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psnet.ahrq.gov/issue/computer-assisted-diagnostic-checklist-clinical-neurology
January 23, 2019 - Commentary
Computer-assisted diagnostic checklist in clinical neurology.
Citation Text:
Finelli PF, McCabe AL. Computer-assisted Diagnostic Checklist in Clinical Neurology. Neurologist. 2016;21(2):23-7. doi:10.1097/NRL.0000000000000071.
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psnet.ahrq.gov/issue/administering-and-monitoring-high-alert-medications-acute-care
February 01, 2017 - Commentary
Administering and monitoring high-alert medications in acute care.
Citation Text:
Cajanding JMR. Administering and monitoring high-alert medications in acute care. Nurs Stand. 2017;31(47):42-52. doi:10.7748/ns.2017.e10849.
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psnet.ahrq.gov/issue/teaching-novice-clinicians-how-reduce-diagnostic-waste-and-errors-applying-toyota-production
June 19, 2019 - Commentary
Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System.
Citation Text:
Radhakrishnan NS, Singh H, Southwick FS. Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System.…
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psnet.ahrq.gov/issue/safety-climate-and-medical-errors-62-us-emergency-departments
June 16, 2009 - Study
Safety climate and medical errors in 62 US emergency departments.
Citation Text:
Camargo CA, Tsai C-L, Sullivan AF, et al. Safety climate and medical errors in 62 US emergency departments. Ann Emerg Med. 2012;60(5):555-563.e20. doi:10.1016/j.annemergmed.2012.02.018.
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psnet.ahrq.gov/issue/critical-deficiencies-washington-dc-va-medical-center
December 16, 2020 - Government Resource
Critical Deficiencies at the Washington DC VA Medical Center.
Citation Text:
Critical Deficiencies at the Washington DC VA Medical Center. Washington, DC: Department of Veterans Affairs, Office of Inspector General. March 7, 2018. Report No. 17-02644-130.
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psnet.ahrq.gov/issue/physical-and-verbal-violence-against-health-care-workers
December 23, 2016 - Sentinel Event Alerts
Physical and verbal violence against health care workers.
Citation Text:
Physical and verbal violence against health care workers. Sentinel Event Alert. 2018;59:1-9 (revised June 18, 2021).
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psnet.ahrq.gov/issue/influence-causes-and-contexts-medical-errors-emergency-medicine-residents-responses-their
April 11, 2011 - Study
The influence of the causes and contexts of medical errors on emergency medicine residents' responses to their errors: an exploration.
Citation Text:
Hobgood C, Hevia A, Tamayo-Sarver JH, et al. The influence of the causes and contexts of medical errors on emergency medicine resi…
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psnet.ahrq.gov/issue/implementing-patient-safety-initiatives-rural-hospitals
September 27, 2010 - Commentary
Implementing patient safety initiatives in rural hospitals.
Citation Text:
Klingner J, Moscovice I, Tupper JB, et al. Implementing Patient Safety Initiatives in Rural Hospitals. J Rural Health. 2009;25(4):352-357. doi:10.1111/j.1748-0361.2009.00243.x.
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psnet.ahrq.gov/issue/safety-considerations-challenges-when-using-smart-infusion-pumps
October 26, 2022 - Newspaper/Magazine Article
Safety considerations for challenges when using smart infusion pumps.
Citation Text:
Safety considerations for challenges when using smart infusion pumps. ISMP Medication Safety Alert! Acute care edition. October 20, 2022;20(21):1-5.
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psnet.ahrq.gov/issue/year-review-medication-mishaps-elderly
August 15, 2012 - Review
Year in review: medication mishaps in the elderly.
Citation Text:
Peron EP, Marcum ZA, Boyce R, et al. Year in review: medication mishaps in the elderly. Am J Geriatr Pharmacother. 2011;9(1):1-10. doi:10.1016/j.amjopharm.2011.01.003.
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psnet.ahrq.gov/issue/diagnostic-error-internal-medicine
May 25, 2022 - Study
Diagnostic error in internal medicine.
