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psnet.ahrq.gov/issue/impact-statewide-reporting-system-medication-error-reduction
December 16, 2011 - Study
Impact of a statewide reporting system on medication error reduction.
Citation Text:
Impact of a statewide reporting system on medication error reduction. Rask K; Hawley J; Davis A; Naylor D; Thorpe K.
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psnet.ahrq.gov/issue/importance-simulation-preventing-hand-mistakes
May 20, 2009 - Commentary
The importance of simulation: preventing hand-off mistakes.
Citation Text:
Clancy CM. The importance of simulation: preventing hand-off mistakes. AORN J. 2008;88(4):625-627. doi:10.1016/j.aorn.2008.09.007.
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psnet.ahrq.gov/issue/developing-culture-safety-ambulatory-care-settings
July 19, 2023 - Commentary
Developing a culture of safety in ambulatory care settings.
Citation Text:
Shostek K. Developing a culture of safety in ambulatory care settings. J Ambul Care Manage. 2007;30(2):105-13.
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psnet.ahrq.gov/issue/management-drug-shortages-perioperative-setting
August 13, 2008 - Newspaper/Magazine Article
Management of drug shortages in the perioperative setting.
Citation Text:
Management of drug shortages in the perioperative setting. Murray C, Rycek W, Johnson D, Sifuentes-Tovar F. Pharm Purch Prod. January 2013;10:12.
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psnet.ahrq.gov/issue/framework-safe-reliable-and-effective-care
January 27, 2016 - Book/Report
A Framework for Safe, Reliable, and Effective Care.
Citation Text:
A Framework for Safe, Reliable, and Effective Care. Frankel A, Haraden C, Federico F, Lenoci-Edwards J. Cambridge, MA: Institute for Healthcare Improvement and Safe & Reliable Healthcare; 2017.
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psnet.ahrq.gov/issue/anatomy-medical-error-preventing-harm-people-based-patient-safety
March 10, 2021 - Book/Report
The Anatomy of Medical Error: Preventing Harm with People-Based Patient Safety.
Citation Text:
The Anatomy of Medical Error: Preventing Harm with People-Based Patient Safety. Geller ES, Johnson D. Virginia Beach, VA: Costal Training Technologies Corporation; 2007. ISBN: 9…
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psnet.ahrq.gov/issue/oxford-professional-practice-handbook-patient-safety
June 16, 2012 - Book/Report
Oxford Professional Practice: Handbook of Patient Safety.
Citation Text:
Oxford Professional Practice: Handbook of Patient Safety. Lachman P, Runnacles J, Jayadev A et al, eds. London, England; Oxford University Press; 2022. ISBN: 9780192846877.
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psnet.ahrq.gov/issue/medical-errors-should-you-apologize
August 13, 2010 - Newspaper/Magazine Article
Medical errors: should you apologize?
Citation Text:
Weiss GG. Medical errors. Should you apologize? Medical economics. 2006;83(8):50-4.
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psnet.ahrq.gov/issue/patient-safety-health-affairs-briefing
September 01, 2021 - Audiovisual Presentation
Patient Safety: A Health Affairs Briefing.
Citation Text:
Patient Safety: A Health Affairs Briefing. Project Hope.
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psnet.ahrq.gov/issue/sbar-patients
September 12, 2012 - Commentary
SBAR for patients.
Citation Text:
Denham CR. SBAR for Patients. J Patient Saf. 2008;4(1). doi:10.1097/pts.0b013e2181660c06.
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psnet.ahrq.gov/issue/interdisciplinary-perspectives-medical-error
September 27, 2023 - Special or Theme Issue
Interdisciplinary Perspectives on Medical Error.
Citation Text:
Interdisciplinary Perspectives on Medical Error. J Public Health Res. 2013;2:e22-e33.
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psnet.ahrq.gov/issue/ashp-standard-certification-center-excellence-medication-use-safety-and-pharmacy-practice
December 14, 2022 - Organizational Policy/Guidelines
ASHP Standard for Certification as a Center of Excellence in Medication-Use Safety and Pharmacy Practice.
Citation Text:
ASHP Standard for Certification as a Center of Excellence in Medication-Use Safety and Pharmacy Practice. Am J Health Syst Pharm. 2022…
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psnet.ahrq.gov/issue/drug-shortages-threaten-patient-safety
May 07, 2018 - Newspaper/Magazine Article
Drug shortages threaten patient safety.
Citation Text:
Drug shortages threaten patient safety. ISMP Medication Safety Alert! Acute Care Edition. July 29, 2010;15:1-4.
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psnet.ahrq.gov/issue/our-stubborn-quest-diagnostic-certainty
June 21, 2016 - Commentary
Our stubborn quest for diagnostic certainty.
Citation Text:
Kassirer JP. Our stubborn quest for diagnostic certainty. N Engl J Med. 1989;320(22):1489-1491. doi:10.1056/nejm198906013202211.
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psnet.ahrq.gov/issue/comparative-effectiveness-serious-game-and-e-module-support-patient-safety-knowledge-and
September 08, 2010 - June 28, 2023
How would final-year medical students perform if their skill-based prescription
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psnet.ahrq.gov/perspective/conversation-withbarbara-blakeney-ms-rn
August 01, 2005 - We believe that there is a way to take the environment and the skill set of the nurses into account. … technology in the unit; the admissions, discharges, and transfers into and out of the unit; and the nurses' skill … To the extent that we don't have a full appreciation of each other's skill sets and knowledge base, we
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psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
January 17, 2018 - Although few studies examine physical diagnosis skills over successive generations of physicians, skill … skills in North America will ever come back to their apogee, when this art form was practiced with great skill … Without leadership in this area from regulatory organizations and specialty societies, this skill set
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psnet.ahrq.gov/node/49491/psn-pdf
September 01, 2005 - Simulation offers a potential solution for resuscitation skill acquisition and retention. … shows objective improvements in ACLS proficiency, subjective
ratings of both confidence in one’s own skill … The five-stage model of adult skill acquisition. Bull Sci Technol Soc. 2004;24:177-181.
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psnet.ahrq.gov/issue/nurses-and-patients-appraisals-show-patient-safety-hospitals-remains-concern
October 16, 2012 - December 9, 2020
Nursing skill mix in European hospitals: cross-sectional study of the
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psnet.ahrq.gov/issue/safety-culture-and-complications-after-bariatric-surgery
August 02, 2015 - August 2, 2015
Surgical skill and complication rates after bariatric surgery.