variations-state-physician-disciplinary-actions-us-medical-licensure-boards
March 12, 2025 - Study
Variations by state in physician disciplinary actions by US medical licensure boards.
Citation Text:
Harris JA, Byhoff E. Variations by state in physician disciplinary actions by US medical licensure boards. BMJ Qual Saf. 2017;26(3):200-208. doi:10.1136/bmjqs-2015-004974.
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psnet.ahrq.gov/issue/surgical-patient-safety-officers-united-states-negotiating-contradictions-between-compliance
December 31, 2018 - Commentary
Surgical patient safety officers in the United States: negotiating contradictions between compliance and workplace transformation.
Citation Text:
van de Ruit C, Bosk CL. Surgical patient safety officers in the United States: negotiating contradictions between compliance and wo…
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psnet.ahrq.gov/issue/transferring-aviation-practices-clinical-medicine-promotion-high-reliability
September 12, 2018 - Review
Transferring aviation practices into clinical medicine for the promotion of high reliability.
Citation Text:
Powell-Dunford N, McPherson MK, Pina JS, et al. Transferring Aviation Practices into Clinical Medicine for the Promotion of High Reliability. Aerosp Med Hum Perform. 2017;8…
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psnet.ahrq.gov/issue/barcode-medication-administration-software-technology-use-emergency-department-and-medication
November 04, 2015 - Study
Barcode medication administration software technology use in the emergency department and medication error rates.
Citation Text:
Gauthier-Wetzel HE. Barcode medication administration software technology use in the emergency department and medication error rates. Comput Inform Nurs.…
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psnet.ahrq.gov/issue/retained-foreign-bodies-risk-and-outcomes-national-level
May 29, 2019 - Study
Retained foreign bodies: risk and outcomes at the national level.
Citation Text:
Al-Qurayshi ZH, Hauch AT, Slakey DP, et al. Retained foreign bodies: risk and outcomes at the national level. J Am Coll Surg. 2015;220(4):749-759. doi:10.1016/j.jamcollsurg.2014.12.015.
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psnet.ahrq.gov/issue/prospective-hazard-and-improvement-analytic-approach-predicting-effectiveness-medication
December 04, 2013 - Study
A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions.
Citation Text:
Karnon J, McIntosh A, Dean JE, et al. A prospective hazard and improvement analytic approach to predicting the effectiveness of medication erro…
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psnet.ahrq.gov/issue/toward-theoretical-approach-medical-error-reporting-system-research-and-design
November 30, 2011 - Study
Toward a theoretical approach to medical error reporting system research and design.
Citation Text:
Karsh B-T, Escoto KH, Beasley JW, et al. Toward a theoretical approach to medical error reporting system research and design. Appl Ergon. 2006;37(3):283-95.
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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/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/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…
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psnet.ahrq.gov/issue/experimental-study-nurse-physician-relationships
July 14, 2010 - Study
Classic
An experimental study in nurse-physician relationships.
Citation Text:
Hofling CK, Brotzman E, Dalrymple S, et al. An experimental study in nurse-physician relationships. J Nerv Ment Dis. 1966;143(2):171-80.
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psnet.ahrq.gov/issue/fda-safety-communication-recommendations-reduce-surgical-fires-and-related-patient-injury
October 19, 2022 - Press Release/Announcement
FDA Safety Communication: recommendations to reduce surgical fires and related patient injury.
Citation Text:
FDA Safety Communication: recommendations to reduce surgical fires and related patient injury. MedWatch Safety Alert. Silver Spring, MD: US Food and Dr…
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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…