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psnet.ahrq.gov/issue/alarm-fatigue-impacts-patient-safety
December 02, 2020 - Review
Alarm fatigue: impacts on patient safety.
Citation Text:
Ruskin KJ, Hueske-Kraus D. Alarm fatigue: impacts on patient safety. Curr Opin Anaesthesiol. 2015;28(6):685-690. doi:10.1097/ACO.0000000000000260.
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psnet.ahrq.gov/issue/necessity-pathway-high-alert-patients
July 14, 2010 - Commentary
Necessity for a pathway for "high-alert" patients.
Citation Text:
Shane R, Amer K, Noh L, et al. Necessity for a pathway for "high-alert" patients. Am J Health Syst Pharm. 2018;75(13):993-997. doi:10.2146/ajhp170397.
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psnet.ahrq.gov/issue/improving-quality-surgical-morbidity-and-mortality-conference-prospective-intervention-study
March 14, 2012 - Study
Improving the quality of the surgical morbidity and mortality conference: a prospective intervention study.
Citation Text:
Mitchell EL, Lee DY, Arora S, et al. Improving the quality of the surgical morbidity and mortality conference: a prospective intervention study. Acad Med. 2013…
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psnet.ahrq.gov/issue/economics-medication-safety-improving-medication-safety-through-collective-real-time-learning
October 07, 2020 - Book/Report
Economics of Medication Safety. Improving Medication Safety Through Collective, Real-time Learning.
Citation Text:
Economics of Medication Safety. Improving Medication Safety Through Collective, Real-time Learning. de Bienassis K, Esmail L, Lopert R, Klazinga N for the O…
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psnet.ahrq.gov/issue/polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable-moment
September 29, 2017 - Commentary
Polypharmacy in the elderly--when good drugs lead to bad outcomes: a teachable moment.
Citation Text:
Carroll C, Hassanin A. Polypharmacy in the Elderly-When Good Drugs Lead to Bad Outcomes: A Teachable Moment. JAMA Intern Med. 2017;177(6):871. doi:10.1001/jamainternmed.2017.0…
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psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan
December 18, 2013 - Book/Report
Health IT Patient Safety Action and Surveillance Plan.
Citation Text:
Health IT Patient Safety Action and Surveillance Plan. Washington, DC: Office of the National Coordinator for Health Information Technology; July 2, 2013.
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psnet.ahrq.gov/issue/addressing-health-care-disparities-improving-quality-and-safety
January 27, 2021 - Sentinel Event Alerts
Addressing health care disparities by improving quality and safety.
Citation Text:
Addressing health care disparities by improving quality and safety. Sentinel Event Alert. Nov 10 2021;(64):1-7.
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psnet.ahrq.gov/issue/direct-oral-anticoagulants-new-drugs-practical-problems-how-can-nurses-help-prevent-patient
November 16, 2022 - Commentary
Direct oral anticoagulants: new drugs with practical problems. How can nurses help prevent patient harm?
Citation Text:
Barras MA, Hughes D, Ullner M. Direct oral anticoagulants: New drugs with practical problems. How can nurses help prevent patient harm? Nurs Health Sci. 2016…
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psnet.ahrq.gov/issue/reduction-warfarin-adverse-events-requiring-patient-hospitalization-after-implementation
October 23, 2024 - Study
Reduction in warfarin adverse events requiring patient hospitalization after implementation of a pharmacist-managed anticoagulation service.
Citation Text:
Locke C, Ravnan SL, Patel R, et al. Reduction in warfarin adverse events requiring patient hospitalization after implementat…
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psnet.ahrq.gov/issue/diagnostic-error-internal-medicine
May 25, 2022 - Study
Diagnostic error in internal medicine.
Citation Text:
Graber ML, Franklin N, Gordon R. Diagnostic error in internal medicine. Arch Intern Med. 2005;165(13):1493-1499.
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psnet.ahrq.gov/issue/pediatric-aspects-inpatient-health-information-technology-systems
August 02, 2010 - Review
Pediatric aspects of inpatient health information technology systems.
