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psnet.ahrq.gov/issue/nurse-decision-making-prearrest-period
July 29, 2020 - Study
Nurse decision making in the prearrest period.
Citation Text:
Gazarian PK, Henneman EA, Chandler GE. Nurse decision making in the prearrest period. Clin Nurs Res. 2010;19(1):21-37. doi:10.1177/1054773809353161.
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psnet.ahrq.gov/issue/provider-interruptions-and-patient-perceptions-care-observational-study-emergency-department
June 26, 2024 - Study
Provider interruptions and patient perceptions of care: an observational study in the emergency department.
Citation Text:
Schneider A, Wehler M, Weigl M. Provider interruptions and patient perceptions of care: an observational study in the emergency department. BMJ Qual Saf. 2019;…
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psnet.ahrq.gov/issue/development-trigger-tools-surveillance-adverse-events-ambulatory-surgery
October 01, 2014 - Study
Development of trigger tools for surveillance of adverse events in ambulatory surgery.
Citation Text:
Kaafarani HMA, Rosen AK, Nebeker JR, et al. Development of trigger tools for surveillance of adverse events in ambulatory surgery. Qual Saf Health Care. 2010;19(5):425-9. doi:10.…
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psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospital
December 23, 2008 - Study
Classic
Medication prescribing errors in a teaching hospital.
Citation Text:
Lesar TS, Briceland LL, Delcoure K, et al. Medication prescribing errors in a teaching hospital. JAMA. 1990;263(17):2329-34.
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psnet.ahrq.gov/issue/learning-collaboratives-insights-and-new-taxonomy-ahrqs-two-decades-experience
April 27, 2019 - Commentary
Emerging Classic
Learning collaboratives: insights and a new taxonomy from AHRQ's two decades of experience.
Citation Text:
Nix M, McNamara P, Genevro J, et al. Learning Collaboratives: Insights And A New Taxonomy From AHRQ's Two Decades Of Experience…
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psnet.ahrq.gov/issue/clinical-validation-ahrq-postoperative-venous-thromboembolism-patient-safety-indicator
September 25, 2011 - Study
Clinical validation of the AHRQ postoperative venous thromboembolism patient safety indicator.
Citation Text:
Henderson KE, Recktenwald AJ, Reichley RM, et al. Clinical validation of the AHRQ postoperative venous thromboembolism patient safety indicator. Jt Comm J Qual Patient Saf.…
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psnet.ahrq.gov/issue/compliance-technical-guidelines-radiotherapy-treatment-relation-patient-safety
December 10, 2014 - Study
Compliance to technical guidelines for radiotherapy treatment in relation to patient safety.
Citation Text:
Simons PAM, Houben RMA, Backes HH, et al. Compliance to technical guidelines for radiotherapy treatment in relation to patient safety. Int J Qual Health Care. 2010;22(3):18…
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psnet.ahrq.gov/issue/move-toward-full-use-metric-dosing-eliminate-dosage-cups-measure-liquids-fluid-drams-use-cups
April 01, 2015 - Press Release/Announcement
Move toward full use of metric dosing: eliminate dosage cups that measure liquids in fluid drams. Use cups that measure mL.
Citation Text:
Move toward full use of metric dosing: eliminate dosage cups that measure liquids in fluid drams. Use cups that measure mL…
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psnet.ahrq.gov/issue/medication-errors-intensive-care-unit
October 12, 2022 - Study
Medication errors in an intensive care unit.
Citation Text:
Bohomol E, Ramos LH, D'Innocenzo M. Medication errors in an intensive care unit. J Adv Nurs. 2009;65(6):1259-67. doi:10.1111/j.1365-2648.2009.04979.x.
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psnet.ahrq.gov/issue/results-survey-pediatric-medication-safety-part-1-and-part-2
November 16, 2015 - Newspaper/Magazine Article
Results of survey on pediatric medication safety—part 1 and part 2.
Citation Text:
Results of survey on pediatric medication safety—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. June 4, 2015;20:1-6. July 2, 2015;20:1-5.
