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psnet.ahrq.gov/issue/depth-analysis-medication-errors-hospitalized-patients-hiv
July 15, 2010 - Study
An in-depth analysis of medication errors in hospitalized patients with HIV.
Citation Text:
Snyder AM, Klinker K, Orrick JJ, et al. An in-depth analysis of medication errors in hospitalized patients with HIV. Ann Pharmacother. 2011;45(4):459-68. doi:10.1345/aph.1P599.
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psnet.ahrq.gov/issue/computerized-provider-order-entry-strategies-successful-implementation
February 15, 2017 - Commentary
Computerized provider order entry: strategies for successful implementation.
Citation Text:
Jones S, Moss J. Computerized Provider Order Entry. J Nurs Admin. 2006;36(3):136-139. doi:10.1097/00005110-200603000-00007.
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psnet.ahrq.gov/issue/application-failure-mode-and-effect-analysis-radiology-department
October 13, 2010 - Commentary
Application of failure mode and effect analysis in a radiology department.
Citation Text:
Thornton E, Brook OR, Mendiratta-Lala M, et al. Application of Failure Mode and Effect Analysis in a Radiology Department. RadioGraphics. 2010;31(1):281-293. doi:10.1148/rg.311105018.
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psnet.ahrq.gov/issue/educational-and-audit-tool-reduce-prescribing-error-intensive-care
August 04, 2021 - Study
An educational and audit tool to reduce prescribing error in intensive care.
Citation Text:
Thomas AN, Boxall EM, Laha SK, et al. An educational and audit tool to reduce prescribing error in intensive care. Qual Saf Health Care. 2008;17(5):360-3. doi:10.1136/qshc.2007.023242.
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psnet.ahrq.gov/issue/impact-team-processes-psychiatric-case-management
November 13, 2019 - Study
The impact of team processes on psychiatric case management.
Citation Text:
Simpson A. The impact of team processes on psychiatric case management. J Adv Nurs. 2007;60(4):409-18.
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psnet.ahrq.gov/issue/measuring-perinatal-patient-safety-review-current-methods
October 19, 2022 - Commentary
Measuring perinatal patient safety: review of current methods.
Citation Text:
Simpson KR. Measuring perinatal patient safety: review of current methods. J Obstet Gynecol Neonatal Nurs. 2006;35(3):432-42.
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psnet.ahrq.gov/issue/involving-users-design-system-sharing-lessons-adverse-incidents-anaesthesia
April 24, 2018 - Study
Involving users in the design of a system for sharing lessons from adverse incidents in anaesthesia.
Citation Text:
Sharma S, Smith AF, Rooksby J, et al. Involving users in the design of a system for sharing lessons from adverse incidents in anaesthesia. Anaesthesia. 2006;61(4):3…
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psnet.ahrq.gov/issue/how-can-principles-complexity-science-be-applied-improve-coordination-care-complex-pediatric
October 19, 2022 - Commentary
How can the principles of complexity science be applied to improve the coordination of care for complex pediatric patients?
Citation Text:
Matlow AG, Wright JG, Zimmerman B, et al. How can the principles of complexity science be applied to improve the coordination of care fo…
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psnet.ahrq.gov/issue/effects-electrode-misplacement-clinicians-interpretation-standard-12-lead-electrocardiogram
February 10, 2016 - Study
The effects of electrode misplacement on clinicians' interpretation of the standard 12-lead electrocardiogram.
Citation Text:
Bond RR, Finlay DD, Nugent CD, et al. The effects of electrode misplacement on clinicians' interpretation of the standard 12-lead electrocardiogram. Eur J…
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psnet.ahrq.gov/issue/inside-closed-loop-medication-strategy-medication-management-targets-stages-which-errors
January 30, 2013 - Study
Inside a closed-loop medication strategy: medication management targets stages in which errors occur, step by step.
Citation Text:
Williams CT. Inside a closed-loop medication strategy. Nurs Manag. 2004;35 Suppl 5:8-9, 24.
