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psnet.ahrq.gov/issue/medication-safety-education-program-reduce-risk-harm-caused-medication-errors
June 27, 2018 - Commentary
A medication safety education program to reduce the risk of harm caused by medication errors.
Citation Text:
Dennison RD. A medication safety education program to reduce the risk of harm caused by medication errors. J Contin Educ Nurs. 2007;38(4):176-84.
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psnet.ahrq.gov/issue/drill-down-root-cause-analysis
June 15, 2016 - Commentary
Drill down with root cause analysis.
Citation Text:
McDonald A, Leyhane T. Drill down with root cause analysis. Nurs Manage. 2005;36(10):26-32.
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psnet.ahrq.gov/issue/health-information-technology-and-hospital-patient-safety-conceptual-model-guide-research
December 17, 2009 - Study
Health information technology and hospital patient safety: a conceptual model to guide research.
Citation Text:
Paez K, Roper RA, Andrews RM. Health information technology and hospital patient safety: a conceptual model to guide research. Jt Comm J Qual Patient Saf. 2013;39(9):41…
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psnet.ahrq.gov/issue/enhanced-morbidity-and-mortality-meeting-and-patient-safety-education-specialty-trainees
December 31, 2012 - Study
Enhanced morbidity and mortality meeting and patient safety education for specialty trainees.
Citation Text:
Singh HP, Durani P, Dias JJ. Enhanced Morbidity and Mortality Meeting and Patient Safety Education for Specialty Trainees. J Patient Saf. 2019;15(1):37-48. doi:10.1097/PTS.0…
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psnet.ahrq.gov/issue/adapting-joint-commissions-seven-foundations-safe-and-effective-transitions-care-home
July 10, 2024 - Commentary
Adapting The Joint Commission's seven foundations of safe and effective transitions of care to home.
Citation Text:
Labson MC. Adapting the joint commission's seven foundations of safe and effective transitions of care to home. Home Healthc Now. 2015;33(3):142-6. doi:10.1097/N…
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psnet.ahrq.gov/issue/e-prescribing-first-step-improved-safety
February 16, 2011 - Newspaper/Magazine Article
E-prescribing first step to improved safety.
Citation Text:
Finkelstein JB. E-prescribing first step to improved safety. Journal of the National Cancer Institute. 2006;98(24):1763-5.
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psnet.ahrq.gov/issue/trend-analysis-radiation-therapy-incidents-over-seven-years
December 20, 2023 - Study
Trend analysis of radiation therapy incidents over seven years.
Citation Text:
Bissonnette J-P, Medlam G. Trend analysis of radiation therapy incidents over seven years. Radiother Oncol. 2010;96(1):139-44. doi:10.1016/j.radonc.2010.05.002.
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psnet.ahrq.gov/issue/involving-users-design-system-sharing-lessons-adverse-incidents-anaesthesia
April 24, 2018 - Study
Involving users in the design of a system for sharing lessons from adverse incidents in anaesthesia.
Citation Text:
Sharma S, Smith AF, Rooksby J, et al. Involving users in the design of a system for sharing lessons from adverse incidents in anaesthesia. Anaesthesia. 2006;61(4):3…
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psnet.ahrq.gov/issue/understanding-safer-practices-health-care-prologue-role-indicators
May 07, 2008 - Study
Understanding safer practices in health care: a prologue for the role of indicators.
Citation Text:
Kazandjian VA, Wicker K, Ogunbo S, et al. Understanding safer practices in health care: a prologue for the role of indicators. J Eval Clin Pract. 2005;11(2):161-70.
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psnet.ahrq.gov/issue/doctors-saved-her-life-she-didnt-want-them
November 02, 2016 - Newspaper/Magazine Article
Doctors saved her life. She didn’t want them to.
Citation Text:
Raphael K. Doctors saved her life. She didn’t want them to. New York Times. August 26, 2024;
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psnet.ahrq.gov/issue/changing-how-we-think-about-healthcare-improvement
October 09, 2024 - Commentary
Classic
Changing how we think about healthcare improvement.
Citation Text:
Braithwaite J. Changing how we think about healthcare improvement. BMJ. 2018;361:k2014. doi:10.1136/bmj.k2014.
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psnet.ahrq.gov/issue/100000-lives-campaign-crystallizing-standards-care-hospitals
August 20, 2018 - Commentary
The 100,000 Lives Campaign: crystallizing standards of care for hospitals.
Citation Text:
Gosfield AG, Reinertsen JL. The 100,000 lives campaign: crystallizing standards of care for hospitals. Health Aff (Millwood). 2005;24(6):1560-70.
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psnet.ahrq.gov/issue/pediatric-perioperative-medication-errors
July 10, 2024 - Newspaper/Magazine Article
Pediatric perioperative medication errors.
Citation Text:
Lu-Boettcher YE, Koka R. Pediatric perioperative medication errors. APSF Newsletter. 39(3):84-86.
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psnet.ahrq.gov/issue/medical-reconciliation-patients-discharged-emergency-department
March 04, 2015 - Study
Medical reconciliation in patients discharged from the emergency department.
Citation Text:
Sharma AN, Dvorkin R, Tucker V, et al. Medical reconciliation in patients discharged from the emergency department. J Emerg Med. 2012;43(2):366-73. doi:10.1016/j.jemermed.2011.05.080.
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psnet.ahrq.gov/issue/or-and-just-culture
February 01, 2017 - Commentary
The OR and a "just culture."
Citation Text:
Hamlin L. The OR and a "just culture". AORN J. 2009;90(4):495-498. doi:10.1016/j.aorn.2009.09.003.
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psnet.ahrq.gov/issue/improving-measurement-clinical-handover
August 12, 2009 - Commentary
Improving measurement in clinical handover.
Citation Text:
Jeffcott SA, Evans SM, Cameron PA, et al. Improving measurement in clinical handover. Qual Saf Health Care. 2009;18(4):272-7. doi:10.1136/qshc.2007.024570.
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psnet.ahrq.gov/issue/how-develop-effective-obstetric-checklist
November 16, 2022 - Review
How to develop an effective obstetric checklist.
Citation Text:
Fausett B, Propst A, Van Doren K, et al. How to develop an effective obstetric checklist. Am J Obstet Gynecol. 2011;205(3):165-70. doi:10.1016/j.ajog.2011.06.003.
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psnet.ahrq.gov/issue/results-survey-medical-error-reporting-systems-korean-hospitals
May 08, 2017 - Study
Results of a survey on medical error reporting systems in Korean hospitals.
Citation Text:
KIM J, Bates DW. Results of a survey on medical error reporting systems in Korean hospitals. Int J Med Inform. 2005;75(2). doi:10.1016/j.ijmedinf.2005.06.005.
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psnet.ahrq.gov/issue/integrating-knowledge-based-resources-electronic-health-record-history-current-status-and
July 19, 2023 - Commentary
Integrating knowledge-based resources into the electronic health record: history, current status, and role of librarians.
Citation Text:
Albert KM. Integrating knowledge-based resources into the electronic health record: history, current status, and role of librarians. Med R…
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psnet.ahrq.gov/issue/twelve-tips-embedding-human-factors-and-ergonomics-principles-healthcare-education
January 09, 2018 - Commentary
Twelve tips for embedding human factors and ergonomics principles in healthcare education.
Citation Text:
Vosper H, Hignett S, Bowie P. Twelve tips for embedding human factors and ergonomics principles in healthcare education. Med Teach. 2017;40(4):357-363. doi:10.1080/0142159…