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psnet.ahrq.gov/issue/role-practice-guidelines-and-evidence-based-medicine-perioperative-patient-safety
June 26, 2024 - Review
The role of practice guidelines and evidence-based medicine in perioperative patient safety.
Citation Text:
Crosby E. Review article: the role of practice guidelines and evidence-based medicine in perioperative patient safety. Can J Anaesth. 2013;60(2):143-51. doi:10.1007/s12630…
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psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-hospitalised-patients
March 20, 2024 - Study
Potentially inappropriate prescribing to hospitalised patients.
Citation Text:
Radosević N, Gantumur M, Vlahović-Palcevski V. Potentially inappropriate prescribing to hospitalised patients. Pharmacoepidemiol Drug Saf. 2008;17(7):733-7.
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psnet.ahrq.gov/issue/family-identified-barriers-medication-reconciliation
September 01, 2018 - Study
Family-identified barriers to medication reconciliation.
Citation Text:
Riley-Lawless K. Family-identified barriers to medication reconciliation. J Spec Pediatr Nurs. 2009;14(2):94-101. doi:10.1111/j.1744-6155.2009.00182.x.
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psnet.ahrq.gov/issue/safety-stop-valuable-addition-pediatric-universal-protocol
June 21, 2015 - Commentary
Safety stop: a valuable addition to the pediatric universal protocol.
Citation Text:
Caruso TJ, Munshey F, Aldorfer B, et al. Safety Stop: A Valuable Addition to the Pediatric Universal Protocol. Jt Comm J Qual Patient Saf. 2018;44(9):552-556. doi:10.1016/j.jcjq.2018.03.015.
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psnet.ahrq.gov/issue/heroism-safe-design-leveraging-technology
August 17, 2017 - Commentary
From heroism to safe design: leveraging technology.
Citation Text:
Pronovost P, Bo-Linn GW, Sapirstein A. From heroism to safe design: leveraging technology. Anesthesiology. 2014;120(3):526-9. doi:10.1097/ALN.0000000000000127.
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psnet.ahrq.gov/issue/words-drug-highest-frequency-dispensing-errors
March 04, 2015 - Commentary
Words: the "drug" with the highest frequency of dispensing errors.
Citation Text:
Lamba S. Words: the "drug" with the highest frequency of dispensing errors. Acad Emerg Med. 2011;18(1):93-5. doi:10.1111/j.1553-2712.2010.00965.x.
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psnet.ahrq.gov/issue/surgical-ward-round-quality-and-impact-variable-patient-outcomes
June 17, 2015 - Study
Surgical ward round quality and impact on variable patient outcomes.
Citation Text:
Pucher PH, Aggarwal R, Darzi A. Surgical ward round quality and impact on variable patient outcomes. Ann Surg. 2014;259(2):222-6. doi:10.1097/SLA.0000000000000376.
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psnet.ahrq.gov/issue/strategies-increase-reporting-near-misses-and-adverse-events
September 30, 2012 - Commentary
Strategies to increase reporting of near misses and adverse events.
Citation Text:
Conerly C. Strategies to increase reporting of near misses and adverse events. J Nurs Care Qual. 2007;22(2):102-6.
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psnet.ahrq.gov/issue/attitudes-and-practices-related-clinical-alarms
April 18, 2018 - Study
Attitudes and practices related to clinical alarms.
Citation Text:
Funk M, Clark T, Bauld TJ, et al. Attitudes and practices related to clinical alarms. Am J Crit Care. 2014;23(3):e9-e18. doi:10.4037/ajcc2014315.
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psnet.ahrq.gov/issue/enhancing-patient-safety-improving-patient-handoff-process-through-appreciative-inquiry
April 10, 2024 - Commentary
Enhancing patient safety: improving the patient handoff process through appreciative inquiry.
Citation Text:
Shendell-Falik N, Feinson M, Mohr BJ. Enhancing patient safety: improving the patient handoff process through appreciative inquiry. J Nurs Adm. 2007;37(2):95-104.
