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psnet.ahrq.gov/issue/outcome-6-years-protocol-use-preventing-wrong-site-office-surgery
February 10, 2012 - Study
Outcome of 6 years of protocol use for preventing wrong site office surgery.
Citation Text:
Starling J, Coldiron BM. Outcome of 6 years of protocol use for preventing wrong site office surgery. J Am Acad Dermatol. 2011;65(4):807-810. doi:10.1016/j.jaad.2011.05.011.
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psnet.ahrq.gov/issue/banning-handshake-health-care-setting
January 12, 2022 - Commentary
Banning the handshake from the health care setting.
Citation Text:
Sklansky M, Nadkarni N, Ramirez-Avila L. Banning the handshake from the health care setting. JAMA. 2014;311(24):2477-8.
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psnet.ahrq.gov/issue/use-information-technology-medication-reconciliation-scoping-review
June 15, 2022 - Review
Use of information technology in medication reconciliation: a scoping review.
Citation Text:
Bassi J, Lau F, Bardal S. Use of information technology in medication reconciliation: a scoping review. Ann Pharmacother. 2010;44(5):885-97. doi:10.1345/aph.1M699.
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psnet.ahrq.gov/issue/improving-patient-safety-and-uniformity-care-standardized-regimen-use-oxytocin
May 01, 2013 - Commentary
Improving patient safety and uniformity of care by a standardized regimen for the use of oxytocin.
Citation Text:
Hayes EJ, Weinstein L. Improving patient safety and uniformity of care by a standardized regimen for the use of oxytocin. Am J Obstet Gynecol. 2008;198(6):622.e1…
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psnet.ahrq.gov/issue/error-medicine
November 02, 2014 - Commentary
Classic
Error in medicine.
Citation Text:
Leape L. Error in medicine. JAMA. 1994;272(23):1851-1857.
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psnet.ahrq.gov/issue/iv-push-medications-survey-results-part-1-and-part-2
December 12, 2018 - Newspaper/Magazine Article
IV push medications survey results—part 1 and part 2.
Citation Text:
IV push medications survey results—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. November 1, 2018;23:1-5. November 15, 2018;23:1-5.
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psnet.ahrq.gov/issue/am-i-unsafe-here-chemotherapy-patients-perspectives-towards-engaging-their-safety
February 01, 2011 - Study
Am I (un)safe here? Chemotherapy patients' perspectives towards engaging in their safety.
Citation Text:
Schwappach DLB, Wernli M. Am I (un)safe here? Chemotherapy patients' perspectives towards engaging in their safety. BMJ Qual Saf. 2010;19(5). doi:10.1136/qshc.2009.033118.
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psnet.ahrq.gov/issue/first-kids-medication-errors
February 03, 2021 - Audiovisual
First with Kids: Medication Errors.
Citation Text:
First L. NBC5. First with Kids: Medication Errors. August 1, 2024.
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psnet.ahrq.gov/issue/10-years-why-time-out-still-matters
November 08, 2013 - Commentary
10 years in, why time out still matters.
Citation Text:
Guglielmi CL, Canacari EG, DuPree ES, et al. 10 years in, why time out still matters. AORN J. 2014;99(6):783-794. doi:10.1016/j.aorn.2014.04.009.
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psnet.ahrq.gov/issue/practice-advisory-intraoperative-awareness-and-brain-function-monitoring
July 16, 2018 - Review
Practice Advisory on Intraoperative Awareness and Brain Function Monitoring.
Citation Text:
Awareness AS of ATF on I. Practice advisory for intraoperative awareness and brain function monitoring: a report by the american society of anesthesiologists task force on intraoperative …
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psnet.ahrq.gov/issue/using-orgahead-computational-modeling-program-improve-patient-care-unit-safety-and-quality
June 22, 2011 - Commentary
Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes.
Citation Text:
Effken JA, Brewer BB, Patil A, et al. Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes. Int J …
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psnet.ahrq.gov/issue/medical-errors-recovered-critical-care-nurses
June 04, 2008 - Study
Medical errors recovered by critical care nurses.
Citation Text:
Dykes PC, Rothschild JM, Hurley A. Medical errors recovered by critical care nurses. J Nurs Adm. 2010;40(5):241-6. doi:10.1097/NNA.0b013e3181da408e.
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psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-overview-state-reporting-programs-and-individual
June 07, 2008 - Book/Report
Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs and Individual Hospital Initiatives to Reduce Certain Infections.
Citation Text:
Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs and Individual Ho…
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psnet.ahrq.gov/issue/addressing-healthcare-associated-infections-and-antimicrobial-resistance-organizational
January 31, 2024 - Commentary
Addressing healthcare-associated infections and antimicrobial resistance from an organizational perspective: progress and challenges.
Citation Text:
Murray E, Holmes A. Addressing healthcare-associated infections and antimicrobial resistance from an organizational perspectiv…
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psnet.ahrq.gov/issue/advances-perioperative-quality-and-safety
April 11, 2018 - Commentary
Advances in perioperative quality and safety.
Citation Text:
Anderson KT, Appelbaum R, Bartz-Kurycki MA, et al. Advances in perioperative quality and safety. Semin Pediatr Surg. 2018;27(2):92-101. doi:10.1053/j.sempedsurg.2018.02.006.
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psnet.ahrq.gov/issue/frequency-type-and-clinical-importance-medication-history-errors-admission-hospital
September 23, 2020 - Review
Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review.
Citation Text:
Tam VC. Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review. Can Med Assoc J. 2005;17…
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psnet.ahrq.gov/issue/prevention-3-never-events-operating-room-fires-gossypiboma-and-wrong-site-surgery
February 10, 2012 - Review
Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery.
Citation Text:
Zahiri HR, Stromberg J, Skupsky H, et al. Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. Surg Innov. 2011;18(1):55-…
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psnet.ahrq.gov/issue/prevent-errors-during-emergency-use-hypertonic-sodium-chloride-solutions
March 10, 2021 - Newspaper/Magazine Article
Prevent errors during emergency use of hypertonic sodium chloride solutions.
Citation Text:
Prevent errors during emergency use of hypertonic sodium chloride solutions. ISMP Medication Safety Alert! Acute care edition. November 4, 2021;26(22); 1-4.
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psnet.ahrq.gov/issue/improving-medication-safety-icu-pharmacists-role
April 20, 2022 - Commentary
Improving medication safety in the ICU: the pharmacist's role.
Citation Text:
Lee AJ, Chiao TB, Lam JT, et al. Improving Medication Safety in the ICU: The Pharmacist's Role. Hosp Pharm. 2010;42(4):337-344. doi:10.1310/hpj4204-337.
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psnet.ahrq.gov/issue/thinking-threes-changing-surgical-patient-safety-practices-complex-modern-operating-room
April 28, 2021 - Commentary
Thinking in three's: changing surgical patient safety practices in the complex modern operating room.
Citation Text:
Gibbs VC. Thinking in three's: changing surgical patient safety practices in the complex modern operating room. World J Gastroenterol. 2012;18(46):6712-9. doi:…