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psnet.ahrq.gov/issue/healthcare-inspection-emergency-department-patient-deaths-memphis-vamc-memphis-tennessee
November 29, 2023 - Book/Report
Healthcare Inspection—Emergency Department Patient Deaths: Memphis VAMC, Memphis, Tennessee.
Citation Text:
Healthcare Inspection—Emergency Department Patient Deaths: Memphis VAMC, Memphis, Tennessee. Washington, DC: Department of Veterans Affairs, Office of Inspector…
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psnet.ahrq.gov/issue/educational-strategy-reduce-medication-errors-neonatal-intensive-care-unit
November 03, 2008 - Study
Educational strategy to reduce medication errors in a neonatal intensive care unit.
Citation Text:
Campino A, Lopez-Herrera MC, Lopez-de-Heredia I, et al. Educational strategy to reduce medication errors in a neonatal intensive care unit. Acta Paediatr. 2009;98(5):782-5. doi:10.1…
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psnet.ahrq.gov/issue/design-and-implementation-infection-prevention-program-risk-management-managing-high-level
December 18, 2014 - Study
Design and implementation of the infection prevention program into risk management: managing high level disinfection and sterilization in the outpatient setting.
Citation Text:
Sweet W, Snyder D, Raymond M. Design and implementation of the infection prevention program into risk man…
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psnet.ahrq.gov/issue/implementing-patient-safety-practices-small-ambulatory-care-settings
April 19, 2013 - Study
Implementing patient safety practices in small ambulatory care settings.
Citation Text:
Schauberger CW, Larson P. Implementing patient safety practices in small ambulatory care settings. Jt Comm J Qual Patient Saf. 2006;32(8):419-425.
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psnet.ahrq.gov/issue/patient-reported-approach-identify-medical-errors-and-improve-patient-safety-emergency
July 13, 2010 - Study
A patient reported approach to identify medical errors and improve patient safety in the emergency department.
Citation Text:
Glickman SW, Mehrotra A, Shea CM, et al. A Patient Reported Approach to Identify Medical Errors and Improve Patient Safety in the Emergency Department. J Pa…
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psnet.ahrq.gov/issue/professional-behavior-and-value-erosion-qualitative-study-physicians-and-electronic-health
June 01, 2022 - Study
Professional behavior and value erosion: a qualitative study of physicians and the electronic health record.
Citation Text:
Skeff KM, Brown-Johnson CG, Asch SM, et al. Professional behavior and value erosion: a qualitative study of physicians and the electronic health record. J Hea…
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psnet.ahrq.gov/issue/potentially-unintended-discontinuation-long-term-medication-use-after-elective-surgical
October 16, 2012 - Study
Potentially unintended discontinuation of long-term medication use after elective surgical procedures.
Citation Text:
Bell CM, Bajcar J, Bierman AS, et al. Potentially unintended discontinuation of long-term medication use after elective surgical procedures. Arch Intern Med. 2006…
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psnet.ahrq.gov/issue/workplace-team-resilience-systematic-review-and-conceptual-development
January 03, 2017 - Review
Classic
Workplace team resilience: a systematic review and conceptual development.
Citation Text:
Hartwig A, Clarke S, Johnson S, et al. Workplace team resilience: s systematic review and conceptual development. Org Psychol Rev. 2020;10(3-4):169-200. doi:…
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psnet.ahrq.gov/issue/review-literature-examining-linkages-between-organizational-factors-medical-errors-and
June 24, 2010 - Review
A review of the literature examining linkages between organizational factors, medical errors, and patient safety.
Citation Text:
Hoff T, Jameson L, Hannan E, et al. A review of the literature examining linkages between organizational factors, medical errors, and patient safety. …
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psnet.ahrq.gov/issue/patient-safety-informatics-meeting-challenges-emerging-digital-health
June 08, 2022 - Commentary
Patient safety informatics: meeting the challenges of emerging digital health.
Citation Text:
McInerney C, Benn J, Dowding D, et al. Patient safety informatics: meeting the challenges of emerging digital health. Stud Health Technol Inform. 2022;290:364-368. doi:10.3233/shti220…