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psnet.ahrq.gov/issue/making-healthcare-safer-iii
March 27, 2019 - Book/Report
Making Healthcare Safer III.
Citation Text:
Making Healthcare Safer III. Holmes A, Long A, Wyant B, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2020. AHRQ Publication No. 20-0029-EF.
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psnet.ahrq.gov/issue/using-internet-deliver-education-drug-safety
March 23, 2011 - Study
Using the internet to deliver education on drug safety.
Citation Text:
Franklin B, O'Grady K, Parr J, et al. Using the internet to deliver education on drug safety. Qual Saf Health Care. 2006;15(5):329-33.
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psnet.ahrq.gov/issue/understanding-causes-intravenous-medication-administration-errors-hospitals-qualitative
June 25, 2014 - Study
Understanding the causes of intravenous medication administration errors in hospitals: a qualitative critical incident study.
Citation Text:
Keers RN, Williams SD, Cooke J, et al. Understanding the causes of intravenous medication administration errors in hospitals: a qualitative c…
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psnet.ahrq.gov/issue/effect-blue-enriched-lighting-medical-error-rate-university-hospital-icu
March 10, 2021 - Study
The effect of blue-enriched lighting on medical error rate in a university hospital ICU.
Citation Text:
Chen Y, Broman AT, Priest G, et al. The Effect of Blue-Enriched Lighting on Medical Error Rate in a University Hospital ICU. Jt Comm J Qual Saf. 2021;47(3):165-175. doi:10.1016/j…
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psnet.ahrq.gov/issue/work-hour-rules-and-contributors-patient-care-mistakes-focus-group-study-internal-medicine
February 22, 2011 - Study
Work hour rules and contributors to patient care mistakes: a focus group study with internal medicine residents.
Citation Text:
Fletcher KE, Parekh V, Halasyamani L, et al. Work hour rules and contributors to patient care mistakes: a focus group study with internal medicine resid…
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psnet.ahrq.gov/issue/intensive-care-units-communication-between-nurses-and-physicians-and-patients-outcomes
May 28, 2008 - Study
Intensive care units, communication between nurses and physicians, and patients' outcomes.
Citation Text:
Manojlovich M, Antonakos CL, Ronis DL. Intensive care units, communication between nurses and physicians, and patients' outcomes. Am J Crit Care. 2009;18(1):21-30. doi:10.403…
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psnet.ahrq.gov/issue/what-makes-hospitalized-patients-more-vulnerable-and-increases-their-risk-experiencing
March 23, 2011 - Study
What makes hospitalized patients more vulnerable and increases their risk of experiencing an adverse event?
Citation Text:
Aranaz-Andrés JM, Limón R, Mira JJ, et al. What makes hospitalized patients more vulnerable and increases their risk of experiencing an adverse event? Int J Qu…
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psnet.ahrq.gov/issue/multidisciplinary-system-detecting-medication-errors-antineoplastic-chemotherapy
March 09, 2022 - Study
Multidisciplinary system for detecting medication errors in antineoplastic chemotherapy.
Citation Text:
Serrano-Fabiá A, Albert-Marí A, Almenar-Cubells D, et al. Multidisciplinary system for detecting medication errors in antineoplastic chemotherapy. J Oncol Pharm Pract. 2010;16(…
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psnet.ahrq.gov/issue/role-registered-nurses-error-prevention-discovery-and-correction
August 04, 2021 - Study
Role of registered nurses in error prevention, discovery and correction.
Citation Text:
Rogers AE, Dean GE, Hwang W-T, et al. Role of registered nurses in error prevention, discovery and correction. Qual Saf Health Care. 2008;17(2):117-21. doi:10.1136/qshc.2007.022699.
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psnet.ahrq.gov/issue/how-improve-change-shift-handovers-and-collaborative-grounding-and-what-role-does-electronic
June 29, 2022 - Review
How to improve change of shift handovers and collaborative grounding and what role does the electronic patient record system play? Results of a systematic literature review.
