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psnet.ahrq.gov/issue/intravenous-chemotherapy-compounding-errors-follow-pan-canadian-observational-study
March 18, 2011 - Study
Intravenous chemotherapy compounding errors in a follow-up pan-Canadian observational study.
Citation Text:
Gilbert RE, Kozak MC, Dobish RB, et al. Intravenous Chemotherapy Compounding Errors in a Follow-Up Pan-Canadian Observational Study. J Oncol Pract. 2018;14(5):e295-e303. doi:…
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psnet.ahrq.gov/issue/implementation-safety-huddle
November 03, 2021 - Commentary
Implementation of the safety huddle.
Citation Text:
Kylor C, Napier T, Rephann A, et al. Implementation of the Safety Huddle. Crit Care Nurse. 2016;36(6):80-82.
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psnet.ahrq.gov/issue/closing-disclosure-gap-medical-errors-pediatrics
March 30, 2022 - Review
Closing the disclosure gap: medical errors in pediatrics.
Citation Text:
Lin M, Famiglietti H. Closing the Disclosure Gap: Medical Errors in Pediatrics. Pediatrics. 2019;143(4). doi:10.1542/peds.2019-0221.
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psnet.ahrq.gov/issue/surgeon-reported-conflict-intensivists-about-postoperative-goals-care
September 26, 2012 - Study
Surgeon-reported conflict with intensivists about postoperative goals of care.
Citation Text:
Olson TJP, Brasel KJ, Redmann AJ, et al. Surgeon-reported conflict with intensivists about postoperative goals of care. JAMA Surg. 2013;148(1):29-35. doi:10.1001/jamasurgery.2013.403.
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psnet.ahrq.gov/issue/piece-my-mind-despite-my-best-intentions
September 13, 2016 - Commentary
A piece of my mind. Despite my best intentions.
Citation Text:
Kahn JS. Despite My Best Intentions. JAMA. 2017;318(17). doi:10.1001/jama.2017.6123.
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psnet.ahrq.gov/issue/oncology-nurses-perceptions-about-involving-patients-prevention-chemotherapy-administration
July 01, 2010 - Study
Oncology nurses' perceptions about involving patients in the prevention of chemotherapy administration errors.
Citation Text:
Schwappach DLB, Hochreutener M-A, Wernli M. Oncology nurses' perceptions about involving patients in the prevention of chemotherapy administration errors. …
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psnet.ahrq.gov/issue/why-dont-nurses-consistently-take-patient-respiratory-rates
October 10, 2012 - Study
Why don't nurses consistently take patient respiratory rates?
Citation Text:
Ansell H, Meyer A, Thompson S. Why don't nurses consistently take patient respiratory rates? Br J Nurs. 2014;23(8):414-8.
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psnet.ahrq.gov/issue/speaking-and-sharing-information-improves-trainee-neonatal-resuscitations
April 08, 2011 - Study
Speaking up and sharing information improves trainee neonatal resuscitations.
Citation Text:
Katakam LI, Trickey AW, Thomas EJ. Speaking up and sharing information improves trainee neonatal resuscitations. J Patient Saf. 2012;8(4):202-9. doi:10.1097/PTS.0b013e3182699b4f.
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psnet.ahrq.gov/issue/inevitability-physician-burnout-implications-interventions
April 17, 2024 - Commentary
The inevitability of physician burnout: implications for interventions.
Citation Text:
Montgomery A. The inevitability of physician burnout: Implications for interventions. Burn Res. 2014;1(1). doi:10.1016/j.burn.2014.04.002.
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psnet.ahrq.gov/issue/implicit-bias-stroke-care-recurring-old-problem-rising-incidence-young-stroke
June 08, 2010 - Review
Implicit bias in stroke care: a recurring old problem in the rising incidence of young stroke.
