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psnet.ahrq.gov/issue/nurses-experiences-drug-administration-errors
October 14, 2020 - Study
Nurses' experiences of drug administration errors.
Citation Text:
Schelbred A-B, Nord R. Nurses' experiences of drug administration errors. J Adv Nurs. 2007;60(3):317-24.
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psnet.ahrq.gov/issue/fostering-patient-safety-competencies-using-multiple-patient-simulation-experiences
January 12, 2022 - Study
Fostering patient safety competencies using multiple-patient simulation experiences.
Citation Text:
Ironside PM, Jeffries PR, Martin A. Fostering patient safety competencies using multiple-patient simulation experiences. Nurs Outlook. 2009;57(6):332-7. doi:10.1016/j.outlook.2009.0…
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psnet.ahrq.gov/issue/prevention-design-construction-and-renovation-health-care-facilities-patient-safety-and
October 17, 2017 - Review
Prevention by design: construction and renovation of health care facilities for patient safety and infection prevention.
Citation Text:
Olmsted RN. Prevention by Design: Construction and Renovation of Health Care Facilities for Patient Safety and Infection Prevention. Infect Dis C…
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psnet.ahrq.gov/issue/evaluating-effect-distractions-operating-room-clinical-decision-making-and-patient-safety
November 16, 2022 - Study
Evaluating the effect of distractions in the operating room on clinical decision-making and patient safety.
Citation Text:
Murji A, Luketic L, Sobel ML, et al. Evaluating the effect of distractions in the operating room on clinical decision-making and patient safety. Surg Endosc. 2…
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psnet.ahrq.gov/issue/diagnostic-accuracy-emergency-nurse-practitioners-versus-physicians-related-minor-illnesses
April 13, 2022 - Study
Diagnostic accuracy of emergency nurse practitioners versus physicians related to minor illnesses and injuries.
Citation Text:
van der Linden C, Reijnen R, De Vos R. Diagnostic accuracy of emergency nurse practitioners versus physicians related to minor illnesses and injuries. J E…
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psnet.ahrq.gov/issue/transfer-accountability-transforming-shift-handover-enhance-patient-safety
April 24, 2018 - Commentary
Transfer of accountability: transforming shift handover to enhance patient safety.
Citation Text:
Alvarado K, Lee R, Christoffersen E, et al. Transfer of accountability: transforming shift handover to enhance patient safety. Healthc Q. 2006;9 Spec No:75-79.
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psnet.ahrq.gov/issue/copying-and-pasting-examinations-within-electronic-medical-record
June 12, 2013 - Study
Copying and pasting of examinations within the electronic medical record.
Citation Text:
Thielke S, Hammond K, Helbig S. Copying and pasting of examinations within the electronic medical record. Int J Med Inform. 2007;76 Suppl 1:S122-8.
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psnet.ahrq.gov/issue/decision-support-tools-systems-and-artificial-intelligence-cardiac-imaging
October 19, 2022 - Review
Decision support tools, systems, and artificial intelligence in cardiac imaging.
Citation Text:
Massalha S, Clarkin O, Thornhill R, et al. Decision Support Tools, Systems, and Artificial Intelligence in Cardiac Imaging. Can J Cardiol. 2018;34(7):827-838. doi:10.1016/j.cjca.2018.04…
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psnet.ahrq.gov/issue/half-life-printed-handoff-document
April 24, 2018 - Study
Half-life of a printed handoff document.
Citation Text:
Rosenbluth G, Jacolbia R, Milev D, et al. Half-life of a printed handoff document. BMJ Qual Saf. 2016;25(5):324-8. doi:10.1136/bmjqs-2015-004585.
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psnet.ahrq.gov/sites/default/files/2023-07/spotlight_a_complicated_course.pdf
January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight Case_A Complicated Course-Severe Alcohol Withdrawal - SLIDES.pptx
Spotlight
A Complicated Course: Severe Alcohol Withdrawal with
Dexmedetomidine Infusion
Source and Credits
• This presentation is based on the July 2023 AHRQ WebM&M
Spotlight Case
o See the full article at ht…
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psnet.ahrq.gov/node/39523/psn-pdf
September 26, 2016 - Association of interruptions with an increased risk and
severity of medication administration errors.
