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psnet.ahrq.gov/issue/my-brothers-keeper-must-physician-disclose-anothers-medical-error-and-potential-negligence
February 01, 2023 - Commentary
My brother's keeper: must a physician disclose another's medical error and potential negligence?
Citation Text:
Liang BA, Smith C by DS. My brother's keeper: must a physician disclose another's medical error and potential negligence? J Clin Anesth. 2007;19(7):558-562. doi:10…
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psnet.ahrq.gov/issue/high-alert-medications-shared-accountability-risk-identification-and-error-prevention
September 24, 2010 - Commentary
High-alert medications: shared accountability for risk identification and error prevention.
Citation Text:
Paparella S. High-alert medications: shared accountability for risk identification and error prevention. Journal of emergency nursing: JEN : official publication of the …
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psnet.ahrq.gov/issue/monitoring-teamwork-narrative-review
November 06, 2015 - Review
Monitoring teamwork: a narrative review.
Citation Text:
Rutherford JS. Monitoring teamwork: a narrative review. Anaesthesia. 2017;72 Suppl 1:84-94. doi:10.1111/anae.13744.
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psnet.ahrq.gov/issue/our-other-prescription-drug-problem
May 17, 2017 - Commentary
Our other prescription drug problem.
Citation Text:
Lembke A, Papac J, Humphreys K. Our Other Prescription Drug Problem. N Engl J Med. 2018;378(8):693-695. doi:10.1056/NEJMp1715050.
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psnet.ahrq.gov/issue/case-study-safety-impact-implementing-smart-patient-controlled-analgesic-pumps-tertiary-care
August 31, 2016 - Study
A case study on the safety impact of implementing smart patient-controlled analgesic pumps at a tertiary care academic medical center.
Citation Text:
Tran M, Ciarkowski S, Wagner D, et al. A case study on the safety impact of implementing smart patient-controlled analgesic pumps at…
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psnet.ahrq.gov/issue/patient-safety-and-medications-home
August 07, 2024 - Commentary
Patient safety and medications in the home.
Citation Text:
McKenzie H. Patient safety and medications in the home. Home Healthc Nurse. 2010;28(3):198-200. doi:10.1097/01.NHH.0000369773.18785.5b.
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psnet.ahrq.gov/issue/drug-shortages-root-causes-and-potential-solutions
January 13, 2021 - Book/Report
Emerging Classic
Drug Shortages: Root Causes and Potential Solutions.
Citation Text:
Drug Shortages: Root Causes and Potential Solutions. Drug Shortage Task Force. Silver Spring, MD: US Food and Drug Administration; 2020.
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psnet.ahrq.gov/issue/medication-safety-education-program-reduce-risk-harm-caused-medication-errors
June 27, 2018 - Commentary
A medication safety education program to reduce the risk of harm caused by medication errors.
Citation Text:
Dennison RD. A medication safety education program to reduce the risk of harm caused by medication errors. J Contin Educ Nurs. 2007;38(4):176-84.
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psnet.ahrq.gov/issue/e-prescribing-first-step-improved-safety
February 16, 2011 - Newspaper/Magazine Article
E-prescribing first step to improved safety.
Citation Text:
Finkelstein JB. E-prescribing first step to improved safety. Journal of the National Cancer Institute. 2006;98(24):1763-5.
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psnet.ahrq.gov/issue/managing-adverse-event-occurring-during-elective-ambulatory-pediatric-surgery
March 01, 2023 - Commentary
Managing the adverse event occurring during elective, ambulatory pediatric surgery.
Citation Text:
Skarsgard ED. Managing the adverse event occurring during elective, ambulatory pediatric surgery. Semin Pediatr Surg. 2009;18(2):122-4. doi:10.1053/j.sempedsurg.2009.02.013.
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psnet.ahrq.gov/issue/medical-reconciliation-patients-discharged-emergency-department
March 04, 2015 - Study
Medical reconciliation in patients discharged from the emergency department.
