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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/eslami-s-et-al-2007
January 01, 2007 - Eslami S et al. 2007 "Evaluation of outpatient computerized physician medication order entry systems: a systematic review."
Reference
Eslami S, Abu-Hanna A, de Keizer NF. Evaluation of outpatient computerized physician medication order entry systems: a systematic review. J Am Med Inform Assoc 2007;14(…
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psnet.ahrq.gov/issue/requires-dhss-make-reported-information-about-certain-adverse-events-publicly-available
January 31, 2018 - Legislation/Case Law
Requires DHSS to make reported information about certain adverse events publicly available.
Citation Text:
Requires DHSS to make reported information about certain adverse events publicly available. 212 New Jersey Legislature. Assembly, No. 4327. June 11, 2017.
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psnet.ahrq.gov/issue/call-action-preventable-health-care-harm-public-health-crisis-and-patient-safety-requires
November 23, 2016 - Book/Report
Call to Action: Preventable Health Care Harm Is a Public Health Crisis and Patient Safety Requires a Coordinated Public Health Response.
Citation Text:
Call to Action: Preventable Health Care Harm Is a Public Health Crisis and Patient Safety Requires a Coordinated Public Heal…
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psnet.ahrq.gov/issue/understanding-role-facility-design-acquisition-and-prevention-healthcare-associated
March 28, 2018 - Special or Theme Issue
Understanding the Role of Facility Design in the Acquisition and Prevention of Healthcare-Associated Infections.
Citation Text:
Understanding the Role of Facility Design in the Acquisition and Prevention of Healthcare-Associated Infections. Hamilton DK, Stichle…
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psnet.ahrq.gov/issue/patient-safety-investigating-and-reporting-serious-clinical-incidents
November 10, 2017 - Book/Report
Patient Safety: Investigating and Reporting Serious Clinical Incidents.
Citation Text:
Patient Safety: Investigating and Reporting Serious Clinical Incidents. Kelsey R. CRC Press: Boca Raton, FL; 2017. ISBN: 9781498781169.
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psnet.ahrq.gov/issue/enteral-feeding-misconnections-update
January 06, 2017 - Review
Enteral feeding misconnections: an update.
Citation Text:
Guenter P, Hicks RW, Simmons D. Enteral feeding misconnections: an update. Nutr Clin Pract. 2009;24(3):325-34. doi:10.1177/0884533609335174.
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psnet.ahrq.gov/issue/thematic-analysis-hsibs-first-22-investigations
October 28, 2020 - Book/Report
A Thematic Analysis of HSIB's First 22 Investigations.
Citation Text:
A Thematic Analysis of HSIB's First 22 Investigations. Farnborough, UK: Healthcare Safety Investigation Branch; September 9, 2021.
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psnet.ahrq.gov/issue/competent-surgeon-individual-accountability-era-systems-failure
May 30, 2014 - Commentary
The competent surgeon: individual accountability in the era of "systems" failure.
Citation Text:
Whittemore A. The competent surgeon: individual accountability in the era of "systems" failure. Ann Surg. 2009;250(3):357-62. doi:10.1097/SLA.0b013e3181b28c93.
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psnet.ahrq.gov/issue/information-design-patient-safety-guide-graphic-design-medication-packaging-2nd-edition
April 06, 2016 - Book/Report
Information Design for Patient Safety: A Guide to the Graphic Design of Medication Packaging. 2nd edition.
Citation Text:
Information Design for Patient Safety: A Guide to the Graphic Design of Medication Packaging. 2nd edition. Swayne T. London, UK: National Patient S…
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psnet.ahrq.gov/issue/why-engineers-are-working-build-better-pulse-oximeters
May 06, 2020 - Newspaper/Magazine Article
Why engineers are working to build better pulse oximeters.
Citation Text:
Why engineers are working to build better pulse oximeters. Willyard C. MIT Technology Review. February 9, 2024.
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psnet.ahrq.gov/issue/err-human-delay-deadly
July 11, 2017 - Book/Report
To Err Is Human — To Delay Is Deadly.
Citation Text:
To Err Is Human — To Delay Is Deadly. Jewell K, McGiffert L. Austin, TX: Consumers Union; 2009.
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psnet.ahrq.gov/issue/piece-my-mind-trials-and-tribulations
October 19, 2022 - Commentary
A piece of my mind. Trials and tribulations.
Citation Text:
Brown JL. Trials and Tribulations. JAMA. 2017;318(7). doi:10.1001/jama.2017.7106.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/normalization-deviance-what-are-perioperative-risks
July 15, 2020 - Commentary
The normalization of deviance: what are the perioperative risks?
Citation Text:
McNamara SA. The normalization of deviance: what are the perioperative risks? AORN J. 2011;93(6):796-801. doi:10.1016/j.aorn.2011.02.009.
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psnet.ahrq.gov/issue/prevention-better-cure-learning-adverse-events-healthcare
February 23, 2018 - Book/Report
Prevention Is Better Than Cure: Learning From Adverse Events in Healthcare.
Citation Text:
Prevention Is Better Than Cure: Learning From Adverse Events in Healthcare. Leistikow I. Boca Raton, FL: CRC Press; 2017. ISBN: 9781138197763.
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psnet.ahrq.gov/issue/preventing-cathetertubing-misconnections-much-needed-help-way
May 07, 2018 - Newspaper/Magazine Article
Preventing catheter/tubing misconnections: much needed help is on the way.
Citation Text:
Preventing catheter/tubing misconnections: much needed help is on the way. ISMP Medication Safety Alert! Acute care edition! July 15, 2010;15:1-2.
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psnet.ahrq.gov/issue/improving-health-care-work-environment
March 28, 2018 - Special or Theme Issue
Improving the Health Care Work Environment.
Citation Text:
Improving the Health Care Work Environment. Jt Comm J Qual Saf. 2007;33(11 supp):s2-s84.
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psnet.ahrq.gov/issue/latest-heparin-fatality-speaks-loudly-what-have-you-done-stop-bleeding
May 03, 2023 - Newspaper/Magazine Article
Latest heparin fatality speaks loudly—what have you done to stop the bleeding?
Citation Text:
Latest heparin fatality speaks loudly—what have you done to stop the bleeding? ISMP Medication Safety Alert! Acute Care Edition. April 8, 2010;15:1-3.
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psnet.ahrq.gov/issue/lot-happens-when-you-report-hazard-or-error-ismp-theres-no-black-hole-here
December 27, 2018 - Newspaper/Magazine Article
A lot happens when you report a hazard or error to ISMP—there’s no “black hole” here!
Citation Text:
A lot happens when you report a hazard or error to ISMP—there’s no “black hole” here! ISMP Medication Safety Alert! Acute Care Edition. November 7, 2019
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psnet.ahrq.gov/issue/reduce-readmissions-pharmacy-programs-focus-transitions-hospital-community
September 26, 2016 - Newspaper/Magazine Article
Reduce readmissions with pharmacy programs that focus on transitions from the hospital to the community.
Citation Text:
Reduce readmissions with pharmacy programs that focus on transitions from the hospital to the community. ISMP Medication Safety Alert! Acute …
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psnet.ahrq.gov/issue/side-tracks-safety-express-interruptions-lead-errors-and-unfinishedwait-what-was-i-doing
June 10, 2018 - Newspaper/Magazine Article
Side tracks on the safety express. Interruptions lead to errors and unfinished…wait, what was I doing?
Citation Text:
Side tracks on the safety express. Interruptions lead to errors and unfinished…wait, what was I doing? ISMP Medication Safety Alert! Acute care…