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psnet.ahrq.gov/issue/characteristics-medication-errors-made-students-during-administration-phase-descriptive-study
July 13, 2009 - Study
Characteristics of medication errors made by students during the administration phase: a descriptive study.
Citation Text:
Wolf ZR, Hicks RW, Serembus JF. Characteristics of medication errors made by students during the administration phase: a descriptive study. J Prof Nurs. 2006…
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psnet.ahrq.gov/issue/guide-patient-and-family-engagement-environmental-scan-report
August 01, 2012 - Book/Report
Guide to Patient and Family Engagement: Environmental Scan Report.
Citation Text:
Guide to Patient and Family Engagement: Environmental Scan Report. Maurer M, Dardess P, Carman KL, Frazier K, Smeeding L. Rockville, MD: Agency for Healthcare Research and Quality; May 2012. AHR…
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psnet.ahrq.gov/issue/5-pandemic-mistakes-we-keep-repeating-we-can-learn-our-failures
March 10, 2021 - Newspaper/Magazine Article
5 pandemic mistakes we keep repeating. We can learn from our failures.
Citation Text:
5 pandemic mistakes we keep repeating. We can learn from our failures. Zeynep Tufekci. The Atlantic. February 26, 2021
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psnet.ahrq.gov/issue/how-medical-jargon-can-make-covid-health-disparities-even-worse
July 28, 2021 - Newspaper/Magazine Article
How medical jargon can make COVID health disparities even worse.
Citation Text:
How medical jargon can make COVID health disparities even worse. Kritz F. Health Shots. National Public Radio; May 24, 2021.
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psnet.ahrq.gov/issue/health-care-workers-midst-crisis
February 15, 2023 - Sentinel Event Alerts
Health care workers in the midst of crisis.
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Health care workers in the midst of crisis. Sentinel Event Alert. Feb 2, 2021;(62):1-7.
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psnet.ahrq.gov/issue/ferraris-formula-one-handovers-and-handovers-surgery-intensive-care
December 23, 2020 - Newspaper/Magazine Article
Ferrari's Formula One handovers and handovers from surgery to intensive care.
Citation Text:
Ferrari's Formula One handovers and handovers from surgery to intensive care. Sower VE; Duffy JA; Kohers G; ASQ; American Society for Quality.
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psnet.ahrq.gov/issue/recommendations-quality-assurance-and-improvement-surgical-and-autopsy-pathology
September 29, 2010 - Commentary
Recommendations for quality assurance and improvement in surgical and autopsy pathology.
Citation Text:
Pathology A of D of A and S, Nakhleh RE, Coffin C, et al. Recommendations for quality assurance and improvement in surgical and autopsy pathology. Hum Pathol. 2006;37(8):9…
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psnet.ahrq.gov/issue/2009-national-patient-safety-goals
August 03, 2016 - Commentary
2009 National Patient Safety Goals.
Citation Text:
Saufl NM. 2009 National Patient Safety Goals. J Perianesth Nurs. 2009;24(2):114-8. doi:10.1016/j.jopan.2009.01.008.
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psnet.ahrq.gov/issue/skin-deep-diagnosis-affective-bias-and-zebra-retreat-complicating-diagnosis-systemic
July 29, 2020 - Commentary
Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis.
Citation Text:
Miller CS. Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis. Am J Med Sci. 2013;345(1):53-6. doi:10.1…
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psnet.ahrq.gov/issue/guideline-implementation-prevention-retained-surgical-items
October 23, 2024 - Commentary
Guideline implementation: prevention of retained surgical items.
Citation Text:
Fencl JL. Guideline Implementation: Prevention of Retained Surgical Items. AORN J. 2016;104(1):37-48. doi:10.1016/j.aorn.2016.05.005.
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psnet.ahrq.gov/issue/pediatric-safety-incidents-intensive-care-reporting-system
May 27, 2011 - Study
Pediatric safety incidents from an intensive care reporting system.
Citation Text:
Pediatric safety incidents from an intensive care reporting system. Skapik JL; Pronovost PJ; Miller MR; Thompson DA; Wu AW.
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psnet.ahrq.gov/issue/death-1000-clicks-where-electronic-health-records-went-wrong
September 19, 2018 - Newspaper/Magazine Article
Death by 1,000 clicks: where electronic health records went wrong.
Citation Text:
Death by 1,000 clicks: where electronic health records went wrong. Schulte F, Fry E. Kaiser Health News, Fortune Magazine. March 18, 2019.
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psnet.ahrq.gov/issue/physician-quality-officer-new-model-engaging-physicians-quality-improvement
May 03, 2017 - Commentary
Physician Quality Officer: a new model for engaging physicians in quality improvement.
Citation Text:
Walsh KE, Ettinger WH, Klugman R. Physician quality officer: a new model for engaging physicians in quality improvement. Am J Med Qual. 2009;24(4):295-301. doi:10.1177/10628…
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psnet.ahrq.gov/issue/adverse-events-associated-sedatives-analgesics-and-other-drugs-provide-patient-comfort
March 11, 2011 - Review
Adverse events associated with sedatives, analgesics, and other drugs that provide patient comfort in the intensive care unit.
Citation Text:
Riker RR, Fraser GL. Adverse events associated with sedatives, analgesics, and other drugs that provide patient comfort in the intensiv…
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psnet.ahrq.gov/issue/helping-patients-simplify-and-safely-use-complex-prescription-regimens
December 19, 2017 - Study
Helping patients simplify and safely use complex prescription regimens.
Citation Text:
Wolf MS, Curtis LM, Waite K, et al. Helping patients simplify and safely use complex prescription regimens. Arch Intern Med. 2011;171(4):300-5. doi:10.1001/archinternmed.2011.39.
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psnet.ahrq.gov/issue/assessing-residents-communication-skills-disclosure-adverse-event-standardized-patient
December 21, 2016 - Study
Assessing residents' communication skills: disclosure of an adverse event to a standardized patient.
Citation Text:
Posner G, Nakajima A. Assessing residents' communication skills: disclosure of an adverse event to a standardized patient. J Obstet Gynaecol Can. 2011;33(3):262-26…
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psnet.ahrq.gov/issue/recognizing-and-managing-errors-cognitive-underspecification
November 14, 2018 - Commentary
Recognizing and managing errors of cognitive underspecification.
Citation Text:
Duthie EA. Recognizing and managing errors of cognitive underspecification. J Patient Saf. 2014;10(1):1-5. doi:10.1097/PTS.0b013e3182a5f6e1.
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psnet.ahrq.gov/issue/radiation-risks-diagnostic-imaging
June 18, 2021 - Sentinel Event Alerts
Radiation risks of diagnostic imaging and fluoroscopy.
Citation Text:
Radiation risks of diagnostic imaging and fluoroscopy. Sentinel Event Alert. August 24, 2011;47:1-4. (revised February 2019).
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psnet.ahrq.gov/issue/irked-drug-interaction-alerts-customize-them-experts-advise
May 20, 2020 - Newspaper/Magazine Article
Irked by drug-interaction alerts? Customize them, experts advise.
Citation Text:
Irked by drug-interaction alerts? Customize them, experts advise. Dowhower Karpa K. Drug Topics. April 17, 2006.
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psnet.ahrq.gov/issue/improving-operating-room-safety
May 17, 2023 - Study
Improving operating room safety.
Citation Text:
Hurlbert SN, Garrett J. Improving operating room safety. Patient Saf Surg. 2009;3(1):25. doi:10.1186/1754-9493-3-25.
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