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psnet.ahrq.gov/issue/look-alike-and-sound-alike-medicines-risks-and-solutions
March 29, 2023 - Commentary
Look-alike and sound-alike medicines: risks and 'solutions.'
Citation Text:
Emmerton LM, Rizk MFS. Look-alike and sound-alike medicines: risks and 'solutions'. Int J Clin Pharm. 2012;34(1):4-8. doi:10.1007/s11096-011-9595-x.
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psnet.ahrq.gov/issue/laparoscopic-bile-duct-injury-understanding-psychology-and-heuristics-error
May 29, 2014 - Study
Laparoscopic bile duct injury: understanding the psychology and heuristics of the error.
Citation Text:
Dekker SWA, Hugh TB. Laparoscopic bile duct injury: understanding the psychology and heuristics of the error. ANZ J Surg. 2008;78(12):1109-14. doi:10.1111/j.1445-2197.2008.0476…
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psnet.ahrq.gov/issue/early-warning-systems-next-level-rapid-response
November 25, 2020 - Commentary
Early warning systems: the next level of rapid response.
Citation Text:
Duncan KD, McMullan C, Mills BM. Early warning systems: the next level of rapid response. Nursing (Brux). 2012;42(2):38-45. doi:10.1097/01.NURSE.0000410304.26165.33.
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psnet.ahrq.gov/issue/achieving-strong-teamwork-practices-hospital-labor-and-delivery-units
May 21, 2014 - Book/Report
Achieving Strong Teamwork Practices in Hospital Labor and Delivery Units.
Citation Text:
Achieving Strong Teamwork Practices in Hospital Labor and Delivery Units. Farley DO, Sorbero ME, Lovejoy SL, Salisbury M. Santa Monica, CA: Rand Corporation; 2010. ISBN: 9780833050557…
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psnet.ahrq.gov/issue/ncicle-pathways-excellence-expectations-optimal-clinical-learning-environment-achieve-safe
October 18, 2017 - Book/Report
NCICLE Pathways to Excellence: Expectations for an Optimal Clinical Learning Environment to Achieve Safe and High-Quality Patient Care, 2021.
Citation Text:
NCICLE Pathways to Excellence: Expectations for an Optimal Clinical Learning Environment to Achieve Safe and High-Quali…
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psnet.ahrq.gov/issue/perceptions-radiation-safety-culture-medical-imaging-role
September 27, 2023 - Study
Perceptions of radiation safety culture in medical imaging by role.
Citation Text:
Perceptions of radiation safety culture in medical imaging by role. Moore QT, Haynes KW. Radiol Technol. 2023;94(5):337-347.
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psnet.ahrq.gov/issue/role-apology-laws-medical-malpractice
July 29, 2020 - Commentary
The role of apology laws in medical malpractice.
Citation Text:
The role of apology laws in medical malpractice. Ross NE, Newman WJ. J Am Acad Psychiatry Law. 2021;49(3):406-414.
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psnet.ahrq.gov/issue/advancing-diagnostic-excellence-older-adults-proceedings-workshop-brief
April 20, 2022 - Book/Report
Advancing Diagnostic Excellence for Older Adults: Proceedings of a Workshop in Brief.
Citation Text:
Advancing Diagnostic Excellence for Older Adults: Proceedings of a Workshop in Brief. National Academies of Sciences, Engineering, and Medicine. Washington, DC: The…
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psnet.ahrq.gov/issue/handoff-checklists-improve-reliability-patient-handoffs-operating-room-and-postanesthesia
December 29, 2014 - Study
Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit.
Citation Text:
Boat AC, Spaeth JP. Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit. Paediatr Anaes…
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psnet.ahrq.gov/issue/missed-injuries-trauma-patients-literature-review
April 01, 2009 - Review
Missed injuries in trauma patients: a literature review.
