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psnet.ahrq.gov/issue/whom-bell-commission-tolls-unintended-effects-limiting-residents-hours
April 20, 2011 - Commentary
For whom the Bell Commission tolls: unintended effects of limiting residents' hours.
Citation Text:
Millard WB. For whom the bell commission tolls: unintended effects of limiting residents' hours. Ann Emerg Med. 2009;54(4):A25-9.
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psnet.ahrq.gov/issue/understanding-test-results-follow-ambulatory-setting-analysis-multiple-perspectives
May 20, 2019 - Study
Understanding test results follow-up in the ambulatory setting: analysis of multiple perspectives.
Citation Text:
Ai A, Desai S, Shellman A, et al. Understanding Test Results Follow-Up in the Ambulatory Setting: Analysis of Multiple Perspectives. Jt Comm J Qual Patient Saf. 2018;44…
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psnet.ahrq.gov/issue/analysis-risk-factors-adverse-drug-events-critically-ill-patients
October 26, 2010 - Study
Analysis of risk factors for adverse drug events in critically ill patients.
Citation Text:
Kane-Gill SL, Kirisci L, Verrico MM, et al. Analysis of risk factors for adverse drug events in critically ill patients*. Crit Care Med. 2012;40(3):823-8. doi:10.1097/CCM.0b013e318236f473.…
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psnet.ahrq.gov/issue/errors-administration-intravenous-medications-hospital-and-role-correct-procedures-and-nurse
September 26, 2016 - Study
Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience.
Citation Text:
Westbrook JI, Rob MI, Woods A, et al. Errors in the administration of intravenous medications in hospital and the role of correct procedures a…
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psnet.ahrq.gov/issue/standardized-handoff-report-form-clinical-nursing-education-educational-tool-patient-safety
August 20, 2014 - Commentary
Standardized handoff report form in clinical nursing education: an educational tool for patient safety and quality of care.
Citation Text:
Lim F, J Y Pajarillo E. Standardized handoff report form in clinical nursing education: An educational tool for patient safety and quality…
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psnet.ahrq.gov/issue/sources-and-magnitude-error-preparing-morphine-infusions-nurse-patient-controlled-analgesia
January 07, 2015 - Study
Sources and magnitude of error in preparing morphine infusions for nurse–patient controlled analgesia in a UK paediatric hospital.
Citation Text:
Rashed AN, Tomlin S, Aguado V, et al. Sources and magnitude of error in preparing morphine infusions for nurse-patient controlled analge…
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psnet.ahrq.gov/issue/clinical-dental-faculty-members-perceptions-diagnostic-errors-and-how-avoid-them
November 01, 2023 - Study
Clinical dental faculty members' perceptions of diagnostic errors and how to avoid them.
Citation Text:
Nikdel C, Nikdel K, Ibarra-Noriega A, et al. Clinical Dental Faculty Members' Perceptions of Diagnostic Errors and How to Avoid Them. J Dent Educ. 2018;82(4):340-348. doi:10.2181…
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psnet.ahrq.gov/issue/overcoming-barriers-implementation-pharmacy-bar-code-scanning-system-medication-dispensing
October 25, 2010 - Commentary
Overcoming barriers to the implementation of a pharmacy bar code scanning system for medication dispensing: a case study.
Citation Text:
Nanji KC, Cina J, Patel N, et al. Overcoming barriers to the implementation of a pharmacy bar code scanning system for medication dispensi…
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psnet.ahrq.gov/issue/how-many-hospital-pharmacy-medication-dispensing-errors-go-undetected
October 25, 2010 - Study
How many hospital pharmacy medication dispensing errors go undetected?
Citation Text:
Cina J, Gandhi TK, Churchill WW, et al. How many hospital pharmacy medication dispensing errors go undetected? Jt Comm J Qual Patient Saf. 2006;32(2):73-80.
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psnet.ahrq.gov/issue/compliance-patient-safety-bundle-management-placenta-accreta-spectrum
October 19, 2022 - Study
The compliance with a patient safety bundle for management of placenta accreta spectrum.
Citation Text:
Quist-Nelson J, Crank A, Oliver EA, et al. The compliance with a patient-safety bundle for management of placenta accreta spectrum†. J Matern Fetal Neonatal Med. 2021;34(17):2880…
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psnet.ahrq.gov/issue/effect-opioid-prescribing-guidelines-prescriptions-emergency-physicians-ohio
April 24, 2018 - Study
The effect of opioid prescribing guidelines on prescriptions by emergency physicians in Ohio.
Citation Text:
Weiner SG, Baker O, Poon SJ, et al. The Effect of Opioid Prescribing Guidelines on Prescriptions by Emergency Physicians in Ohio. Ann Emerg Med. 2017;70(6):799-808.e1. doi:1…
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psnet.ahrq.gov/issue/patient-initiated-second-opinions-systematic-review-characteristics-and-impact-diagnosis
May 29, 2015 - Review
Patient-initiated second opinions: systematic review of characteristics and impact on diagnosis, treatment, and satisfaction.
Citation Text:
Payne VL, Singh H, Meyer AND, et al. Patient-Initiated Second Opinions: Systematic Review of Characteristics and Impact on Diagnosis, Treatm…
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psnet.ahrq.gov/issue/patient-safety-and-error-reduction-surgical-pathology
January 08, 2016 - Review
Patient safety and error reduction in surgical pathology.
Citation Text:
Nakhleh RE. Patient safety and error reduction in surgical pathology. Arch Pathol Lab Med. 2008;132(2):181-185. doi:10.1043/1543-2165(2008)132[181:PSAERI]2.0.CO;2.
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psnet.ahrq.gov/issue/improving-medication-management-patients-effect-pharmacist-post-admission-ward-rounds
February 02, 2011 - Study
Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds.
Citation Text:
Fertleman M, Barnett N, Patel T. Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds. Qual Saf Health Care. 20…
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psnet.ahrq.gov/issue/diagnostic-errors-musculoskeletal-oncology-and-possible-mitigation-strategies
May 01, 2013 - Commentary
Diagnostic errors in musculoskeletal oncology and possible mitigation strategies.
Citation Text:
Flemming DJ, White C, Fox E, et al. Diagnostic errors in musculoskeletal oncology and possible mitigation strategies. Skeletal Radiol. 2023;52(3):493-503. doi:10.1007/s00256-022-04…
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psnet.ahrq.gov/issue/no-go-considerations-situ-simulation-safety
April 14, 2021 - Commentary
Emerging Classic
"No-go considerations" for in situ simulation safety.
Citation Text:
Bajaj K, Minors A, Walker K, et al. "No-Go Considerations" for In Situ Simulation Safety. Simul Healthc. 2018;13(3):221-224. doi:10.1097/SIH.0000000000000301.
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psnet.ahrq.gov/issue/patient-safety-event-reporting-critical-care-study-three-intensive-care-units
September 22, 2010 - Study
Patient safety event reporting in critical care: a study of three intensive care units.
Citation Text:
Harris CB, Krauss MJ, Coopersmith CM, et al. Patient safety event reporting in critical care: a study of three intensive care units. Crit Care Med. 2007;35(4):1068-76.
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psnet.ahrq.gov/issue/assessment-simulated-case-based-measurement-physician-diagnostic-performance
May 20, 2019 - Study
Assessment of a simulated case-based measurement of physician diagnostic performance.
Citation Text:
Chatterjee S, Desai S, Manesh R, et al. Assessment of a Simulated Case-Based Measurement of Physician Diagnostic Performance. JAMA Netw Open. 2019;2(1):e187006. doi:10.1001/jamanetw…
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psnet.ahrq.gov/issue/cardinal-health-recalls-argyle-uvc-insertion-tray-due-missing-instructions-use-safety-scalpel
August 20, 2021 - Press Release/Announcement
Cardinal Health recalls Argyle UVC insertion tray due to missing instructions for use for the Safety Scalpel N11.
Citation Text:
Cardinal Health recalls Argyle UVC insertion tray due to missing instructions for use for the Safety Scalpel N11. MedWatch Safety Al…
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psnet.ahrq.gov/issue/their-own-words-safety-and-quality-perspectives-families-hospitalized-children-medical
September 18, 2024 - Study
In their own words: safety and quality perspectives from families of hospitalized children with medical complexity.
Citation Text:
Mauskar S, Ngo T, Haskell H, et al. In their own words: safety and quality perspectives from families of hospitalized children with medical complexity.…