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psnet.ahrq.gov/issue/nurse-interruptions-pre-and-post-implementation-point-care-medication-administration-system
March 11, 2015 - Study
Nurse interruptions pre- and post-implementation of a point-of-care medication administration system.
Citation Text:
Stamp KD, Willis DG. Nurse interruptions pre- and postimplementation of a point-of-care medication administration system. J Nurs Care Qual. 2010;25(3):231-239. doi:1…
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psnet.ahrq.gov/issue/computer-visualisation-patient-safety-primary-care-systems-approach-adapted-management
October 06, 2011 - Commentary
Computer visualisation of patient safety in primary care: a systems approach adapted from management science and engineering.
Citation Text:
Singh R, Singh A, Fox C, et al. Computer visualisation of patient safety in primary care: a systems approach adapted from management sci…
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psnet.ahrq.gov/issue/quality-safety-and-outcomes-anaesthesia-whats-be-done-international-perspective
November 11, 2020 - Commentary
Quality, safety, and outcomes in anaesthesia: what's to be done? An international perspective.
Citation Text:
Peden CJ, Campbell M, Aggarwal G. Quality, safety, and outcomes in anaesthesia: what's to be done? An international perspective. Br J Anaesth. 2017;119. doi:10.1093/bj…
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psnet.ahrq.gov/issue/measuring-inappropriate-medical-diagnosis-and-treatment-survey-data-case-adhd-among-school
February 10, 2015 - Newspaper/Magazine Article
Measuring inappropriate medical diagnosis and treatment in survey data: the case of ADHD among school-age children.
Citation Text:
Evans WN, Morrill MS, Parente ST. Measuring inappropriate medical diagnosis and treatment in survey data: The case of ADHD among…
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psnet.ahrq.gov/issue/speaking-across-drapes-communication-strategies-anesthesiologists-and-obstetricians-during
May 08, 2017 - Study
Speaking across the drapes: communication strategies of anesthesiologists and obstetricians during a simulated maternal crisis.
Citation Text:
Minehart RD, Pian-Smith MCM, Walzer TB, et al. Speaking across the drapes: communication strategies of anesthesiologists and obstetrician…
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psnet.ahrq.gov/issue/covid-19-can-last-several-months-diseases-long-haulers-have-endured-relentless-waves
April 03, 2005 - Newspaper/Magazine Article
COVID-19 can last for several months. The disease’s “long-haulers” have endured relentless waves of debilitating symptoms—and disbelief from doctors and friends.
Citation Text:
Young E. COVID-19 can last for several months. The disease’s “long-haulers” have end…
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psnet.ahrq.gov/issue/using-simulation-improve-patient-safety-dawn-new-era
October 29, 2017 - Commentary
Using simulation to improve patient safety: dawn of a new era.
Citation Text:
Cheng A, Grant V, Auerbach M. Using simulation to improve patient safety: dawn of a new era. JAMA Pediatr. 2015;169(5):419-20. doi:10.1001/jamapediatrics.2014.3817.
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psnet.ahrq.gov/issue/practical-approach-measure-quality-handwritten-medication-orders-tool-improvement
September 24, 2010 - Study
A practical approach to measure the quality of handwritten medication orders: a tool for improvement.
Citation Text:
Garbutt J, Milligan P, McNaughton C, et al. A Practical Approach to Measure the Quality of Handwritten Medication Orders. J Patient Saf. 2008;1(4). doi:10.1097/01.…
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psnet.ahrq.gov/issue/wake-hospital-inquiries-impact-staff-and-safety
January 12, 2022 - Commentary
In the wake of hospital inquiries: impact on staff and safety.
Citation Text:
Dunbar JA, Reddy P, Beresford B, et al. In the wake of hospital inquiries: impact on staff and safety. Med J Aust. 2007;186(2):80-3.
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psnet.ahrq.gov/issue/cognitive-processes-involved-blame-and-blame-judgments-and-forgiveness-and-forgiveness
August 23, 2017 - Study
Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like judgments.
