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psnet.ahrq.gov/issue/duke-surgery-patient-safety-open-source-application-anonymous-reporting-adverse-and-near-miss
February 15, 2011 - Commentary
Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-miss surgical events.
Citation Text:
Pietrobon R, Lima R, Shah A, et al. Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-mi…
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psnet.ahrq.gov/issue/partial-do-not-resuscitate-orders-hazard-patient-safety-and-clinical-outcomes
April 24, 2018 - Review
Partial do-not-resuscitate orders: a hazard to patient safety and clinical outcomes?
Citation Text:
Sanders A, Schepp M, Baird M. Partial do-not-resuscitate orders: A hazard to patient safety and clinical outcomes? Crit Care Med. 2011;39(1):14-8. doi:10.1097/CCM.0b013e3181feb8f6…
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psnet.ahrq.gov/issue/association-between-ems-workplace-safety-culture-and-safety-outcomes
November 10, 2010 - Study
The association between EMS workplace safety culture and safety outcomes.
Citation Text:
Weaver MD, Wang HE, Fairbanks RJ, et al. The association between EMS workplace safety culture and safety outcomes. Prehosp Emerg Care. 2012;16(1):43-52. doi:10.3109/10903127.2011.614048.
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psnet.ahrq.gov/issue/safe-labeling-practices-minimize-medication-errors-anesthesia-5-case-reports-and-review
March 26, 2014 - Commentary
Safe labeling practices to minimize medication errors in anesthesia: 5 case reports and review of the literature.
Citation Text:
Prakash S, Mullick P, Kumar A, et al. Safe Labeling Practices to Minimize Medication Errors in Anesthesia. A & A Practice. 2017;10(10). doi:10.1213/…
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psnet.ahrq.gov/issue/double-gloves-randomized-trial-evaluate-simple-strategy-reduce-contamination-operating-room
November 09, 2015 - Study
Double gloves: a randomized trial to evaluate a simple strategy to reduce contamination in the operating room.
Citation Text:
Birnbach DJ, Rosen LF, Fitzpatrick M, et al. Double gloves: a randomized trial to evaluate a simple strategy to reduce contamination in the operating room. …
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psnet.ahrq.gov/issue/quantification-anesthesia-providers-hand-hygiene-busy-metropolitan-operating-room-what-would
September 20, 2023 - Study
Quantification of anesthesia providers' hand hygiene in a busy metropolitan operating room: what would Semmelweis think?
Citation Text:
Biddle C, Shah J. