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psnet.ahrq.gov/issue/detection-missed-injuries-pediatric-trauma-center-addition-acute-care-pediatric-nurse
March 10, 2011 - Study
Detection of missed injuries in a pediatric trauma center with the addition of acute care pediatric nurse practitioners.
Citation Text:
Resler J, Hackworth J, Mayo E, et al. Detection of missed injuries in a pediatric trauma center with the addition of acute care pediatric nurse pr…
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psnet.ahrq.gov/issue/naming-baby-or-beast-importance-concepts-and-labels-healthcare-safety-investigation
April 14, 2021 - Commentary
Naming the "baby" or the "beast"? The importance of concepts and labels in healthcare safety investigation.
Citation Text:
Wiig S, Macrae C, Frich J, et al. Naming the “baby” or the “beast”? The importance of concepts and labels in healthcare safety investigation. Front Public…
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psnet.ahrq.gov/issue/mortality-and-morbidity-meetings-untapped-resource-improving-governance-patient-safety
June 25, 2014 - Study
Mortality and morbidity meetings: an untapped resource for improving the governance of patient safety?
Citation Text:
Higginson J, Walters R, Fulop NJ. Mortality and morbidity meetings: an untapped resource for improving the governance of patient safety? BMJ Qual Saf. 2012;21(7):…
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psnet.ahrq.gov/issue/patient-safety-quality-care-and-service-utilization-plato-physician-leadership-accurate-and
August 18, 2021 - Study
Patient safety, quality care, and service utilization with PLATO (Physician Leadership for Accurate and Timely Orders): a pilot study.
Citation Text:
Brunt BA, Gifford L. Patient safety, quality care, and service utilization with PLATO (Physician Leadership for Accurate and Timel…
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psnet.ahrq.gov/issue/surgeons-narcissism-hostility-stress-bullying-meaning-life-and-work-environment-two-centered
November 07, 2018 - Study
Surgeon's narcissism, hostility, stress, bullying, meaning in life and work environment: a two-centered analysis.
Citation Text:
El Boghdady M, Ewalds-Kvist BM. Surgeon’s narcissism, hostility, stress, bullying, meaning in life and work environment: a two-centered analysis. Langenb…
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psnet.ahrq.gov/issue/standardising-classification-harm-associated-medication-errors-harm-associated-medication
August 28, 2024 - Commentary
Standardising the classification of harm associated with medication errors: the Harm Associated with Medication Error Classification (HAMEC).
Citation Text:
Gates PJ, Baysari M, Mumford V, et al. Standardising the Classification of Harm Associated with Medication Errors: The H…
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psnet.ahrq.gov/issue/medication-error-reporting-and-pharmacy-resident-experience-during-implementation
November 17, 2010 - Study
Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry.
Citation Text:
Weant KA, Cook AM, Armitstead JA. Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber …
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psnet.ahrq.gov/issue/what-are-safety-risks-patients-undergoing-treatment-multiple-specialties-retrospective
March 18, 2013 - Study
What are the safety risks for patients undergoing treatment by multiple specialties: a retrospective patient record review study.
Citation Text:
Baines RJ, de Bruijne M, Langelaan M, et al. What are the safety risks for patients undergoing treatment by multiple specialties: a retr…
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psnet.ahrq.gov/issue/handoff-strategies-settings-high-consequences-failure-lessons-health-care-operations
March 14, 2018 - Study
Classic
Handoff strategies in settings with high consequences for failure: lessons for health care operations.
Citation Text:
Patterson ES. Handoff strategies in settings with high consequences for failure: lessons for health care operations. Int J Qual …
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psnet.ahrq.gov/issue/optimizing-use-dose-error-reduction-software-intravenous-infusion-pumps
August 02, 2015 - Study
Optimizing the use of dose error reduction software on intravenous infusion pumps.
Citation Text:
Hughes K, Cole M, Tims D, et al. Optimizing the use of dose error reduction software on intravenous infusion pumps. Hosp Pediatr. 2024;14(6):448-454. doi:10.1542/hpeds.2023-007385.
