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psnet.ahrq.gov/issue/rural-inpatient-telepharmacy-consultation-demonstration-after-hours-medication-review
January 23, 2017 - Study
Rural inpatient telepharmacy consultation demonstration for after-hours medication review.
Citation Text:
Cole SL, Grubbs JH, Din C, et al. Rural inpatient telepharmacy consultation demonstration for after-hours medication review. Telemed J E Health. 2012;18(7):530-7. doi:10.1089/…
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psnet.ahrq.gov/issue/quantification-anesthesia-providers-hand-hygiene-busy-metropolitan-operating-room-what-would
September 20, 2023 - Study
Quantification of anesthesia providers' hand hygiene in a busy metropolitan operating room: what would Semmelweis think?
Citation Text:
Biddle C, Shah J. Quantification of anesthesia providers' hand hygiene in a busy metropolitan operating room: what would Semmelweis think? Am J …
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psnet.ahrq.gov/issue/reducing-interdisciplinary-communication-failures-through-secure-text-messaging-quality
May 08, 2017 - Study
Reducing interdisciplinary communication failures through secure text messaging: a quality improvement project.
Citation Text:
Hansen JE, Lazow M, Hagedorn PA. Reducing Interdisciplinary Communication Failures Through Secure Text Messaging. Pediatr Qual Saf. 2019;3(1). doi:10.1097/…
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psnet.ahrq.gov/issue/aspen-parenteral-nutrition-safety-consensus-recommendations
June 12, 2018 - Commentary
ASPEN parenteral nutrition safety consensus recommendations.
Citation Text:
Ayers P, Adams S, Boullata JI, et al. A.S.P.E.N. parenteral nutrition safety consensus recommendations. JPEN J Parenter Enteral Nutr. 2014;38(3):296-333. doi:10.1177/0148607113511992.
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psnet.ahrq.gov/issue/influence-context-diagnostic-reasoning-narrative-synthesis-experimental-findings
June 01, 2016 - Review
The influence of context on diagnostic reasoning: a narrative synthesis of experimental findings.
Citation Text:
Schmidt HG, Norman GR, Mamede S, et al. The influence of context on diagnostic reasoning: a narrative synthesis of experimental findings. J Eval Clin Pract. 2024;30(6):…
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psnet.ahrq.gov/issue/frequency-types-and-potential-clinical-significance-medication-dispensing-errors
February 03, 2011 - Study
Frequency, types, and potential clinical significance of medication-dispensing errors.
Citation Text:
Bohand X, Simon L, Perrier E, et al. Frequency, types, and potential clinical significance of medication-dispensing errors. Clinics (Sao Paulo). 2009;64(1):11-6.
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psnet.ahrq.gov/issue/improving-patient-safety-lessons-rock-climbing
July 10, 2024 - Commentary
Improving patient safety: lessons from rock climbing.
Citation Text:
Robertson N. Improving patient safety: lessons from rock climbing. Clin Teach. 2012;9(1):41-4. doi:10.1111/j.1743-498X.2011.00485.x.
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psnet.ahrq.gov/issue/simulated-laparoscopic-operating-room-crisis-approach-enhance-surgical-team-performance
March 28, 2012 - Study
Simulated laparoscopic operating room crisis: an approach to enhance the surgical team performance.
Citation Text:
Powers KA, Rehrig ST, Irias N, et al. Simulated laparoscopic operating room crisis: An approach to enhance the surgical team performance. Surg Endosc. 2008;22(4):885…
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psnet.ahrq.gov/issue/relationship-between-nurse-education-level-and-patient-safety-integrative-review
April 10, 2024 - Review
The relationship between nurse education level and patient safety: an integrative review.
Citation Text:
Ridley RT. The relationship between nurse education level and patient safety: an integrative review. J Nurs Educ. 2008;47(4):149-56.
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psnet.ahrq.gov/issue/beyond-medication-reconciliation-correct-medication-list
February 15, 2017 - Commentary
Beyond medication reconciliation: the correct medication list.
Citation Text:
Rose AJ, Fischer SH, Paasche-Orlow MK. Beyond Medication Reconciliation: The Correct Medication List. JAMA. 2017;317(20):2057-2058. doi:10.1001/jama.2017.4628.
