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psnet.ahrq.gov/issue/effectiveness-information-technology-intervention-improve-prophylactic-antibacterial-use
September 01, 2016 - Study
Effectiveness of an information technology intervention to improve prophylactic antibacterial use in the postoperative period.
Citation Text:
Haynes K, Linkin DR, Fishman NO, et al. Effectiveness of an information technology intervention to improve prophylactic antibacterial use …
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psnet.ahrq.gov/issue/rural-community-members-perceptions-harm-medical-mistakes-high-plains-research-network-hprn
February 03, 2011 - Study
Rural community members' perceptions of harm from medical mistakes: a High Plains Research Network (HPRN) study.
Citation Text:
Van Vorst RF, Araya-Guerra R, Felzien M, et al. Rural community members' perceptions of harm from medical mistakes: a High Plains Research Network (HPRN…
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psnet.ahrq.gov/issue/wear-face-masks-no-metal-during-mri-exams
April 08, 2020 - Press Release/Announcement
Wear face masks with no metal during MRI exams.
Citation Text:
Wear face masks with no metal during MRI exams. FDA Safety Communication. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; December 7, 2020.
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psnet.ahrq.gov/issue/improving-quality-and-safety-care-medical-ward-review-and-synthesis-evidence-base
November 03, 2015 - Review
Improving the quality and safety of care on the medical ward: a review and synthesis of the evidence base.
Citation Text:
Pannick S, Beveridge I, Wachter R, et al. Improving the quality and safety of care on the medical ward: A review and synthesis of the evidence base. Eur J Inte…
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psnet.ahrq.gov/issue/perioperative-safety-learning-not-taking-aviation
June 26, 2019 - Commentary
Perioperative safety: learning, not taking, from aviation.
Citation Text:
Neuhaus C, Hofer S, Hofmann G, et al. Perioperative Safety: Learning, Not Taking, from Aviation. Anesth Analg. 2016;122(6):2059-63. doi:10.1213/ANE.0000000000001315.
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psnet.ahrq.gov/issue/medication-error-reporting-rural-critical-access-hospitals-north-dakota-telepharmacy-project
October 17, 2012 - Study
Medication error reporting in rural critical access hospitals in the North Dakota Telepharmacy Project.
Citation Text:
Scott DM, Friesner DL, Rathke AM, et al. Medication error reporting in rural critical access hospitals in the North Dakota Telepharmacy Project. Am J Health Syst …
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psnet.ahrq.gov/issue/improvement-medication-event-interventions-through-use-electronic-database
December 19, 2014 - Study
Improvement of medication event interventions through use of an electronic database.
Citation Text:
Merandi J, Morvay S, Lewe D, et al. Improvement of medication event interventions through use of an electronic database. Am J Health Syst Pharm. 2013;70(19):1708-14. doi:10.2146/ajh…
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psnet.ahrq.gov/issue/heparin-containing-medical-devices-and-combination-products-recommendations-labeling-and
November 23, 2015 - Regulation
Heparin-containing medical devices and combination products: recommendations for labeling and safety testing. Draft guidance for industry and Food and Drug Administration staff.
Citation Text:
Heparin-containing medical devices and combination products: recommendations for lab…
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psnet.ahrq.gov/issue/reviewing-methodologically-disparate-data-practical-guide-patient-safety-research-field
April 24, 2018 - Commentary
Reviewing methodologically disparate data: a practical guide for the patient safety research field.
Citation Text:
Brown KF, Long SJ, Athanasiou T, et al. Reviewing methodologically disparate data: a practical guide for the patient safety research field. J Eval Clin Pract. 2…
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psnet.ahrq.gov/issue/differentiating-between-detrimental-and-beneficial-interruptions-mixed-methods-study
May 03, 2017 - Study
Differentiating between detrimental and beneficial interruptions: a mixed-methods study.
