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psnet.ahrq.gov/issue/labeling-morphine-milligram-equivalents-opioid-packaging-potential-patient-safety
March 06, 2019 - Review
Labeling morphine milligram equivalents on opioid packaging: a potential patient safety intervention.
Citation Text:
Stone AB, Urman RD, Kaye AD, et al. Labeling Morphine Milligram Equivalents on Opioid Packaging: a Potential Patient Safety Intervention. Curr Pain Headache Rep. 20…
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psnet.ahrq.gov/issue/more-teamwork-knowledge-skill-and-attitude
July 13, 2009 - Study
More to teamwork than knowledge, skill and attitude.
Citation Text:
Siassakos D, Draycott TJ, Crofts JF, et al. More to teamwork than knowledge, skill and attitude. BJOG. 2010;117(10):1262-9. doi:10.1111/j.1471-0528.2010.02654.x.
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psnet.ahrq.gov/issue/public-reporting-patient-safety-metrics-ready-or-not
July 14, 2010 - Commentary
Public reporting of patient safety metrics: ready or not?
Citation Text:
Podolsky DK, Nagarkar PA, Reed G, et al. Public reporting of patient safety metrics: ready or not? Plast Reconstr Surg. 2014;134(6):981e-5e. doi:10.1097/PRS.0000000000000713.
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psnet.ahrq.gov/issue/organisational-paradoxes-speaking-safety-implications-interprofessional-field
March 08, 2023 - Commentary
Organisational paradoxes in speaking up for safety: implications for the interprofessional field.
Citation Text:
Rowland P. Organisational paradoxes in speaking up for safety: Implications for the interprofessional field. J Interprof Care. 2017;31(5):553-556. doi:10.1080/13561…
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psnet.ahrq.gov/issue/all-consumer-medication-information-not-created-equal-implications-medication-safety
June 15, 2022 - Study
All consumer medication information is not created equal: implications for medication safety.
Citation Text:
Monkman H, Kushniruk AW. All Consumer Medication Information Is Not Created Equal: Implications for Medication Safety. Stud Health Technol Inform. 2017;234:233-237.
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psnet.ahrq.gov/issue/intolerance-error-and-culture-blame-drive-medical-excess
March 24, 2017 - Commentary
Intolerance of error and culture of blame drive medical excess.
Citation Text:
Hoffman JR, Kanzaria HK. Intolerance of error and culture of blame drive medical excess. BMJ. 2014;349(oct14 3). doi:10.1136/bmj.g5702.
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psnet.ahrq.gov/issue/promoting-safety-through-well-being-experience-healthcare
November 11, 2020 - Commentary
Promoting safety through well-being: an experience in healthcare.
Citation Text:
Bruno A, Bracco F. Promoting Safety through Well-Being: An Experience in Healthcare. Front Psychol. 2016;7:1208. doi:10.3389/fpsyg.2016.01208.
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psnet.ahrq.gov/issue/predicting-and-preventing-adverse-drug-reactions-very-old
April 16, 2018 - Study
Predicting and preventing adverse drug reactions in the very old.
Citation Text:
Merle L, Laroche M-L, Dantoine T, et al. Predicting and preventing adverse drug reactions in the very old. Drugs Aging. 2005;22(5):375-92.
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psnet.ahrq.gov/issue/emerging-trends-perinatal-quality-and-risk-recommendations-patient-safety
October 19, 2022 - Commentary
Emerging trends in perinatal quality and risk with recommendations for patient safety.
Citation Text:
Simpson KR. Emerging Trends in Perinatal Quality and Risk With Recommendations for Patient Safety. J Perinat Neonatal Nurs. 2018;32(1). doi:10.1097/jpn.0000000000000294.
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psnet.ahrq.gov/issue/hospital-do-not-resuscitate-orders-why-they-have-failed-and-how-fix-them
May 13, 2009 - Review
Hospital do-not-resuscitate orders: why they have failed and how to fix them.
Citation Text:
Yuen JK, Reid C, Fetters MD. Hospital do-not-resuscitate orders: why they have failed and how to fix them. J Gen Intern Med. 2011;26(7):791-7. doi:10.1007/s11606-011-1632-x.
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psnet.ahrq.gov/issue/medication-reconciliation-acute-care-ensuring-accurate-drug-regimen-admission-and-discharge
October 28, 2020 - Commentary
Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge.
Citation Text:
Rodehaver C, Fearing D. Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. Jt Comm J Qual Patient Saf. 2005…
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psnet.ahrq.gov/issue/diagnostic-error-result-drug-laboratory-test-interactions
November 21, 2018 - Review
Diagnostic error as a result of drug-laboratory test interactions.
Citation Text:
van Balveren JA, van de Venne WPHGV-, Erdem-Eraslan L, et al. Diagnostic error as a result of drug-laboratory test interactions. Diagnosis (Berl). 2019;6(1):69-71. doi:10.1515/dx-2018-0098.
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psnet.ahrq.gov/issue/fewer-better-auditory-alarms-will-improve-patient-safety
August 11, 2021 - Commentary
Fewer but better auditory alarms will improve patient safety.
Citation Text:
Edworthy J. Fewer but better auditory alarms will improve patient safety. Qual Saf Health Care. 2005;14(3):212-215. doi:10.1136/qshc.2004.013052.
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psnet.ahrq.gov/issue/depth-investigation-causes-prescribing-errors-foundation-trainees-relation-their-medical
May 16, 2012 - Book/Report
An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study.
Citation Text:
An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUI…
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psnet.ahrq.gov/issue/preventing-sentinel-events-caused-family-members
June 14, 2023 - Commentary
Preventing sentinel events caused by family members.
Citation Text:
Wall Y, Kautz DD. Preventing sentinel events caused by family members. Dimens Crit Care Nurs. 2011;30(1):25-7. doi:10.1097/DCC.0b013e3181fd02a0.
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psnet.ahrq.gov/issue/time-sign-signout
March 11, 2011 - Commentary
Time to sign off on signout.
Citation Text:
Stein DM, Stetson PD. Commentary: time to sign off on signout. Acad Med. 2011;86(7):804-6. doi:10.1097/ACM.0b013e31821d8409.
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psnet.ahrq.gov/issue/monitoring-medication-errors-outpatient-settings
December 31, 2014 - Review
Monitoring for medication errors in outpatient settings.
Citation Text:
Balkrishnan R, Foss CE, Pawaskar M, et al. Monitoring for medication errors in outpatient settings. J Dermatolog Treat. 2009;20(4):229-32. doi:10.1080/09546630802607487.
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psnet.ahrq.gov/issue/theory-based-instrument-evaluate-team-communication-operating-room-balancing-measurement
June 23, 2010 - Commentary
A theory-based instrument to evaluate team communication in the operating room: balancing measurement authenticity and reliability.
Citation Text:
Lingard LA, Regehr G, Espin S, et al. A theory-based instrument to evaluate team communication in the operating room: balancing …
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/zxXWqacXvfKPyQB9LCrZjX
August 01, 2008 - See the Figure for a summary of this recommendation
and suggestions for clinical practice. … Suggestions for Practice
Given the uncertainties and controversy surrounding
prostate cancer screening … Suggestions for practice
Balance of harm
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list of U
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Grade Definition Suggestions for Practice
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hcup-us.ahrq.gov/datainnovations/clinicaldata/Labs-to-be-Collected-FINAL.jsp
September 01, 2012 - If you have comments, suggestions, and/or questions, please contact hcup@ahrq.gov.