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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/simple-checklist-preventing-major-complications-associated-cesarean-delivery
January 10, 2024 - Commentary
A simple checklist for preventing major complications associated with cesarean delivery.
Citation Text:
Duff P. A simple checklist for preventing major complications associated with cesarean delivery. Obstet Gynecol. 2010;116(6):1393-1396. doi:10.1097/AOG.0b013e3181fae763.
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psnet.ahrq.gov/issue/access-prescription-opioids-primum-non-nocere-teachable-moment
July 02, 2019 - Commentary
Access to prescription opioids—Primum Non Nocere: a teachable moment.
Citation Text:
Tyler PD, Larochelle MR, Mafi JN. Access to Prescription Opioids-Primum Non Nocere: A Teachable Moment. JAMA Intern Med. 2016;176(9):1251-2. doi:10.1001/jamainternmed.2016.3926.
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psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero
September 30, 2010 - Commentary
Preventing pressure ulcers: the goal is zero.
Citation Text:
Duncan KD. Preventing pressure ulcers: the goal is zero. Jt Comm J Qual Patient Saf. 2007;33(10):605-10.
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psnet.ahrq.gov/issue/root-cause-analysis-core-problem-solving-and-corrective-action-second-edition
June 09, 2011 - Book/Report
Classic
Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition.
Citation Text:
Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition. Oakes D. Milwaukee, WI: ASQ Quality Press; 2019. IS…
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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/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/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/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/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/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/learning-candour-and-accountability-review-way-nhs-trusts-review-and-investigate-deaths
January 23, 2019 - Book/Report
Learning, Candour and Accountability. A Review of the Way NHS Trusts Review and Investigate the Deaths of Patients in England.
Citation Text:
Learning, Candour and Accountability. A Review of the Way NHS Trusts Review and Investigate the Deaths of Patients in England. Newcast…
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psnet.ahrq.gov/issue/large-scale-coordination-health-care
August 06, 2016 - Special or Theme Issue
Large-scale Coordination: Health Care.
Citation Text:
Large-scale Coordination: Health Care. Nemeth CP ed. Cognition Technol Work. 2007;9(3):127-176.
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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/minnesota-hospital-association-statewide-project-safe-falls
May 05, 2014 - Commentary
Minnesota Hospital Association Statewide Project: SAFE from FALLS.
Citation Text:
Apold J, Quigley PA. Minnesota Hospital Association Statewide Project: SAFE from FALLS. J Nurs Care Qual. 2012;27(4):299-306. doi:10.1097/NCQ.0b013e3182599d1b.
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psnet.ahrq.gov/issue/iatrogenic-harm-cost-equation-and-new-technology
January 24, 2024 - Commentary
The iatrogenic-harm cost equation and new technology.
Citation Text:
Webster CS. The iatrogenic-harm cost equation and new technology. Anaesthesia. 2005;60(9). doi:10.1111/j.1365-2044.2005.04331.x.
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psnet.ahrq.gov/issue/special-issue-prescription-drug-misuse
November 25, 2020 - Special or Theme Issue
Special Issue on Prescription Drug Misuse.
Citation Text:
Special Issue on Prescription Drug Misuse. Rickles NM, Fleming ML, Björnsdottir I, eds. Res Social Adm Pharm. 2019;15:907-1056.
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psnet.ahrq.gov/issue/surgical-adverse-events-systematic-review
June 01, 2012 - Review
Surgical adverse events: a systematic review.
Citation Text:
Anderson O, Davis R, Hanna GB, et al. Surgical adverse events: a systematic review. Am J Surg. 2013;206(2):253-62. doi:10.1016/j.amjsurg.2012.11.009.
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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…