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psnet.ahrq.gov/issue/learning-accidents-what-more-do-we-need-know
May 29, 2014 - Commentary
Learning from accidents—what more do we need to know?
Citation Text:
Lindberg A-K, Hansson SO, Rollenhagen C. Learning from accidents – What more do we need to know? Saf Sci. 2010;48(6). doi:10.1016/j.ssci.2010.02.004.
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psnet.ahrq.gov/issue/using-plan-do-study-act-transform-simulation-center
March 13, 2024 - Commentary
Using Plan Do Study Act to transform a simulation center.
Citation Text:
Murphy JI. Using Plan Do Study Act to Transform a Simulation Center. Clin Simul Nurs. 2012;9(7). doi:10.1016/j.ecns.2012.03.002.
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psnet.ahrq.gov/issue/double-gloves-randomized-trial-evaluate-simple-strategy-reduce-contamination-operating-room
November 09, 2015 - Study
Double gloves: a randomized trial to evaluate a simple strategy to reduce contamination in the operating room.
Citation Text:
Birnbach DJ, Rosen LF, Fitzpatrick M, et al. Double gloves: a randomized trial to evaluate a simple strategy to reduce contamination in the operating room. …
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psnet.ahrq.gov/issue/improving-communication-emergency-department
September 09, 2009 - Study
Improving communication in the emergency department.
Citation Text:
Redfern E, Brown R, Vincent C. Improving communication in the emergency department. Emerg Med J. 2009;26(9):658-61. doi:10.1136/emj.2008.065623.
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psnet.ahrq.gov/issue/dental-patient-safety-military-health-system-joining-medicine-journey-high-reliability
October 19, 2022 - Study
Dental patient safety in the military health system: joining medicine in the journey to high reliability.
Citation Text:
Stahl JM, Mack K, Cebula S, et al. Dental Patient Safety in the Military Health System: Joining Medicine in the Journey to High Reliability. Mil Med. 2019. doi:1…
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psnet.ahrq.gov/issue/adverse-events-during-dental-care-children-implications-practitioner-health-and-wellness
December 22, 2021 - Review
Adverse events during dental care for children: implications for practitioner health and wellness.
Citation Text:
Nainar SMH. Adverse events during dental care for children: implications for practitioner health and wellness. Pediatr Dent. 2018;40(5):323-326.
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psnet.ahrq.gov/issue/standardized-sign-out-reduces-intern-perception-medical-errors-general-internal-medicine-ward
August 04, 2021 - Study
Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward.
Citation Text:
Salerno SM, Arnett M, Domanski JP. Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. Teach Learn Med. 200…
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psnet.ahrq.gov/issue/new-tool-give-hospitalists-feedback-improve-interprofessional-teamwork-and-advance-patient
February 10, 2015 - Commentary
A new tool to give hospitalists feedback to improve interprofessional teamwork and advance patient care.
Citation Text:
Chesluk BJ, Bernabeo E, Hess B, et al. A new tool to give hospitalists feedback to improve interprofessional teamwork and advance patient care. Health Aff…
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psnet.ahrq.gov/issue/diagnostic-errors-and-bedside-clinical-examination
August 20, 2018 - Review
Emerging Classic
Diagnostic errors and the bedside clinical examination.
Citation Text:
Clark BW, Derakhshan A, Desai S. Diagnostic Errors and the Bedside Clinical Examination. Med Clin North Am. 2018;102(3):453-464. doi:10.1016/j.mcna.2017.12.007.
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psnet.ahrq.gov/issue/diagnostic-stewardship-prevent-diagnostic-error
May 05, 2021 - Commentary
Diagnostic stewardship to prevent diagnostic error.
Citation Text:
Morgan DJ, Malani PN, Diekema DJ. Diagnostic stewardship to prevent diagnostic error. JAMA. 2023;329(15):1255-1256. doi:10.1001/jama.2023.1678.
