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psnet.ahrq.gov/issue/strategies-detecting-adverse-drug-events-among-older-persons-ambulatory-setting
February 09, 2011 - Study
Strategies for detecting adverse drug events among older persons in the ambulatory setting.
Citation Text:
Field T, Gurwitz JH, Harrold LR, et al. Strategies for detecting adverse drug events among older persons in the ambulatory setting. J Am Med Inform Assoc. 2004;11(6):492-8. …
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psnet.ahrq.gov/issue/flow-accuracy-iv-smart-pumps-outside-patient-rooms-during-covid-19
October 12, 2022 - Commentary
Flow accuracy of IV smart pumps outside of patient rooms during COVID-19.
Citation Text:
Blake JWC, Giuliano KK. Flow accuracy of IV smart pumps outside of patient rooms during COVID-19. AACN Adv Crit Care. 2020;31(4):357-363. doi:10.4037/aacnacc2020241.
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psnet.ahrq.gov/issue/team-mental-models-and-their-potential-improve-teamwork-and-safety-review-and-implications
June 09, 2021 - Review
Team mental models and their potential to improve teamwork and safety: a review and implications for future research in healthcare.
Citation Text:
Burtscher MJ, Manser T. Team mental models and their potential to improve teamwork and safety: A review and implications for future …
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psnet.ahrq.gov/issue/how-safety-climate-measured-review-and-evaluation
January 26, 2022 - Review
How is safety climate measured? A review and evaluation.
Citation Text:
Shea T, De Cieri H, Vu T, et al. How is safety climate measured? A review and evaluation. Safety Sci. 2021;143:105413. doi:10.1016/j.ssci.2021.105413.
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psnet.ahrq.gov/issue/physicians-needs-coping-emotional-stressors-case-peer-support
September 09, 2008 - Study
Physicians' needs in coping with emotional stressors: the case for peer support.
Citation Text:
Hu Y-Y, Fix ML, Hevelone ND, et al. Physicians' needs in coping with emotional stressors: the case for peer support. Arch Surg. 2012;147(3):212-217. doi:10.1001/archsurg.2011.312.
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psnet.ahrq.gov/issue/dont-go-hospital-alone-ensuring-safe-highly-reliable-patient-visitation
May 12, 2021 - Commentary
Don't go to the hospital alone: ensuring safe, highly reliable patient visitation.
Citation Text:
Gandhi TK. Don't go to the hospital alone: ensuring safe, highly reliable patient visitation. Jt Comm J Qual Patient Saf. 2022;48(1):61-64. doi:10.1016/j.jcjq.2021.10.006.
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psnet.ahrq.gov/issue/safety-ii-and-study-healthcare-safety-routines-two-paths-forward-research
May 25, 2022 - Commentary
Safety-II and the study of healthcare safety routines: two paths forward for research.
Citation Text:
Rydenfält C. Safety-II and the study of healthcare safety routines: two paths forward for research. J Patient Saf Risk Manag. 2022;27(3):124-128. doi:10.1177/25160435221102129…
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psnet.ahrq.gov/issue/pediatric-surgical-errors-systematic-scoping-review
August 17, 2022 - Review
Pediatric surgical errors: a systematic scoping review.
Citation Text:
Marsh KM, Fleming MA, Turrentine FE, et al. Pediatric surgical errors: a systematic scoping review. J Pediatr Surg. 2022;57(4):616-621. doi:10.1016/j.jpedsurg.2021.07.019.
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psnet.ahrq.gov/issue/rework-and-workarounds-nurse-medication-administration-process-implications-work-processes
July 31, 2008 - Study
Rework and workarounds in nurse medication administration process: implications for work processes and patient safety.
Citation Text:
Halbesleben JRB, Savage GT, Wakefield DS, et al. Rework and workarounds in nurse medication administration process: implications for work processes…
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psnet.ahrq.gov/issue/identification-adverse-events-ground-transport-emergency-medical-services
August 26, 2020 - Study
Identification of adverse events in ground transport emergency medical services.
