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psnet.ahrq.gov/issue/patient-safety-womens-health-care-framework-progress
January 12, 2011 - Commentary
Patient safety in women's health care: a framework for progress.
Citation Text:
Gluck PA. Patient safety in women's health care: a framework for progress. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):525-36.
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psnet.ahrq.gov/issue/measures-improve-diagnostic-safety-clinical-practice
September 01, 2021 - Commentary
Measures to improve diagnostic safety in clinical practice.
Citation Text:
Singh H, Graber ML, Hofer TP. Measures to Improve Diagnostic Safety in Clinical Practice. J Patient Saf. 2019;15(4):311-316. doi:10.1097/PTS.0000000000000338.
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psnet.ahrq.gov/issue/safety-considerations-mitigate-risks-misconnections-small-bore-connectors-intended-enteral
June 02, 2021 - Regulation
Safety considerations to mitigate the risks of misconnections with small-bore connectors intended for enteral applications.
Citation Text:
Safety considerations to mitigate the risks of misconnections with small-bore connectors intended for enteral applications. Rockville, MD:…
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psnet.ahrq.gov/issue/survey-shows-room-improvement-three-new-best-practices-hospitals
June 01, 2022 - Newspaper/Magazine Article
Survey shows room for improvement with three new best practices for hospitals.
Citation Text:
Survey shows room for improvement with three new best practices for hospitals. ISMP Medication Safety Alert! Acute care edition. May 5, 2022;27(9):1-5.
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psnet.ahrq.gov/issue/failure-mode-and-effect-analysis-technique-prevent-chemotherapy-errors
May 30, 2008 - Commentary
Failure mode and effect analysis: a technique to prevent chemotherapy errors.
Citation Text:
Sheridan-Leos N, Schulmeister L, Hartranft S. Failure mode and effect analysis: a technique to prevent chemotherapy errors. Clin J Oncol Nurs. 2006;10(3):393-8.
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psnet.ahrq.gov/issue/medication-administration-errors-understanding-issues
December 15, 2011 - Review
Medication administration errors: understanding the issues.
Citation Text:
McBride-Henry K, Foureur M. Medication administration errors: understanding the issues. Aust J Adv Nurs. 2006;23(3):33-41.
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psnet.ahrq.gov/issue/multiple-accountabilities-incident-reporting-and-management
August 28, 2024 - Slideset
Multiple accountabilities in incident reporting and management.
Citation Text:
Hor S-Y, Iedema R, Williams K, et al. Multiple accountabilities in incident reporting and management. Qual Health Res. 2010;20(8):1091-100. doi:10.1177/1049732310369232.
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psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-and-event-reporting-1
July 03, 2013 - Press Release/Announcement
Common formats for patient safety data collection and event reporting.
Citation Text:
Common formats for patient safety data collection and event reporting. Federal Register. Rockville, MD: Agency for Healthcare Research and Quality. February 18, 2014;79:9214…
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psnet.ahrq.gov/issue/air-pressure-human-factors-are-key-safer-flight-environment
October 27, 2021 - Newspaper/Magazine Article
Air pressure: human factors are the key to a safer flight environment.
Citation Text:
Air pressure: human factors are the key to a safer flight environment. Erich J. EMS World. April 2019;48:26-31.
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psnet.ahrq.gov/issue/recognizing-ordinary-extraordinary-insight-way-we-work-improve-patient-safety-outcomes
December 12, 2012 - Commentary
Recognizing the ordinary as extraordinary: insight into the "way we work" to improve patient safety outcomes.
Citation Text:
Henneman EA. Recognizing the Ordinary as Extraordinary: Insight Into the "Way We Work" to Improve Patient Safety Outcomes. Am J Crit Care. 2017;26(4):27…
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psnet.ahrq.gov/issue/medication-errors-anaesthesia-and-critical-care
January 18, 2011 - Review
Medication errors in anaesthesia and critical care.
Citation Text:
Wheeler SJ, Wheeler DW. Medication errors in anaesthesia and critical care. Anaesthesia. 2005;60(3):257-73.
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psnet.ahrq.gov/issue/factors-influencing-doctors-ability-calculate-drug-doses-correctly
March 19, 2019 - Study
Factors influencing doctors' ability to calculate drug doses correctly.
Citation Text:
Wheeler DW, Wheeler SJ, Ringrose TR. Factors influencing doctors' ability to calculate drug doses correctly. Int J Clin Pract. 2007;61(2):189-94.
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psnet.ahrq.gov/issue/high-reliability-truly-achieving-healthcare-quality-and-safety
March 18, 2019 - Commentary
High reliability: truly achieving healthcare quality and safety.
Citation Text:
Kaplan GS. Pursuing the perfect patient experience. Front Health Serv Manage. 2013;29(3):16-27.
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psnet.ahrq.gov/issue/interruptions-and-medication-errors-part-i
January 03, 2017 - Commentary
Interruptions and medication errors: part I.
Citation Text:
Flanders S, Clark AP. Interruptions and medication errors: part I. Clin Nurse Spec. 2010;24(6):281-5. doi:10.1097/NUR.0b013e3181faf78b.
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psnet.ahrq.gov/issue/bar-coding-patient-safety
February 12, 2020 - Commentary
Bar coding for patient safety.
Citation Text:
Wright AA, Katz IT. Bar coding for patient safety. N Engl J Med. 2005;353(4):329-31.
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psnet.ahrq.gov/issue/teaching-diagnostic-process-model-improve-medical-education
September 20, 2012 - Commentary
Teaching the diagnostic process as a model to improve medical education.
Citation Text:
Sklar DP. Teaching the Diagnostic Process as a Model to Improve Medical Education. Acad Med. 2017;92(1):1-4. doi:10.1097/ACM.0000000000001481.
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psnet.ahrq.gov/issue/performance-improvement-plan-increase-nurse-adherence-use-medication-safety-software
March 13, 2024 - Commentary
A performance improvement plan to increase nurse adherence to use of medication safety software.
Citation Text:
Gavriloff C. A Performance Improvement Plan to Increase Nurse Adherence to Use of Medication Safety Software. J Pediatr Nurs. 2011;27(4). doi:10.1016/j.pedn.2011.0…
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psnet.ahrq.gov/issue/viewing-health-care-delivery-science-challenges-benefits-and-policy-implications
May 24, 2012 - Commentary
Viewing health care delivery as science: challenges, benefits, and policy implications.
Citation Text:
Pronovost P, Goeschel CA. Viewing health care delivery as science: challenges, benefits, and policy implications. Health Serv Res. 2010;45(5 Pt 2):1508-22. doi:10.1111/j.1…
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psnet.ahrq.gov/issue/antimicrobial-stewardship-and-patient-safety
May 15, 2024 - Commentary
Antimicrobial stewardship and patient safety.
Citation Text:
Zukowski CM. Antimicrobial Stewardship and Patient Safety. AORN J. 2016;104(4):354-356. doi:10.1016/j.aorn.2016.08.002.
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psnet.ahrq.gov/issue/challenges-defining-and-measuring-diagnostic-error
February 24, 2021 - Commentary
The challenges in defining and measuring diagnostic error.
Citation Text:
Zwaan L, Singh H. The challenges in defining and measuring diagnostic error. Diagnosis (Berl). 2015;2(2):97-103. doi:10.1515/dx-2014-0069.
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