September 26, 2016
Westbrook JI, Woods A, Rob MI, et al. Association of interruptions with an increased risk and severity of
medication administration errors. Arch Intern Med. 2010;170(8):683-690.
doi:10.1001/arch…
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psnet.ahrq.gov/node/43571/psn-pdf
October 01, 2014 - The evolving literature on safety WalkRounds: emerging
themes and practical messages.
October 1, 2014
Singer SJ, Tucker AL. The evolving literature on safety WalkRounds: emerging themes and practical
messages: Table 1. BMJ Qual Saf. 2014;23(10). doi:10.1136/bmjqs-2014-003416.
https://psnet.ahrq.gov/issue/evolving-…
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psnet.ahrq.gov/node/46615/psn-pdf
January 23, 2019 - The surgical safety checklist and patient outcomes after
surgery: a prospective observational cohort study,
systematic review and meta-analysis.
January 23, 2019
Abbott TEF, Ahmad T, Phull MK, et al. The surgical safety checklist and patient outcomes after surgery: a
prospective observational cohort study, systema…
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psnet.ahrq.gov/node/43711/psn-pdf
November 26, 2014 - The impact of hospital-acquired conditions on Medicare
program payments.
November 26, 2014
Kandilov AMG, Coomer NM, Dalton K. The impact of hospital-acquired conditions on Medicare program
payments. Medicare Medicaid Res Rev. 2014;4(4). doi:10.5600/mmrr.004.04.a01.
https://psnet.ahrq.gov/issue/impact-hospital-acqu…
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psnet.ahrq.gov/node/44315/psn-pdf
November 20, 2015 - Expanding the scope of Critical Care Rapid Response
Teams: a feasible approach to identify adverse events. A
prospective observational cohort.
November 20, 2015
Amaral ACK-B, McDonald A, Coburn NG, et al. Expanding the scope of Critical Care Rapid Response
Teams: a feasible approach to identify adverse events. A p…
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psnet.ahrq.gov/node/42458/psn-pdf
February 13, 2014 - Human factors and ergonomics as a patient safety
practice.
February 13, 2014
Carayon P, Xie A, Kianfar S. Human factors and ergonomics as a patient safety practice. BMJ Qual Saf.
2014;23(3):196-205. doi:10.1136/bmjqs-2013-001812.
https://psnet.ahrq.gov/issue/human-factors-and-ergonomics-patient-safety-practice
As…
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psnet.ahrq.gov/node/44376/psn-pdf
October 08, 2016 - Avoidability of hospital deaths and association with
hospital-wide mortality ratios: retrospective case record
review and regression analysis.
October 8, 2016
Hogan H, Zipfel R, Neuburger J, et al. Avoidability of hospital deaths and association with hospital-wide
mortality ratios: retrospective case record review…
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psnet.ahrq.gov/node/44915/psn-pdf
January 01, 2020 - Electronic health record adoption and rates of in-hospital
adverse events.
February 24, 2016
Furukawa MF, Eldridge N, Wang Y, et al. Electronic Health Record Adoption and Rates of In-hospital
Adverse Events. J Patient Saf. 2020;16(2):137-142. doi:10.1097/pts.0000000000000257.
https://psnet.ahrq.gov/issue/electroni…
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psnet.ahrq.gov/node/45435/psn-pdf
August 24, 2016 - Pharmacist–physician communications in a highly
computerised hospital: sign-off and action of electronic
review messages.
August 24, 2016
Pontefract SK, Hodson J, Marriott JF, et al. Pharmacist-Physician Communications in a Highly
Computerised Hospital: Sign-Off and Action of Electronic Review Messages. PLoS One.
…
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psnet.ahrq.gov/node/844549/psn-pdf
February 15, 2023 - Preventable harm because of outpatient medication
errors among children with leukemia and lymphoma: a
multisite longitudinal assessment.
February 15, 2023
Wong CI, Vannatta K, Gilleland Marchak J, et al. Preventable harm because of outpatient medication errors
among children with leukemia and lymphoma: a multisite…