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psnet.ahrq.gov/issue/effect-medication-reconciliation-elderly-patients-hospital-discharge
February 04, 2009 - Study
The effect of medication reconciliation in elderly patients at hospital discharge.
Citation Text:
Midlöv P, Bahrani L, Seyfali M, et al. The effect of medication reconciliation in elderly patients at hospital discharge. Int J Clin Pharm. 2012;34(1):113-9. doi:10.1007/s11096-011-9…
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psnet.ahrq.gov/issue/positioning-continuing-education-boundaries-and-intersections-between-domains-continuing
July 03, 2016 - Review
Positioning continuing education: boundaries and intersections between the domains continuing education, knowledge translation, patient safety and quality improvement.
Citation Text:
Kitto S, Bell M, Peller J, et al. Positioning continuing education: boundaries and intersections …
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psnet.ahrq.gov/issue/surgical-specimen-identification-errors-new-measure-quality-surgical-care
June 16, 2011 - Study
Surgical specimen identification errors: a new measure of quality in surgical care.
Citation Text:
Makary MA, Epstein J, Pronovost P, et al. Surgical specimen identification errors: a new measure of quality in surgical care. Surgery. 2007;141(4):450-5.
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psnet.ahrq.gov/issue/intraoperative-patient-information-handover-between-anesthesia-providers
November 24, 2021 - Study
Intraoperative patient information handover between anesthesia providers.
Citation Text:
Choromanski D, Frederick J, McKelvey GM, et al. Intraoperative patient information handover between anesthesia providers. J Biomed Res. 2014;28(5):383-387. doi:10.7555/JBR.28.20140001.
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psnet.ahrq.gov/issue/comparing-errors-ed-computer-assisted-vs-conventional-pediatric-drug-dosing-and
November 22, 2017 - Study
Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration.
Citation Text:
Yamamoto LG, Kanemori J. Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration. Am J Emerg Med. 2010;28(5):588-92. doi:10.…
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psnet.ahrq.gov/issue/patient-safety-and-mental-health-growing-quality-gap-canada
February 19, 2010 - Commentary
Patient safety and mental health-a growing quality gap in Canada.
Citation Text:
Waddell AE, Gratzer D. Patient safety and mental health-a growing quality gap in Canada. Can J Psychiatry. 2022;67(4):246-249. doi:10.1177/07067437211036596.
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psnet.ahrq.gov/issue/friends-and-family-test-qualitative-study-concerns-influence-willingness-english-national
May 01, 2015 - Study
The friends and family test: a qualitative study of concerns that influence the willingness of English National Health Service staff to recommend their organisation.
Citation Text:
Dixon-Woods M, Minion JT, McKee L, et al. The friends and family test: a qualitative study of concern…
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psnet.ahrq.gov/issue/care-post-roe-documenting-cases-poor-quality-care-dobbs-decision
December 09, 2020 - Book/Report
Care Post-Roe: Documenting Cases of Poor-quality Care Since the Dobbs Decision.
Citation Text:
Care Post-Roe: Documenting Cases of Poor-quality Care Since the Dobbs Decision. Grossman D, Joffe C, Kaller S, et al. Advancing New Standards in Reproductive Health, University of C…
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psnet.ahrq.gov/issue/misdiagnosis-acute-myocardial-infarction-systematic-review-literature
July 28, 2021 - Review
Misdiagnosis of acute myocardial infarction: a systematic review of the literature.
Citation Text:
Kwok CS, Bennett S, Azam Z, et al. Misdiagnosis of acute myocardial infarction: a systematic review of the literature. Crit Pathw Cardiol. 2021;20(3):155-162. doi:10.1097/hpc.0000000…
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psnet.ahrq.gov/issue/reducing-medication-errors-critical-care-multimodal-approach
March 27, 2019 - Review
Reducing medication errors in critical care: a multimodal approach.
Citation Text:
Kruer RM, Jarrell AS, Latif A. Reducing medication errors in critical care: a multimodal approach. Clin Pharmacol. 2014;6:117-26. doi:10.2147/CPAA.S48530.
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psnet.ahrq.gov/issue/understanding-complaints-made-about-surgical-departments-uk-district-general-hospital
September 23, 2020 - Study
Understanding complaints made about surgical departments in a UK district general hospital.
Citation Text:
Claydon O, Keeler B, Khanna A. Understanding complaints made about surgical departments in a UK district general hospital. Int J Qual Health Care. 2021;33(3). doi:10.1093/intq…
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psnet.ahrq.gov/issue/emotional-influences-patient-safety
July 02, 2014 - Review
Emotional influences in patient safety.
Citation Text:
Croskerry P, Abbass A, Wu AW. Emotional Influences in Patient Safety. J Patient Saf. 2010;6(4):199-205. doi:10.1097/pts.0b013e3181f6c01a.
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psnet.ahrq.gov/issue/effectiveness-facilitated-introduction-standard-operating-procedure-routine-processes
February 04, 2015 - Study
Effectiveness of facilitated introduction of a standard operating procedure into routine processes in the operating theatre: a controlled interrupted time series.
Citation Text:
Morgan L, New S, Robertson ER, et al. Effectiveness of facilitated introduction of a standard operating …
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psnet.ahrq.gov/issue/using-spare-medication-vial-store-multiple-medications-potentially-fatal-home-medication
June 24, 2020 - Commentary
Using a spare medication vial to store multiple medications: a potentially fatal in-home medication error.
Citation Text:
Leonard JB, Klein-Schwartz W. Using a spare medication vial to store multiple medications: A potentially fatal in-home medication error. Ame J Health-syst …
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psnet.ahrq.gov/issue/usability-testing-mobile-app-report-medication-errors-anonymously-mixed-methods-approach
May 12, 2021 - Study
Usability testing of a mobile app to report medication errors anonymously: mixed-methods approach.
Citation Text:
George D, Hassali MA, Hss A-S. Usability Testing of a Mobile App to Report Medication Errors Anonymously: Mixed-Methods Approach. JMIR Hum Factors. 2018;5(4):e12232. do…
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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/unintended-transplantation-three-organs-hiv-positive-donor-report-analysis-adverse-event
January 24, 2018 - Commentary
Unintended transplantation of three organs from an HIV-positive donor: report of the analysis of an adverse event in a regional health care service in Italy.
Citation Text:
Bellandi T, Albolino S, Tartaglia R, et al. Unintended transplantation of three organs from an HIV-posi…
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psnet.ahrq.gov/issue/automated-dynamic-radiation-oncology-prescription-checking-system
October 27, 2010 - Study
An automated, dynamic radiation oncology prescription checking system.
Citation Text:
Pashtan IM, Kosak T, Shin K-Y, et al. An automated, dynamic radiation oncology prescription checking system. Pract Radiat Oncol. 2024;14(4):343-352. doi:10.1016/j.prro.2023.12.002.
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psnet.ahrq.gov/issue/intraoperative-code-blue-improving-teamwork-and-code-response-through-interprofessional-situ
April 28, 2021 - Study
Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation.
Citation Text:
Wu G, Podlinski L, Wang C, et al. Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation. Jt Comm J Qua…
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psnet.ahrq.gov/issue/bedside-shift-reports-what-does-evidence-say
October 19, 2022 - Review
Bedside shift reports: what does the evidence say?
Citation Text:
Gregory S, Tan D, Tilrico M, et al. Bedside shift reports: what does the evidence say? J Nurs Adm. 2014;44(10):541-5. doi:10.1097/NNA.0000000000000115.
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