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psnet.ahrq.gov/issue/what-went-right-lessons-intensivist-crew-us-airways-flight-1549
February 23, 2009 - Commentary
What went right: lessons for the intensivist from the crew of US Airways Flight 1549.
Citation Text:
Eisen LA, Savel RH. What went right: lessons for the intensivist from the crew of US Airways Flight 1549. Chest. 2009;136(3):910-917. doi:10.1378/chest.09-0377.
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psnet.ahrq.gov/issue/cardiac-surgical-icu-care-eliminating-preventable-complications
August 04, 2021 - Review
Cardiac surgical ICU care: eliminating "preventable" complications.
Citation Text:
Shake JG, Pronovost P, Whitman GJR. Cardiac surgical ICU care: eliminating "preventable" complications. J Card Surg. 2013;28(4):406-13. doi:10.1111/jocs.12124.
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psnet.ahrq.gov/issue/role-racism-core-patient-safety-issue
March 18, 2020 - Newspaper/Magazine Article
The role of racism as a core patient safety issue.
Citation Text:
Feeley D, Torres T. The role of racism as a core patient safety issue. Healthcare Executive. 2020;35(1):58-61.
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psnet.ahrq.gov/issue/use-briefings-and-debriefings-tool-improving-team-work-efficiency-and-communication-operating
September 07, 2011 - Study
Use of briefings and debriefings as a tool in improving team work, efficiency, and communication in the operating theatre.
Citation Text:
Bethune R, Sasirekha G, Sahu A, et al. Use of briefings and debriefings as a tool in improving team work, efficiency, and communication in the…
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psnet.ahrq.gov/issue/review-current-and-emerging-approaches-address-failure-rescue
March 20, 2024 - Review
A review of current and emerging approaches to address failure-to-rescue.
Citation Text:
Taenzer AH, Pyke JB, McGrath SP. A review of current and emerging approaches to address failure-to-rescue. Anesthesiology. 2011;115(2):421-31. doi:10.1097/ALN.0b013e318219d633.
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psnet.ahrq.gov/issue/pharmacist-outpatient-prescription-review-emergency-department-pediatric-tertiary-hospital
March 15, 2016 - Study
Pharmacist outpatient prescription review in the emergency department: a pediatric tertiary hospital experience.
Citation Text:
Shah D, Manzi S. Pharmacist Outpatient Prescription Review in the Emergency Department: A Pediatric Tertiary Hospital Experience. Pediatr Emerg Care. 2018…
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psnet.ahrq.gov/issue/depth-investigation-causes-prescribing-errors-foundation-trainees-relation-their-medical
May 16, 2012 - Book/Report
An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study.
Citation Text:
An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUI…
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psnet.ahrq.gov/issue/medication-errors-recovered-emergency-department-pharmacists
December 31, 2014 - Study
Medication errors recovered by emergency department pharmacists.
Citation Text:
Rothschild JM, Churchill WW, Erickson A, et al. Medication errors recovered by emergency department pharmacists. Ann Emerg Med. 2010;55(6):513-21. doi:10.1016/j.annemergmed.2009.10.012.
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psnet.ahrq.gov/issue/using-orgahead-computational-modeling-program-improve-patient-care-unit-safety-and-quality
June 22, 2011 - Commentary
Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes.
Citation Text:
Effken JA, Brewer BB, Patil A, et al. Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes. Int J …
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psnet.ahrq.gov/issue/opportunities-improve-informed-consent-ahrq-training-modules
December 31, 2014 - Study
Opportunities to improve informed consent with AHRQ training modules.
Citation Text:
Shoemaker SJ, Brach C, Edwards A, et al. Opportunities to Improve Informed Consent with AHRQ Training Modules. Jt Comm J Qual Patient Saf. 2018;44(6):343-352. doi:10.1016/j.jcjq.2017.11.010.
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psnet.ahrq.gov/issue/fda-advises-health-care-professionals-and-patients-about-insulin-pen-packaging-and-dispensing
June 22, 2011 - Press Release/Announcement
FDA advises health care professionals and patients about insulin pen packaging and dispensing.
Citation Text:
FDA advises health care professionals and patients about insulin pen packaging and dispensing. MedWatch Safety Alert. Silver Spring, MD: US Food and Dr…
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psnet.ahrq.gov/issue/cascade-iatrogenesis-factors-leading-development-adverse-events-hospitalized-older-adults
June 27, 2012 - Commentary
Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults.
Citation Text:
Thornlow D, Anderson RA, Oddone E. Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. Int J Nurs Stud…
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psnet.ahrq.gov/issue/talking-behind-their-backs-negative-gossip-and-burnout-hospitals
April 17, 2024 - Study
Talking behind their backs: negative gossip and burnout in hospitals.
Citation Text:
Georganta K, Panagopoulou E, Montgomery A. Talking behind their backs: Negative gossip and burnout in Hospitals. Burn Res. 2014;1(2). doi:10.1016/j.burn.2014.07.003.
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psnet.ahrq.gov/issue/pharmacist-and-prescriber-responsibilities-avoiding-prescription-drug-misuse
October 13, 2018 - Commentary
Pharmacist and prescriber responsibilities for avoiding prescription drug misuse.
Citation Text:
Pharmacist and prescriber responsibilities for avoiding prescription drug misuse. AMA J Ethics. 2021;23(6):E471-479. doi:10.1001/amajethics.2021.471.
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psnet.ahrq.gov/issue/preventing-medication-errors-neonatology-it-dream
April 21, 2021 - Review
Preventing medication errors in neonatology: is it a dream?
Citation Text:
Antonucci R, Porcella A. Preventing medication errors in neonatology: Is it a dream? World J Clin Pediatr. 2014;3(3):37-44. doi:10.5409/wjcp.v3.i3.37.
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psnet.ahrq.gov/issue/patient-safety-pediatric-emergency-care-setting
March 14, 2018 - Organizational Policy/Guidelines
Patient safety in the pediatric emergency care setting.
Citation Text:
Medicine AMERICANACADEMYOFPEDIATRICSC on PE, Krug SE, Frush K. Patient safety in the pediatric emergency care setting. Pediatrics. 2007;120(6):1367-1375.
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psnet.ahrq.gov/issue/new-technology-new-errors-how-prime-upgrade-insulin-infusion-pump
July 14, 2010 - Commentary
New technology, new errors: how to prime an upgrade of an insulin infusion pump.
Citation Text:
Rule AM, Drincic A, Galt K. New technology, new errors: how to prime an upgrade of an insulin infusion pump. Jt Comm J Qual Patient Saf. 2007;33(3):155-62.
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psnet.ahrq.gov/issue/hospital-do-not-resuscitate-orders-why-they-have-failed-and-how-fix-them
May 13, 2009 - Review
Hospital do-not-resuscitate orders: why they have failed and how to fix them.
Citation Text:
Yuen JK, Reid C, Fetters MD. Hospital do-not-resuscitate orders: why they have failed and how to fix them. J Gen Intern Med. 2011;26(7):791-7. doi:10.1007/s11606-011-1632-x.
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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/pros-and-cons-ehr-clinical-decision-support-alerts
August 25, 2021 - Newspaper/Magazine Article
The pros and cons of EHR clinical decision support alerts.
Citation Text:
The pros and cons of EHR clinical decision support alerts. Jason C. EHR Intelligence. April 16, 2021.
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