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psnet.ahrq.gov/issue/could-it-happen-here-learning-other-organizations-safety-errors
February 17, 2017 - Newspaper/Magazine Article
Could it happen here? Learning from other organizations' safety errors.
Citation Text:
Conway JB. Could it happen here? Learning from other organizations' safety errors. Healthcare Executive. 2008;23(6):64, 66-67.
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psnet.ahrq.gov/issue/report-independent-inquiry-issues-raised-paterson
November 16, 2022 - Book/Report
Report of the Independent Inquiry into the Issues Raised by Paterson.
Citation Text:
Report of the Independent Inquiry into the Issues Raised by Paterson. James G. House Commons Report 31. Department of Health and Social Care. London, England: Crown Copyright; 2020.…
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psnet.ahrq.gov/issue/advancing-research-agenda-diagnostic-error-reduction
May 25, 2022 - Review
Advancing the research agenda for diagnostic error reduction.
Citation Text:
Zwaan L, Schiff G, Singh H. Advancing the research agenda for diagnostic error reduction. BMJ Qual Saf. 2013;22(Suppl 2):ii52-ii57. doi:10.1136/bmjqs-2012-001624.
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psnet.ahrq.gov/issue/adherence-medication-safety-protocol-current-practice-labeling-medications-and-solutions
July 19, 2023 - Study
Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile field.
Citation Text:
Brown-Brumfield D, DeLeon A. Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile f…
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psnet.ahrq.gov/issue/when-diagnostic-testing-leads-harm-new-outcomes-based-approach-laboratory-medicine
September 12, 2018 - Commentary
When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine.
Citation Text:
Epner PL, Gans JE, Graber ML. When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine. BMJ Qual Saf. 2013;22 Suppl 2:ii6-ii10. d…
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psnet.ahrq.gov/issue/testing-classification-model-emergency-department-errors
March 02, 2010 - Study
Testing a classification model for emergency department errors.
Citation Text:
Henneman EA, Blank FSJ, Gattasso S, et al. Testing a classification model for emergency department errors. J Adv Nurs. 2006;55(1):90-9.
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psnet.ahrq.gov/issue/radiological-error-analysis-standard-setting-targeted-instruction-and-teamworking
December 12, 2018 - Commentary
Radiological error: analysis, standard setting, targeted instruction and teamworking.
Citation Text:
FitzGerald R. Radiological error: analysis, standard setting, targeted instruction and teamworking. Eur Radiol. 2005;15(8). doi:10.1007/s00330-005-2662-8.
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psnet.ahrq.gov/issue/strategies-used-nurses-recover-medical-errors-academic-emergency-department-setting
September 26, 2016 - Study
Strategies used by nurses to recover medical errors in an academic emergency department setting.
Citation Text:
Henneman EA, Blank FSJ, Gawlinski A, et al. Strategies used by nurses to recover medical errors in an academic emergency department setting. Appl Nurs Res. 2006;19(2):70-…
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psnet.ahrq.gov/issue/design-reliability-barcoded-medication-administration
July 21, 2021 - Newspaper/Magazine Article
Design for reliability: barcoded medication administration.
Citation Text:
Design for reliability: barcoded medication administration. Hayden AC; Lanoue ET; Still CJ.
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psnet.ahrq.gov/issue/characteristics-medication-errors-made-students-during-administration-phase-descriptive-study
July 13, 2009 - Study
Characteristics of medication errors made by students during the administration phase: a descriptive study.
Citation Text:
Wolf ZR, Hicks RW, Serembus JF. Characteristics of medication errors made by students during the administration phase: a descriptive study. J Prof Nurs. 2006…
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psnet.ahrq.gov/issue/nurses-experience-barriers-safe-practice-neonatal-intensive-care-unit-thailand
August 16, 2023 - Study
The nurses' experience of barriers to safe practice in the neonatal intensive care unit in Thailand.
Citation Text:
Jirapaet V, Jirapaet K, Sopajaree C. The nurses' experience of barriers to safe practice in the neonatal intensive care unit in Thailand. J Obstet Gynecol Neonatal …
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psnet.ahrq.gov/issue/failure-rescue-neonatal-care
July 06, 2011 - Commentary
Failure to rescue in neonatal care.
Citation Text:
Gephart SM, McGrath JM, Effken JA. Failure to rescue in neonatal care. J Perinat Neonatal Nurs. 2011;25(3):275-282. doi:10.1097/JPN.0b013e318227cc03.
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psnet.ahrq.gov/issue/dramatic-drop-cancer-diagnoses-amid-covid-pandemic-cause-concern-doctors-say
May 06, 2020 - Newspaper/Magazine Article
Dramatic drop in cancer diagnoses amid COVID pandemic is cause for concern, doctors say.
Citation Text:
Dramatic drop in cancer diagnoses amid COVID pandemic is cause for concern, doctors say. Abdelmalek M, Bruggeman L. ABC News. May 14, 2020.
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psnet.ahrq.gov/issue/patient-safety-and-quality-evidence-based-handbook-nurses
May 29, 2024 - Book/Report
Patient Safety and Quality: An Evidence-Based Handbook for Nurses.
Citation Text:
Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Hughes RG, ed. Rockville, MD: Agency for Healthcare Research and Quality; 2008. AHRQ Publication No. 08-0043.
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psnet.ahrq.gov/issue/opportunities-and-recommendations-state-federal-coordination-improve-health-system
November 29, 2009 - Book/Report
Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety.
Citation Text:
Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety.…
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psnet.ahrq.gov/issue/fdasia-health-it-report-proposed-strategy-and-recommendations-risk-based-framework
June 29, 2016 - Government Resource
FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework.
Citation Text:
FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework. Washington, DC: Office of the National Coordinator for Health Informati…
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psnet.ahrq.gov/issue/understanding-root-cause-analysis-process-increase-safety-event-reporting
August 08, 2018 - Commentary
Understanding the root cause analysis process to increase safety event reporting.
Citation Text:
Dudley KA. Understanding the root cause analysis process to increase safety event reporting. AORN J. 2023;117(6):399-402. doi:10.1002/aorn.13935.
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psnet.ahrq.gov/issue/guideline-implementation-prevention-retained-surgical-items
October 23, 2024 - Commentary
Guideline implementation: prevention of retained surgical items.
Citation Text:
Fencl JL. Guideline Implementation: Prevention of Retained Surgical Items. AORN J. 2016;104(1):37-48. doi:10.1016/j.aorn.2016.05.005.
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psnet.ahrq.gov/issue/communication-failure-basic-components-contributing-factors-and-call-structure
March 04, 2011 - Commentary
Communication failure: basic components, contributing factors, and the call for structure.
Citation Text:
Dayton E, Henriksen K. Communication failure: basic components, contributing factors, and the call for structure. Jt Comm J Qual Patient Saf. 2007;33(1):34-47.
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psnet.ahrq.gov/issue/smarter-clinical-checklists-how-minimize-checklist-fatigue-and-maximize-clinician-performance
July 10, 2017 - Commentary
Smarter clinical checklists: how to minimize checklist fatigue and maximize clinician performance.
Citation Text:
Grigg EB. Smarter Clinical Checklists: How to Minimize Checklist Fatigue and Maximize Clinician Performance. Anesth Analg. 2015;121(2):570-3. doi:10.1213/ANE.00000…