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psnet.ahrq.gov/issue/severity-medication-administration-errors-detected-bar-code-medication-administration-system
June 17, 2010 - Study
Severity of medication administration errors detected by a bar-code medication administration system.
Citation Text:
Sakowski J, Newman JM, Dozier K. Severity of medication administration errors detected by a bar-code medication administration system. Am J Health Syst Pharm. 2008…
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psnet.ahrq.gov/issue/reducing-clinical-errors-cancer-education-interpreter-training
October 19, 2022 - Study
Reducing clinical errors in cancer education: interpreter training.
Citation Text:
Gany FM, Gonzalez CJ, Basu G, et al. Reducing clinical errors in cancer education: interpreter training. J Cancer Educ. 2010;25(4):560-4. doi:10.1007/s13187-010-0107-9.
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psnet.ahrq.gov/issue/electronic-prescribing-pediatrics-toward-safer-and-more-effective-medication-management
October 04, 2011 - Organizational Policy/Guidelines
Electronic prescribing in pediatrics: toward safer and more effective medication management.
Citation Text:
Committee 2011–2012 AA of PC on CITE. Electronic prescribing in pediatrics: toward safer and more effective medication management. Pediatrics. 2…
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psnet.ahrq.gov/issue/frequency-pediatric-medication-administration-errors-and-contributing-factors
November 16, 2022 - Study
Frequency of pediatric medication administration errors and contributing factors.
Citation Text:
Ozkan S, Kocaman G, Ozturk C, et al. Frequency of pediatric medication administration errors and contributing factors. J Nurs Care Qual. 2011;26(2):136-43. doi:10.1097/NCQ.0b013e31820…
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psnet.ahrq.gov/issue/medication-reconciliation-and-hypertension-control
December 19, 2017 - Study
Medication reconciliation and hypertension control.
Citation Text:
Persell SD, Bailey SC, Tang J, et al. Medication reconciliation and hypertension control. Am J Med. 2010;123(2):182.e9-182.e15. doi:10.1016/j.amjmed.2009.06.027.
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psnet.ahrq.gov/issue/medication-reconciliation-emergency-department-opportunities-workflow-redesign
August 04, 2021 - Commentary
Medication reconciliation in the emergency department: opportunities for workflow redesign.
Citation Text:
Hummel J, Evans PC, Lee H. Medication reconciliation in the emergency department: opportunities for workflow redesign. Qual Saf Health Care. 2010;19(6):531-5. doi:10.11…
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psnet.ahrq.gov/issue/three-laws-paperlessness
July 22, 2015 - Commentary
Three laws for paperlessness.
Citation Text:
Thimbleby H. Three laws for paperlessness. Digit Health. 2019;5:2055207619827722. doi:10.1177/2055207619827722.
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psnet.ahrq.gov/issue/using-clinical-simulation-teach-patient-safety-acutecritical-care-nursing-course
July 13, 2022 - Commentary
Using clinical simulation to teach patient safety in an acute/critical care nursing course.
Citation Text:
Henneman EA, Cunningham H. Using clinical simulation to teach patient safety in an acute/critical care nursing course. Nurse Educ. 2005;30(4):172-177.
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psnet.ahrq.gov/issue/strategies-increase-reporting-near-misses-and-adverse-events
September 30, 2012 - Commentary
Strategies to increase reporting of near misses and adverse events.
Citation Text:
Conerly C. Strategies to increase reporting of near misses and adverse events. J Nurs Care Qual. 2007;22(2):102-6.
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psnet.ahrq.gov/issue/emergency-department-image-interpretation-accuracy-influence-immediate-reporting-radiology
November 09, 2022 - Study
Emergency department image interpretation accuracy: the influence of immediate reporting by radiology.
Citation Text:
Snaith B, Hardy M. Emergency department image interpretation accuracy: The influence of immediate reporting by radiology. Int Emerg Nurs. 2014;22(2):63-8. doi:10.10…