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psnet.ahrq.gov/issue/variation-medication-information-elderly-patients-during-initial-interventions-emergency
October 20, 2021 - Study
Variation in medication information for elderly patients during initial interventions by emergency department physicians.
Citation Text:
Cohen V, Jellinek SP, Likourezos A, et al. Variation in medication information for elderly patients during initial interventions by emergency d…
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psnet.ahrq.gov/issue/chemotherapy-drug-shortages-pediatric-oncology-consensus-statement
March 15, 2017 - Organizational Policy/Guidelines
Chemotherapy drug shortages in pediatric oncology: a consensus statement.
Citation Text:
Decamp M, Joffe S, Fernandez C, et al. Chemotherapy drug shortages in pediatric oncology: a consensus statement. Pediatrics. 2014;133(3):e716-24. doi:10.1542/peds.201…
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psnet.ahrq.gov/issue/standardised-proformas-improve-patient-handover-audit-trauma-handover-practice
October 19, 2022 - Study
Standardised proformas improve patient handover: audit of trauma handover practice.
Citation Text:
Ferran NA, Metcalfe AJ, O'Doherty D. Standardised proformas improve patient handover: Audit of trauma handover practice. Patient Saf Surg. 2008;2:24. doi:10.1186/1754-9493-2-24.
C…
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psnet.ahrq.gov/issue/high-reliability-leadership-conceptual-framework
March 09, 2022 - Commentary
High reliability leadership: a conceptual framework.
Citation Text:
Martínez-Córcoles M. High reliability leadership: A conceptual framework. J Contingencies Crisis Manage. 2017;26(2):237-246. doi:10.1111/1468-5973.12187.
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psnet.ahrq.gov/issue/sixty-seconds-medical-gaslighting
October 19, 2022 - Commentary
Sixty seconds on . . . medical gaslighting.
Citation Text:
Wise J. Sixty seconds on . . . medical gaslighting. BMJ. 2022;378:o1974. doi:10.1136/bmj.o1974.
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psnet.ahrq.gov/issue/fda-alerts-health-care-providers-compounders-and-patients-dosing-errors-associated-compounded
February 15, 2024 - Press Release/Announcement
FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products.
Citation Text:
FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injecta…
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psnet.ahrq.gov/issue/complexity-bias-prevention-iatrogenic-injury-why-specific-harms-may-inhibit-performance
September 23, 2020 - Commentary
Complexity bias in the prevention of iatrogenic injury: why specific harms may inhibit performance.
Citation Text:
Padula WV, Armstrong DG, Goldman DP. Complexity bias in the prevention of iatrogenic injury: why specific harms may inhibit performance. Mayo Clin Proc. 2022;97(2…
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psnet.ahrq.gov/issue/patient-safety-its-not-just-carefulness-its-culture
December 24, 2008 - Commentary
Patient safety: it's not just carefulness, it's a culture.
Citation Text:
Powell S. Patient Safety: it's not just carefulness, it's a culture. Lippincotts Case Manag. 2004;9(5):211-212. doi:10.1097/00129234-200409000-00001.
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psnet.ahrq.gov/issue/improving-self-reporting-adverse-drug-events-west-virginia-hospital
March 10, 2011 - Study
Improving self-reporting of adverse drug events in a West Virginia hospital.
Citation Text:
Schade CP, Hannah K, Ruddick P, et al. Improving self-reporting of adverse drug events in a West Virginia hospital. Am J Med Qual. 2006;21(5):335-41.
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psnet.ahrq.gov/issue/computerization-can-create-safety-hazards-bar-coding-near-miss
March 11, 2011 - Commentary
Classic
Computerization can create safety hazards: a bar-coding near miss.
Citation Text:
McDonald CJ. Computerization can create safety hazards: a bar-coding near miss. Ann Intern Med. 2006;144(7):510-6.
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psnet.ahrq.gov/issue/sentinel-events-memory-ben-case-study
July 01, 2016 - Study
Sentinel events. In memory of Ben—a case study.
Citation Text:
Haas D. Sentinel events. In memory of Ben--a case study. Jt Comm Perspect. 1997;17(2):12-5.
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psnet.ahrq.gov/issue/frequency-types-and-potential-clinical-significance-medication-dispensing-errors
February 03, 2011 - Study
Frequency, types, and potential clinical significance of medication-dispensing errors.
Citation Text:
Bohand X, Simon L, Perrier E, et al. Frequency, types, and potential clinical significance of medication-dispensing errors. Clinics (Sao Paulo). 2009;64(1):11-6.
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psnet.ahrq.gov/issue/towards-high-reliability-organising-healthcare-strategy-building-organisational-capacity
January 06, 2016 - Commentary
Towards high-reliability organising in healthcare: a strategy for building organisational capacity.
Citation Text:
Aboumatar HJ, Weaver SJ, Rees D, et al. Towards high-reliability organising in healthcare: a strategy for building organisational capacity. BMJ Qual Saf. 2017;26(…
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psnet.ahrq.gov/issue/patient-safety-and-leadership-do-you-walk-walk
November 04, 2020 - Commentary
Patient safety and leadership: do you walk the walk?
Citation Text:
Jarrett MP. Patient Safety and Leadership: Do You Walk the Walk? J Healthc Manag. 2017;62(2):88-92. doi:10.1097/JHM-D-17-00005.
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psnet.ahrq.gov/issue/implementing-aorn-recommended-practices-transfer-patient-care-information
October 07, 2013 - Commentary
Implementing AORN recommended practices for transfer of patient care information.
Citation Text:
Seifert PC. Implementing AORN recommended practices for transfer of patient care information. AORN J. 2012;96(5):475-93. doi:10.1016/j.aorn.2012.08.011.
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psnet.ahrq.gov/issue/actions-needed-address-employee-misconduct-process-and-ensure-accountability
July 11, 2018 - Book/Report
Actions Needed to Address Employee Misconduct Process and Ensure Accountability.
Citation Text:
Actions Needed to Address Employee Misconduct Process and Ensure Accountability. Washington, DC: United States Government Accountability Office; July 2018. Publication GAO-18-137. …
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psnet.ahrq.gov/issue/engineering-foundation-partnership-improve-medication-safety-during-care-transitions
July 20, 2022 - Commentary
Engineering a foundation for partnership to improve medication safety during care transitions.
Citation Text:
Xiao Y, Abebe E, Gurses AP. Engineering a Foundation for Partnership to Improve Medication Safety during Care Transitions. J Patient Saf Risk Manag. 2019;24(1):30-36. …
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psnet.ahrq.gov/issue/role-patient-involvement-diagnostic-process-internal-medicine-cognitive-approach
April 25, 2012 - Commentary
The role of patient involvement in the diagnostic process in internal medicine: a cognitive approach.
Citation Text:
Lucchiari C, Pravettoni G. The role of patient involvement in the diagnostic process in internal medicine: a cognitive approach. Eur J Intern Med. 2013;24(5):4…
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effectivehealthcare.ahrq.gov/sites/default/files/substance-abuse-horizon-scan-high-impact-1306.pdf
June 01, 2013 - The buprenorphine implant, Probuphine, developed for treating opioid dependence, uses a new
delivery
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effectivehealthcare.ahrq.gov/sites/default/files/pregnancy-horizon-scan-high-impact-1406.pdf
June 01, 2014 - infants to increase weight
gain); interventions intended to target both the woman and fetus (a drug for treating