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psnet.ahrq.gov/web-mm/critical-order-set-change-and-critical-limb-ischemia
July 02, 2019 - Communication to nursing and pharmacy would also have been appropriate in this case, as the requirement … heparin dosing was new, and close scrutiny of the ordered heparin dose on the part of both nursing and pharmacy
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psnet.ahrq.gov/node/73229/psn-pdf
May 26, 2021 - Retrieved
April 16, 2021, from https://www.ashp.org/-/media/assets/pharmacy-practice/s4s/docs/s4s-iv-a … https://doi.org/10.1007/978-3-319-93224-8_23
http://online.lexi.com
https://www.ashp.org/-/media/assets/pharmacy-practice
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psnet.ahrq.gov/node/49778/psn-pdf
December 01, 2016 - antimicrobial formulary require that an ID specialist communicate an
antimicrobial approval directly to the pharmacy … The pharmacy was willing to accept the
provider's word for the approval—a process that allows for errors
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psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy
August 30, 2023 - Assessments can be specific to the setting (e.g., Pharmacy Health Literacy Assessment Tool , Primary
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psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-outputs-are-they-valid
November 25, 2009 - Study
Failure mode and effects analysis outputs: are they valid?
Citation Text:
Shebl NA, Franklin BD, Barber N. Failure mode and effects analysis outputs: are they valid? BMC Health Serv Res. 2012;12:150. doi:10.1186/1472-6963-12-150.
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psnet.ahrq.gov/issue/health-technology-quality-and-safety-learning-health-system
February 09, 2022 - Commentary
Health technology, quality and safety in a learning health system.
Citation Text:
Borycki EM, Kushniruk AW. Health technology, quality and safety in a learning health system. Healthc Manage Forum. 2023;51(2):212-221. doi:10.1177/08404704221139383.
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psnet.ahrq.gov/issue/time-rebalance-psychological-and-emotional-well-being-healthcare-workforce-foundation-patient
October 07, 2020 - Commentary
Time for a rebalance: psychological and emotional well-being in the healthcare workforce as the foundation for patient safety.
Citation Text:
Kirk K. Time for a rebalance: psychological and emotional well-being in the healthcare workforce as the foundation for patient safety. …
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psnet.ahrq.gov/issue/medication-errors-electronic-prescribing-ep-two-views-same-picture
November 13, 2009 - Study
Medication errors with electronic prescribing (eP): two views of the same picture.
Citation Text:
Savage I, Cornford T, Klecun E, et al. Medication errors with electronic prescribing (eP): Two views of the same picture. BMC Health Serv Res. 2010;10:135. doi:10.1186/1472-6963-10-1…
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psnet.ahrq.gov/issue/opioids-and-dentistry
November 12, 2014 - Special or Theme Issue
Opioids and Dentistry.
Citation Text:
Opioids and Dentistry. J Am Dent Assoc. 2018;149(4):237-272. doi:10.1016/j.adaj.2018.02.015.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/role-artificial-intelligence-patient-safety-outcomes-systematic-literature-review
September 20, 2011 - Review
Role of artificial intelligence in patient safety outcomes: systematic literature review.
Citation Text:
Choudhury A, Asan O. Role of artificial intelligence in patient safety outcomes: systematic literature review. JMIR Med Inform. 2020;8(7):e18599. doi:10.2196/18599.
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psnet.ahrq.gov/issue/prospective-risk-assessment-informal-carers-medication-administration-errors-within
February 08, 2017 - Study
A prospective risk assessment of informal carers' medication administration errors within the domiciliary setting.
Citation Text:
Parand A, Faiella G, Franklin BD, et al. A prospective risk assessment of informal carers' medication administration errors within the domiciliary setti…
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psnet.ahrq.gov/issue/effectiveness-nurse-education-and-training-clinical-alarm-response-and-management-systematic
February 22, 2017 - Review
The effectiveness of nurse education and training for clinical alarm response and management: a systematic review.
Citation Text:
Yue L, Plummer V, Cross W. The effectiveness of nurse education and training for clinical alarm response and management: a systematic review. J Clin Nu…
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psnet.ahrq.gov/issue/nonpunitive-medication-error-reporting-3-year-findings-one-hospitals-primum-non-nocere
September 23, 2020 - Study
Nonpunitive medication error reporting: 3-year findings from one hospital's primum non nocere initiative.
Citation Text:
Potylycki MJ, Kimmel SR, Ritter M, et al. Nonpunitive medication error reporting: 3-year findings from one hospital's Primum Non Nocere initiative. J Nurs Adm.…
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psnet.ahrq.gov/issue/typology-electronic-health-record-workarounds-small-medium-size-primary-care-practices
November 30, 2016 - Study
A typology of electronic health record workarounds in small-to-medium size primary care practices.
Citation Text:
Friedman A, Crosson JC, Howard J, et al. A typology of electronic health record workarounds in small-to-medium size primary care practices. J Am Med Inform Assoc. 2014;…
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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/self-reported-violations-during-medication-administration-two-paediatric-hospitals
December 01, 2010 - Study
Self-reported violations during medication administration in two paediatric hospitals.
Citation Text:
Alper SJ, Holden RJ, Scanlon MC, et al. Self-reported violations during medication administration in two paediatric hospitals. BMJ Qual Saf. 2012;21(5):408-15. doi:10.1136/bmjqs-…
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psnet.ahrq.gov/issue/human-factors-framework-and-study-effect-nursing-workload-patient-safety-and-employee-quality
May 16, 2012 - Study
A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life.
Citation Text:
Holden RJ, Scanlon MC, Patel NR, et al. A human factors framework and study of the effect of nursing workload on patient safety and employe…
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psnet.ahrq.gov/issue/description-and-factors-associated-missed-nursing-care-acute-care-community-hospital
August 15, 2012 - Study
Emerging Classic
Description and factors associated with missed nursing care in an acute care community hospital.
Citation Text:
Duffy JR, Culp S, Padrutt T. Description and factors associated with missed nursing care in an acute care community hospital. J…
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psnet.ahrq.gov/issue/deficiencies-after-new-electronic-health-record-go-live-mann-grandstaff-va-medical-center
March 16, 2022 - Book/Report
Deficiencies after the New Electronic Health Record Go-Live at the Mann-Grandstaff VA Medical Center in Spokane, WA.
Citation Text:
Deficiencies after the New Electronic Health Record Go-Live at the Mann-Grandstaff VA Medical Center in Spokane, WA. Washington, DC: VA Office o…
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psnet.ahrq.gov/issue/using-portable-digital-technology-clinical-care-and-critical-incidents-new-model
June 29, 2011 - Commentary
Using portable digital technology for clinical care and critical incidents: a new model.
Citation Text:
Bolsin S, Faunce T, Colson M. Using portable digital technology for clinical care and critical incidents: a new model. Aust Health Rev. 2005;29(3):297-305.
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