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psnet.ahrq.gov/node/35203/psn-pdf
December 14, 2010 - Practice Advisory on Intraoperative Awareness and Brain
Function Monitoring.
December 14, 2010
Awareness AS of ATF on I. Practice advisory for intraoperative awareness and brain function monitoring: a
report by the american society of anesthesiologists task force on intraoperative awareness.
Anesthesiology. 2006;1…
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psnet.ahrq.gov/node/38194/psn-pdf
January 02, 2017 - Munson Medical Center: embedding a culture of safety
and QI into the organization.
January 2, 2017
Haslinger T. Munson Medical Center: embedding a culture of safety and QI into the organization. Jt Comm
J Qual Patient Saf. 2008;34(11):665-70.
https://psnet.ahrq.gov/issue/munson-medical-center-embedding-culture-saf…
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psnet.ahrq.gov/node/49504/psn-pdf
March 01, 2006 - Liposuction Gone Awry
March 1, 2006
Yates JA. Liposuction Gone Awry. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/liposuction-gone-awry
The Case
A 54-year-old man with HIV was referred to a plastic surgeon for cosmetic surgery. In the plastic surgeon’s
office, he underwent neck and facial liposuction wit…
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psnet.ahrq.gov/node/35211/psn-pdf
June 13, 2011 - JCAHO views medication reconciliation as adverse-event
prevention.
June 13, 2011
Thompson CA. JCAHO views medication reconciliation as adverse-event prevention. American journal of
health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists.
2005;62(15):1528, 1530, 1532.
…
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psnet.ahrq.gov/node/39342/psn-pdf
March 03, 2010 - Discharge missteps can send seniors back to hospital.
March 3, 2010
Korc B, Landers SJ. American Medical News. February 15, 2010.
https://psnet.ahrq.gov/issue/discharge-missteps-can-send-seniors-back-hospital
This news article uses an example of a preventable readmission to illustrate how ineffective communication
…
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psnet.ahrq.gov/node/34733/psn-pdf
November 19, 2015 - Out of the Crisis.
November 19, 2015
Deming WE. Cambridge, MA: Massachusetts Institute of Technology, Center for Advanced Engineering
Study, 1986. ISBN: 9780911379013.
https://psnet.ahrq.gov/issue/out-crisis
Deming believes that American companies need to transform their method of management to engage and
compete…
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psnet.ahrq.gov/node/47649/psn-pdf
January 09, 2019 - ASH Clinical Practice Guidelines on Venous
Thromboembolism.
January 9, 2019
Washington DC; American Society of Hematology.
https://psnet.ahrq.gov/issue/ash-clinical-practice-guidelines-venous-thromboembolism
The American Society of Hematology produced a series of guidelines on prophylaxis for venous
thromboemboli…
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psnet.ahrq.gov/issue/medication-safety-guide-health-care-facilities
December 22, 2008 - Book/Report
Medication Safety: A Guide for Health Care Facilities.
Citation Text:
Medication Safety: A Guide for Health Care Facilities. Manasse HR Jr, Thompson KK. Bethesda, MD: American Society of Health-System Pharmacists; 2005. ISBN 9781585280896.
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psnet.ahrq.gov/issue/no-pay-never-event-errors-becoming-standard
March 07, 2012 - Newspaper/Magazine Article
No pay for "never event" errors becoming standard.
Citation Text:
No pay for "never event" errors becoming standard. O'Reilly KB. American Medical News. January 7, 2008.
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psnet.ahrq.gov/issue/strategies-ensuring-safe-use-insulin-pens-hospital
June 17, 2014 - Multi-use Website
Strategies for Ensuring the Safe Use of Insulin Pens in the Hospital.
Citation Text:
Strategies for Ensuring the Safe Use of Insulin Pens in the Hospital. American Society of Health-System Pharmacists
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psnet.ahrq.gov/issue/patient-safety-risk-management-playbook
February 17, 2016 - Book/Report
Patient Safety Risk Management Playbook.
Citation Text:
Patient Safety Risk Management Playbook. Chicago, IL: American Society for Healthcare Risk Management; 2015.
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psnet.ahrq.gov/issue/risk-management-pearls-medication-safety-part-i-and-part-ii
September 30, 2015 - Book/Report
Risk Management Pearls for Medication Safety: Part I and Part II.
Citation Text:
Risk Management Pearls for Medication Safety: Part I and Part II. Chicago, IL: American Society for Healthcare Risk Management; 2014.
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psnet.ahrq.gov/issue/2015-patient-safety-core-topics-and-tips
July 05, 2017 - Fact Sheet/FAQs
2015 Patient Safety Core Topics and Tips.
Citation Text:
2015 Patient Safety Core Topics and Tips. Chicago, IL: American Society for Healthcare Risk Management; 2015.
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psnet.ahrq.gov/issue/bringing-systemness-focus-quality-safety-and-patient-experience
June 17, 2014 - Meeting/Conference Proceedings
Bringing a ‘Systemness’ Focus to Quality, Safety, and Patient Experience.
Citation Text:
Bringing a ‘Systemness’ Focus to Quality, Safety, and Patient Experience. American Hospital Association. December 7, 2023.
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psnet.ahrq.gov/issue/patient-safety-laboratories-states-pave-way-national-effort
April 03, 2005 - Newspaper/Magazine Article
Patient safety laboratories: states pave the way for a national effort.
Citation Text:
Patient safety laboratories: states pave the way for a national effort. Finkelstein JB. American Medical News. January 3, 2005.
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psnet.ahrq.gov/issue/hospital-safety-records-ceo-pay-increasingly-linked
March 03, 2010 - Newspaper/Magazine Article
Hospital safety records, CEO pay increasingly linked.
Citation Text:
Hospital safety records, CEO pay increasingly linked. Wilson B. American Medical News: November 26, 2007.
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psnet.ahrq.gov/issue/project-boost-mentored-implementation-program
February 18, 2011 - Multi-use Website
Advancing Successful Care Transitions to Improve Outcomes.
Citation Text:
Advancing Successful Care Transitions to Improve Outcomes. Society of Hospital Medicine
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psnet.ahrq.gov/issue/growing-role-patient-safety-officer-implications-risk-managers
February 17, 2009 - Book/Report
The growing role of the Patient Safety Officer: implications for risk managers.
Citation Text:
The growing role of the Patient Safety Officer: implications for risk managers. Chicago, IL: American Society of Healthcare Risk Management; 2004.
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psnet.ahrq.gov/issue/disclosure-what-works-now-and-what-can-work-even-better-part-3-3
January 13, 2016 - Book/Report
Disclosure: what works now and what can work even better (part 3 of 3).
Citation Text:
Disclosure: what works now and what can work even better (part 3 of 3). Chicago, IL: American Society of Healthcare Risk Management;
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psnet.ahrq.gov/issue/discharge-missteps-can-send-seniors-back-hospital
March 28, 2012 - Newspaper/Magazine Article
Discharge missteps can send seniors back to hospital.
Citation Text:
Discharge missteps can send seniors back to hospital. Korc B, Landers SJ. American Medical News. February 15, 2010.
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