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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/chemotherapeutic-errors-hospitalised-cancer-patients-attributable-damage-and-extra-costs
May 04, 2012 - Study
Chemotherapeutic errors in hospitalised cancer patients: attributable damage and extra costs.
Citation Text:
Ranchon F, Salles G, Späth H-M, et al. Chemotherapeutic errors in hospitalised cancer patients: attributable damage and extra costs. BMC Cancer. 2011;11:478. doi:10.1186/1…
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psnet.ahrq.gov/issue/gap-electronic-drug-information-resources-systematic-review
January 24, 2024 - Review
The gap in electronic drug information resources: a systematic review.
Citation Text:
Rambaran KA, Huynh HA, Zhang Z, et al. The Gap in Electronic Drug Information Resources: A Systematic Review. Cureus. 2018;10(6):e2860. doi:10.7759/cureus.2860.
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psnet.ahrq.gov/issue/unintended-adverse-consequences-clinical-decision-support-system-two-cases
October 23, 2018 - Commentary
Unintended adverse consequences of a clinical decision support system: two cases.
Citation Text:
Stone EG. Unintended adverse consequences of a clinical decision support system: two cases. J Am Med Inform Assoc. 2018;25(5):564-567. doi:10.1093/jamia/ocx096.
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psnet.ahrq.gov/issue/bar-code-medication-administration-technology-characterization-high-alert-medication-triggers
April 24, 2018 - Study
Bar code medication administration technology: characterization of high-alert medication triggers and clinician workarounds.
Citation Text:
Miller DF, Fortier CR, Garrison KL. Bar Code Medication Administration Technology: Characterization of High-Alert Medication Triggers and Cl…
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psnet.ahrq.gov/issue/structuring-feedback-and-debriefing-achieve-mastery-learning-goals
September 02, 2020 - Study
Structuring feedback and debriefing to achieve mastery learning goals.
Citation Text:
Eppich W, Hunt EA, Duval-Arnould JM, et al. Structuring feedback and debriefing to achieve mastery learning goals. Acad Med. 2015;90(11):1501-8. doi:10.1097/ACM.0000000000000934.
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psnet.ahrq.gov/issue/cost-implications-acgmes-2011-changes-resident-duty-hours-and-training-environment
August 05, 2015 - Study
Cost implications of ACGME's 2011 changes to resident duty hours and the training environment.
Citation Text:
Nuckols TK, Escarce JJ. Cost implications of ACGME's 2011 changes to resident duty hours and the training environment. J Gen Intern Med. 2012;27(2):241-9. doi:10.1007/s1160…
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psnet.ahrq.gov/issue/reflection-and-analysis-how-pharmacy-students-learn-communicate-about-medication-errors
April 12, 2011 - Study
Reflection and analysis of how pharmacy students learn to communicate about medication errors.
Citation Text:
Noland CM, Rickles NM. Reflection and analysis of how pharmacy students learn to communicate about medication errors. Health Commun. 2009;24(4):351-60. doi:10.1080/104102…
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psnet.ahrq.gov/issue/failure-rescue-patient-safety-indicator-neurosurgical-patients-are-we-there-yet
August 04, 2021 - Review
Failure to rescue as a patient safety indicator for neurosurgical patients: are we there yet?
Citation Text:
Roy JM, Rumalla K, Skandalakis GP, et al. Failure to rescue as a patient safety indicator for neurosurgical patients: are we there yet? A systematic review. Neurosurg Rev. …
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psnet.ahrq.gov/issue/impact-major-intraoperative-adverse-events-hospital-readmissions
July 01, 2017 - Study
The impact of major intraoperative adverse events on hospital readmissions.
Citation Text:
Nandan AR, Bohnen JD, Chang DC, et al. The impact of major intraoperative adverse events on hospital readmissions. Am J Surg. 2017;213(1):10-17. doi:10.1016/j.amjsurg.2016.03.018.
