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psnet.ahrq.gov/issue/optimising-delivery-remediation-programmes-doctors-realist-review
June 02, 2021 - Review
Optimising the delivery of remediation programmes for doctors: a realist review.
Citation Text:
Price T, Wong G, Withers L, et al. Optimising the delivery of remediation programmes for doctors: a realist review. Med Educ. 2021;55(9):995-1010. doi:10.1111/medu.14528.
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psnet.ahrq.gov/issue/significant-and-sustained-reduction-chemotherapy-errors-through-improvement-science
October 19, 2022 - Study
Significant and sustained reduction in chemotherapy errors through improvement science.
Citation Text:
Weiss BD, Scott M, Demmel K, et al. Significant and sustained reduction in chemotherapy errors through improvement science. J Oncol Pract. 2017;13(4):e329-e336. doi:10.1200/JOP.20…
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psnet.ahrq.gov/issue/active-shooter-response-health-care-facility
January 18, 2012 - Commentary
Active-shooter response at a health care facility.
Citation Text:
Inaba K, Eastman AL, Jacobs LM, et al. Active-Shooter Response at a Health Care Facility. N Engl J Med. 2018;379(6):583-586. doi:10.1056/NEJMms1800582.
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psnet.ahrq.gov/issue/interventions-improve-communication-hospital-discharge-and-rates-readmission-systematic
January 12, 2022 - Review
Interventions to improve communication at hospital discharge and rates of readmission: a systematic review and meta-analysis.
Citation Text:
Becker C, Zumbrunn S, Beck K, et al. Interventions to improve communication at hospital discharge and rates of readmission. JAMA Netw Open. …
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psnet.ahrq.gov/issue/misuse-pediatric-medications-and-parent-physician-communication-interactive-voice-response
May 27, 2011 - Study
Misuse of pediatric medications and parent–physician communication: an interactive voice response intervention.
Citation Text:
Walsh KE, Bacic J, Phillips BD, et al. Misuse of Pediatric Medications and Parent-Physician Communication: An Interactive Voice Response Intervention. J Pa…
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psnet.ahrq.gov/issue/epidural-pump-programming-error-leading-inadvertent-10-fold-dosing-error-during-epidural
May 13, 2009 - Commentary
Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine.
Citation Text:
Thyen AB, McAllister RK, Councilman LM. Epidural Pump Programming Error Leading to Inadvertent 10-Fold Dosing Error During Epidural La…
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psnet.ahrq.gov/issue/literature-review-individual-and-systems-factors-contribute-medication-errors-nursing
April 22, 2011 - Review
A literature review of the individual and systems factors that contribute to medication errors in nursing practice.
Citation Text:
Brady A-M, Malone A-M, Fleming S. A literature review of the individual and systems factors that contribute to medication errors in nursing practice…
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psnet.ahrq.gov/issue/learning-mistakes-and-near-mistakes-using-root-cause-analysis-risk-management-tool
June 19, 2024 - Commentary
Learning from mistakes and near mistakes: using root cause analysis as a risk management tool.
Citation Text:
Cerniglia-Lowensen J. Learning From Mistakes and Near Mistakes: Using Root Cause Analysis as a Risk Management Tool. J Radiol Nurs. 2015;34(1). doi:10.1016/j.jradnu.20…
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psnet.ahrq.gov/issue/risk-factors-adverse-drug-events-10-year-analysis
September 27, 2017 - Study
Risk factors for adverse drug events: a 10-year analysis.
Citation Text:
Evans S, Lloyd JF, Stoddard GJ, et al. Risk factors for adverse drug events: a 10-year analysis. Ann Pharmacother. 2005;39(7-8):1161-8.
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psnet.ahrq.gov/issue/potassium-and-phosphorus-repletion-hospitalized-patients-implications-clinical-practice-and
May 09, 2014 - Study
Potassium and phosphorus repletion in hospitalized patients: implications for clinical practice and the potential use of healthcare information technology to improve prescribing and patient safety.
