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psnet.ahrq.gov/issue/review-australian-incident-monitoring-system
July 23, 2008 - Study
Review of the Australian Incident Monitoring System.
Citation Text:
Spigelman AD, Swan J. Review of the Australian incident monitoring system. ANZ J Surg. 2005;75(8):657-61.
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psnet.ahrq.gov/issue/cardiovascular-medication-errors-children
September 21, 2008 - Study
Cardiovascular medication errors in children.
Citation Text:
Alexander DC, Bundy DG, Shore AD, et al. Cardiovascular medication errors in children. Pediatrics. 2009;124(1):324-32. doi:10.1542/peds.2008-2073.
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psnet.ahrq.gov/issue/getting-doctors-clean-their-hands-lead-followers
June 12, 2013 - Study
Getting doctors to clean their hands: lead the followers.
Citation Text:
Haessler S, Bhagavan A, Kleppel R, et al. Getting doctors to clean their hands: lead the followers. BMJ Qual Saf. 2012;21(6):499-502. doi:10.1136/bmjqs-2011-000396.
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psnet.ahrq.gov/issue/near-miss-medication-errors-provide-wake-call
January 24, 2024 - Commentary
Near-miss medication errors provide a wake-up call.
Citation Text:
Claffey C. Near-miss medication errors provide a wake-up call. Nursing (Brux). 2018;48(1):53-55. doi:10.1097/01.NURSE.0000527615.45031.9e.
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psnet.ahrq.gov/issue/managing-medication-errors-qualitative-study
December 06, 2023 - Study
Managing medication errors—a qualitative study.
Citation Text:
Stetina P, Groves M, Pafford L. Managing medication errors--a qualitative study. Medsurg Nurs. 2005;14(3):174-8.
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psnet.ahrq.gov/issue/we-may-remember-what-did-we-learn-dealing-errors-crimes-and-misdemeanours-around-adverse
December 29, 2014 - Commentary
We may remember but what did we learn? Dealing with errors, crimes and misdemeanours around adverse events in healthcare.
Citation Text:
Fischbacher-Smith D, Fischbacher-Smith M. WE MAY REMEMBER BUT WHAT DID WE LEARN? DEALING WITH ERRORS, CRIMES AND MISDEMEANOURS AROUND ADVE…
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psnet.ahrq.gov/issue/can-technology-improve-intershift-report-what-research-reveals
October 02, 2024 - Review
Can technology improve intershift report? What the research reveals.
Citation Text:
Strople B, Ottani P. Can Technology Improve Intershift Report? What the Research Reveals. Journal of Professional Nursing. 2006;22(3). doi:10.1016/j.profnurs.2006.03.007.
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psnet.ahrq.gov/issue/important-warnings-and-instructions-heparin-sodium-injection-baxter
May 24, 2015 - Press Release/Announcement
Important Warnings and Instructions for Heparin Sodium Injection (Baxter).
Citation Text:
Important Warnings and Instructions for Heparin Sodium Injection (Baxter). MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; February 28, 2008.
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psnet.ahrq.gov/issue/kadcyla-ado-trastuzumab-emtansine-drug-safety-communication-potential-medication-errors
October 09, 2013 - Press Release/Announcement
Kadcyla (ado-trastuzumab emtansine): drug safety communication—potential medication errors resulting from name confusion.
Citation Text:
Kadcyla (ado-trastuzumab emtansine): drug safety communication—potential medication errors resulting from name confusion. …
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digital.ahrq.gov/organization/oregon-health-and-science-university
January 01, 2023 - Oregon Health and Science University
Collaboration-Oriented Approach to Controlling High Blood Pressure (COACH)
Description
This research will refine an existing interoperable, patient-facing blood pressure control tool--the Collaboration Oriented Approach to Controlling High …
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digital.ahrq.gov/location/usa-or-portland
January 01, 2023 - USA, OR, Portland
Collaboration-Oriented Approach to Controlling High Blood Pressure (COACH)
Description
This research will refine an existing interoperable, patient-facing blood pressure control tool--the Collaboration Oriented Approach to Controlling High Blood Pressure (COA…
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psnet.ahrq.gov/issue/piece-my-mind-despite-my-best-intentions
September 13, 2016 - Commentary
A piece of my mind. Despite my best intentions.
Citation Text:
Kahn JS. Despite My Best Intentions. JAMA. 2017;318(17). doi:10.1001/jama.2017.6123.
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psnet.ahrq.gov/issue/position-statement-criminalization-medical-error-and-call-action-prevent-patient-harm-error
December 02, 2020 - Organizational Policy/Guidelines
Position Statement on Criminalization of Medical Error and Call for Action to Prevent Patient Harm from Error.
Citation Text:
Position Statement on Criminalization of Medical Error and Call for Action to Prevent Patient Harm from Error. Cooper J, Thomas B…
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psnet.ahrq.gov/issue/teamwork-behaviours-and-errors-during-neonatal-resuscitation
September 13, 2011 - Study
Teamwork behaviours and errors during neonatal resuscitation.
Citation Text:
Williams AL, Lasky RE, Dannemiller JL, et al. Teamwork behaviours and errors during neonatal resuscitation. Qual Saf Health Care. 2010;19(1):60-4. doi:10.1136/qshc.2007.025320.
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hcup-us.ahrq.gov/db/state/siddist/siddist_filecompin.jsp
September 01, 2024 - SID File Composition - Indiana
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psnet.ahrq.gov/issue/pediatric-medication-safety-and-media-what-does-public-see
November 25, 2009 - May 27, 2011
Ambulatory prescribing errors among community-based providers in two states
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psnet.ahrq.gov/issue/after-his-wife-died-he-joined-nurses-push-new-staffing-rules-hospitals
July 10, 2024 - August 16, 2023
Hospitals in two states denied an abortion to a miscarrying patient.
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psnet.ahrq.gov/issue/documentation-clinical-review-and-vital-signs-after-major-surgery
September 30, 2010 - Study
Documentation of clinical review and vital signs after major surgery.
Citation Text:
McGain F, Cretikos MA, Jones D, et al. Documentation of clinical review and vital signs after major surgery. Med J Aust. 2008;189(7):380-3.
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psnet.ahrq.gov/issue/patient-safety-psychiatric-inpatient-care-literature-review
September 27, 2017 - Review
Patient safety in psychiatric inpatient care: a literature review.
Citation Text:
Kanerva A, Lammintakanen J, Kivinen T. Patient safety in psychiatric inpatient care: a literature review. J Psychiatr Ment Health Nurs. 2013;20(6):541-8. doi:10.1111/j.1365-2850.2012.01949.x.
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psnet.ahrq.gov/issue/nurses-medication-day
September 24, 2016 - Study
The nurse's medication day.
Citation Text:
Jennings BM, Sandelowski M, Mark BA. The nurse's medication day. Qual Health Res. 2011;21(10):1441-51. doi:10.1177/1049732311411927.
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