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psnet.ahrq.gov/issue/medication-safety-operating-room-survey-preparation-methods-and-drug-concentration
December 22, 2018 - Study
Medication safety in the operating room: a survey of preparation methods and drug concentration consistencies in children's hospitals in the United States.
Citation Text:
Shaw RE, Litman RS. Medication Safety in the Operating Room: A Survey of Preparation Methods and Drug Concentra…
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psnet.ahrq.gov/issue/integrating-quality-and-safety-content-clinical-teaching-acute-care-setting
September 05, 2018 - Commentary
Integrating quality and safety content into clinical teaching in the acute care setting.
Citation Text:
Day L, Smith EL. Integrating quality and safety content into clinical teaching in the acute care setting. Nurs Outlook. 2007;55(3). doi:10.1016/j.outlook.2007.03.002.
Co…
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psnet.ahrq.gov/issue/can-social-media-be-used-hospital-quality-improvement-tool
May 27, 2011 - Study
Can social media be used as a hospital quality improvement tool?
Citation Text:
Lagu T, Goff SL, Craft B, et al. Can social media be used as a hospital quality improvement tool? J Hosp Med. 2016;11(1):52-5. doi:10.1002/jhm.2486.
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psnet.ahrq.gov/issue/use-human-factors-classification-framework-identify-causal-factors-medication-and-medical
March 16, 2016 - Study
Use of a human factors classification framework to identify causal factors for medication and medical device-related adverse clinical incidents.
Citation Text:
Mitchell RJ, Williamson A, Molesworth B. Use of a human factors classification framework to identify causal factors for me…
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psnet.ahrq.gov/issue/what-words-convey-potential-patient-narratives-inform-quality-improvement
August 19, 2015 - Study
What words convey: the potential for patient narratives to inform quality improvement.
Citation Text:
Grob R, Schlesinger M, Barre LR, et al. What Words Convey: The Potential for Patient Narratives to Inform Quality Improvement. Milbank Q. 2019;97(1):176-227. doi:10.1111/1468-0009.…
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psnet.ahrq.gov/issue/reducing-errors-resulting-commonly-missed-chest-radiography-findings
August 20, 2018 - Commentary
Reducing errors resulting from commonly missed chest radiography findings.
Citation Text:
Gefter WB, Hatabu H. Reducing errors resulting from commonly missed chest radiography findings. Chest. 2023;163(3):634-649. doi:10.1016/j.chest.2022.12.003.
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psnet.ahrq.gov/issue/patient-safety-leadership-walkrounds
January 02, 2017 - Study
Classic
Patient Safety Leadership WalkRounds.
Citation Text:
Frankel A, Graydon-Baker E, Neppl C, et al. Patient Safety Leadership WalkRounds. Jt Comm J Qual Saf. 2003;29(1). doi:10.1016/s1549-3741(03)29003-1.
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psnet.ahrq.gov/issue/description-and-factors-associated-missed-nursing-care-acute-care-community-hospital
August 15, 2012 - Study
Emerging Classic
Description and factors associated with missed nursing care in an acute care community hospital.
Citation Text:
Duffy JR, Culp S, Padrutt T. Description and factors associated with missed nursing care in an acute care community hospital. J…
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psnet.ahrq.gov/issue/courage-speak-out-study-describing-nurses-attitudes-report-unsafe-practices-patient-care
April 24, 2018 - Study
The courage to speak out: a study describing nurses' attitudes to report unsafe practices in patient care.
Citation Text:
Cole DA, Bersick E, Skarbek A, et al. The courage to speak out: A study describing nurses' attitudes to report unsafe practices in patient care. J Nurs Manag. 2…
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psnet.ahrq.gov/node/33784/psn-pdf
April 01, 2015 - What we'd like to see is a real sampling
of what happens.
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psnet.ahrq.gov/node/49469/psn-pdf
December 01, 2004 - Overriding Considerations
December 1, 2004
Holtzman NA. Overriding Considerations. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/overriding-considerations
The Case
Mrs. G visited her obstetrician for first trimester routine prenatal care. The obstetrician offered genetic
testing for a variety of condition…
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psnet.ahrq.gov/node/49448/psn-pdf
June 01, 2004 - Listen to the Family
June 1, 2004
Campbell D. Listen to the Family. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/listen-family
The Case
Vascular surgery was consulted for placement of a dialysis catheter in a patient on the medical floor. The
surgical resident examined the patient, an elderly woman with …
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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/value-inking-breast-cores-reduce-specimen-mix
January 14, 2011 - Study
The value of inking breast cores to reduce specimen mix-up.
Citation Text:
Renshaw AA, Kish R, Gould EW. The value of inking breast cores to reduce specimen mix-up. Am J Clin Pathol. 2007;127(2):271-2.
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psnet.ahrq.gov/issue/paramedic-intubation-errors-isolated-events-or-symptoms-larger-problems
February 18, 2009 - Study
Paramedic intubation errors: isolated events or symptoms of larger problems?
Citation Text:
Wang HE, Lave J, Sirio CA, et al. Paramedic intubation errors: isolated events or symptoms of larger problems? Health Aff (Millwood). 2006;25(2):501-9.
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psnet.ahrq.gov/issue/case-report-medication-error-eye-beholder
April 17, 2019 - Commentary
Case report of a medication error: in the eye of the beholder.
Citation Text:
Naunton M, Nor K, Bartholomaeus A, et al. Case report of a medication error. Medicine (Baltimore). 2016;95(28):e4186. doi:10.1097/md.0000000000004186.
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psnet.ahrq.gov/issue/promoting-collaboration-and-transparency-patient-safety
June 21, 2016 - Commentary
Promoting collaboration and transparency in patient safety.
Citation Text:
Apold J, Daniels T, Sonneborn M. Promoting collaboration and transparency in patient safety. Jt Comm J Qual Patient Saf. 2006;32(12):672-675.
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psnet.ahrq.gov/issue/physician-practice-patient-safety-assessment
April 24, 2018 - Measurement Tool/Indicator
The Physician Practice Patient Safety Assessment.
Citation Text:
Pohl JM, Nath R, Zheng K, et al. Use of a comprehensive patient safety tool in primary care practices. Journal of the American Association of Nurse Practitioners. 2013;25(8):415-8. doi:10.1111/174…
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psnet.ahrq.gov/issue/reducing-medication-errors-and-improving-systems-reliability-using-electronic-medication
January 09, 2013 - Study
Reducing medication errors and improving systems reliability using an electronic medication reconciliation system.
Citation Text:
Agrawal A, Wu WY. Reducing Medication Errors and Improving Systems Reliability Using an Electronic Medication Reconciliation System. The Joint Commissio…
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psnet.ahrq.gov/issue/missed-it-0
October 13, 2018 - Image/Poster
Missed it.
Citation Text:
Green MJ, Rieck R. Missed it. Ann Intern Med. 2013;158(5 Pt 1):357-61. doi:10.7326/0003-4819-158-5-201303050-00013.
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