Citation Text:
Flemming D, Hübner U. How to improve change of shift handovers and collaborative grounding …
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psnet.ahrq.gov/issue/do-team-processes-really-have-effect-clinical-performance-systematic-literature-review
November 13, 2019 - Review
Do team processes really have an effect on clinical performance? A systematic literature review.
Citation Text:
Schmutz J, Manser T. Do team processes really have an effect on clinical performance? A systematic literature review. Br J Anaesth. 2013;110(4). doi:10.1093/bja/aes513.…
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psnet.ahrq.gov/issue/residents-intentions-and-actions-after-patient-safety-education
June 08, 2011 - Study
Residents' intentions and actions after patient safety education.
Citation Text:
Jansma JD, Wagner C, Bijnen AB. Residents' intentions and actions after patient safety education. BMC Health Serv Res. 2010;10:350. doi:10.1186/1472-6963-10-350.
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psnet.ahrq.gov/issue/creating-distraction-simulation-safe-medication-administration
May 27, 2011 - Commentary
Creating a distraction simulation for safe medication administration.
Citation Text:
Thomas CM, McIntosh CE, Allen R. Creating a Distraction Simulation for Safe Medication Administration. Clin Simul Nurs. 2014;10(8). doi:10.1016/j.ecns.2014.03.004.
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psnet.ahrq.gov/issue/increasing-vigilance-medicalsurgical-floor-improve-patient-safety
January 18, 2011 - Study
Increasing vigilance on the medical/surgical floor to improve patient safety.
Citation Text:
Jacobs JL, Apatov N, Glei M. Increasing vigilance on the medical/surgical floor to improve patient safety. J Adv Nurs. 2007;57(5). doi:10.1111/j.1365-2648.2006.04161.x.
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psnet.ahrq.gov/issue/mistaken-identity-skin-cleansing-solution-leading-extensive-chemical-burns-extremely-preterm
October 19, 2022 - Commentary
Mistaken identity of skin cleansing solution leading to extensive chemical burns in an extremely preterm infant.
Citation Text:
Mannan K, Chow P, Lissauer T, et al. Mistaken identity of skin cleansing solution leading to extensive chemical burns in an extremely preterm infan…
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psnet.ahrq.gov/issue/improving-transfusion-safety-implementation-comprehensive-computerized-bar-code-based
October 19, 2022 - Study
Improving transfusion safety: implementation of a comprehensive computerized bar code-based tracking system for detecting and preventing errors.
Citation Text:
Askeland RW, McGrane S, Levitt JS, et al. Improving transfusion safety: implementation of a comprehensive computerized b…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap3a.html
October 01, 2014 - Improving Patient Safety in Long-Term Care Facilities
Appendix 3-A. Suggested Slides for Module 3
Previous Page Next Page
Table of Contents
Improving Patient Safety in Long-Term Care Facilities
Introduction
Module 1. Detecting Change in a Resident's Condition
Module 2. Communicating Change in …
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psnet.ahrq.gov/node/50689/psn-pdf
November 20, 2019 - States Targeting Reduction in Infections via Engagement
(STRIVE).
November 20, 2019
Ann Intern Med. 2019;171(7_Suppl):s1-s82.
https://psnet.ahrq.gov/issue/states-targeting-reduction-infections-engagement-strive
The States Targeting Reduction in Infections via Engagement (STRIVE) initiative was 3-year hospital-
ba…
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psnet.ahrq.gov/issue/shortage-perioperative-drugs-implications-anesthesia-practice-and-patient-safety
April 11, 2018 - Commentary
Shortage of perioperative drugs: implications for anesthesia practice and patient safety.
Citation Text:
De Oliveira GS, Theilken LS, McCarthy R. Shortage of perioperative drugs: implications for anesthesia practice and patient safety. Anesth Analg. 2011;113(6):1429-35. doi:10…
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psnet.ahrq.gov/issue/communication-about-harm-reduction-patients-who-have-opioid-use-disorder
January 02, 2017 - Commentary
Communication about harm reduction with patients who have opioid use disorder.
Citation Text:
Hawk M, Jawa R, Kay ES. Communication about harm reduction with patients who have opioid use disorder. JAMA. 2025;333(2):163-164. doi:10.1001/jama.2024.21307.
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