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psnet.ahrq.gov/issue/ashp-guidelines-perioperative-pharmacy-services
December 21, 2014 - Review
ASHP guidelines on perioperative pharmacy services.
Citation Text:
Bickham P, Golembiewski J, Meyer T, et al. ASHP guidelines on perioperative pharmacy services. Am J Health Syst Pharm. 2019;76(12):903-820. doi:10.1093/ajhp/zxz073.
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psnet.ahrq.gov/issue/patient-harm-cardiovascular-medications
August 11, 2021 - Review
Patient harm from cardiovascular medications.
Citation Text:
Paradissis C, Cottrell N, Coombes ID, et al. Patient harm from cardiovascular medications. Ther Adv Drug Saf. 2021;12:204209862110274. doi:10.1177/20420986211027451.
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psnet.ahrq.gov/issue/problem-withusing-stories-source-evidence-and-learning
June 19, 2018 - Commentary
The problem with…using stories as a source of evidence and learning.
Citation Text:
Iedema R. The problem with … using stories as a source of evidence and learning. BMJ Qual Saf. 2022;31(3):234-237. doi:10.1136/bmjqs-2021-014221.
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psnet.ahrq.gov/issue/quality-improvement-implementation-and-hospital-performance-patient-safety-indicators
January 12, 2022 - Study
Classic
Quality improvement implementation and hospital performance on patient safety indicators.
Citation Text:
Weiner BJ, Alexander JA, Baker LC, et al. Quality improvement implementation and hospital performance on patient safety indicators. Med Care …
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psnet.ahrq.gov/issue/communicating-critical-test-results-safe-practice-recommendations
June 13, 2011 - Study
Communicating critical test results: safe practice recommendations.
Citation Text:
Hanna D, Griswold P, Leape L, et al. Communicating critical test results: safe practice recommendations. Jt Comm J Qual Patient Saf. 2005;31(2):68-80.
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psnet.ahrq.gov/issue/measuring-faculty-reflection-adverse-patient-events-development-and-initial-validation-case
September 20, 2011 - Study
Measuring faculty reflection on adverse patient events: development and initial validation of a case-based learning system.
Citation Text:
Wittich CM, Lopez-Jimenez F, Decker LK, et al. Measuring faculty reflection on adverse patient events: development and initial validation of a …
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psnet.ahrq.gov/issue/errors-surgery-case-control-study
May 01, 2024 - Study
Errors in surgery: a case control study.
Citation Text:
Marsh KM, Turrentine FE, Schenk WG, et al. Errors in surgery: a case control study. Ann Surg. 2022;276(5):e347-e352. doi:10.1097/sla.0000000000005664.
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psnet.ahrq.gov/issue/quality-and-safety-orthopaedics-learning-and-teaching-same-time-aoa-critical-issues
July 16, 2015 - Review
Quality and safety in orthopaedics: learning and teaching at the same time: AOA critical issues.
Citation Text:
Black KP, Armstrong AD, Hutzler L, et al. Quality and Safety in Orthopaedics: Learning and Teaching at the Same Time: AOA Critical Issues. J Bone Joint Surg Am. 2015;97(…
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psnet.ahrq.gov/issue/differences-between-human-error-risk-behavior-and-reckless-behavior-are-key-just-culture
September 23, 2020 - Newspaper/Magazine Article
The differences between human error, at-risk behavior, and reckless behavior are key to a just culture.
Citation Text:
The differences between human error, at-risk behavior, and reckless behavior are key to a just culture. ISMP Medication Safety Alert! Acute Ca…
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psnet.ahrq.gov/issue/increasing-reporting-adverse-events-improve-educational-value-morbidity-and-mortality
February 04, 2016 - Study
Increasing reporting of adverse events to improve the educational value of the morbidity and mortality conference.
Citation Text:
McVeigh TP, Waters PS, Murphy R, et al. Increasing reporting of adverse events to improve the educational value of the morbidity and mortality confere…