Citation Text:
Myers RA, McCarthy MC, Whitlatch A, et al. Differentiating between detrimental and beneficial interruptions: a mixed-methods study. BMJ Qual Saf. 2016;25(11):881-888. doi:10.1136…
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psnet.ahrq.gov/issue/2016-updated-american-society-clinical-oncologyoncology-nursing-society-chemotherapy
February 15, 2023 - Commentary
2016 Updated American Society of Clinical Oncology/Oncology Nursing Society Chemotherapy Administration Safety Standards, including standards for pediatric oncology.
Citation Text:
Belderson KM, Billett AL. Chemotherapy safety standards: A pediatric perspective. J Oncol Pract.…
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psnet.ahrq.gov/issue/patient-falls-while-under-supervision-trends-incident-reporting
January 11, 2023 - Study
Patient falls while under supervision: trends from incident reporting.
Citation Text:
Roberts M. Patient falls while under supervision: trends from incident reporting. Br J Nurs. 2023;32(11):508-513. doi:10.12968/bjon.2023.32.11.508.
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psnet.ahrq.gov/issue/effect-staff-nurses-shift-length-and-fatigue-patient-safety-and-nurses-health-national
July 06, 2011 - Commentary
The effect of staff nurses' shift length and fatigue on patient safety and nurses' health: from the National Association of Neonatal Nurses.
Citation Text:
Samra HA, Smith BA. The Effect of Staff Nurses' Shift Length and Fatigue on Patient Safety and Nurses' Health: From the N…
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psnet.ahrq.gov/issue/preventable-closed-claims-aana-foundation-closed-malpractice-claims-database
March 11, 2020 - Study
Preventable closed claims in the AANA Foundation closed malpractice claims database.
Citation Text:
Kremer MJ, Hirsch M, Geisz-Everson M, et al. Preventable Closed Claims in the AANA Foundation Closed Malpractice Claims Database. AANA J. 2019;87(6).
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psnet.ahrq.gov/issue/use-and-implementation-standard-operating-procedures-and-checklists-prehospital-emergency
August 28, 2024 - Review
Use and implementation of standard operating procedures and checklists in prehospital emergency medicine: a literature review.
Citation Text:
Chen C, Kan T, Li S, et al. Use and implementation of standard operating procedures and checklists in prehospital emergency medicine: a lit…
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psnet.ahrq.gov/issue/thoughtless-design-electronic-health-record-drives-overuse-purposeful-design-can-nudge
July 17, 2024 - Commentary
Emerging Classic
Thoughtless design of the electronic health record drives overuse, but purposeful design can nudge improved patient care.
Citation Text:
Vaughn VM, Linder JA. Thoughtless design of the electronic health record drives overuse, but purp…
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psnet.ahrq.gov/issue/promoting-health-care-safety-through-training-high-reliability-teams
January 06, 2018 - Commentary
Promoting health care safety through training high reliability teams.
Citation Text:
Wilson KA. Promoting health care safety through training high reliability teams. Quality and Safety in Health Care. 2005;14(4). doi:10.1136/qshc.2004.010090.
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psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-safety-conceptual-model
June 29, 2009 - Commentary
Using incident reporting to improve patient safety: a conceptual model.
Citation Text:
Pronovost PJ, Holzmueller CG, Young J, et al. Using Incident Reporting to Improve Patient Safety. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e318030ca05.
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psnet.ahrq.gov/issue/optimizing-situation-awareness-reduce-emergency-transfers-hospitalized-children
January 19, 2022 - Study
Optimizing situation awareness to reduce emergency transfers in hospitalized children.
Citation Text:
Sosa T, Sitterding M, Dewan M, et al. Optimizing situation awareness to reduce emergency transfers in hospitalized children. Pediatrics. 2021;148(4):e2020034603. doi:10.1542/peds.2…
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psnet.ahrq.gov/issue/understanding-situation-awareness-nursing-work-hybrid-concept-analysis
October 20, 2021 - Study
Understanding situation awareness in nursing work: a hybrid concept analysis.
Citation Text:
Sitterding MC, Broome ME, Everett LQ, et al. Understanding situation awareness in nursing work: a hybrid concept analysis. ANS Adv Nurs Sci. 2012;35(1):77-92. doi:10.1097/ANS.0b013e318245…