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psnet.ahrq.gov/issue/making-checklists-work-south-carolinas-statewide-experiment
April 01, 2015 - Newspaper/Magazine Article
Making checklists work: South Carolina's statewide experiment.
Citation Text:
Rice S. MAKING CHECKLISTS WORK. Modern healthcare. 2016;46(4):14-6.
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psnet.ahrq.gov/issue/airway-carts-systems-based-approach-airway-safety
July 21, 2010 - Study
Airway carts: a systems-based approach to airway safety.
Citation Text:
Kane BG, Bond WF, Worrilow CC, et al. Airway Carts. J Patient Saf. 2008;2(3). doi:10.1097/01.jps.0000242995.09037.07.
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psnet.ahrq.gov/issue/costly-issues-uncommunicative-or
July 29, 2020 - Newspaper/Magazine Article
Costly issues of an uncommunicative OR.
Citation Text:
Neil R. Costly issues of an uncommunicative OR. Materials management in health care. 2006;15(3):30-3.
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psnet.ahrq.gov/issue/early-warning-systems-next-level-rapid-response
November 25, 2020 - Commentary
Early warning systems: the next level of rapid response.
Citation Text:
Duncan KD, McMullan C, Mills BM. Early warning systems: the next level of rapid response. Nursing (Brux). 2012;42(2):38-45. doi:10.1097/01.NURSE.0000410304.26165.33.
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psnet.ahrq.gov/issue/educational-opportunities-postevent-debriefing
May 28, 2015 - Commentary
Educational opportunities with postevent debriefing.
Citation Text:
Mullan PC, Kessler DO, Cheng A. Educational opportunities with postevent debriefing. JAMA. 2014;312(22):2333-4. doi:10.1001/jama.2014.15741.
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psnet.ahrq.gov/issue/evolving-story-overlapping-surgery
April 19, 2016 - Commentary
The evolving story of overlapping surgery.
Citation Text:
Mello MM, Livingston EH. The Evolving Story of Overlapping Surgery. JAMA. 2017;318(3):233-234. doi:10.1001/jama.2017.8061.
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psnet.ahrq.gov/issue/eliminating-medication-overload-national-action-plan
June 19, 2019 - Book/Report
Eliminating Medication Overload: A National Action Plan.
Citation Text:
Eliminating Medication Overload: A National Action Plan. Working Group on Medication Overload. Brookline, MA: Lown Institute; 2020.
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psnet.ahrq.gov/issue/do-not-put-medication-safety-hold-boarded-patients
September 24, 2010 - Commentary
Do not put medication safety "on hold" with boarded patients.
Citation Text:
Paparella S. Do not put medication safety "on hold" with boarded patients. J Emerg Nurs. 2010;36(4):347-9. doi:10.1016/j.jen.2010.03.008.
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psnet.ahrq.gov/issue/latest-results-first-trial
October 29, 2017 - Special or Theme Issue
Latest Results From the "FIRST" Trial.
Citation Text:
Latest Results From the "FIRST" Trial. J Am Coll Surg. 2017;224:103-159.
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psnet.ahrq.gov/issue/recognizing-and-managing-errors-cognitive-underspecification
November 14, 2018 - Commentary
Recognizing and managing errors of cognitive underspecification.
Citation Text:
Duthie EA. Recognizing and managing errors of cognitive underspecification. J Patient Saf. 2014;10(1):1-5. doi:10.1097/PTS.0b013e3182a5f6e1.
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psnet.ahrq.gov/issue/overcoming-diagnostic-errors-medical-practice
March 15, 2017 - Commentary
Overcoming diagnostic errors in medical practice.
Citation Text:
Bordini BJ, Stephany A, Kliegman RM. Overcoming Diagnostic Errors in Medical Practice. J Pediatr. 2017;185. doi:10.1016/j.jpeds.2017.02.065.
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psnet.ahrq.gov/issue/hardwiring-safety-computer-system-one-hospitals-actions-provide-technology-support-u-500
February 24, 2016 - Newspaper/Magazine Article
Hardwiring safety into the computer system: one hospital's actions to provide technology support for U-500 insulin.
Citation Text:
Hardwiring safety into the computer system: one hospital's actions to provide technology support for U-500 insulin. ISMP Medicatio…
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psnet.ahrq.gov/issue/incident-learning-radiation-oncology-review
October 14, 2020 - Review
Emerging Classic
Incident learning in radiation oncology: a review.
Citation Text:
Ford E, Evans SB. Incident learning in radiation oncology: A review. Med Phys. 2018;45(5):e100-e119. doi:10.1002/mp.12800.
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psnet.ahrq.gov/issue/beyond-negligence-avoidability-and-medical-injury-compensation
February 17, 2011 - Study
Beyond negligence: avoidability and medical injury compensation.
Citation Text:
Kachalia A, Mello MM, Brennan TA, et al. Beyond negligence: avoidability and medical injury compensation. Soc Sci Med. 2008;66(2):387-402.
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psnet.ahrq.gov/issue/students-have-key-role-culture-safety-analysis-student-associated-medication-incidents
July 25, 2018 - Newspaper/Magazine Article
Students have a key role in a culture of safety: analysis of student-associated medication incidents.
Citation Text:
Students have a key role in a culture of safety: analysis of student-associated medication incidents. ISMP Medication Safety Alert! Acute care e…
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psnet.ahrq.gov/issue/2009-national-patient-safety-goals
August 03, 2016 - Commentary
2009 National Patient Safety Goals.
Citation Text:
Saufl NM. 2009 National Patient Safety Goals. J Perianesth Nurs. 2009;24(2):114-8. doi:10.1016/j.jopan.2009.01.008.
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psnet.ahrq.gov/issue/risk-mistaken-dnr-orders
October 19, 2022 - Study
Risk of mistaken DNR orders.
Citation Text:
Rohrer JE, Esler WV, Saeed Q, et al. Risk of mistaken DNR orders. Supportive Care in Cancer. 2006;14(8). doi:10.1007/s00520-006-0023-z.
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psnet.ahrq.gov/issue/systematic-review-medication-errors-pediatric-patients
March 05, 2010 - Review
Systematic review of medication errors in pediatric patients.
Citation Text:
Ghaleb M, Barber N, Franklin BD, et al. Systematic review of medication errors in pediatric patients. Ann Pharmacother. 2006;40(10):1766-76.
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psnet.ahrq.gov/issue/physicians-multiple-patient-complaints-ending-our-silence
June 01, 2004 - Commentary
Physicians with multiple patient complaints: ending our silence.
Citation Text:
Gallagher TH, Levinson W. Physicians with multiple patient complaints: ending our silence. BMJ Qual Saf. 2013;22(7):521-4. doi:10.1136/bmjqs-2013-001880.
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psnet.ahrq.gov/issue/implementing-aorn-recommended-practices-prevention-retained-surgical-items
January 05, 2017 - Commentary
Implementing AORN recommended practices for prevention of retained surgical items.
Citation Text:
Goldberg JL, Feldman DL. Implementing AORN recommended practices for prevention of retained surgical items. AORN J. 2012;95(2):205-16; quiz 217-9. doi:10.1016/j.aorn.2011.11.010…