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psnet.ahrq.gov/issue/conducting-root-cause-analysis-nursing-students-best-practice-nursing-education
September 09, 2015 - Commentary
Conducting root cause analysis with nursing students: best practice in nursing education.
Citation Text:
Lambton J, Mahlmeister L. Conducting root cause analysis with nursing students: best practice in nursing education. J Nurs Educ. 2010;49(8):444-8. doi:10.3928/01484834-…
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psnet.ahrq.gov/issue/patient-safety-obstetrics-and-obstetric-anesthesia
August 04, 2021 - Review
Patient safety in obstetrics and obstetric anesthesia.
Citation Text:
Kung A, Pratt SD. Patient safety in obstetrics and obstetric anesthesia. Int Anesthesiol Clin. 2014;52(2):86-110. doi:10.1097/AIA.0000000000000017.
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psnet.ahrq.gov/issue/taking-closer-look-medication-errors-involve-oxytocin
July 18, 2018 - Newspaper/Magazine Article
Taking a closer look at medication errors that involve oxytocin.
Citation Text:
Taking a closer look at medication errors that involve oxytocin. ISMP Medication Safety Alert! Acute care edition. June 1, 2023; 28(11):1-6.
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psnet.ahrq.gov/issue/improving-patient-safety-patient-focused-high-reliability-team-training
January 07, 2011 - Commentary
Improving patient safety: patient-focused, high-reliability team training.
Citation Text:
McKeon LM, Cunningham PD, Oswaks JSD. Improving patient safety: patient-focused, high-reliability team training. J Nurs Care Qual. 2009;24(1):76-82. doi:10.1097/NCQ.0b013e31818f5595.
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psnet.ahrq.gov/issue/are-they-safe-there-patient-safety-and-trainees-practice
September 22, 2021 - Commentary
Are they safe in there? Patient safety and trainees in the practice.
Citation Text:
Byrnes PD, Crawford M, Wong B. Are they safe in there? - patient safety and trainees in the practice. Aust Fam Physician. 2012;41(1-2):26-9.
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psnet.ahrq.gov/issue/simulation-improve-patient-safety-getting-started
June 26, 2024 - Book/Report
Simulation to Improve Patient Safety: Getting Started.
Citation Text:
Deutsch ES, Bajaj K. Simulation To Improve Patient Safety: Getting Started. Rockville, MD: Agency for Healthcare Research and Quality; July 2024. Publication No. 24-0055.
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psnet.ahrq.gov/issue/venous-thromboembolism-after-trauma-never-event
January 12, 2022 - Study
Venous thromboembolism after trauma: a never event?
Citation Text:
Thorson CM, Ryan ML, Van Haren RM, et al. Venous thromboembolism after trauma: a never event?*. Crit Care Med. 2012;40(11):2967-73. doi:10.1097/CCM.0b013e31825bcb60.
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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/clinical-impact-associated-corrected-results-clinical-microbiology-testing
December 03, 2008 - Study
Clinical impact associated with corrected results in clinical microbiology testing.
Citation Text:
Yuan S, Astion ML, Schapiro J, et al. Clinical impact associated with corrected results in clinical microbiology testing. J Clin Microbiol. 2005;43(5):2188-93.
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psnet.ahrq.gov/issue/effects-critical-care-nurses-work-hours-vigilance-and-patients-safety
February 19, 2010 - Study
Effects of critical care nurses' work hours on vigilance and patients' safety.
Citation Text:
Scott LD, Rogers AE, Hwang W-T, et al. Effects of critical care nurses' work hours on vigilance and patients' safety. Am J Crit Care. 2006;15(1):30-7.
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psnet.ahrq.gov/issue/incorporating-indications-medication-ordering-time-enter-age-reason
June 05, 2018 - Commentary
Incorporating indications into medication ordering—time to enter the age of reason.
Citation Text:
Schiff G, Seoane-Vazquez E, Wright A. Incorporating Indications into Medication Ordering--Time to Enter the Age of Reason. N Engl J Med. 2016;375(4):306-9. doi:10.1056/NEJMp16039…
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psnet.ahrq.gov/issue/mirror-mirror-wall-update-quality-american-health-care-through-patients-lens
August 15, 2007 - Book/Report
Mirror, Mirror on the Wall: An Update on the Quality of American Health Care Through the Patient's Lens.
Citation Text:
Mirror, Mirror on the Wall: An Update on the Quality of American Health Care Through the Patient's Lens. Davis K, Schoen S, Schoenbaum SC, et al. New Yo…
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psnet.ahrq.gov/issue/reducing-incidence-retained-surgical-instrument-fragments
June 01, 2021 - Commentary
Reducing the incidence of retained surgical instrument fragments.
Citation Text:
Reece M, Troeleman ND, McGowan JE, et al. Reducing the incidence of retained surgical instrument fragments. AORN J. 2011;94(3):301-4. doi:10.1016/j.aorn.2011.05.014.
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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/observational-study-evaluate-usability-and-intent-adopt-artificial-intelligence-powered
September 27, 2017 - Study
An observational study to evaluate the usability and intent to adopt an artificial intelligence–powered medication reconciliation tool.
Citation Text:
Long J, Yuan MJ, Poonawala R. An Observational Study to Evaluate the Usability and Intent to Adopt an Artificial Intelligence-Power…
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psnet.ahrq.gov/issue/critical-deficiencies-washington-dc-va-medical-center
December 16, 2020 - Government Resource
Critical Deficiencies at the Washington DC VA Medical Center.
Citation Text:
Critical Deficiencies at the Washington DC VA Medical Center. Washington, DC: Department of Veterans Affairs, Office of Inspector General. March 7, 2018. Report No. 17-02644-130.
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psnet.ahrq.gov/issue/comparing-safety-climate-between-two-populations-hospitals-united-states
June 16, 2011 - Study
Comparing safety climate between two populations of hospitals in the United States.
Citation Text:
Singer SJ, Hartmann CW, Hanchate A, et al. Comparing Safety Climate between Two Populations of Hospitals in the United States. Health Serv Res. 2009;44(5p1). doi:10.1111/j.1475-6773…
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psnet.ahrq.gov/issue/injection-practices-among-clinicians-united-states-health-care-settings
January 06, 2017 - Study
Injection practices among clinicians in United States health care settings.
Citation Text:
Pugliese G, Gosnell C, Bartley JM, et al. Injection practices among clinicians in United States health care settings. Am J Infect Control. 2010;38(10):789-798. doi:10.1016/j.ajic.2010.09.00…
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psnet.ahrq.gov/issue/saying-sorry-some-strategies-effective-apology-within-workplace
August 11, 2021 - Commentary
"Saying sorry": some strategies for effective apology within the workplace.
Citation Text:
Cleary M, Lees D, Lopez V. "Saying sorry": some strategies for effective apology within the workplace. Issues Ment Health Nurs. 2018;39(11):980-982. doi:10.1080/01612840.2018.1507571.
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psnet.ahrq.gov/issue/community-validation-approach-detect-delayed-diagnosis-appendicitis-big-databases
October 26, 2022 - Study
Community validation of an approach to detect delayed diagnosis of appendicitis in big databases.
Citation Text:
Michelson KA, McGarghan FLE, Waltzman ML, et al. Community validation of an approach to detect delayed diagnosis of appendicitis in big databases. Hosp Pediatr. 2023;13(…