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psnet.ahrq.gov/issue/chemotherapy-dose-limits-set-users-computer-order-entry-system
August 13, 2008 - Study
Chemotherapy dose limits set by users of a computer order entry system.
Citation Text:
Chemotherapy dose limits set by users of a computer order entry system. DuBeshter B; Griggs J; Angel C; Loughner J.
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psnet.ahrq.gov/issue/time-ordered-comorbidity-correlations-identify-patients-risk-mis-and-overdiagnosis
December 07, 2022 - Study
Time-ordered comorbidity correlations identify patients at risk of mis- and overdiagnosis.
Citation Text:
Time-ordered comorbidity correlations identify patients at risk of mis- and overdiagnosis. Jørgensen IF, Brunak S. NPJ Digital Med. 2021;4(1):12.
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psnet.ahrq.gov/issue/omission-high-alert-medications-hidden-danger
January 11, 2017 - Newspaper/Magazine Article
Omission of high-alert medications: a hidden danger.
Citation Text:
Omission of high-alert medications: a hidden danger. Grissinger M, Alghamdi D. PA-PSRS Patient Saf Advis. December 2014;11:149-155.
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psnet.ahrq.gov/issue/2021-john-m-eisenberg-patient-safety-and-quality-awards
August 02, 2023 - Award Recipient
The 2021 John M. Eisenberg Patient Safety and Quality Awards.
Citation Text:
The 2021 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2022;48(8):365-424.
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psnet.ahrq.gov/issue/why-your-teamstepps-program-may-not-be-working
February 14, 2024 - Commentary
Why your TeamSTEPPS program may not be working.
Citation Text:
Clapper TC, Ng GM. Why Your TeamSTEPPS™ Program May Not Be Working. Clin Simul Nurs. 2012;9(8). doi:10.1016/j.ecns.2012.03.007.
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psnet.ahrq.gov/issue/maximize-patient-safety-advanced-root-cause-analysis
November 18, 2011 - Book/Report
Maximize Patient Safety with Advanced Root Cause Analysis.
Citation Text:
Maximize Patient Safety with Advanced Root Cause Analysis. Corbett C, Clapper C, Johnson KM, et al. Middleton, MA: HCPro; 2004. ISBN: 1578393485
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psnet.ahrq.gov/issue/safety-all-integrated-design-inpatient-units
June 01, 2016 - Newspaper/Magazine Article
Safety for all: integrated design for inpatient units.
Citation Text:
Safety for all: integrated design for inpatient units. Hunt JM, Sine DM. Patient Saf Qual Healthc. May/June 2016;13:20-28.
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psnet.ahrq.gov/issue/culture-work-aviation-and-medicine-national-organizational-and-professional-influences
November 03, 2021 - Book/Report
Classic
Culture at Work in Aviation and Medicine: National, Organizational, and Professional Influences.
Citation Text:
Culture at Work in Aviation and Medicine: National, Organizational, and Professional Influences. Helmreich RL, Merritt AC. Brookfi…
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psnet.ahrq.gov/issue/do-panels-vary-when-assessing-intrapartum-adverse-events-reproducibility-assessments-hospital
July 07, 2021 - Study
Do panels vary when assessing intrapartum adverse events? The reproducibility of assessments by hospital risk management groups.
Citation Text:
Do panels vary when assessing intrapartum adverse events? The reproducibility of assessments by hospital risk management groups. Kerna…
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psnet.ahrq.gov/issue/path-safety-benefits-2005-patient-safety-and-quality-improvement-act
June 03, 2015 - Commentary
Path to safety: benefits of the 2005 Patient Safety and Quality Improvement Act.
Citation Text:
McBride D, Greening A, Redmond D. Path to safety: benefits of the 2005 Patient Safety and Quality Improvement Act. Healthc Financ Manage. 2006;60(6):84-8.