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psnet.ahrq.gov/issue/new-solutions-reduce-wrong-route-medication-errors
March 20, 2019 - Review
New solutions to reduce wrong route medication errors.
Citation Text:
Litman RS, Smith VI, Mainland P. New solutions to reduce wrong route medication errors. Paediatr Anaesth. 2018;28(1):8-12. doi:10.1111/pan.13279.
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psnet.ahrq.gov/issue/abc-handover-impact-shift-handover-emergency-department
June 17, 2010 - Study
'The ABC of Handover': impact on shift handover in the emergency department.
Citation Text:
Farhan M, Brown R, Vincent CA, et al. The ABC of handover: impact on shift handover in the emergency department. Emerg Med J. 2012;29(12):947-53. doi:10.1136/emermed-2011-200201.
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psnet.ahrq.gov/issue/management-adverse-surgical-events-structured-education-module-residents
August 26, 2011 - Study
Management of adverse surgical events: a structured education module for residents.
Citation Text:
Brewster LP, Risucci DA, Joehl RJ, et al. Management of adverse surgical events: a structured education module for residents. Am J Surg. 2005;190(5):687-90.
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psnet.ahrq.gov/issue/world-health-organization-5-moments-hand-hygiene-scientific-foundation
October 19, 2022 - Commentary
The World Health Organization '5 moments of hand hygiene': the scientific foundation.
Citation Text:
Chou DTS, Achan P, Ramachandran M. The World Health Organization '5 moments of hand hygiene': the scientific foundation. J Bone Joint Surg Br. 2012;94(4):441-5. doi:10.1302/0…
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psnet.ahrq.gov/issue/patient-safety-what-really-issue
October 18, 2017 - Commentary
Patient safety: what is really at issue?
Citation Text:
Bagian JP. Patient safety: what is really at issue? Front Health Serv Manage. 2005;22(1):3-16.
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psnet.ahrq.gov/issue/building-capacity-and-capability-patient-safety-education-train-trainers-programme-senior
January 15, 2014 - Study
Building capacity and capability for patient safety education: a train-the-trainers programme for senior doctors.
Citation Text:
Ahmed M, Arora S, Baker P, et al. Building capacity and capability for patient safety education: a train-the-trainers programme for senior doctors. BMJ…
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psnet.ahrq.gov/issue/minimizing-surgical-error-incorporating-objective-assessment-surgical-education
January 12, 2022 - Review
Minimizing surgical error by incorporating objective assessment into surgical education.
Citation Text:
Champion HR, Meglan DA, Shair EK. Minimizing Surgical Error by Incorporating Objective Assessment into Surgical Education. J Am Coll Surg. 2008;207(2). doi:10.1016/j.jamcollsu…
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psnet.ahrq.gov/issue/unintended-harm-associated-hospital-readmissions-reduction-program
August 20, 2018 - Commentary
Unintended harm associated with the Hospital Readmissions Reduction Program.
Citation Text:
Fonarow GC. Unintended Harm Associated With the Hospital Readmissions Reduction Program. JAMA. 2018;320(24):2539-2541. doi:10.1001/jama.2018.19325.
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psnet.ahrq.gov/issue/mentoring-staff-members-patient-safety-leaders-clarian-safe-passage-program
January 10, 2011 - Commentary
Mentoring staff members as patient safety leaders: the Clarian Safe Passage Program.
Citation Text:
Rapala K. Mentoring staff members as patient safety leaders: the Clarian Safe Passage Program. Crit Care Nurs Clin North Am. 2005;17(2):121-126, ix.
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psnet.ahrq.gov/issue/handoff-not-telegram-understanding-patient-co-constructed
September 03, 2014 - Commentary
A handoff is not a telegram: an understanding of the patient is co-constructed.
Citation Text:
Cohen MD, Hilligoss B, Amaral ACK-B. A handoff is not a telegram: an understanding of the patient is co-constructed. Crit Care. 2012;16(1):303. doi:10.1186/cc10536.
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