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psnet.ahrq.gov/issue/huddles-and-debriefings-improving-communication-labor-and-delivery
February 13, 2013 - Review
Huddles and debriefings: improving communication on labor and delivery.
Citation Text:
McQuaid-Hanson E, Pian-Smith MCM. Huddles and Debriefings: Improving Communication on Labor and Delivery. Anesthesiol Clin. 2017;35(1):59-67. doi:10.1016/j.anclin.2016.09.006.
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psnet.ahrq.gov/issue/annotated-bibliography-understanding-ambulatory-care-practices-context-patient-safety-and
March 02, 2010 - Commentary
Annotated bibliography: an update to: "Understanding ambulatory care practices in the context of patient safety and quality improvement."
Citation Text:
Kumar PR, Nash DB. Annotated Bibliography: An Update to “Understanding Ambulatory Care Practices in the Context of Patient S…
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psnet.ahrq.gov/issue/operating-room-fires
March 14, 2022 - Review
Emerging Classic
Operating room fires.
Citation Text:
Jones TS, Black IH, Robinson TN, et al. Operating Room Fires. Anesthesiology. 2019;130(3):492-501. doi:10.1097/ALN.0000000000002598.
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psnet.ahrq.gov/issue/computerized-physician-order-entry-helpful-or-harmful
January 06, 2018 - Commentary
Classic
Computerized physician order entry: helpful or harmful?
Citation Text:
Berger RG, Kichak JP. Computerized physician order entry: helpful or harmful? J Am Med Inform Assoc. 2004;11(2):100-3.
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psnet.ahrq.gov/issue/ambulance-personnel-perceptions-near-misses-and-adverse-events-pediatric-patients
July 16, 2008 - Study
Ambulance personnel perceptions of near misses and adverse events in pediatric patients.
Citation Text:
Cushman JT, Fairbanks RJ, O'Gara KG, et al. Ambulance personnel perceptions of near misses and adverse events in pediatric patients. Prehosp Emerg Care. 2010;14(4):477-84. doi:…
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psnet.ahrq.gov/issue/challenges-health-care-simulation-are-we-learning-anything-new
February 27, 2019 - Commentary
Challenges in health care simulation: are we learning anything new?
Citation Text:
Henriksen K, Rodrick D, Grace EN, et al. Challenges in Health Care Simulation: Are We Learning Anything New? Acad Med. 2018;93(5):705-708. doi:10.1097/ACM.0000000000001891.
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psnet.ahrq.gov/issue/bar-code-label-requirement-human-drug-products-and-biological-products
October 21, 2015 - Regulation
Bar code label requirement for human drug products and biological products.
Citation Text:
Bar code label requirement for human drug products and biological products. Food and Drug Administration. Fed Register. February 26, 2004;69 9119-9171.
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psnet.ahrq.gov/issue/patient-misidentification-neonatal-intensive-care-unit-quantification-risk
April 11, 2011 - Study
Patient misidentification in the neonatal intensive care unit: quantification of risk.
Citation Text:
Gray J, Suresh G, Ursprung R, et al. Patient misidentification in the neonatal intensive care unit: quantification of risk. Pediatrics. 2006;117(1):e43-e47.
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psnet.ahrq.gov/issue/va-health-care-selected-credentialing-requirements-seven-medical-facilities-met-aspect
July 05, 2006 - Government Resource
VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileging Process Needs Improvement.
Citation Text:
VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileg…
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psnet.ahrq.gov/issue/medical-device-alarm-safety-hospitals
December 23, 2016 - Sentinel Event Alerts
Medical device alarm safety in hospitals.
Citation Text:
Medical device alarm safety in hospitals. Sentinel event alert. 2013;(50):1-3.
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psnet.ahrq.gov/issue/attitudes-health-sciences-faculty-members-towards-interprofessional-teamwork-and-education
March 02, 2011 - Study
Attitudes of health sciences faculty members towards interprofessional teamwork and education.
Citation Text:
Curran VR, Sharpe D, Forristall J. Attitudes of health sciences faculty members towards interprofessional teamwork and education. Med Educ. 2007;41(9):892-896.
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psnet.ahrq.gov/issue/frequency-type-and-clinical-importance-medication-history-errors-admission-hospital
September 23, 2020 - Review
Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review.
Citation Text:
Tam VC. Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review. Can Med Assoc J. 2005;17…
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psnet.ahrq.gov/issue/fate-medicine-time-ai
September 04, 2024 - Commentary
Emerging Classic
The fate of medicine in the time of AI.
Citation Text:
Coiera E. The fate of medicine in the time of AI. Lancet. 2018;392(10162):2331-2332. doi:10.1016/S0140-6736(18)31925-1.
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psnet.ahrq.gov/issue/diagnostic-decision-making-emergency-department
December 16, 2020 - Review
Diagnostic decision-making in the emergency department.
Citation Text:
Medford-Davis LN, Singh H, Mahajan P. Diagnostic decision-making in the emergency department. Pediatr Clin North Am. 2018;65(6):1097-1105. doi:10.1016/j.pcl.2018.07.003.
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psnet.ahrq.gov/issue/checklists-reduce-diagnostic-errors
September 18, 2024 - Commentary
Checklists to reduce diagnostic errors.
Citation Text:
Ely JW, Graber ML, Croskerry P. Checklists to reduce diagnostic errors. Acad Med. 2011;86(3):307-313. doi:10.1097/ACM.0b013e31820824cd.
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psnet.ahrq.gov/issue/email-communicating-results-diagnostic-medical-investigations-patients
December 14, 2016 - Review
Email for communicating results of diagnostic medical investigations to patients.
Citation Text:
Meyer B, Atherton H, Sawmynaden P, et al. Email for communicating results of diagnostic medical investigations to patients. Cochrane Database of Systematic Reviews. 2012. doi:10.1002…
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psnet.ahrq.gov/issue/hiding-plain-sight-resurrecting-power-inspecting-patient
September 16, 2020 - Commentary
Hiding in plain sight—resurrecting the power of inspecting the patient.
Citation Text:
Gupta S, Saint S, Detsky AS. Hiding in Plain Sight-Resurrecting the Power of Inspecting the Patient. JAMA Intern Med. 2017;177(6):757-758. doi:10.1001/jamainternmed.2017.0634.
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psnet.ahrq.gov/issue/intravenous-chemotherapy-preparation-errors-patient-safety-risks-identified-pan-canadian
March 18, 2011 - Study
Intravenous chemotherapy preparation errors: patient safety risks identified in a pan-Canadian exploratory study.
Citation Text:
White R, Cassano-Piché A, Fields A, et al. Intravenous chemotherapy preparation errors: patient safety risks identified in a pan-Canadian exploratory stu…
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psnet.ahrq.gov/issue/advancing-patient-safety-through-clinical-application-framework-focused-communication
December 02, 2020 - Review
Advancing patient safety through the clinical application of a framework focused on communication.
Citation Text:
Manojlovich M, Hofer TP, Krein SL. Advancing Patient Safety Through the Clinical Application of a Framework Focused on Communication. J Patient Saf. 2021;17(8):e732-e7…
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psnet.ahrq.gov/issue/prevention-potential-errors-resuscitation-medications-orders-means-computerised-physician
July 05, 2013 - Study
Prevention of potential errors in resuscitation medications orders by means of a computerised physician order entry in paediatric critical care.
Citation Text:
Prevention of potential errors in resuscitation medications orders by means of a computerised physician order entry in p…