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psnet.ahrq.gov/issue/managing-adverse-event-occurring-during-elective-ambulatory-pediatric-surgery
March 01, 2023 - Commentary
Managing the adverse event occurring during elective, ambulatory pediatric surgery.
Citation Text:
Skarsgard ED. Managing the adverse event occurring during elective, ambulatory pediatric surgery. Semin Pediatr Surg. 2009;18(2):122-4. doi:10.1053/j.sempedsurg.2009.02.013.
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psnet.ahrq.gov/issue/observational-study-practice-during-transfer-patients-anaesthetic-room-operating-theatre
September 27, 2016 - Study
An observational study of practice during transfer of patients from anaesthetic room to operating theatre.
Citation Text:
Broom MA, Slater J, Ure DS. An observational study of practice during transfer of patients from anaesthetic room to operating theatre. Anaesthesia. 2006;61(10…
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psnet.ahrq.gov/issue/development-infusion-pump-safety-score
January 06, 2017 - Commentary
Development of an "infusion pump safety score".
Citation Text:
Carlson R, Johnson B, Ensign RH. Development of an "infusion pump safety score". Am J Health Syst Pharm. 2015;72(10):777-9. doi:10.2146/ajhp140421.
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psnet.ahrq.gov/issue/physician-gender-and-apologies-clinical-interactions
July 07, 2021 - Study
Physician gender and apologies in clinical interactions.
Citation Text:
Hill KM, Blanch-Hartigan D. Physician gender and apologies in clinical interactions. Patient Educ Couns. 2018;101(5):836-842. doi:10.1016/j.pec.2017.12.005.
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psnet.ahrq.gov/issue/influence-workplace-demands-nurses-perception-patient-safety
September 29, 2010 - Study
Influence of workplace demands on nurses' perception of patient safety.
Citation Text:
Ramanujam R, Abrahamson K, Anderson J. Influence of workplace demands on nurses' perception of patient safety. Nurs Health Sci. 2008;10(2):144-50. doi:10.1111/j.1442-2018.2008.00382.x.
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psnet.ahrq.gov/issue/auto-identification-technology-and-its-impact-patient-safety-operating-room-future
June 22, 2009 - Commentary
Auto identification technology and its impact on patient safety in the operating room of the future.
Citation Text:
Egan MT, Sandberg WS. Auto identification technology and its impact on patient safety in the Operating Room of the Future. Surg Innov. 2007;14(1):41-50; discus…
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psnet.ahrq.gov/issue/frequency-and-severity-harm-medication-errors-related-parenteral-nutrition-process-large
January 16, 2019 - Study
Frequency and severity of harm of medication errors related to the parenteral nutrition process in a large university teaching hospital.
Citation Text:
Sacks GS, Rough S, Kudsk KA. Frequency and severity of harm of medication errors related to the parenteral nutrition process in a…
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psnet.ahrq.gov/issue/identifying-vulnerabilities-communication-emergency-department
September 09, 2009 - Study
Identifying vulnerabilities in communication in the emergency department.
Citation Text:
Redfern E, Brown R, Vincent C. Identifying vulnerabilities in communication in the emergency department. Emerg Med J. 2009;26(9):653-7. doi:10.1136/emj.2008.065318.
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psnet.ahrq.gov/issue/checklist-tool-error-management-and-performance-improvement
June 29, 2011 - Review
The checklist--a tool for error management and performance improvement.
Citation Text:
Hales BM, Pronovost P. The checklist--a tool for error management and performance improvement. J Crit Care. 2006;21(3):231-5.
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psnet.ahrq.gov/issue/characteristics-quality-and-patient-safety-curricula-major-teaching-hospitals
February 16, 2011 - Study
Characteristics of quality and patient safety curricula in major teaching hospitals.
Citation Text:
Pingleton SK, Davis DA, Dickler RM. Characteristics of quality and patient safety curricula in major teaching hospitals. Am J Med Qual. 2010;25(4):305-11. doi:10.1177/1062860610367…