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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/error-avoidance-recommendations-tubing-misconnections-when-using-luer-tip-connectors
November 21, 2018 - Commentary
Error-avoidance recommendations for tubing misconnections when using luer-tip connectors: a statement by the USP Safe Medication Use Expert Committee.
Citation Text:
Simmons D, Phillips MS, Grissinger M, et al. Error-avoidance recommendations for tubing misconnections when usi…
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psnet.ahrq.gov/issue/severe-hyperglycemia-patients-incorrectly-using-insulin-pens-home
December 15, 2021 - Press Release/Announcement
Severe hyperglycemia in patients incorrectly using insulin pens at home.
Citation Text:
Severe hyperglycemia in patients incorrectly using insulin pens at home. National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American…
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psnet.ahrq.gov/issue/improving-communication-patients-limited-english-proficiency
January 06, 2018 - Commentary
Improving communication with patients with limited English proficiency.
Citation Text:
Taira BR. Improving Communication With Patients With Limited English Proficiency. JAMA Int Med. 2018;178(5):605-606. doi:10.1001/jamainternmed.2018.0373.
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psnet.ahrq.gov/issue/scoping-review-exploring-confidence-healthcare-professionals-assessing-all-skin-tones
July 17, 2019 - Review
A scoping review exploring the confidence of healthcare professionals in assessing all skin tones.
Citation Text:
Harrison J. A scoping review exploring the confidence of healthcare professionals in assessing all skin tones. Br Paramed J. 2023;8(2):18-28. doi:10.29045/14784726.202…
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psnet.ahrq.gov/issue/infection-prevention-compendium-long-term-care-facilities
November 08, 2017 - Tools/Toolkit
Infection Prevention Compendium For Long-Term Care Facilities.
Citation Text:
Infection Prevention Compendium For Long-Term Care Facilities. Center for Healthy Aging--New York Academy of Medicine, Yale School of Nursing.
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psnet.ahrq.gov/issue/pursuit-endpoint-diagnoses-cognitive-forcing-strategy-avoid-premature-diagnostic-closure
November 02, 2022 - Commentary
Pursuit of "endpoint diagnoses" as a cognitive forcing strategy to avoid premature diagnostic closure.
Citation Text:
Kaplan HM, Birnbaum JF, Kulkarni PA. Pursuit of “endpoint diagnoses” as a cognitive forcing strategy to avoid premature diagnostic closure. Diagnosis (Berl). 2…
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psnet.ahrq.gov/issue/cognitive-forcing-tool-mitigate-cognitive-bias-randomised-control-trial
November 07, 2018 - Study
A cognitive forcing tool to mitigate cognitive bias—a randomised control trial.
Citation Text:
O'Sullivan ED, Schofield SJ. A cognitive forcing tool to mitigate cognitive bias - a randomised control trial. BMC Med Educ. 2019;19(1):12. doi:10.1186/s12909-018-1444-3.
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psnet.ahrq.gov/issue/safe-medication-prescribing-training-and-experience-medical-students-and-housestaff-large
December 22, 2008 - Study
Safe medication prescribing: training and experience of medical students and housestaff at a large teaching hospital.
Citation Text:
Garbutt J, Highstein G, Jeffe DB, et al. Safe medication prescribing: training and experience of medical students and housestaff at a large teachin…
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psnet.ahrq.gov/issue/recurring-problem-retained-swabs-and-instruments
June 19, 2019 - Review
The recurring problem of retained swabs and instruments.
Citation Text:
Mahran MA, Toeima E, Morris EP. The recurring problem of retained swabs and instruments. Best Pract Res Clin Obstet Gynaecol. 2013;27(4):489-95. doi:10.1016/j.bpobgyn.2013.03.001.
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psnet.ahrq.gov/issue/opioids-medicare-part-d-concerns-about-extreme-use-and-questionable-prescribing
October 29, 2008 - Book/Report
Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing.
