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psnet.ahrq.gov/issue/chemotherapy-dose-limits-set-users-computer-order-entry-system
August 13, 2008 - Study
Chemotherapy dose limits set by users of a computer order entry system.
Citation Text:
Chemotherapy dose limits set by users of a computer order entry system. DuBeshter B; Griggs J; Angel C; Loughner J.
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psnet.ahrq.gov/issue/quality-and-safety-pediatric-hematologyoncology
May 03, 2017 - Review
Quality and safety in pediatric hematology/oncology.
Citation Text:
Mueller BU. Quality and safety in pediatric hematology/oncology. Pediatr Blood Cancer. 2014;61(6):966-9. doi:10.1002/pbc.24946.
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psnet.ahrq.gov/issue/reliability-uncertainty-and-management-error-new-perspectives-covid-19-era
January 12, 2022 - Commentary
Reliability, uncertainty and the management of error: new perspectives in the COVID-19 era.
Citation Text:
Schulman PR. Reliability, uncertainty and the management of error: new perspectives in the COVID‐19 era. J Contingencies Crisis Manage. 2022;30(1):92-101. doi:10.1111/146…
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psnet.ahrq.gov/issue/medication-error-reduction-and-use-pda-technology
August 28, 2024 - Study
Medication error reduction and the use of PDA technology.
Citation Text:
Greenfield S. Medication error reduction and the use of PDA technology. J Nurs Educ. 2007;46(3):127-31. doi:10.3928/01484834-20070301-07.
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psnet.ahrq.gov/issue/quantifying-distraction-and-interruption-urological-surgery
March 11, 2009 - Study
Quantifying distraction and interruption in urological surgery.
Citation Text:
Healey A, Primus CP, Koutantji M. Quantifying distraction and interruption in urological surgery. Qual Saf Health Care. 2007;16(2):135-9.
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psnet.ahrq.gov/issue/high-costs-unnecessary-care
June 28, 2023 - Commentary
The high costs of unnecessary care.
Citation Text:
Carroll AE. The High Costs of Unnecessary Care. JAMA. 2017;318(18):1748-1749. doi:10.1001/jama.2017.16193.
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psnet.ahrq.gov/issue/safety-ii-and-resilience-way-ahead-patient-safety-anaesthesiology
October 08, 2016 - Review
Safety-II and resilience: the way ahead in patient safety in anaesthesiology.
Citation Text:
Staender S. Safety-II and resilience: the way ahead in patient safety in anaesthesiology. Curr Opin Anaesthesiol. 2015;28(6):735-9. doi:10.1097/ACO.0000000000000252.
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psnet.ahrq.gov/issue/designing-strategy-promote-safe-innovative-label-use-medications
May 06, 2009 - Commentary
Designing a strategy to promote safe, innovative off-label use of medications.
Citation Text:
Ansani N, Sirio CA, Smitherman T, et al. Designing a strategy to promote safe, innovative off-label use of medications. Am J Med Qual. 2006;21(4):255-261.
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psnet.ahrq.gov/issue/some-iv-medications-are-diluted-unnecessarily-patient-care-areas-creating-undue-risk
June 18, 2014 - Newspaper/Magazine Article
Some IV medications are diluted unnecessarily in patient care areas, creating undue risk.
Citation Text:
Some IV medications are diluted unnecessarily in patient care areas, creating undue risk. ISMP Medication Safety Alert! Acute Care Edition. June 19, 2014;19…
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psnet.ahrq.gov/issue/lewis-blackman-patient-safety-award
April 28, 2021 - Award Announcement
Lewis Blackman Patient Safety Award.
Citation Text:
Lewis Blackman Patient Safety Award. Chicago, IL: American College of Graduate Medical Education.
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psnet.ahrq.gov/issue/using-contemporary-leadership-skills-medication-safety-programs
October 31, 2017 - Commentary
Using contemporary leadership skills in medication safety programs.
Citation Text:
Hertig JB, Hultgren KE, Weber RJ. Using Contemporary Leadership Skills in Medication Safety Programs. Hosp Pharm. 2016;51(4):338-44. doi:10.1310/hpj5104-338.
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psnet.ahrq.gov/issue/joint-commission-offers-warnings-advice-adopting-new-health-care-it-systems
September 12, 2016 - Newspaper/Magazine Article
Joint Commission offers warnings, advice on adopting new health care IT systems.
Citation Text:
Mitka M. Joint commission offers warnings, advice on adopting new health care IT systems. JAMA. 2009;301(6):587-9. doi:10.1001/jama.2009.37.
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psnet.ahrq.gov/issue/physicians-personal-experiences-cancer-neck-patient-errors-my-care
August 25, 2021 - Commentary
A physician's personal experiences as a cancer of the neck patient: errors in my care.
Citation Text:
Brook I. A Physician’s Personal Experiences as a Cancer of the Neck Patient: Errors in My Care. Am J Med Qual. 2011;26(1):73-74. doi:10.1177/1062860610381917.
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psnet.ahrq.gov/issue/onc-health-it-certification-program-enhanced-oversight-and-accountability
June 29, 2016 - Government Resource
ONC Health IT Certification Program: Enhanced Oversight and Accountability.
Citation Text:
ONC Health IT Certification Program: Enhanced Oversight and Accountability. Office of the National Coordinator for Health Information Technology; ONC; Health and Human Services;…
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psnet.ahrq.gov/issue/perspective-road-map-academic-departments-promote-scholarship-quality-improvement-and-patient
July 02, 2014 - Commentary
Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety.
Citation Text:
Neeman N, Sehgal NL. Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety. Acad Med. …
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psnet.ahrq.gov/issue/sounding-alarm-nurses-organizations-work-address-alarm-fatigue
July 19, 2017 - Newspaper/Magazine Article
Sounding the alarm. Nurses, organizations work to address alarm fatigue.
Citation Text:
Trossman S. Sounding the alarm. Nurses, organizations work to address alarm fatigue. Am Nurs. 2013;45(5):1, 6-7.
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psnet.ahrq.gov/issue/opioids-iatrogenic-harm-and-disclosure-medical-error
November 21, 2021 - Commentary
Opioids, iatrogenic harm and disclosure of medical error.
Citation Text:
Blinderman CD. Opioids, iatrogenic harm and disclosure of medical error. J Pain Symptom Manage. 2010;39(2):309-13. doi:10.1016/j.jpainsymman.2009.11.242.
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psnet.ahrq.gov/issue/morning-briefing-setting-stage-clinically-and-operationally-good-day
June 28, 2010 - Tools/Toolkit
A morning briefing: setting the stage for a clinically and operationally good day.
Citation Text:
Thompson DA, Holzmueller CG, Hunt D, et al. A morning briefing: setting the stage for a clinically and operationally good day. Jt Comm J Qual Patient Saf. 2005;31(8):476-9.
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www.ahrq.gov/evidencenow/model/profiles/mcmanus.html
March 01, 2021 - A Family Passion for Primary Care
"We grew up at the kitchen table talking about medicine," Mrs. Laurie McManus, registered nurse and practice manager at CP & RP McManus, MD, recalls. "Going into he alth care was very natural for us. You might say medicine runs through our blood." Laurie and her husband, Dr. Ch…
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psnet.ahrq.gov/issue/2022-john-m-eisenberg-patient-safety-and-quality-awards
August 02, 2023 - Special or Theme Issue
2022 John M. Eisenberg Patient Safety and Quality Awards.
Citation Text:
2022 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2023;49(9):435-450.
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