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psnet.ahrq.gov/issue/interruptions-during-nurses-work-state-science-review
October 21, 2009 - Review
Interruptions during nurses' work: a state-of-the-science review.
Citation Text:
Hopkinson SG, Jennings BM. Interruptions during nurses' work: A state-of-the-science review. Res Nurs Health. 2013;36(1):38-53. doi:10.1002/nur.21515.
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psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-overview-state-reporting-programs-and-individual
June 07, 2008 - Book/Report
Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs and Individual Hospital Initiatives to Reduce Certain Infections.
Citation Text:
Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs and Individual Ho…
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psnet.ahrq.gov/issue/debriefing-medical-teams-12-evidence-based-best-practices-and-tips
February 15, 2011 - Commentary
Debriefing medical teams: 12 evidence-based best practices and tips.
Citation Text:
Salas E, Klein C, King HB, et al. Debriefing medical teams: 12 evidence-based best practices and tips. Jt Comm J Qual Patient Saf. 2008;34(9):518-527.
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psnet.ahrq.gov/issue/missed-breast-cancers-us-guided-core-needle-biopsy-how-reduce-them
March 25, 2020 - Review
Missed breast cancers at US-guided core needle biopsy: how to reduce them.
Citation Text:
Youk JH, Kim E-K, Kim MJ, et al. Missed breast cancers at US-guided core needle biopsy: how to reduce them. Radiographics. 2007;27(1):79-94.
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psnet.ahrq.gov/issue/strategies-improve-patient-safety-outcome-indicator-preventing-or-reducing-falls
March 24, 2021 - Commentary
Strategies to improve the patient safety outcome indicator: preventing or reducing falls.
Citation Text:
Bright L. Strategies to improve the patient safety outcome indicator: preventing or reducing falls. Home Healthc Nurse. 2005;23(1):29-36.
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psnet.ahrq.gov/issue/decreasing-errors-pediatric-continuous-intravenous-infusions
January 06, 2017 - Study
Decreasing errors in pediatric continuous intravenous infusions.
Citation Text:
Lehmann CU, Kim G, Gujral R, et al. Decreasing errors in pediatric continuous intravenous infusions. Pediatr Crit Care Med. 2006;7(3):225-30.
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psnet.ahrq.gov/issue/diagnostic-errors-pediatric-radiology
November 16, 2022 - Study
Diagnostic errors in pediatric radiology.
Citation Text:
Taylor GA, Voss SD, Melvin PR, et al. Diagnostic errors in pediatric radiology. Pediatr Radiol. 2011;41(3):327-34. doi:10.1007/s00247-010-1812-6.
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psnet.ahrq.gov/issue/story-behind-story-physician-skepticism-about-relying-clinical-information-technologies
July 14, 2010 - Study
The story behind the story: physician skepticism about relying on clinical information technologies to reduce medical errors.
Citation Text:
McAlearney AS, Chisolm DJ, Schweikhart S, et al. The story behind the story: physician skepticism about relying on clinical information tec…
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psnet.ahrq.gov/issue/nurses-behaviors-and-visual-scanning-patterns-may-reduce-patient-identification-errors
December 12, 2012 - Study
Nurses' behaviors and visual scanning patterns may reduce patient identification errors.
Citation Text:
Marquard J, Henneman PL, He Z, et al. Nurses' behaviors and visual scanning patterns may reduce patient identification errors. J Exp Psychol Appl. 2011;17(3):247-56. doi:10.1037/…
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psnet.ahrq.gov/issue/better-understanding-downsides-low-value-healthcare-could-reduce-harm
August 11, 2021 - Commentary
Better understanding the downsides of low value healthcare could reduce harm.
Citation Text:
Brownlee SM, Korenstein D. Better understanding the downsides of low value healthcare could reduce harm. BMJ. 2021;372:n117. doi:10.1136/bmj.n117.
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psnet.ahrq.gov/issue/managing-alarms-acute-care-across-life-span-electrocardiography-and-pulse-oximetry
April 01, 2019 - Organizational Policy/Guidelines
Managing Alarms in Acute Care Across the Life Span: Electrocardiography and Pulse Oximetry.
Citation Text:
Managing Alarms in Acute Care Across the Life Span: Electrocardiography and Pulse Oximetry. Crit Care Nurse. 2018;38(2):e16-e20. doi:10.4037/ccn2018…
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psnet.ahrq.gov/issue/medication-errors-new-approaches-prevention
November 18, 2016 - Review
Medication errors—new approaches to prevention.
Citation Text:
Merry A, Anderson BJ. Medication errors--new approaches to prevention. Paediatr Anaesth. 2011;21(7):743-53. doi:10.1111/j.1460-9592.2011.03589.x.
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psnet.ahrq.gov/issue/teaching-novice-clinicians-how-reduce-diagnostic-waste-and-errors-applying-toyota-production
June 19, 2019 - Commentary
Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System.
Citation Text:
Radhakrishnan NS, Singh H, Southwick FS. Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System.…
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psnet.ahrq.gov/issue/i-pass-handover-system-decade-evidence-demands-action
July 07, 2021 - Commentary
I-PASS handover system: a decade of evidence demands action.
Citation Text:
Shahian DM. I-PASS handover system: a decade of evidence demands action. BMJ Qual Saf. 2021;30(10):769-774. doi:10.1136/bmjqs-2021-013314.
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psnet.ahrq.gov/issue/managing-unnecessary-variability-patient-demand-reduce-nursing-stress-and-improve-patient
August 04, 2021 - Study
Managing unnecessary variability in patient demand to reduce nursing stress and improve patient safety.
Citation Text:
Litvak E, Buerhaus P, Davidoff F, et al. Managing unnecessary variability in patient demand to reduce nursing stress and improve patient safety. Jt Comm J Qual Pat…
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psnet.ahrq.gov/issue/getting-message-quality-improvement-initiative-reduce-pages-sent-wrong-physician
April 30, 2014 - Study
Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician.
Citation Text:
Wong BM, Cheung M, Dharamshi H, et al. Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician. BMJ Qual Saf. 2012;21(10):85…
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psnet.ahrq.gov/issue/implementation-protocol-reduce-occurrence-retained-sponges-after-vaginal-delivery
May 18, 2022 - Commentary
Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery.
Citation Text:
Lutgendorf MA, Schindler LL, Hill JB, et al. Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Mil Med. 2011;176(6):702-704.…
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psnet.ahrq.gov/issue/reengineering-hospital-discharge-protocol-improve-patient-safety-reduce-costs-and-boost
May 20, 2009 - Commentary
Reengineering hospital discharge: a protocol to improve patient safety, reduce costs, and boost patient satisfaction.
Citation Text:
Clancy CM. Reengineering hospital discharge: a protocol to improve patient safety, reduce costs, and boost patient satisfaction. Am J Med Qual…
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psnet.ahrq.gov/issue/improved-outcomes-fewer-cesarean-deliveries-and-reduced-litigation-results-new-paradigm
November 27, 2012 - Commentary
Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient safety.
Citation Text:
Clark SL, Belfort MA, Byrum SL, et al. Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient s…
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psnet.ahrq.gov/issue/interventions-postsurgical-opioid-prescribing-systematic-review
October 03, 2012 - Review
Emerging Classic
Interventions for postsurgical opioid prescribing: a systematic review.
Citation Text:
Wick EC, Sehgal NL. A Learning Health System Approach to the Opioid Crisis. JAMA Surg. 2018;153(10):948-954. doi:10.1001/jamasurg.2018.2731.
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