Citation Text:
Pfeifer R, Pape H-C. Missed injuries in trauma patients: A literature review. Patient Saf Surg. 2008;2:20. doi:10.1186/1754-9493-2-20.
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psnet.ahrq.gov/issue/handoffs-transitions-care-children-emergency-department
July 03, 2016 - Organizational Policy/Guidelines
Handoffs: transitions of care for children in the emergency department.
Citation Text:
Handoffs: transitions of care for children in the emergency department. American Academy of Pediatrics Committee on Pediatric Emergency Medicine, American College of Em…
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psnet.ahrq.gov/issue/causes-near-misses-perceptions-perioperative-nurses
October 07, 2020 - Study
Causes of near misses: perceptions of perioperative nurses.
Citation Text:
Cohoon B. Causes of near misses: perceptions of perioperative nurses. AORN J. 2011;93(5):551-65. doi:10.1016/j.aorn.2010.02.017.
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psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
December 23, 2016 - Sentinel Event Alerts
Preventing falls and fall-related injuries in health care facilities.
Citation Text:
Preventing falls and fall-related injuries in health care facilities. Sentinel Event Alert. September 28, 2015;(55):1-5.
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psnet.ahrq.gov/issue/interruptions-and-medication-errors-part-i
January 03, 2017 - Commentary
Interruptions and medication errors: part I.
Citation Text:
Flanders S, Clark AP. Interruptions and medication errors: part I. Clin Nurse Spec. 2010;24(6):281-5. doi:10.1097/NUR.0b013e3181faf78b.
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psnet.ahrq.gov/issue/eighth-annual-national-patient-safety-foundation-congress-conference-proceedings
November 29, 2017 - Meeting/Conference Proceedings
Eighth Annual National Patient Safety Foundation Congress: Conference Proceedings.
Citation Text:
Eighth Annual National Patient Safety Foundation Congress: Conference Proceedings. Stepnick L, Edgman-Levitan S, Kaplan GS et al. J Patient Saf. 2006;2(2):…
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psnet.ahrq.gov/issue/quality-and-patient-safety-teams-perioperative-setting
October 19, 2022 - Commentary
Quality and patient safety teams in the perioperative setting.
Citation Text:
Serino MF. Quality and Patient Safety Teams in the Perioperative Setting. AORN J. 2015;102(6):617-28. doi:10.1016/j.aorn.2015.10.006.
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psnet.ahrq.gov/issue/system-failure-versus-personal-accountability-case-clean-hands
February 16, 2011 - Commentary
System failure versus personal accountability--the case for clean hands.
Citation Text:
Goldmann DA. System failure versus personal accountability--the case for clean hands. N Engl J Med. 2006;355(2):121-3.
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psnet.ahrq.gov/issue/repair-project-prospectus-change-toward-racial-justice-medical-education-and-health-sciences
May 18, 2022 - Commentary
The REPAIR Project: a prospectus for change toward racial justice in medical education and health sciences research: REPAIR project steering committee.
Citation Text:
The REPAIR Project: a prospectus for change toward racial justice in medical education and health sciences res…
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psnet.ahrq.gov/issue/covid-19-bears-down-doctors-confront-difficult-choices-elective-surgeries
March 31, 2010 - Newspaper/Magazine Article
As COVID-19 bears down, doctors confront difficult choices on elective surgeries.
Citation Text:
As COVID-19 bears down, doctors confront difficult choices on elective surgeries. Alesse L, Dukakis A, Tatum S, Mosk M. ABC News. March 20, 2020.
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psnet.ahrq.gov/issue/using-ismp-medication-safety-self-assessment-improve-medication-use-processes
January 05, 2017 - Study
Using the ISMP Medication Safety Self-Assessment to improve medication use processes.
Citation Text:
Lesar TS, Mattis A, Anderson E, et al. Using the ISMP Medication Safety Self-Assessment to improve medication use processes. Jt Comm J Qual Saf. 2003;29(5):211-26.
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