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psnet.ahrq.gov/issue/safety-and-quality-parenteral-nutrition-translating-guidelines-clinical-practice-considering
October 20, 2021 - Special or Theme Issue
Safety and Quality of Parenteral Nutrition: Translating Guidelines into Clinical Practice Considering Different Organizational Settings.
Citation Text:
Safety and Quality of Parenteral Nutrition: Translating Guidelines into Clinical Practice Considering Different O…
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psnet.ahrq.gov/issue/diagnostic-overshadowing-dentistry
March 13, 2024 - Commentary
Diagnostic overshadowing in dentistry.
Citation Text:
Clough S, Handley P. Diagnostic overshadowing in dentistry. Br Dent J. 2019;227(4):311-315. doi:10.1038/s41415-019-0623-x.
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psnet.ahrq.gov/issue/patient-safety-institute-demonstration-project-model-implementing-local-health-information
May 15, 2013 - Commentary
The Patient Safety Institute demonstration project: a model for implementing a local health information infrastructure.
Citation Text:
Classen D, Kanhouwa M, Will D, et al. The patient safety institute demonstration project: a model for implementing a local health informatio…
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psnet.ahrq.gov/issue/standardized-admission-order-set-improves-perceived-quality-pediatric-inpatient-care
December 04, 2024 - Study
Standardized admission order set improves perceived quality of pediatric inpatient care.
Citation Text:
Bekmezian A, Chung PJ, Yazdani S. Standardized admission order set improves perceived quality of pediatric inpatient care. J Hosp Med. 2009;4(2):90-6. doi:10.1002/jhm.403.
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psnet.ahrq.gov/issue/evaluation-medication-errors-pediatric-surgical-service-experience
March 02, 2011 - Study
An evaluation of medication errors—the pediatric surgical service experience.
Citation Text:
Engum SA, Breckler FD. An evaluation of medication errors-the pediatric surgical service experience. J Pediatr Surg. 2008;43(2):348-52. doi:10.1016/j.jpedsurg.2007.10.042.
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psnet.ahrq.gov/issue/medical-emergency-team-and-rapid-response-system-finding-treating-and-preventing-hypoglycemia
September 23, 2020 - Commentary
The medical emergency team and rapid response system: finding, treating, and preventing hypoglycemia.
Citation Text:
DiNardo M, Noschese M, Korytkowski M, et al. The medical emergency team and rapid response system: finding, treating, and preventing hypoglycemia. Jt Comm J Qua…
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psnet.ahrq.gov/issue/obstetrics-and-gynecologic-hospitalists-and-their-focus-impact-safety-and-quality-metrics
July 19, 2023 - Commentary
Obstetrics and gynecologic hospitalists and their focus: impact on safety and quality metrics.
Citation Text:
Gonzalez AK, Butler JR. Obstetrics and gynecologic hospitalists and their focus: impact on safety and quality metrics. Obstet Gynecol Clin North Am. 2024;51(3):453-461…
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psnet.ahrq.gov/issue/patient-safety-genomic-medicine-exploratory-study
November 04, 2015 - Study
Patient safety in genomic medicine: an exploratory study.
Citation Text:
Korngiebel DM, Fullerton SM, Burke W. Patient safety in genomic medicine: an exploratory study. Genet Med. 2016;18(11):1136-1142. doi:10.1038/gim.2016.16.
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psnet.ahrq.gov/issue/chemotherapy-incident-reporting-and-improvement-system
November 16, 2022 - Study
A chemotherapy incident reporting and improvement system.
Citation Text:
France DJ, Miles P, Cartwright J, et al. A chemotherapy incident reporting and improvement system. Jt Comm J Qual Saf. 2003;29(4):171-80.
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psnet.ahrq.gov/issue/organisational-learning-hospitals-concept-analysis
August 21, 2019 - Review
Organisational learning in hospitals: a concept analysis.
Citation Text:
Lyman B, Hammond EL, Cox JR. Organisational learning in hospitals: A concept analysis. J Nurs Manag. 2019;27(3):633-646. doi:10.1111/jonm.12722.
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psnet.ahrq.gov/issue/interns-overestimate-effectiveness-their-hand-communication
March 02, 2011 - Study
Interns overestimate the effectiveness of their hand-off communication.
Citation Text:
Chang VY, Arora V, Lev-Ari S, et al. Interns overestimate the effectiveness of their hand-off communication. Pediatrics. 2010;125(3):491-496. doi:10.1542/peds.2009-0351.
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psnet.ahrq.gov/issue/voluntary-review-quality-care-peer-review-patient-safety
February 04, 2009 - Commentary
Voluntary review of quality of care peer review for patient safety.
Citation Text:
Stumpf PG. Voluntary review of quality of care peer review for patient safety. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):557-64.
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psnet.ahrq.gov/issue/implementation-cpoe-and-medication-errors
July 18, 2012 - Commentary
Implementation, CPOE, and medication errors.
Citation Text:
Bradley V. Implementation, CPOE, and medication errors. Comput Inform Nurs. 2005;23(3):113-114, 138.
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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/pursuit-perfection-hospitals-take-heightened-actions-reduce-adverse-events
November 18, 2020 - Newspaper/Magazine Article
The pursuit of perfection: hospitals take heightened actions to reduce adverse events.
Citation Text:
May EL. The pursuit of perfection: hospitals take heightened actions to reduce adverse events. Healthcare executive. 2012;27(2):26-8, 30-3.
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psnet.ahrq.gov/issue/applying-lean-methods-improve-quality-and-safety-surgical-sterile-instrument-processing
September 16, 2015 - Study
Applying Lean methods to improve quality and safety in surgical sterile instrument processing.
Citation Text:
Blackmore C, Bishop R, Luker S, et al. Applying lean methods to improve quality and safety in surgical sterile instrument processing. Jt Comm J Qual Patient Saf. 2013;39(…
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psnet.ahrq.gov/issue/human-error-models-and-management
November 18, 2015 - Commentary
Classic
Human error: models and management.
Citation Text:
Reason J. Human error: models and management. BMJ. 2000;320(7237):768-770.
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psnet.ahrq.gov/issue/sbar-shared-mental-model-improving-communication-between-clinicians
January 02, 2017 - Study
SBAR: a shared mental model for improving communication between clinicians.
Citation Text:
Haig KM, Sutton S, Whittington J. SBAR: a shared mental model for improving communication between clinicians. Jt Comm J Qual Patient Saf. 2006;32(3):167-75.
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psnet.ahrq.gov/issue/intrahospital-patient-transport-checklists-adverse-events-and-other-considerations-anesthesia
April 24, 2019 - Newspaper/Magazine Article
Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesia professional.
Citation Text:
Andrew C, Fitzsimons M. Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesi…
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psnet.ahrq.gov/issue/adverse-events-during-dental-care-children-implications-practitioner-health-and-wellness
December 22, 2021 - Review
Adverse events during dental care for children: implications for practitioner health and wellness.
Citation Text:
Nainar SMH. Adverse events during dental care for children: implications for practitioner health and wellness. Pediatr Dent. 2018;40(5):323-326.
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