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psnet.ahrq.gov/issue/health-information-technology-united-states-information-base-progress
April 04, 2018 - Book/Report
Health Information Technology in the United States: The Information Base for Progress.
Citation Text:
Health Information Technology in the United States: The Information Base for Progress. Blumenthal D, DesRoches C, Donelan K, et al. Princeton, NJ: Robert Wood Johnson F…
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psnet.ahrq.gov/issue/promoting-civility-or-ethical-imperative
September 12, 2016 - Commentary
Promoting civility in the OR: an ethical imperative.
Citation Text:
Clark CM, Kenski D. Promoting Civility in the OR: An Ethical Imperative. AORN J. 2017;105(1):60-66. doi:10.1016/j.aorn.2016.10.019.
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psnet.ahrq.gov/issue/creating-culture-safety-using-checklists
July 30, 2014 - Commentary
Creating a culture of safety by using checklists.
Citation Text:
Huang LC, Kim R, Berry WR. Creating a culture of safety by using checklists. AORN J. 2013;97(3):365-8. doi:10.1016/j.aorn.2012.12.019.
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psnet.ahrq.gov/issue/ncicle-pathways-excellence-expectations-optimal-clinical-learning-environment-achieve-safe
October 18, 2017 - Book/Report
NCICLE Pathways to Excellence: Expectations for an Optimal Clinical Learning Environment to Achieve Safe and High-Quality Patient Care, 2021.
Citation Text:
NCICLE Pathways to Excellence: Expectations for an Optimal Clinical Learning Environment to Achieve Safe and High-Quali…
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psnet.ahrq.gov/issue/recommendations-practitioners-and-manufacturers-address-system-based-causes-vaccine-errors
June 18, 2014 - Newspaper/Magazine Article
Recommendations for practitioners and manufacturers to address system-based causes of vaccine errors.
Citation Text:
Recommendations for practitioners and manufacturers to address system-based causes of vaccine errors. ISMP Medication Safety Alert! Acute ca…
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psnet.ahrq.gov/issue/survey-suggests-possible-downward-trend-identifying-key-drugsdrug-classes-high-alert
July 30, 2014 - Newspaper/Magazine Article
Survey suggests possible downward trend in identifying key drugs/drug classes as high-alert medications.
Citation Text:
Survey suggests possible downward trend in identifying key drugs/drug classes as high-alert medications. ISMP Medication Safety Alert! Acute …
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psnet.ahrq.gov/issue/medication-errors-year-review
May 02, 2018 - Newspaper/Magazine Article
Medication errors: the year in review.
Citation Text:
Medication errors: the year in review. Valentine D, Ingram V, Fobi B et al. Pharmacy Practice News. September 10, 2019.
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psnet.ahrq.gov/issue/oral-chemotherapy-we-simply-must-do-better
February 13, 2019 - Newspaper/Magazine Article
With oral chemotherapy, we simply must do better!
Citation Text:
With oral chemotherapy, we simply must do better! ISMP Medication Safety Alert! Acute Care Edition. July 17, 2014;19:1-4.
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psnet.ahrq.gov/issue/absence-drug-disease-interaction-alert-leads-childs-death
July 08, 2015 - Newspaper/Magazine Article
The absence of a drug–disease interaction alert leads to a child's death.
Citation Text:
The absence of a drug–disease interaction alert leads to a child's death. ISMP Medication Safety Alert! Acute Care Edition. May 21, 2015;20:1-4.
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psnet.ahrq.gov/issue/leaving-discontinued-fentanyl-infusion-attached-patient-leads-tragic-error
February 10, 2021 - Newspaper/Magazine Article
Leaving a discontinued FentaNYL infusion attached to the patient leads to a tragic error
Citation Text:
Leaving a discontinued FentaNYL infusion attached to the patient leads to a tragic error ISMP Medication Safety Alert! Acute care edition. 2021;26(13);1-2.
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psnet.ahrq.gov/issue/factors-influencing-nurses-decisions-raise-concerns-about-care-quality
June 22, 2009 - Study
Factors influencing nurses' decisions to raise concerns about care quality.
Citation Text:
Attree M. Factors influencing nurses' decisions to raise concerns about care quality. J Nurs Manag. 2007;15(4):392-402.
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psnet.ahrq.gov/issue/interruptions-and-miscommunications-surgery-observational-study
August 11, 2021 - Study
Interruptions and miscommunications in surgery: an observational study.
Citation Text:
Gillespie BM, Chaboyer W, Fairweather N. Interruptions and miscommunications in surgery: an observational study. AORN J. 2012;95(5):576-90. doi:10.1016/j.aorn.2012.02.012.
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psnet.ahrq.gov/issue/improving-care-transitions-current-practice-and-future-opportunities-pharmacists
December 12, 2012 - Commentary
Improving care transitions: current practice and future opportunities for pharmacists.
Citation Text:
Pharmacy AC of C, Hume AL, Kirwin J, et al. Improving care transitions: current practice and future opportunities for pharmacists. Pharmacotherapy. 2012;32(11):e326-37. doi…
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psnet.ahrq.gov/issue/medication-safety-advancing-development-improvement
January 08, 2020 - Grant Announcement
Medication Safety: Advancing the Development of Improvement Strategies and Tools (R18).
Citation Text:
Medication Safety: Advancing the Development of Improvement Strategies and Tools (R18). Rockville, MD: Agency for Healthcare Research and Quality; Septembe…
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psnet.ahrq.gov/issue/role-apology-laws-medical-malpractice
July 29, 2020 - Commentary
The role of apology laws in medical malpractice.
Citation Text:
The role of apology laws in medical malpractice. Ross NE, Newman WJ. J Am Acad Psychiatry Law. 2021;49(3):406-414.
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psnet.ahrq.gov/issue/follow-tips-safe-efficient-practice
July 23, 2010 - Newspaper/Magazine Article
Follow-up tips for a safe, efficient practice.
Citation Text:
Weiss GG. Follow-up tips for a safe, efficient practice. Medical economics. 2006;83(10):47-9.
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psnet.ahrq.gov/issue/confidential-physician-feedback-reports-designing-optimal-impact-performance
May 11, 2016 - Book/Report
Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance.
Citation Text:
Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance. McNamara P, Shaller D, De La Mare J, Ivers N. Rockville, MD: Agency for Healthcare Resear…
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psnet.ahrq.gov/issue/accuracies-diagnostic-methods-acute-appendicitis
September 06, 2017 - Study
Accuracies of diagnostic methods for acute appendicitis.
Citation Text:
Park JS, Jeong JH, Lee JI, et al. Accuracies of diagnostic methods for acute appendicitis. Am Surg. 2013;79(1):101-106.
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psnet.ahrq.gov/issue/nursing-home-error-and-level-staff-credentials
September 24, 2010 - Study
Nursing home error and level of staff credentials.
Citation Text:
Scott-Cawiezell J, Pepper GA, Madsen RW, et al. Nursing home error and level of staff credentials. Clin Nurs Res. 2007;16(1):72-8.
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psnet.ahrq.gov/issue/unintended-exposure-radiotherapy-identification-prominent-causes
May 01, 2003 - Study
Unintended exposure in radiotherapy: identification of prominent causes.
Citation Text:
Boadu M, Rehani MM. Unintended exposure in radiotherapy: identification of prominent causes. Radiother Oncol. 2009;93(3):609-17. doi:10.1016/j.radonc.2009.08.044.
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