Citation Text:
Patterson PD, Weaver MD, Abebe K, et al. Identification of adverse events in ground transport emergency medical services. Am J Med Qual. 2011;27(2):139-146. doi:10.1177/106286061141551…
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psnet.ahrq.gov/issue/impact-medical-emergency-team-resuscitation-practice-critical-care-nurses
December 01, 2008 - Study
The impact of the medical emergency team on the resuscitation practice of critical care nurses.
Citation Text:
Santiano N, Young L, Baramy LS, et al. The impact of the medical emergency team on the resuscitation practice of critical care nurses. BMJ Qual Saf. 2011;20(2):115-20. do…
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psnet.ahrq.gov/issue/establishing-multidisciplinary-taskforce-improve-anticoagulation-safety-large-health-system
July 08, 2020 - Commentary
Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system.
Citation Text:
Attia E, Fuentes A, Vassallo M, et al. Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. Am J Health Syst …
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psnet.ahrq.gov/innovation/predicting-dispensing-errors-community-pharmacies-application-systematic-human-error
February 06, 2019 - EMERGING INNOVATIONS
Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA).
Citation Text:
Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Predic…
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psnet.ahrq.gov/issue/rescue-me-saving-vulnerable-non-icu-patient-population
June 01, 2011 - Study
Rescue me: saving the vulnerable non-ICU patient population.
Citation Text:
Bader MK, Neal B, Johnson L, et al. Rescue me: saving the vulnerable non-ICU patient population. Jt Comm J Qual Patient Saf. 2009;35(4):199-205.
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psnet.ahrq.gov/issue/patient-safety-objective-structured-clinical-examination
October 06, 2011 - Study
A patient safety objective structured clinical examination.
Citation Text:
Singh R, Singh A, Fish R, et al. A patient safety objective structured clinical examination. J Patient Saf. 2009;5(2):55-60. doi:10.1097/PTS.0b013e31819d65c2.
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psnet.ahrq.gov/issue/effect-medical-emergency-teams-patient-outcome-review-literature
September 23, 2020 - Review
The effect of medical emergency teams on patient outcome: a review of the literature.
Citation Text:
Laurens NH, Dwyer TA. The effect of medical emergency teams on patient outcome: a review of the literature. Int J Nurs Pract. 2010;16(6):533-44. doi:10.1111/j.1440-172X.2010.0187…
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psnet.ahrq.gov/issue/safety-home-care-mapping-review-international-literature
February 10, 2012 - Review
Safety in home care: a mapping review of the international literature.
Citation Text:
Harrison MB, Keeping-Burke L, Godfrey CM, et al. Safety in home care: a mapping review of the international literature. Int J Evid Based Healthc. 2013;11(3). doi:10.1111/1744-1609.12027.
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psnet.ahrq.gov/issue/medication-reconciliation-performed-pharmacy-technicians-time-preoperative-screening
August 18, 2010 - Study
Medication reconciliation performed by pharmacy technicians at the time of preoperative screening.
Citation Text:
van den Bemt PM, van den Broek S, van Nunen AK, et al. Medication reconciliation performed by pharmacy technicians at the time of preoperative screening. Ann Pharmaco…
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psnet.ahrq.gov/issue/hospira-issues-voluntary-nationwide-recall-one-lot-05-bupivacaine-hydrochloride-injection-usp
June 20, 2018 - Press Release/Announcement
Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine Hydrochloride Injection, USP and one lot of 1% Lidocaine HCl Injection, USP due to mislabeling.
Citation Text:
Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivaca…
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psnet.ahrq.gov/issue/assessing-system-failures-operating-rooms-and-intensive-care-units
June 15, 2011 - Study
Assessing system failures in operating rooms and intensive care units.
Citation Text:
van Beuzekom M, Akerboom SP, Boer F. Assessing system failures in operating rooms and intensive care units. Qual Saf Health Care. 2007;16(1):45-50.
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