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psnet.ahrq.gov/issue/managing-alarms-acute-care-across-life-span-electrocardiography-and-pulse-oximetry
April 01, 2019 - Organizational Policy/Guidelines
Managing Alarms in Acute Care Across the Life Span: Electrocardiography and Pulse Oximetry.
Citation Text:
Managing Alarms in Acute Care Across the Life Span: Electrocardiography and Pulse Oximetry. Crit Care Nurse. 2018;38(2):e16-e20. doi:10.4037/ccn2018…
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psnet.ahrq.gov/issue/achieving-climate-patient-safety-focusing-relationships
December 19, 2017 - Study
Achieving a climate for patient safety by focusing on relationships.
Citation Text:
Manojlovich M, Kerr M, Davies B, et al. Achieving a climate for patient safety by focusing on relationships. Int J Qual Health Care. 2014;26(6):579-84. doi:10.1093/intqhc/mzu068.
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psnet.ahrq.gov/issue/best-medical-care-world
December 21, 2014 - Commentary
The best medical care in the world.
Citation Text:
Reilly BM. The Best Medical Care in the World. N Engl J Med. 2018;378(18):1741-1743. doi:10.1056/NEJMms1802026.
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psnet.ahrq.gov/issue/identified-safety-risks-splitting-and-crushing-oral-medications
September 24, 2010 - Commentary
Identified safety risks with splitting and crushing oral medications.
Citation Text:
Paparella S. Identified safety risks with splitting and crushing oral medications. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 201…
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psnet.ahrq.gov/issue/support-medical-apology-nonlegal-arguments
June 30, 2021 - Commentary
In support of the medical apology: the nonlegal arguments.
Citation Text:
Heaton HA, Campbell RL, Thompson KM, et al. In Support of the Medical Apology: The Nonlegal Arguments. J Emerg Med. 2016;51(5):605-609. doi:10.1016/j.jemermed.2016.06.048.
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psnet.ahrq.gov/issue/committed-safety-ten-case-studies-reducing-harm-patients
July 31, 2012 - Book/Report
Committed to Safety: Ten Case Studies on Reducing Harm to Patients.
Citation Text:
Committed to Safety: Ten Case Studies on Reducing Harm to Patients. McCarthy D, Blumenthal D. New York, NY: Commonwealth Fund; 2006.
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psnet.ahrq.gov/issue/huddles-and-debriefings-improving-communication-labor-and-delivery
February 13, 2013 - Review
Huddles and debriefings: improving communication on labor and delivery.
Citation Text:
McQuaid-Hanson E, Pian-Smith MCM. Huddles and Debriefings: Improving Communication on Labor and Delivery. Anesthesiol Clin. 2017;35(1):59-67. doi:10.1016/j.anclin.2016.09.006.
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psnet.ahrq.gov/issue/how-patients-perceive-doctors-caring-attitude
March 11, 2013 - Study
How patients perceive a doctor's caring attitude.
Citation Text:
Quirk M, Mazor KM, Haley H-L, et al. How patients perceive a doctor's caring attitude. Patient Educ Couns. 2008;72(3):359-366. doi:10.1016/j.pec.2008.05.022.
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psnet.ahrq.gov/issue/relationship-between-systems-level-factors-and-hand-hygiene-adherence
September 28, 2011 - Study
Relationship between systems-level factors and hand hygiene adherence.
Citation Text:
Dunn-Navarra A-M, Cohen B, Stone PW, et al. Relationship between systems-level factors and hand hygiene adherence. J Nurs Care Qual. 2011;26(1):30-38. doi:10.1097/NCQ.0b013e3181e15c71.
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psnet.ahrq.gov/issue/awareness-human-factors-operating-theatres-during-covid-19-pandemic
October 27, 2021 - Study
Awareness of human factors in the operating theatres during the COVID-19 pandemic.
Citation Text:
Britton CR, Hayman G, Stroud N. Awareness of Human Factors in the operating theatres during the COVID-19 pandemic. J Perioper Pract. 2021;31(1-2):44-50. doi:10.1177/1750458920978858.
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psnet.ahrq.gov/issue/incidence-and-impact-physician-and-nurse-disruptive-behaviors-emergency-department
February 03, 2010 - Study
Incidence and impact of physician and nurse disruptive behaviors in the emergency department.
Citation Text:
Rosenstein AH, Naylor B. Incidence and impact of physician and nurse disruptive behaviors in the emergency department. J Emerg Med. 2012;43(1):139-48. doi:10.1016/j.jemerm…
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psnet.ahrq.gov/issue/early-readmissions-department-medicine-screening-tool-monitoring-quality-care-problems
April 06, 2022 - Study
Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems.
Citation Text:
Balla U, Malnick S, Schattner A. Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems. Medicine (Ba…
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psnet.ahrq.gov/issue/learning-every-death
June 28, 2011 - Commentary
Learning from every death.
Citation Text:
Huddleston JM, Diedrich DA, Kinsey GC, et al. Learning from every death. J Patient Saf. 2014;10(1):6-12. doi:10.1097/PTS.0000000000000053.
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psnet.ahrq.gov/issue/computerized-physician-order-entry-factor-medication-errors-descriptive-analysis-events
July 14, 2010 - Study
Computerized physician order entry, a factor in medication errors: descriptive analysis of events in the intensive care unit safety reporting system.
Citation Text:
Computerized physician order entry, a factor in medication errors: descriptive analysis of events in the intensive …
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psnet.ahrq.gov/issue/sixty-seconds-medical-gaslighting
October 19, 2022 - Commentary
Sixty seconds on . . . medical gaslighting.
Citation Text:
Wise J. Sixty seconds on . . . medical gaslighting. BMJ. 2022;378:o1974. doi:10.1136/bmj.o1974.
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psnet.ahrq.gov/issue/diagnostic-reasoning-cardiovascular-medicine
October 27, 2021 - Review
Diagnostic reasoning in cardiovascular medicine.
Citation Text:
Brush JE, Sherbino J, Norman GR. Diagnostic reasoning in cardiovascular medicine. BMJ. 2022;376:e064389. doi:10.1136/bmj-2021-064389.
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digital.ahrq.gov/ahrq-funded-projects/workshop-interactive-systems-healthcare-wish-2012/final-report
January 01, 2012 - Report
The findings and conclusions in this document are those of the author(s), who are responsible
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psnet.ahrq.gov/node/45949/psn-pdf
July 11, 2017 - Recommendations include involving the patient in
reconciliation and clarifying which provider is responsible
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psnet.ahrq.gov/node/40818/psn-pdf
October 05, 2011 - fractures-fingers-missed-or-misdiagnosed-poorly-positioned-or-poorly-taken-
radiographs
Technically inadequate radiographs were responsible
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digital.ahrq.gov/ahrq-funded-projects/2011-2013-workshop-health-it-and-economics/final-report
January 01, 2013 - Report
The findings and conclusions in this document are those of the author(s), who are responsible