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psnet.ahrq.gov/issue/spectrum-harm-associated-modern-medicine
July 26, 2023 - Commentary
The spectrum of harm associated with modern medicine.
Citation Text:
Schattner A. The spectrum of harm associated with modern medicine. J Gen Intern Med. 2022;37(3):664-667. doi:10.1007/s11606-021-06997-x.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/5-red-light-green-light.docx
June 01, 2023 - AHRQ Safety Program for Improving
Surgical Care and Recovery
Red Light, Green Light: An Overview of Common Implementation Barriers and Facilitators
Purpose of this tool: To help team leaders identify barriers to and facilitators of implementing Improving Surgical Care and Recovery (ISCR), an enhanced recovery program…
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psnet.ahrq.gov/issue/changes-supervision-community-pharmacy-pharmacist-and-pharmacy-support-staff-views
June 17, 2020 - Study
Changes to supervision in community pharmacy: pharmacist and pharmacy support staff views.
Citation Text:
Bradley F, Schafheutle EI, Willis SC, et al. Changes to supervision in community pharmacy: pharmacist and pharmacy support staff views. Health Soc Care Community. 2013;21(6):…
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psnet.ahrq.gov/issue/detection-classification-and-correction-defective-chemotherapy-orders-through-nursing-and
May 27, 2011 - Study
Detection, classification, and correction of defective chemotherapy orders through nursing and pharmacy oversight.
Citation Text:
Mertens WC, Brown DE, Parisi R, et al. Detection, Classification, and Correction of Defective Chemotherapy Orders Through Nursing and Pharmacy Oversig…
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psnet.ahrq.gov/issue/antiretroviral-medication-prescribing-errors-are-common-hospitalization-hiv-infected-patients
September 08, 2016 - Study
Antiretroviral medication prescribing errors are common with hospitalization of HIV-infected patients.
Citation Text:
Commers T, Swindells S, Sayles H, et al. Antiretroviral medication prescribing errors are common with hospitalization of HIV-infected patients. J Antimicrob Chemo…
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psnet.ahrq.gov/issue/what-just-culture-doesnt-understand-about-just-punishment
December 30, 2014 - Commentary
What 'just culture' doesn't understand about just punishment.
Citation Text:
Reis-Dennis S. What 'Just Culture' doesn't understand about just punishment. J Med Ethics. 2018;44(11):739-742. doi:10.1136/medethics-2018-104911.
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psnet.ahrq.gov/issue/exploring-and-evaluating-patient-safety-culture-community-based-primary-care-setting
March 19, 2018 - Study
Exploring and evaluating patient safety culture in a community-based primary care setting.
Citation Text:
Desmedt M, Bergs J, Willaert B, et al. Exploring and Evaluating Patient Safety Culture in a Community-Based Primary Care Setting. J Patient Saf. 2021;17(8):e1216-e1222. doi:10.…
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psnet.ahrq.gov/issue/psychometric-properties-ahrq-community-pharmacy-survey-patient-safety-culture-factor-analysis
February 07, 2018 - Study
Psychometric properties of the AHRQ Community Pharmacy Survey on Patient Safety Culture: a factor analysis.
Citation Text:
Aboneh EA, Look KA, Stone JA, et al. Psychometric properties of the AHRQ Community Pharmacy Survey on Patient Safety Culture: a factor analysis. BMJ Qual Saf. …
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psnet.ahrq.gov/issue/frequency-and-severity-parenteral-nutrition-medication-errors-large-childrens-hospital-after
April 11, 2011 - Study
Frequency and severity of parenteral nutrition medication errors at a large children's hospital after implementation of electronic ordering and compounding.
Citation Text:
MacKay M, Anderson C, Boehme S, et al. Frequency and Severity of Parenteral Nutrition Medication Errors at a L…
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psnet.ahrq.gov/issue/letter-health-care-providers-safe-use-surgical-staplers-and-staples
October 20, 2021 - Press Release/Announcement
Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples.
Citation Text:
Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples. US Food and Drug Administration. October 7, 2021.
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psnet.ahrq.gov/issue/charter-professionalism-health-care-organizations
May 25, 2016 - Commentary
The Charter on Professionalism for Health Care Organizations.
Citation Text:
Egener BE, Mason DJ, McDonald WJ, et al. The Charter on Professionalism for Health Care Organizations. Acad Med. 2017;92(8):1091-1099. doi:10.1097/ACM.0000000000001561.
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psnet.ahrq.gov/issue/peer-support-and-second-victim-programs-anesthesia-professionals-involved-stressful-or
October 26, 2022 - Study
Peer support and second victim programs for anesthesia professionals involved in stressful or traumatic clinical events.
Citation Text:
Finney RE, Jacob AK. Peer support and second victim programs for anesthesia professionals involved in stressful or traumatic clinical events. Adv …
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psnet.ahrq.gov/issue/was-close-call-endorsing-broad-definition-near-misses-health-care
August 31, 2016 - Commentary
"That was a close call": endorsing a broad definition of near misses in health care.
Citation Text:
Marks CM, Kasda E, Paine LA, et al. "That was a close call": endorsing a broad definition of near misses in health care. Jt Comm J Qual Patient Saf. 2013;39(10):475-479.
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psnet.ahrq.gov/issue/nurses-responses-medication-errors-suggestions-development-organizational-strategies-improve
December 16, 2020 - Study
Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporting.
Citation Text:
Covell CL, Ritchie JA. Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporti…
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psnet.ahrq.gov/issue/variability-concentrations-intravenous-drug-infusions-prepared-critical-care-unit
March 02, 2011 - Study
Variability in the concentrations of intravenous drug infusions prepared in a critical care unit.
Citation Text:
Wheeler DW, Degnan BA, Sehmi JS, et al. Variability in the concentrations of intravenous drug infusions prepared in a critical care unit. Intensive Care Med. 2008;34(8…
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psnet.ahrq.gov/issue/development-conceptual-map-negative-consequences-patients-overuse-medical-tests-and
November 01, 2017 - Commentary
Emerging Classic
Development of a conceptual map of negative consequences for patients of overuse of medical tests and treatments.
Citation Text:
Korenstein D, Chimonas S, Barrow B, et al. Development of a Conceptual Map of Negative Consequences for P…
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psnet.ahrq.gov/issue/creating-culture-safety-around-bar-code-medication-administration-evidence-based-evaluation
July 14, 2010 - Commentary
Creating a culture of safety around bar-code medication administration: an evidence-based evaluation framework.
Citation Text:
Kelly K, Harrington L, Matos P, et al. Creating a Culture of Safety Around Bar-Code Medication Administration: An Evidence-Based Evaluation Framework.…
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psnet.ahrq.gov/issue/key-performance-outcomes-patient-safety-curricula-root-cause-analysis-failure-mode-and
July 23, 2010 - Commentary
Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects analysis, and structured communications skills.
Citation Text:
Fassett WE. Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects …
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psnet.ahrq.gov/issue/prospective-observational-study-incidence-medication-errors-during-simulated-resuscitation
April 22, 2011 - Study
Prospective observational study on the incidence of medication errors during simulated resuscitation in a paediatric emergency department.
Citation Text:
Kozer E, Seto W, Verjee Z, et al. Prospective observational study on the incidence of medication errors during simulated resus…
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psnet.ahrq.gov/issue/emergency-department-patient-safety-incident-characterization-observational-analysis-findings
July 29, 2020 - Study
Emergency department patient safety incident characterization: an observational analysis of the findings of a standardized peer review process.
Citation Text:
Jepson ZK, Darling CE, Kotkowski KA, et al. Emergency department patient safety incident characterization: an observational…