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psnet.ahrq.gov/issue/failure-report-poor-care-breach-moral-and-professional-expectation
March 05, 2025 - Commentary
Failure to report poor care as a breach of moral and professional expectation.
Citation Text:
Ion R, Olivier S, Darbyshire P. Failure to report poor care as a breach of moral and professional expectation. Nurs Inq. 2019;26(3):e12299. doi:10.1111/nin.12299.
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psnet.ahrq.gov/issue/contribution-sociotechnical-factors-health-information-technology-related-sentinel-events
September 18, 2024 - Study
The contribution of sociotechnical factors to health information technology–related sentinel events.
Citation Text:
Castro GM, Buczkowski L, Hafner JM. The Contribution of Sociotechnical Factors to Health Information Technology-Related Sentinel Events. Jt Comm J Qual Patient Saf. 2…
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psnet.ahrq.gov/issue/deprescribing-simple-method-reducing-polypharmacy
September 09, 2015 - Commentary
Deprescribing: a simple method for reducing polypharmacy.
Citation Text:
McGrath K, Hajjar ER, Kumar C, et al. Deprescribing: A simple method for reducing polypharmacy. J Fam Pract. 2017;66(7):436-445. https://www.mdedge.com/familymedicine/article/141753/practice-management/de…
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psnet.ahrq.gov/issue/delirium-hospitalized-older-adults
December 15, 2008 - Commentary
Delirium in hospitalized older adults.
Citation Text:
Marcantonio ER. Delirium in Hospitalized Older Adults. N Engl J Med. 2017;377(15):1456-1466. doi:10.1056/NEJMcp1605501.
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psnet.ahrq.gov/issue/ncpdp-recommendations-and-guidance-standardizing-dosing-designations-prescription-container
September 09, 2020 - Book/Report
NCPDP Recommendations and Guidance for Standardizing the Dosing Designations on Prescription Container Labels of Oral Liquid Medications Version 1.0.
Citation Text:
NCPDP Recommendations and Guidance for Standardizing the Dosing Designations on Prescription Container Labels o…
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psnet.ahrq.gov/issue/disclosure-harmful-medical-errors-out-hospital-care
June 18, 2014 - Review
Disclosure of harmful medical errors in out-of-hospital care.
Citation Text:
Lu DW, Guenther E, Wesley AK, et al. Disclosure of harmful medical errors in out-of-hospital care. Ann Emerg Med. 2013;61(2):215-21. doi:10.1016/j.annemergmed.2012.07.004.
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psnet.ahrq.gov/issue/how-discuss-errors-and-adverse-events-cancer-patients
April 01, 2010 - Commentary
How to discuss errors and adverse events with cancer patients.
Citation Text:
Yardley I, Yardley SJ, Wu AW. How to discuss errors and adverse events with cancer patients. Curr Oncol Rep. 2010;12(4):253-60. doi:10.1007/s11912-010-0109-0.
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psnet.ahrq.gov/issue/ashp-guidelines-preventing-medication-errors-chemotherapy-and-biotherapy
September 07, 2016 - Organizational Policy/Guidelines
ASHP guidelines on preventing medication errors with chemotherapy and biotherapy.
Citation Text:
Goldspiel B, Hoffman JM, Griffith NL, et al. ASHP guidelines on preventing medication errors with chemotherapy and biotherapy. Am J Health Syst Pharm. 2015;72…
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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/its-always-something-hospital-nurses-managing-risk
September 29, 2017 - Study
It's always something: hospital nurses managing risk.
Citation Text:
Groves PS, Finfgeld-Connett D, Wakefield BJ. It's always something: hospital nurses managing risk. Clin Nurs Res. 2014;23(3):296-313. doi:10.1177/1054773812468755.
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psnet.ahrq.gov/issue/active-components-effective-training-obstetric-emergencies
September 01, 2010 - Review
The active components of effective training in obstetric emergencies.
Citation Text:
Siassakos D, Crofts JF, Winter C, et al. The active components of effective training in obstetric emergencies. BJOG. 2009;116(8):1028-32. doi:10.1111/j.1471-0528.2009.02178.x.
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psnet.ahrq.gov/issue/reliability-evaluation-adapted-national-coordinating-council-medication-error-reporting-and
July 14, 2010 - Study
Reliability evaluation of the adapted National Coordinating Council Medication Error Reporting and Prevention (NCC MERP) index.
Citation Text:
Snyder RA, Abarca J, Meza JL, et al. Reliability evaluation of the adapted National Coordinating Council Medication Error Reporting and P…
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psnet.ahrq.gov/issue/duty-hour-reform-shifting-medical-landscape
June 08, 2022 - Commentary
Duty hour reform in a shifting medical landscape.
Citation Text:
Jena AB, Prasad V. Duty hour reform in a shifting medical landscape. J Gen Intern Med. 2013;28(9):1238-40. doi:10.1007/s11606-013-2439-8.
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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/claiming-behaviour-no-fault-system-medical-injury-descriptive-analysis-claimants-and-non
March 28, 2011 - Study
Claiming behaviour in a no-fault system of medical injury: a descriptive analysis of claimants and non-claimants.
Citation Text:
Bismark M, Brennan TA, Davis PB, et al. Claiming behaviour in a no-fault system of medical injury: a descriptive analysis of claimants and non-claimant…
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psnet.ahrq.gov/issue/introduction-computerized-physician-order-entry-and-change-management-tertiary-pediatric
January 22, 2016 - Review
The introduction of computerized physician order entry and change management in a tertiary pediatric hospital.
Citation Text:
Upperman JS, Staley P, Friend K, et al. The introduction of computerized physician order entry and change management in a tertiary pediatric hospital. Pe…
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psnet.ahrq.gov/issue/design-and-implementation-point-care-computerized-system-drug-therapy-stockholm-metropolitan
October 21, 2010 - Commentary
Design and implementation of a point-of-care computerized system for drug therapy in Stockholm metropolitan health region--bridging the gap between knowledge and practice.
Citation Text:
SJOBORG B, BACKSTROM T, ARVIDSSON L, et al. Design and implementation of a point-of-care…
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psnet.ahrq.gov/issue/doctors-saved-her-life-she-didnt-want-them
November 02, 2016 - Newspaper/Magazine Article
Doctors saved her life. She didn’t want them to.
Citation Text:
Raphael K. Doctors saved her life. She didn’t want them to. New York Times. August 26, 2024;
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psnet.ahrq.gov/issue/independent-double-checks-high-alert-medications-essential-practice
February 01, 2023 - Commentary
Independent double-checks for high-alert medications: essential practice.
Citation Text:
Baldwin K, Walsh V. Independent double-checks for high-alert medications: essential practice. Nursing (Brux). 2014;44(4):65-7. doi:10.1097/01.NURSE.0000444547.64972.dc.
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psnet.ahrq.gov/issue/evaluation-redesign-initiative-internal-medicine-residency
February 17, 2011 - Study
Evaluation of a redesign initiative in an internal-medicine residency.
Citation Text:
McMahon GT, Katz JT, Thorndike ME, et al. Evaluation of a redesign initiative in an internal-medicine residency. N Engl J Med. 2010;362(14):1304-1311. doi:10.1056/NEJMsa0908136.
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