Citation Text:
Graber ML, Franklin N, Gordon R. Diagnostic error in internal medicine. Arch Intern Med. 2005;165(13):1493-1499.
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psnet.ahrq.gov/issue/chemotherapy-home-care-one-teams-performance-improvement-journey-toward-reducing-medication
November 16, 2016 - Commentary
Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors.
Citation Text:
Ewen BM, Combs R, Popelas C, et al. Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors. Home Healthc N…
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psnet.ahrq.gov/issue/digital-health-and-patient-safety
September 01, 2016 - Commentary
Digital health and patient safety.
Citation Text:
Agboola SO, Bates DW, Kvedar JC. Digital Health and Patient Safety. JAMA. 2016;315(16):1697-1698. doi:10.1001/jama.2016.2402.
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psnet.ahrq.gov/issue/nurses-work-schedule-characteristics-nurse-staffing-and-patient-mortality
June 16, 2010 - Study
Nurses' work schedule characteristics, nurse staffing, and patient mortality.
Citation Text:
Trinkoff AM, Johantgen M, Storr CL, et al. Nurses' work schedule characteristics, nurse staffing, and patient mortality. Nurs Res. 2011;60(1):1-8. doi:10.1097/NNR.0b013e3181fff15d.
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psnet.ahrq.gov/issue/variation-emergency-medical-services-workplace-safety-culture
December 07, 2011 - Study
Variation in emergency medical services workplace safety culture.
Citation Text:
Patterson PD, Huang DT, Fairbanks RJ, et al. Variation in Emergency Medical Services Workplace Safety Culture. Prehospital Emergency Care. 2010;14(4). doi:10.3109/10903127.2010.497900.
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psnet.ahrq.gov/issue/no-more-blame-shame-developing-event-reporting-systems-may-go-long-way-reducing-patient-care
December 21, 2017 - Newspaper/Magazine Article
No more blame & shame: developing event-reporting systems may go a long way to reducing patient care errors in EMS.
Citation Text:
Rajasekaran K, Fairbanks RJ, Shah M. No more blame & shame. Developing event-reporting systems may go a long way to reducing patie…
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psnet.ahrq.gov/issue/teamwork-inpatient-medical-units-assessing-attitudes-and-barriers
June 11, 2010 - Study
Teamwork on inpatient medical units: assessing attitudes and barriers.
Citation Text:
O'Leary KJ, Ritter CD, Wheeler H, et al. Teamwork on inpatient medical units: assessing attitudes and barriers. Qual Saf Health Care. 2010;19(2):117-21. doi:10.1136/qshc.2008.028795.
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psnet.ahrq.gov/issue/oversedation-patient-obstructive-sleep-apnea-prior-imaging
September 02, 2020 - Commentary
Oversedation of a patient with obstructive sleep apnea prior to imaging.
Citation Text:
Blay E, Barnard C, Bilimoria KY. Oversedation of a Patient With Obstructive Sleep Apnea Prior to Imaging. JAMA. 2018;319(5):495-496. doi:10.1001/jama.2017.22004.
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psnet.ahrq.gov/issue/improving-quality-and-safety-patient-care-cardiac-anesthesia
September 26, 2012 - Review
Improving the quality and safety of patient care in cardiac anesthesia.
Citation Text:
Merry A, Weller J, Mitchell SJ. Improving the quality and safety of patient care in cardiac anesthesia. J Cardiothorac Vasc Anesth. 2014;28(5):1341-51. doi:10.1053/j.jvca.2014.02.018.
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psnet.ahrq.gov/issue/simulation-mastery-learning-and-healthcare
November 09, 2011 - Commentary
Simulation, mastery learning and healthcare.
Citation Text:
Dunn W, Dong Y, Zendejas B, et al. Simulation, Mastery Learning and Healthcare. Am J Med Sci. 2017;353(2):158-165. doi:10.1016/j.amjms.2016.12.012.
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