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psnet.ahrq.gov/issue/ten-ers-colorado-tried-curtail-opioids-and-did-better-expected
December 04, 2016 - Newspaper/Magazine Article
Ten ERs in Colorado tried to curtail opioids and did better than expected.
Citation Text:
Ten ERs in Colorado tried to curtail opioids and did better than expected. Daley J. Colorado Public Radio. February 23, 2018.
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psnet.ahrq.gov/issue/safer-electronic-health-records-safety-assurance-factors-ehr-resilience
December 20, 2017 - Book/Report
SAFER Electronic Health Records: Safety Assurance Factors for EHR Resilience.
Citation Text:
SAFER Electronic Health Records: Safety Assurance Factors for EHR Resilience. Sittig DF, Singh H, eds. Waretown, NJ: Apple Academic Press; 2015. ISBN: 9781771881173.
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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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psnet.ahrq.gov/issue/how-perioperative-nurses-define-attribute-causes-and-react-intraoperative-nursing-errors
September 11, 2024 - Study
How perioperative nurses define, attribute causes of, and react to intraoperative nursing errors.
Citation Text:
Chard R. How perioperative nurses define, attribute causes of, and react to intraoperative nursing errors. AORN J. 2010;91(1):132-45. doi:10.1016/j.aorn.2009.06.028.
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psnet.ahrq.gov/issue/checking-checklist
July 11, 2023 - Book/Report
Checking In on the Checklist.
Citation Text:
Checking In on the Checklist. Buissonniere M. Brooklyn NY: Lifebox and Ariadne Labs; 2020.
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psnet.ahrq.gov/issue/sbar-communication-technique-teaching-nursing-students-professional-communication-skills
June 22, 2022 - Commentary
The SBAR communication technique: teaching nursing students professional communication skills.
Citation Text:
Thomas CM, Bertram E, Johnson D. The SBAR communication technique: teaching nursing students professional communication skills. Nurse Educ. 2009;34(4):176-80. doi:10.…
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psnet.ahrq.gov/issue/improving-patient-safety-through-transparency
September 04, 2024 - Commentary
Improving patient safety through transparency.
Citation Text:
Kachalia A. Improving patient safety through transparency. N Engl J Med. 2013;369(18):1677-9. doi:10.1056/NEJMp1303960.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-612-09-03-2013.pdf
January 01, 2013 - TND-612-09-03-2013
Topic Number(s): 0520
Document Completion Date: 02-06-2013
1
Results of Topic Selection Process & Next Steps
The topic, Interventions to Transition Children with Special Health Care Needs (CSHCN) from Pediatric
to Adult Care, is not feasible for a full systematic review due…
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psnet.ahrq.gov/issue/improving-patient-safety-taking-systems-seriously
April 17, 2013 - Commentary
Improving patient safety by taking systems seriously.
Citation Text:
Shortell SM, Singer SJ. Improving patient safety by taking systems seriously. JAMA. 2008;299(4):445-447. doi:10.1001/jama.299.4.445.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/infectioncontrol.pdf
October 14, 2008 - Infection Control and Prevention
Infection Control and Prevention
A. Providing a sanitary environment
• All treatment-related areas, equipment and surfaces are kept free of blood, mold, and accumulation of dirt, dust
and other potentially infectious materials.
o Treatment-related areas include any area…
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effectivehealthcare.ahrq.gov/sites/default/files/epstein1.pdf
January 01, 2009 - Epstein
Slide 1: Response to Naik and Singh
Ronald M Epstein MD
Professor of Family Medicine, Psychiatry and Oncology
Director, Rochester Center to Improve Communication in Health Care
University
of Rochester
Medical Center
Slide 2: Starting
points
• Synchronous asynchrono…
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psnet.ahrq.gov/issue/evaluating-situation-awareness-integrative-review
January 01, 2016 - Review
Evaluating situation awareness: an integrative review.
Citation Text:
Orique SB, Despins L. Evaluating Situation Awareness: An Integrative Review. West J Nurs Res. 2018;40(3):388-424. doi:10.1177/0193945917697230.
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psnet.ahrq.gov/issue/surgical-fires-decreasing-incidence-relies-continued-prevention-efforts
April 03, 2019 - Newspaper/Magazine Article
Surgical fires: decreasing incidence relies on continued prevention efforts.
Citation Text:
Surgical fires: decreasing incidence relies on continued prevention efforts. Bruley ME, Arnold TV, Finley E, Deutsch ES, Treadwell JR. PA-PSRS Pa Patient Saf Advis. June…
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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/nurses-role-medication-safety
June 26, 2024 - Review
Nurses' role in medication safety.
Citation Text:
Choo J, Hutchinson A, Bucknall T. Nurses' role in medication safety. J Nurs Manag. 2010;18(7):853-61. doi:10.1111/j.1365-2834.2010.01164.x.
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psnet.ahrq.gov/issue/it-time-move-beyond-errors-clinical-reasoning-and-discuss-accuracy
September 26, 2016 - Commentary
Is it time to move beyond errors in clinical reasoning and discuss accuracy?
Citation Text:
Wood TJ. Is it time to move beyond errors in clinical reasoning and discuss accuracy? Adv Health Sci Educ Theory Pract. 2014;19(3):403-407. doi:10.1007/s10459-014-9498-4.
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psnet.ahrq.gov/issue/lessons-denver-medication-errorcriminal-negligence-case-look-beyond-blaming-individuals
June 16, 2019 - Study
Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals.
Citation Text:
Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals. Smetzer JL, Cohen MR. Hosp Pharm. 1998;33(6):640-642,645-646,654-65…
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psnet.ahrq.gov/issue/smart-infusion-pump-investigations-after-unexplained-over-infusion
May 03, 2023 - Newspaper/Magazine Article
Smart infusion pump investigations after an unexplained over-infusion.
Citation Text:
Smart infusion pump investigations after an unexplained over-infusion. ISMP Patient Safety Alert! Acute care edition. May 18, 2023;28(10);1-3.
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effectivehealthcare.ahrq.gov/sites/default/files/ebc-webinar-slides.pdf
June 01, 2014 - the
diagram
pointing
to
the
right,
containing
the
phrase:
Marketing/Promotion … Dissemin-‐
aAon
Early
2013
Marketing/Promotion
Source:
www.effectivehealthcare.ahrq.gov
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psnet.ahrq.gov/node/49568/psn-pdf
September 01, 2008 - policies and practices;
Lack of access to international board-certified lactation consultants (IBCLCs);
Promotion … Pediatricians' practices and attitudes regarding breastfeeding
promotion.