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psnet.ahrq.gov/issue/perceived-causes-prescribing-errors-junior-doctors-hospital-inpatients-study-protect
April 19, 2011 - Study
Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programme.
Citation Text:
Ross S, Ryan C, Duncan EM, et al. Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programm…
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psnet.ahrq.gov/issue/correlates-third-victim-phenomenon
September 18, 2019 - Review
Correlates of the third victim phenomenon.
Citation Text:
Russ MJ. Correlates of the Third Victim Phenomenon. Psychiatr Q. 2017;88(4):917-920. doi:10.1007/s11126-017-9511-1.
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psnet.ahrq.gov/issue/im-sorry-laws-support-apologies-health-care
March 11, 2020 - Commentary
I'm sorry: laws that support apologies in health care.
Citation Text:
Atkinson Smith M. Iʼm Sorry. Prof Case Manag. 2019;25(1):40-45. doi:10.1097/ncm.0000000000000410.
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psnet.ahrq.gov/issue/prevent-errors-during-emergency-use-hypertonic-sodium-chloride-solutions
March 10, 2021 - Newspaper/Magazine Article
Prevent errors during emergency use of hypertonic sodium chloride solutions.
Citation Text:
Prevent errors during emergency use of hypertonic sodium chloride solutions. ISMP Medication Safety Alert! Acute care edition. November 4, 2021;26(22); 1-4.
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psnet.ahrq.gov/issue/development-and-psychometric-testing-tool-measure-missed-nursing-care
August 20, 2018 - Study
Development and psychometric testing of a tool to measure missed nursing care.
Citation Text:
Kalisch BJ, Williams RA. Development and psychometric testing of a tool to measure missed nursing care. J Nurs Adm. 2009;39(5):211-9. doi:10.1097/NNA.0b013e3181a23cf5.
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psnet.ahrq.gov/issue/social-risk-health-inequity-and-patient-safety
September 28, 2022 - Commentary
Social risk, health inequity, and patient safety.
Citation Text:
Boisvert S. Social risk, health inequity, and patient safety. J Healthc Risk Manag. 2022;42(2):18-25. doi:10.1002/jhrm.21519.
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psnet.ahrq.gov/issue/anatomy-health-care-team-training-and-state-practice-critical-review
March 21, 2017 - Review
The anatomy of health care team training and the state of practice: a critical review.
Citation Text:
Weaver SJ, Lyons R, DiazGranados D, et al. The anatomy of health care team training and the state of practice: a critical review. Acad Med. 2010;85(11):1746-60. doi:10.1097/ACM.0b…
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psnet.ahrq.gov/issue/learning-how-learn-compliance-patient-safety-alerts-nhs
September 01, 2021 - Government Resource
Learning how to learn: compliance with patient safety alerts in the NHS.
Citation Text:
Learning how to learn: compliance with patient safety alerts in the NHS. Donaldson L. Chapter in: On the State of Public Health: Annual Report of the Chief Medical Officer. L…
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psnet.ahrq.gov/issue/lessons-covid-war-investigative-report
March 09, 2022 - Book/Report
Lessons from the Covid War: An Investigative Report.
Citation Text:
Lessons from the Covid War: An Investigative Report. Covid Crisis Group. New York: Public Affairs; 2023. ISBN: 9781541703803.
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psnet.ahrq.gov/issue/ensuring-healthcare-safety-throughout-covid-19-pandemic
January 13, 2021 - Webinar
Ensuring Healthcare Safety Throughout the COVID-19 Pandemic.
Citation Text:
Ensuring Healthcare Safety Throughout the COVID-19 Pandemic. US Health and Human Services Office of the Assistant Secretary for Preparedness and Response’s Technical Resources, Assistance Center, & In…
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psnet.ahrq.gov/issue/bending-patient-safety-curve-how-much-can-ai-help
March 31, 2021 - Commentary
Bending the patient safety curve: how much can AI help?
Citation Text:
Classen DC, Longhurst CA, Thomas EJ. Bending the patient safety curve: how much can AI help? NPJ Digit Med. 2023;6(1):2. doi:10.1038/s41746-022-00731-5.
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psnet.ahrq.gov/issue/getting-doctors-clean-their-hands-lead-followers
June 12, 2013 - Study
Getting doctors to clean their hands: lead the followers.
Citation Text:
Haessler S, Bhagavan A, Kleppel R, et al. Getting doctors to clean their hands: lead the followers. BMJ Qual Saf. 2012;21(6):499-502. doi:10.1136/bmjqs-2011-000396.
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psnet.ahrq.gov/issue/interruptions-and-multi-tasking-moving-research-agenda-new-directions
March 23, 2011 - Commentary
Interruptions and multi-tasking: moving the research agenda in new directions.
Citation Text:
Westbrook JI. Interruptions and multi-tasking: moving the research agenda in new directions. BMJ Qual Saf. 2014;23(11):877-9. doi:10.1136/bmjqs-2014-003372.
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digital.ahrq.gov/sites/default/files/docs/publication/action-fall-prevention-ed-tool.pdf
June 16, 2021 - Preventing Falls and Injury While in the Hospital
Preventing Falls and Injury While in the Hospital
You have one or more health conditions that make it likely that you may either fall or become injured if you
fall. Knowing that you are more likely to fall, we want to work with you to prevent you from fall…
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psnet.ahrq.gov/issue/smart-pump-custom-concentrations-without-hard-low-concentration-alerts-can-lead-patient-harm
October 17, 2018 - Newspaper/Magazine Article
Smart pump custom concentrations without hard "low concentration" alerts can lead to patient harm.
Citation Text:
Smart pump custom concentrations without hard "low concentration" alerts can lead to patient harm. ISMP Medication Safety Alert! Acute Care Edition…
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psnet.ahrq.gov/issue/e-prescribing-focused-review-and-new-approach-addressing-safety-pharmacies-and-primary-care
January 07, 2015 - Review
E-prescribing: a focused review and new approach to addressing safety in pharmacies and primary care.
Citation Text:
Odukoya OK, Chui MA. E-prescribing: a focused review and new approach to addressing safety in pharmacies and primary care. Res Social Adm Pharm. 2013;9(6):996-100…
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psnet.ahrq.gov/issue/i-pass-mnemonic-standardize-verbal-handoffs
November 12, 2014 - Commentary
I-PASS, a mnemonic to standardize verbal handoffs.
Citation Text:
Starmer AJ, Spector ND, Srivastava R, et al. I-pass, a mnemonic to standardize verbal handoffs. Pediatrics. 2012;129(2):201-4. doi:10.1542/peds.2011-2966.
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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/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-report-2014
November 23, 2016 - Book/Report
America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2014.
Citation Text:
America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2014. Oakbrook Terrace, IL: The Joint Commission; November 2014.
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psnet.ahrq.gov/issue/medication-errors-new-approaches-prevention
November 18, 2016 - Review
Medication errors—new approaches to prevention.
Citation Text:
Merry A, Anderson BJ. Medication errors--new approaches to prevention. Paediatr Anaesth. 2011;21(7):743-53. doi:10.1111/j.1460-9592.2011.03589.x.
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