C…
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psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-older-patients-discharged-acute-care-hospitals
June 23, 2021 - Study
Potentially inappropriate prescribing in older patients discharged from acute care hospitals to residential aged care facilities.
Citation Text:
Poudel A, Peel NM, Nissen L, et al. Potentially inappropriate prescribing in older patients discharged from acute care hospitals to resid…
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psnet.ahrq.gov/issue/transfusion-safety-nature-and-outcomes-errors-patient-registration
December 16, 2020 - Review
Transfusion safety: the nature and outcomes of errors in patient registration.
Citation Text:
Cohen R, Ning S, Yan MTS, et al. Transfusion Safety: The Nature and Outcomes of Errors in Patient Registration. Transfus Med Rev. 2019;33(2):78-83. doi:10.1016/j.tmrv.2018.11.004.
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psnet.ahrq.gov/issue/dispensing-errors-community-pharmacy-perceived-influence-sociotechnical-factors
October 03, 2011 - Study
Dispensing errors in community pharmacy: perceived influence of sociotechnical factors.
Citation Text:
Szeinbach S, Seoane-Vazquez E, Parekh A, et al. Dispensing errors in community pharmacy: perceived influence of sociotechnical factors. Int J Qual Health Care. 2007;19(4):203-9.…
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psnet.ahrq.gov/issue/high-5s-initiative-implementation-medication-reconciliation-france-5-years-experimentation
August 04, 2021 - Commentary
High 5s initiative: implementation of medication reconciliation in France a 5 years experimentation.
Citation Text:
Dufay É, Doerper S, Michel B, et al. High 5s initiative: implementation of medication reconciliation in France a 5 years experimentation. Safety in Health. 2017;…
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psnet.ahrq.gov/issue/pipc-study-development-indicators-potentially-inappropriate-prescribing-children-pipc-primary
December 05, 2018 - Study
PIPc study: development of indicators of potentially inappropriate prescribing in children (PIPc) in primary care using a modified Delphi technique.
Citation Text:
Barry E, O'Brien K, Moriarty F, et al. PIPc study: development of indicators of potentially inappropriate prescribing …
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psnet.ahrq.gov/issue/women-large-vessel-occlusion-acute-ischemic-stroke-are-less-likely-be-routed-comprehensive
October 12, 2022 - Study
Women with large vessel occlusion acute ischemic stroke are less likely to be routed to comprehensive stroke centers.
Citation Text:
Tariq MB, Ali I, Salazar‐Marioni S, et al. Women with large vessel occlusion acute ischemic stroke are less likely to be routed to comprehensive stro…
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psnet.ahrq.gov/issue/improving-physicians-hand-over-among-oncology-staff-using-standardized-communication-tool
November 11, 2020 - Commentary
Improving physician's hand over among oncology staff using standardized communication tool.
Citation Text:
Alolayan A, Alkaiyat M, Ali Y, et al. Improving physician's hand over among oncology staff using standardized communication tool. BMJ Qual Improv Rep. 2017;6(1). doi:10.1…
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digital.ahrq.gov/document-type/book-publication
January 01, 2023 - Book Publication
Effective usability engineering in healthcare: A vision of usable and safer healthcare IT.
Citation
Kushniruk A, Senathirajah Y, Borycki E. Effective usability engineering in healthcare: A vision of usable and safer healthcare IT. Stud Health Technol Inform. …
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psnet.ahrq.gov/issue/qualitative-analysis-outpatient-medication-use-community-settings-observed-safety
October 26, 2022 - Study
A qualitative analysis of outpatient medication use in community settings: observed safety vulnerabilities and recommendations for improved patient safety.
Citation Text:
Lyson HC, Sharma AE, Cherian R, et al. A Qualitative Analysis of Outpatient Medication Use in Community Setting…
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psnet.ahrq.gov/issue/development-leapfrog-groups-bar-code-medication-administration-standard-address-hospital
November 10, 2015 - Commentary
Development of the Leapfrog Group's bar code medication administration standard to address hospital inpatient medication safety.
Citation Text:
Austin JM, Bane A, Gooder V, et al. Development of the Leapfrog Group's bar code medication administration standard to address hospit…