Citation Text:
Bhat A, Mahajan V, Wolfe N. Implicit bias in stroke care: A recurring old problem in the rising incidence of young stroke. J Clin Neurosci. 2021;85(Mar):27-35. doi:10.1016…
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psnet.ahrq.gov/issue/pursuing-professional-accountability-evidence-based-approach-addressing-residents-behavioral
January 18, 2012 - Commentary
Pursuing professional accountability: an evidence-based approach to addressing residents with behavioral problems.
Citation Text:
Sanfey H, DaRosa DA, Hickson GB, et al. Pursuing professional accountability: an evidence-based approach to addressing residents with behavioral pr…
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psnet.ahrq.gov/issue/elusive-balance-residents-work-hours-and-continuity-care
July 19, 2017 - Commentary
An elusive balance — residents' work hours and the continuity of care.
Citation Text:
Okie S. An elusive balance--residents' work hours and the continuity of care. N Engl J Med. 2007;356(26):2665-2667.
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psnet.ahrq.gov/issue/medication-reconciliation-community-nonteaching-hospital
October 19, 2012 - Commentary
Medication reconciliation in a community, nonteaching hospital.
Citation Text:
Wortman SB. Medication reconciliation in a community, nonteaching hospital. Am J Health Syst Pharm. 2008;65(21):2047-54. doi:10.2146/ajhp080091.
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psnet.ahrq.gov/issue/best-practices-medication-administration-preventing-adverse-drug-events-perinatal-settings
July 16, 2009 - Commentary
Best practices in medication administration: preventing adverse drug events in perinatal settings.
Citation Text:
Mahlmeister LR. Best practices in medication administration: preventing adverse drug events in perinatal settings. J Perinat Neonatal Nurs. 2007;21(1):6-8.
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psnet.ahrq.gov/issue/pediatric-vaccination-errors-application-5-rights-framework-national-error-reporting-database
September 21, 2008 - Study
Pediatric vaccination errors: application of the "5 rights" framework to a national error reporting database.
Citation Text:
Bundy DG, Shore AD, Morlock L, et al. Pediatric vaccination errors: application of the "5 rights" framework to a national error reporting database. Vaccine.…
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psnet.ahrq.gov/issue/assessment-healthcare-professionals-knowledge-managing-emergency-complications-patients
March 14, 2018 - Slideset
Assessment of healthcare professionals' knowledge of managing emergency complications in patients with a tracheostomy.
Citation Text:
Casserly P, Lang E, Fenton JE, et al. Assessment of healthcare professionals' knowledge of managing emergency complications in patients with a …
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psnet.ahrq.gov/issue/sir-karl-popper-swans-and-general-practitioner
March 05, 2025 - Commentary
Sir Karl Popper, swans, and the general practitioner.
Citation Text:
Berghmans R, Schouten HC. Sir Karl Popper, swans, and the general practitioner. BMJ. 2011;343:d5469. doi:10.1136/bmj.d5469.
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psnet.ahrq.gov/issue/necessary-sea-change-nurse-faculty-development-spotlight-quality-and-safety
May 25, 2011 - Commentary
A necessary sea change for nurse faculty development: spotlight on quality and safety.
Citation Text:
Thornlow D, McGuinn K. A necessary sea change for nurse faculty development: spotlight on quality and safety. J Prof Nurs. 2010;26(2):71-81. doi:10.1016/j.profnurs.2009.10.00…
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psnet.ahrq.gov/issue/overcoming-human-barriers-safety-event-reporting-radiology
February 09, 2022 - Commentary
Overcoming human barriers to safety event reporting in radiology.
Citation Text:
Siewert B, Brook OR, Swedeen S, et al. Overcoming Human Barriers to Safety Event Reporting in Radiology. Radiographics. 2019;39(1):251-263. doi:10.1148/rg.2019180135.
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psnet.ahrq.gov/issue/healthcare-provider-complaints-emergency-department-preliminary-report-new-quality
October 07, 2013 - Study
Healthcare provider complaints to the emergency department: a preliminary report on a new quality improvement instrument.
Citation Text:
Griffey RT, Bohan JS. Healthcare provider complaints to the emergency department: a preliminary report on a new quality improvement instrument.…