Citation Text:
Kim GR, Lehmann CU. Pediatric Aspects of Inpatient Health Information Technology Systems. Pediatrics. 2008;122(6):e1287-e1296. doi:10.1542/peds.2008-2963.
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psnet.ahrq.gov/issue/nursing-perception-impact-medication-carts-patient-safety-and-ergonomics-teaching-health-care
May 29, 2014 - Study
Nursing perception of the impact of medication carts on patient safety and ergonomics in a teaching health care center.
Citation Text:
Rochais E, Atkinson S, Bussières J-F. Nursing perception of the impact of medication carts on patient safety and ergonomics in a teaching health ca…
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psnet.ahrq.gov/issue/rounding-influence
February 22, 2010 - Newspaper/Magazine Article
Rounding to influence.
Citation Text:
Reinertsen JL, Johnson KM. Rounding to influence. Leadership method helps executives answer the "hows" in patient safety initiatives. Healthcare executive. 2010;25(5):72-5.
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psnet.ahrq.gov/issue/improving-quality-and-safety-patient-care-cardiac-anesthesia
September 26, 2012 - Review
Improving the quality and safety of patient care in cardiac anesthesia.
Citation Text:
Merry A, Weller J, Mitchell SJ. Improving the quality and safety of patient care in cardiac anesthesia. J Cardiothorac Vasc Anesth. 2014;28(5):1341-51. doi:10.1053/j.jvca.2014.02.018.
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psnet.ahrq.gov/issue/practice-advisory-intraoperative-awareness-and-brain-function-monitoring
July 16, 2018 - Review
Practice Advisory on Intraoperative Awareness and Brain Function Monitoring.
Citation Text:
Awareness AS of ATF on I. Practice advisory for intraoperative awareness and brain function monitoring: a report by the american society of anesthesiologists task force on intraoperative …
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psnet.ahrq.gov/issue/diagnostic-errors-impact-educational-intervention-pediatric-primary-care
July 22, 2020 - Study
Diagnostic errors: impact of an educational intervention on pediatric primary care.
Citation Text:
Walsh JN, Knight M, Lee AJ. Diagnostic Errors: Impact of an Educational Intervention on Pediatric Primary Care. Journal of Pediatric Health Care. 2017;32(1). doi:10.1016/j.pedhc.2017.…
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psnet.ahrq.gov/issue/framework-patient-safety-research-and-improvement
May 20, 2009 - Commentary
Framework for patient safety research and improvement.
Citation Text:
Pronovost P, Goeschel CA, Marsteller JA, et al. Framework for patient safety research and improvement. Circulation. 2009;119(2):330-7. doi:10.1161/CIRCULATIONAHA.107.729848.
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psnet.ahrq.gov/issue/anesthesia-medication-handling-needs-new-vision
July 10, 2017 - Commentary
Anesthesia medication handling needs a new vision.
Citation Text:
Grigg EB, Roesler A. Anesthesia Medication Handling Needs a New Vision. Anesth Analg. 2018;126(1):346-350. doi:10.1213/ANE.0000000000002521.
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psnet.ahrq.gov/issue/medication-based-trigger-tool-identify-adverse-events-pediatric-anesthesiology
April 22, 2020 - Commentary
A medication-based trigger tool to identify adverse events in pediatric anesthesiology.
Citation Text:
Taghon T, Elsey N, Miler V, et al. A medication-based trigger tool to identify adverse events in pediatric anesthesiology. Jt Comm J Qual Patient Saf. 2014;40(7):326-334.
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psnet.ahrq.gov/issue/paediatric-nurses-understanding-process-and-procedure-double-checking-medications
May 03, 2023 - Study
Paediatric nurses' understanding of the process and procedure of double-checking medications.
Citation Text:
Dickinson A, McCall E, Twomey B, et al. Paediatric nurses' understanding of the process and procedure of double-checking medications. J Clin Nurs. 2010;19(5-6). doi:10.111…