Citation Text:
Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing. Office of the Inspector General. Washington, DC: US Department of Health and Human Services…
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psnet.ahrq.gov/issue/effective-perioperative-communication-enhance-patient-care
March 17, 2015 - Commentary
Effective perioperative communication to enhance patient care.
Citation Text:
Garrett H. Effective Perioperative Communication to Enhance Patient Care. AORN J. 2016;104(2):111-20. doi:10.1016/j.aorn.2016.06.001.
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psnet.ahrq.gov/issue/improving-reporting-outpatient-pediatric-medical-errors
March 14, 2022 - Study
Improving reporting of outpatient pediatric medical errors.
Citation Text:
Neuspiel DR, Stubbs EH, Liggin L. Improving Reporting of Outpatient Pediatric Medical Errors. PEDIATRICS. 2011;128(6). doi:10.1542/peds.2011-0477.
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psnet.ahrq.gov/issue/identifying-and-understanding-ways-address-impact-racism-patient-safety-health-care-settings
May 21, 2014 - Book/Report
Identifying and Understanding Ways to Address the Impact of Racism on Patient Safety in Health Care Settings.
Citation Text:
Identifying and Understanding Ways to Address the Impact of Racism on Patient Safety in Health Care Settings. Schulson LB, Thomas AD, Tsuei J, et al.&n…
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psnet.ahrq.gov/issue/dispensing-errors
December 02, 2020 - Newspaper/Magazine Article
Dispensing Errors.
Citation Text:
Dispensing Errors. Phipps D, Ashour A, Riste L, et al. The Pharmaceutical Journal. 2020;305(7943, 7944). November 10, December 1, 2020.
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psnet.ahrq.gov/issue/long-term-effects-perioperative-safety-checklist-viewpoint-personnel
March 02, 2012 - Study
Long-term effects of a perioperative safety checklist from the viewpoint of personnel.
Citation Text:
Böhmer AB, Kindermann P, Schwanke U, et al. Long-term effects of a perioperative safety checklist from the viewpoint of personnel. Acta Anaesthesiol Scand. 2013;57(2):150-7. doi:…
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psnet.ahrq.gov/issue/va-health-care-va-uses-medical-injury-tort-claims-data-assess-veterans-care-should-take
February 10, 2010 - Government Resource
VA Health Care: VA Uses Medical Injury Tort Claims Data to Assess Veterans’ Care, but Should Take Action to Ensure That These Data Are Complete.
Citation Text:
VA Health Care: VA Uses Medical Injury Tort Claims Data to Assess Veterans’ Care, but Should Take Action t…
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psnet.ahrq.gov/issue/patient-safety-moving-bar-prison-health-care-standards
August 28, 2024 - Commentary
Patient safety: moving the bar in prison health care standards.
Citation Text:
Stern MF, Greifinger RB, Mellow J. Patient safety: moving the bar in prison health care standards. Am J Public Health. 2010;100(11):2103-2110. doi:10.2105/AJPH.2009.184242.
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psnet.ahrq.gov/issue/patient-safety-part-ii-opportunities-improvement-patient-safety
August 19, 2009 - Review
Patient safety: Part II. Opportunities for improvement in patient safety.
Citation Text:
Elston DM, Stratman E, Johnson-Jahangir H, et al. Patient safety: Part II. Opportunities for improvement in patient safety. J Am Acad Dermatol. 2009;61(2):193-205; quiz 206. doi:10.1016/j.ja…
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psnet.ahrq.gov/issue/noise-operating-room-what-do-we-know-review-literature
August 13, 2014 - Review
Noise in the operating room—what do we know? A review of the literature.
Citation Text:
Hasfeldt D, Laerkner E, Birkelund R. Noise in the operating room--what do we know? A review of the literature. J Perianesth Nurs. 2010;25(6):380-6. doi:10.1016/j.jopan.2010.10.001.
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