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psnet.ahrq.gov/issue/teaching-nurses-make-clinical-judgments-ensure-patient-safety
August 17, 2022 - Commentary
Teaching nurses to make clinical judgments that ensure patient safety.
Citation Text:
Billings DM. Teaching Nurses to Make Clinical Judgments That Ensure Patient Safety. J Contin Educ Nurs. 2019;50(7):300-302. doi:10.3928/00220124-20190612-04.
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psnet.ahrq.gov/issue/health-literacy-and-medication-understanding-among-hospitalized-adults
April 05, 2013 - Study
Health literacy and medication understanding among hospitalized adults.
Citation Text:
Marvanova M, Roumie CL, Eden SK, et al. Health literacy and medication understanding among hospitalized adults. J Hosp Med. 2011;6(9):488-93. doi:10.1002/jhm.925.
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psnet.ahrq.gov/issue/medication-reconciliation-qualitative-analysis-clinicians-perceptions
October 10, 2015 - Study
Medication reconciliation: a qualitative analysis of clinicians' perceptions.
Citation Text:
Vogelsmeier A, Pepper GA, Oderda L, et al. Medication reconciliation: A qualitative analysis of clinicians' perceptions. Res Social Adm Pharm. 2013;9(4):419-30. doi:10.1016/j.sapharm.201…
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psnet.ahrq.gov/issue/report-burden-endemic-health-care-associated-infection-worldwide
November 02, 2022 - Book/Report
Report on the Burden of Endemic Health Care–Associated Infection Worldwide.
Citation Text:
Report on the Burden of Endemic Health Care–Associated Infection Worldwide. Allegranzi B, Nejad SB, Castillejos GG, Kilpatrick C, Kelley E, Mathai E; Clean Care is Safer Care Team. …
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psnet.ahrq.gov/issue/drug-shortages-fdas-ability-respond-should-be-strengthened
April 15, 2009 - Congressional Testimony
Drug Shortages: FDA's Ability to Respond Should Be Strengthened.
Citation Text:
Drug Shortages: FDA's Ability to Respond Should Be Strengthened. Testimony before the Committee on Health, Education, Labor, and Pensions, US Senate. US Government Accountability Offic…
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psnet.ahrq.gov/issue/medicares-oversight-compounded-pharmaceuticals-used-hospitals
October 16, 2012 - Government Resource
Medicare’s Oversight of Compounded Pharmaceuticals Used in Hospitals.
Citation Text:
Medicare’s Oversight of Compounded Pharmaceuticals Used in Hospitals. Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January…
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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/strategies-improving-communication-emergency-department-mediums-and-messages-noisy
November 17, 2010 - Commentary
Strategies for improving communication in the emergency department: mediums and messages in a noisy environment.
Citation Text:
Welch SJ, Cheung DS, Apker J, et al. Strategies for improving communication in the emergency department: mediums and messages in a noisy environ…
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psnet.ahrq.gov/issue/handling-injectable-medications-anaesthesia-guidelines-association-anaesthetists
March 14, 2022 - Organizational Policy/Guidelines
Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists.
Citation Text:
Kinsella SM, Boaden B, El‐Ghazali S, et al. Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists. …
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psnet.ahrq.gov/issue/health-care-getting-safer
December 14, 2016 - Commentary
Is health care getting safer?
Citation Text:
Vincent CA, Aylin PP, Franklin BD, et al. Is health care getting safer? BMJ. 2008;337:a2426. doi:10.1136/bmj.a2426.
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psnet.ahrq.gov/issue/medication-errors-involving-intravenous-administration-route-characteristics-voluntarily
January 31, 2018 - Review
Medication errors involving the intravenous administration route: characteristics of voluntarily reported medication errors.
Citation Text:
Wolf ZR. Medication Errors Involving the Intravenous Administration Route: Characteristics of Voluntarily Reported Medication Errors. J Infus…
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psnet.ahrq.gov/issue/investigating-prevalence-and-causes-prescribing-errors-general-practice-practice-study
May 24, 2015 - Book/Report
Investigating the Prevalence and Causes of Prescribing Errors in General Practice: The PRACtICe Study.
Citation Text:
Investigating the Prevalence and Causes of Prescribing Errors in General Practice: The PRACtICe Study. Avery T, Barber N, Ghaleb M, et al. London, UK: Gener…
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psnet.ahrq.gov/issue/physician-health-and-wellbeing-provide-challenges-patient-safety-and-outcome-quality-across
October 14, 2015 - Study
Physician health and wellbeing provide challenges to patient safety and outcome quality across the careerspan.
Citation Text:
Williams BW, Flanders P. Physician health and wellbeing provide challenges to patient safety and outcome quality across the careerspan. Australas Psychiatry…
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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/preventing-surgical-site-infections-implementing-strategies-throughout-perioperative
January 15, 2025 - Commentary
Preventing surgical site infections: implementing strategies throughout the perioperative continuum.
Citation Text:
Rosa R, Sposato K, Abbo LM. Preventing surgical site infections: implementing strategies throughout the perioperative continuum. AORN J. 2023;117(5):300-311. doi…
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psnet.ahrq.gov/issue/making-business-case-quality-and-safety
January 19, 2022 - Commentary
Making the business case for quality and safety.
Citation Text:
Shah RK, Reinhart R, Cronin J. Making the business case for quality and safety. Otolaryngol Clin North Am. 2022;55(1):105-113. doi:10.1016/j.otc.2021.07.008.
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psnet.ahrq.gov/issue/medical-resident-pharmacist-collaboration-improves-rate-medication-reconciliation
September 24, 2010 - Study
A medical resident–pharmacist collaboration improves the rate of medication reconciliation verification at discharge.
Citation Text:
Caroff DA, Bittermann T, Leonard CE, et al. A Medical Resident-Pharmacist Collaboration Improves the Rate of Medication Reconciliation Verification a…
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psnet.ahrq.gov/issue/patient-safety-and-collaboration-intensive-care-unit-team
February 17, 2010 - Commentary
Patient safety and collaboration of the intensive care unit team.
Citation Text:
Despins LA. Patient safety and collaboration of the intensive care unit team. Crit Care Nurse. 2009;29(2):85-91. doi:10.4037/ccn2009281.
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psnet.ahrq.gov/issue/medication-related-clinical-decision-support-computerized-provider-order-entry-systems-review
March 11, 2011 - Review
Medication-related clinical decision support in computerized provider order entry systems: a review.
Citation Text:
Kuperman GJ, Bobb A, Payne TH, et al. Medication-related clinical decision support in computerized provider order entry systems: a review. J Am Med Inform Assoc. 2…
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psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm
June 21, 2016 - Book/Report
RCA2: Improving Root Cause Analyses and Actions to Prevent Harm.
Citation Text:
RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. Boston, MA: National Patient Safety Foundation; 2015.
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