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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0012_03-21-2008.pdf
January 01, 2008 - Effective Health Care
Topic Number(s): 0064
Document Completion Date: 11-18-09
1
Results of Topic Selection Process & Next Steps
Subclinical hypothyroidism will go forward for refinement as a comparative effectiveness or
effectiveness review. Although the topic was initially thought to be cove…
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psnet.ahrq.gov/issue/back-basics-universal-protocol
March 17, 2021 - Commentary
Back to basics: the Universal Protocol.
Citation Text:
Spruce L. Back to Basics: The Universal Protocol: 1.4 www.aornjournal.org/content/cme. AORN J. 2018;107(1):116-125. doi:10.1002/aorn.12002.
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psnet.ahrq.gov/issue/acog-committee-opinion-531-improving-medication-safety
May 22, 2019 - Organizational Policy/Guidelines
ACOG Committee Opinion #531: improving medication safety.
Citation Text:
Improvement C on PS and Q. Committee opinion No. 531: improving medication safety. Obstet Gynecol. 2012;120(2 Pt 1):406-410. doi:10.1097/AOG.0b013e3182680478.
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psnet.ahrq.gov/issue/guideline-prevention-retained-surgical-items
April 26, 2023 - Commentary
Guideline for prevention of retained surgical items.
Citation Text:
Putnam K. Guideline for prevention of retained surgical items. AORN J. 2015;102(6):P11-P13.
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psnet.ahrq.gov/issue/pediatric-safety-incidents-intensive-care-reporting-system
May 27, 2011 - Study
Pediatric safety incidents from an intensive care reporting system.
Citation Text:
Pediatric safety incidents from an intensive care reporting system. Skapik JL; Pronovost PJ; Miller MR; Thompson DA; Wu AW.
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psnet.ahrq.gov/issue/access-prescription-opioids-primum-non-nocere-teachable-moment
July 02, 2019 - Commentary
Access to prescription opioids—Primum Non Nocere: a teachable moment.
Citation Text:
Tyler PD, Larochelle MR, Mafi JN. Access to Prescription Opioids-Primum Non Nocere: A Teachable Moment. JAMA Intern Med. 2016;176(9):1251-2. doi:10.1001/jamainternmed.2016.3926.
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psnet.ahrq.gov/issue/recognizing-and-managing-errors-cognitive-underspecification
November 14, 2018 - Commentary
Recognizing and managing errors of cognitive underspecification.
Citation Text:
Duthie EA. Recognizing and managing errors of cognitive underspecification. J Patient Saf. 2014;10(1):1-5. doi:10.1097/PTS.0b013e3182a5f6e1.
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psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero
September 30, 2010 - Commentary
Preventing pressure ulcers: the goal is zero.
Citation Text:
Duncan KD. Preventing pressure ulcers: the goal is zero. Jt Comm J Qual Patient Saf. 2007;33(10):605-10.
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psnet.ahrq.gov/issue/silent-epidemic-health-effects-illiteracy
January 12, 2011 - Commentary
The silent epidemic--the health effects of illiteracy.
Citation Text:
Marcus EN. The silent epidemic--the health effects of illiteracy. N Engl J Med. 2006;355(4):339-41.
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psnet.ahrq.gov/issue/reducing-medical-errors-and-adverse-events
March 21, 2012 - Review
Reducing medical errors and adverse events.
Citation Text:
Pham JC, Aswani MS, Rosen MA, et al. Reducing medical errors and adverse events. Annu Rev Med. 2012;63:447-63. doi:10.1146/annurev-med-061410-121352.
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psnet.ahrq.gov/issue/patient-safety-and-technology
June 24, 2009 - Commentary
Patient safety and technology.
Citation Text:
Henneman EA. Patient safety and technology. AACN Adv Crit Care. 2009;20(2):128-132. doi:10.1097/NCI.0b013e3181a0b468.
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psnet.ahrq.gov/issue/radiological-error-analysis-standard-setting-targeted-instruction-and-teamworking
December 12, 2018 - Commentary
Radiological error: analysis, standard setting, targeted instruction and teamworking.
Citation Text:
FitzGerald R. Radiological error: analysis, standard setting, targeted instruction and teamworking. Eur Radiol. 2005;15(8). doi:10.1007/s00330-005-2662-8.
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psnet.ahrq.gov/issue/through-and-beyond-anaesthesia-awareness
September 20, 2023 - Commentary
Through and beyond anaesthesia awareness.
Citation Text:
Aaen A-M, Møller K. Through and beyond anaesthesia awareness. BMJ. 2010;341:c3669. doi:10.1136/bmj.c3669.
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psnet.ahrq.gov/issue/beyond-negligence-avoidability-and-medical-injury-compensation
February 17, 2011 - Study
Beyond negligence: avoidability and medical injury compensation.
Citation Text:
Kachalia A, Mello MM, Brennan TA, et al. Beyond negligence: avoidability and medical injury compensation. Soc Sci Med. 2008;66(2):387-402.
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psnet.ahrq.gov/issue/mistakes-and-disclosure
October 19, 2022 - Commentary
Mistakes and disclosure.
Citation Text:
Winter RO, Birnberg BA. Mistakes and disclosure. Fam Med. 2008;40(4):245-7.
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www.ahrq.gov/es/programs/index.html?page=4
Digital Healthcare Research Advancing healthcare quality, safety, and effectiveness through the evolving digital healthcare ecosystem. More
PSNet Discover the latest literature, news, and expert commentary on patient safety topics. More
CAHPS The CAHPS program aims to advance our scientific …
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psnet.ahrq.gov/issue/safety-improvements-urged-mri-facilities
February 02, 2011 - Newspaper/Magazine Article
Safety improvements urged for MRI facilities.
Citation Text:
Mitka M. Safety improvements urged for MRI facilities. JAMA. 2005;294(17):2145-8.
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psnet.ahrq.gov/issue/ten-ers-colorado-tried-curtail-opioids-and-did-better-expected
December 04, 2016 - Newspaper/Magazine Article
Ten ERs in Colorado tried to curtail opioids and did better than expected.
Citation Text:
Ten ERs in Colorado tried to curtail opioids and did better than expected. Daley J. Colorado Public Radio. February 23, 2018.
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psnet.ahrq.gov/issue/2009-national-patient-safety-goals
August 03, 2016 - Commentary
2009 National Patient Safety Goals.
Citation Text:
Saufl NM. 2009 National Patient Safety Goals. J Perianesth Nurs. 2009;24(2):114-8. doi:10.1016/j.jopan.2009.01.008.
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psnet.ahrq.gov/issue/lost-sponge-patient-safety-operating-room
January 26, 2022 - Commentary
The lost sponge: patient safety in the operating room.
Citation Text:
Grant-Orser A, Davies P, Singh SS. The lost sponge: patient safety in the operating room. CMAJ . 2012;184(11):1275-1278. doi:10.1503/cmaj.110900.
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