Citation Text:
Sharma AN, Dvorkin R, Tucker V, et al. Medical reconciliation in patients discharged from the emergency department. J Emerg Med. 2012;43(2):366-73. doi:10.1016/j.jemermed.2011.05.080.
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psnet.ahrq.gov/issue/how-develop-effective-obstetric-checklist
November 16, 2022 - Review
How to develop an effective obstetric checklist.
Citation Text:
Fausett B, Propst A, Van Doren K, et al. How to develop an effective obstetric checklist. Am J Obstet Gynecol. 2011;205(3):165-70. doi:10.1016/j.ajog.2011.06.003.
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psnet.ahrq.gov/issue/results-survey-medical-error-reporting-systems-korean-hospitals
May 08, 2017 - Study
Results of a survey on medical error reporting systems in Korean hospitals.
Citation Text:
KIM J, Bates DW. Results of a survey on medical error reporting systems in Korean hospitals. Int J Med Inform. 2005;75(2). doi:10.1016/j.ijmedinf.2005.06.005.
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psnet.ahrq.gov/issue/social-and-environmental-conditions-creating-fluctuating-agency-safety-two-urban-academic
August 12, 2019 - Study
Social and environmental conditions creating fluctuating agency for safety in two urban academic birth centers.
Citation Text:
Lyndon A. Social and environmental conditions creating fluctuating agency for safety in two urban academic birth centers. J Obstet Gynecol Neonatal Nurs…
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psnet.ahrq.gov/issue/changing-operating-room-culture-implementation-postoperative-debrief-and-improved-safety
December 03, 2014 - Study
Changing operating room culture: implementation of a postoperative debrief and improved safety culture.
Citation Text:
Magill ST, Wang DD, Rutledge C, et al. Changing Operating Room Culture: Implementation of a Postoperative Debrief and Improved Safety Culture. World Neurosurg. 201…
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psnet.ahrq.gov/issue/leder-learning-lives-and-deaths
October 19, 2022 - Multi-use Website
LeDeR - Learning from Lives and Deaths.
Citation Text:
LeDeR - Learning from Lives and Deaths. Norah Frye Centre for Disability Studies; Bristol, England.
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psnet.ahrq.gov/issue/iv-medication-safety-software-implementation-multihospital-health-system
October 17, 2018 - Commentary
IV medication safety software implementation in a multihospital health system.
Citation Text:
Cassano AT. IV Medication Safety Software Implementation in a Multihospital Health System. Hosp Pharm. 2010;41(2):151-156. doi:10.1310/hpj4102-151.
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psnet.ahrq.gov/issue/strategic-approach-quality-improvement-and-patient-safety-education-and-resident-integration
November 17, 2010 - Commentary
A strategic approach to quality improvement and patient safety education and resident integration in a general surgery residency.
Citation Text:
O'Heron CT, Jarman BT. A strategic approach to quality improvement and patient safety education and resident integration in a gener…
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psnet.ahrq.gov/issue/gross-negligence-manslaughter-and-doctors-ethical-concerns-following-case-dr-bawa-garba
May 01, 2024 - Commentary
Gross negligence manslaughter and doctors: ethical concerns following the case of Dr Bawa-Garba.
Citation Text:
Samanta A, Samanta J. Gross negligence manslaughter and doctors: ethical concerns following the case of Dr Bawa-Garba. J Med Ethics. 2019;45(1):10-14. doi:10.1136/me…
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psnet.ahrq.gov/issue/team-types-perceived-efficiency-and-team-climate-swedish-cross-professional-teamwork
October 18, 2023 - Study
Team types, perceived efficiency and team climate in Swedish cross-professional teamwork.
Citation Text:
Thylefors I, Persson O, Hellström D. Team types, perceived efficiency and team climate in Swedish cross-professional teamwork. J Interprof Care. 2005;19(2):102-14.
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