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psnet.ahrq.gov/issue/ems-crews-brought-patients-hospital-misplaced-breathing-tubes-none-them-survived
November 20, 2019 - Newspaper/Magazine Article
EMS crews brought patients to the hospital with misplaced breathing tubes. None of them survived
Citation Text:
EMS crews brought patients to the hospital with misplaced breathing tubes. None of them survived Arditi L. Peoples Public Radio. December 3, 2019.
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psnet.ahrq.gov/issue/safety-inpatient-pediatric-otolaryngology-service-many-small-errors-few-adverse-events
October 27, 2010 - Study
Safety on an inpatient pediatric otolaryngology service: many small errors, few adverse events.
Citation Text:
Shah RK, Lander L, Forbes P, et al. Safety on an inpatient pediatric otolaryngology service: many small errors, few adverse events. Laryngoscope. 2009;119(5):871-9. doi:…
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psnet.ahrq.gov/issue/technology-education-and-safety-3
October 11, 2023 - Special or Theme Issue
Technology, Education and Safety.
Citation Text:
Technology, Education and Safety. Harbell MW, ed. Curr Opin Anaesthesiol. 2024;37(6):666-742.
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psnet.ahrq.gov/issue/morning-briefing-setting-stage-clinically-and-operationally-good-day
June 28, 2010 - Tools/Toolkit
A morning briefing: setting the stage for a clinically and operationally good day.
Citation Text:
Thompson DA, Holzmueller CG, Hunt D, et al. A morning briefing: setting the stage for a clinically and operationally good day. Jt Comm J Qual Patient Saf. 2005;31(8):476-9.
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psnet.ahrq.gov/issue/leading-your-organization-high-reliability
August 18, 2021 - Commentary
Leading your organization to high reliability.
Citation Text:
Kemper C, Boyle DK. Leading your organization to high reliability. Nurs Manag. 2009;40(4):14-18. doi:10.1097/01.NUMA.0000349684.24165.68.
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psnet.ahrq.gov/issue/expanded-surgical-time-out-key-real-time-data-collection-and-quality-improvement
March 02, 2010 - Study
Expanded surgical time out: a key to real-time data collection and quality improvement.
Citation Text:
Altpeter T, Luckhardt K, Lewis JN, et al. Expanded surgical time out: a key to real-time data collection and quality improvement. J Am Coll Surg. 2007;204(4):527-32.
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psnet.ahrq.gov/issue/implementing-aorn-recommended-practices-prevention-retained-surgical-items
January 05, 2017 - Commentary
Implementing AORN recommended practices for prevention of retained surgical items.
Citation Text:
Goldberg JL, Feldman DL. Implementing AORN recommended practices for prevention of retained surgical items. AORN J. 2012;95(2):205-16; quiz 217-9. doi:10.1016/j.aorn.2011.11.010…
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psnet.ahrq.gov/issue/assessing-medication-safety-settings-not-designated-solely-pediatric-patients
February 01, 2023 - Newspaper/Magazine Article
Assessing medication safety in settings not designated solely for pediatric patients.
Citation Text:
Assessing medication safety in settings not designated solely for pediatric patients. ISMP Medication Safety Alert! Acute care edition. June 15, 2023;28(12);1-5…
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psnet.ahrq.gov/issue/communicating-coordinating-and-cooperating-when-lives-depend-it-tips-teamwork
January 03, 2017 - Commentary
Communicating, coordinating, and cooperating when lives depend on it: tips for teamwork.
Citation Text:
Salas E, Wilson K, Murphy CE, et al. Communicating, coordinating, and cooperating when lives depend on it: tips for teamwork. Jt Comm J Qual Patient Saf. 2008;34(6):333-41. …
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psnet.ahrq.gov/issue/report-focuses-risk-patients-ed-errors
June 26, 2019 - Newspaper/Magazine Article
Report focuses on risk to patients from ED errors.
Citation Text:
Report focuses on risk to patients from ED errors. Palmer J. Patient Saf Qual Healthcare. Sept/Oct 2019.
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