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psnet.ahrq.gov/issue/addressing-postdischarge-adverse-events-neglected-area
November 13, 2024 - Review
Addressing postdischarge adverse events: a neglected area.
Citation Text:
Tsilimingras D. Addressing postdischarge adverse events: a neglected area. Jt Comm J Qual Patient Saf. 2008;34(2):85-97.
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psnet.ahrq.gov/issue/just-ekgs-should-eegs-undergo-confirmatory-interpretation-clinical-neurophysiologist
November 09, 2022 - Commentary
"Just like EKGs!" Should EEGs undergo a confirmatory interpretation by a clinical neurophysiologist?
Citation Text:
Benbadis SR. "Just like EKGs!" Should EEGs undergo a confirmatory interpretation by a clinical neurophysiologist? Neurology. 2013;80(1 Suppl 1):S47-51. doi:10.1…
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psnet.ahrq.gov/issue/communication-errors-dispatch-air-medical-transport
July 03, 2014 - Study
Communication errors in dispatch of air medical transport.
Citation Text:
Vilensky D, MacDonald RD. Communication errors in dispatch of air medical transport. Prehosp Emerg Care. 2011;15(1):39-43. doi:10.3109/10903127.2011.519817.
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psnet.ahrq.gov/issue/post-hospital-medication-discrepancies-home-risk-factor-90-day-return-emergency-department
March 18, 2020 - Study
Post-hospital medication discrepancies at home: risk factor for 90-day return to emergency department.
Citation Text:
Costa LL, Byon HD. Post-Hospital Medication Discrepancies at Home: Risk Factor for 90-Day Return to Emergency Department. J Nurs Care Qual. 2018;33(2):180-186. doi:…
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psnet.ahrq.gov/issue/nurse-practitioner-led-medication-reconciliation-critical-access-hospitals
March 18, 2020 - Study
Nurse practitioner–led medication reconciliation in critical access hospitals.
Citation Text:
Young L, Barnason S, Hays K, et al. Nurse Practitioner–led Medication Reconciliation in Critical Access Hospitals. The Journal for Nurse Practitioners. 2015;11(5). doi:10.1016/j.nurpra.201…
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psnet.ahrq.gov/issue/reducing-specimen-identification-errors
October 12, 2016 - Commentary
Reducing specimen identification errors.
Citation Text:
Rees S, Stevens L, Mikelsons D, et al. Reducing specimen identification errors. J Nurs Care Qual. 2012;27(3):253-7. doi:10.1097/NCQ.0b013e3182510303.
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psnet.ahrq.gov/issue/medication-kit-conundrum-considerations-enhance-safety-and-efficiency
June 07, 2017 - Commentary
The medication kit conundrum: considerations to enhance safety and efficiency.
Citation Text:
Arthur KJ, Fuller J, Dossett HA, et al. The medication kit conundrum: considerations to enhance safety and efficiency. Am J Health Syst Pharm. 2024;Epub Sep 4. doi:10.1093/ajhp/zxae23…
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psnet.ahrq.gov/issue/doctors-thinking-about-system-threat-patient-safety
December 09, 2020 - Study
Doctors' thinking about 'the system' as a threat to patient safety.
Citation Text:
Waring J. Doctors' thinking about 'the system' as a threat to patient safety. Health (London). 2007;11(1):29-46.
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psnet.ahrq.gov/issue/university-michigan-quality-and-safety-academic-medical-center
November 13, 2024 - Commentary
University of Michigan: quality and safety in an academic medical center.
Citation Text:
Strong DL, Kin JM, Kratochwill EW, et al. University of Michigan: quality and safety in an academic medical center. Jt Comm J Qual Patient Saf. 2008;34(11):671-7.
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psnet.ahrq.gov/issue/munson-medical-center-embedding-culture-safety-and-qi-organization
March 20, 2024 - Commentary
Munson Medical Center: embedding a culture of safety and QI into the organization.
Citation Text:
Haslinger T. Munson Medical Center: embedding a culture of safety and QI into the organization. Jt Comm J Qual Patient Saf. 2008;34(11):665-70.
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