Citation Text:
Mullet E, Rivière S, Sastre MTM. Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like judgments. Am J…
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psnet.ahrq.gov/issue/factors-influencing-preceptors-responses-medical-errors-factorial-survey
September 10, 2009 - Study
Factors influencing preceptors' responses to medical errors: a factorial survey.
Citation Text:
Mazor KM, Fischer M, Haley H-L, et al. Factors influencing preceptors' responses to medical errors: a factorial survey. Acad Med. 2005;80(10 Suppl):S88-92.
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psnet.ahrq.gov/issue/unexpected-intraoperative-patient-death-imperatives-family-and-surgeon-centered-care
August 04, 2021 - Commentary
Unexpected intraoperative patient death: the imperatives of family- and surgeon-centered care.
Citation Text:
Taylor D, Hassan MA, Luterman A, et al. Unexpected intraoperative patient death: the imperatives of family- and surgeon-centered care. Arch Surg. 2008;143(1):87-92. do…
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psnet.ahrq.gov/issue/nursing-home-expert-panels-falls-investigation-guide-toolkit-how-guide
January 09, 2025 - Tools/Toolkit
The Nursing Home Expert Panel’s Falls Investigation Guide Toolkit: How-To Guide.
Citation Text:
The Nursing Home Expert Panel’s Falls Investigation Guide Toolkit: How-To Guide. Portland, OR: Oregon Patient Safety Commission; 2022.
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psnet.ahrq.gov/issue/surgical-site-signing-and-time-out-issues-compliance-or-complacence
January 07, 2011 - Study
Surgical site signing and "time out": issues of compliance or complacence.
Citation Text:
Johnston G, Ekert L, Pally E. Surgical site signing and "time out": issues of compliance or complacence. J Bone Joint Surg Am. 2009;91(11):2577-80. doi:10.2106/JBJS.H.01615.
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psnet.ahrq.gov/issue/what-causes-prescribing-errors-children-scoping-review
September 09, 2015 - Review
What causes prescribing errors in children? Scoping review.
Citation Text:
Conn RL, Kearney O, Tully MP, et al. What causes prescribing errors in children? Scoping review. BMJ Open. 2019;9(8):e028680. doi:10.1136/bmjopen-2018-028680.
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psnet.ahrq.gov/issue/patient-safety-office-based-setting
August 20, 2018 - Commentary
Patient safety in the office-based setting.
Citation Text:
Horton B, Reece EM, Broughton G, et al. Patient safety in the office-based setting. Plast Reconstr Surg. 2006;117(4):61e-80e.
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psnet.ahrq.gov/issue/sidelining-safety-fdas-inadequate-response-iom
November 13, 2009 - Commentary
Sidelining safety — the FDA's inadequate response to the IOM.
Citation Text:
Smith SW. Sidelining safety--the FDA's inadequate response to the IOM. N Engl J Med. 2007;357(10):960-3.
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psnet.ahrq.gov/issue/infection-control-hazards-and-near-misses-reported-nursing-students
February 11, 2009 - Study
Infection control hazards and near misses reported by nursing students.
Citation Text:
Geller NF, Bakken S, Currie LM, et al. Infection control hazards and near misses reported by nursing students. Am J Infect Control. 2010;38(10):811-6. doi:10.1016/j.ajic.2010.06.001.
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psnet.ahrq.gov/issue/developing-tool-assessing-competency-root-cause-analysis
May 01, 2014 - Study
Developing a tool for assessing competency in root cause analysis.
Citation Text:
Gupta P, Varkey P. Developing a tool for assessing competency in root cause analysis. Jt Comm J Qual Patient Saf. 2009;35(1):36-42.
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psnet.ahrq.gov/issue/decision-making-processes-used-nurses-during-intravenous-drug-preparation-and-administration
June 29, 2022 - Study
Decision-making processes used by nurses during intravenous drug preparation and administration.
Citation Text:
Dougherty L, Sque M, Crouch R. Decision-making processes used by nurses during intravenous drug preparation and administration. J Adv Nurs. 2012;68(6):1302-11. doi:10.1…