Citation Text:
Hemstreet BA, Stolpman N, Badesch DB, et al. Potassium and phosphor…
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psnet.ahrq.gov/issue/impact-fatigue-anaesthesia-providers-scoping-review
November 21, 2021 - Review
Impact of fatigue on anaesthesia providers: a scoping review.
Citation Text:
Scholliers A, Cornelis S, Tosi M, et al. Impact of fatigue on anaesthesia providers: a scoping review. Br J Anaesth. 2023;130(5):622-635. doi:10.1016/j.bja.2022.12.011.
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psnet.ahrq.gov/issue/people-systems-and-safety-resilience-and-excellence-healthcare-practice
March 04, 2020 - Review
Emerging Classic
People, systems and safety: resilience and excellence in healthcare practice.
Citation Text:
Smith AF, Plunkett E. People, systems and safety: resilience and excellence in healthcare practice. Anaesthesia. 2019;74(4):508-517. doi:10.1111/…
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psnet.ahrq.gov/issue/effectiveness-root-cause-analysis-what-does-literature-tell-us
February 11, 2013 - Review
The effectiveness of root cause analysis: what does the literature tell us?
Citation Text:
Percarpio KB, Watts V, Weeks WB. The effectiveness of root cause analysis: what does the literature tell us? Jt Comm J Qual Patient Saf. 2008;34(7):391-8.
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psnet.ahrq.gov/issue/observational-study-frequency-severity-and-etiology-failures-postoperative-care-after-major
August 11, 2010 - Study
An observational study of the frequency, severity, and etiology of failures in postoperative care after major elective general surgery.
Citation Text:
Symons NRA, Almoudaris AM, Nagpal K, et al. An observational study of the frequency, severity, and etiology of failures in postop…
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psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-empirical-comparison-failure-mode-scoring-procedures
January 03, 2017 - Study
Failure mode and effects analysis: an empirical comparison of failure mode scoring procedures.
Citation Text:
Ashley L, Armitage G. Failure Mode and Effects Analysis. J Patient Saf. 2010;6(4):210-215. doi:10.1097/pts.0b013e3181fc98d7.
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psnet.ahrq.gov/issue/dynamics-dignity-and-safety-discussion
September 07, 2022 - Commentary
Dynamics of dignity and safety: a discussion.
Citation Text:
Goodwin D, Mesman J, Verkerk M, et al. Dynamics of dignity and safety: a discussion. BMJ Qual Saf. 2018;27(6):488-491. doi:10.1136/bmjqs-2017-007159.
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psnet.ahrq.gov/issue/direct-observation-approach-detecting-medication-errors-and-adverse-drug-events-pediatric
June 28, 2010 - Study
Direct observation approach for detecting medication errors and adverse drug events in a pediatric intensive care unit.
Citation Text:
Buckley MS, Erstad BL, Kopp BJ, et al. Direct observation approach for detecting medication errors and adverse drug events in a pediatric intensi…
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psnet.ahrq.gov/issue/effects-resident-level-training-rate-pediatric-prescription-errors-academic-emergency
October 19, 2022 - Study
The effects of resident level of training on the rate of pediatric prescription errors in an academic emergency department.
Citation Text:
Pacheco GS, Viscusi C, Hays DP, et al. The effects of resident level of training on the rate of pediatric prescription errors in an academic…
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psnet.ahrq.gov/issue/training-program-nurses-shift-work-and-long-work-hours
October 28, 2020 - Audiovisual
Training Program for Nurses on Shift Work and Long Work Hours.
Citation Text:
Training Program for Nurses on Shift Work and Long Work Hours. Caruso CC, Geiger-Brown J, Takahashi M, Trinkoff A, Nakata A. Cincinnati, OH: US Department of Health and Human Services, Public Health…
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psnet.ahrq.gov/issue/nurses-relate-contributing-factors-involved-medication-errors
February 18, 2009 - Study
Nurses relate the contributing factors involved in medication errors.
Citation Text:
Tang F-I, Sheu S-J, Yu S, et al. Nurses relate the contributing factors involved in medication errors. J Clin Nurs. 2007;16(3):447-57.
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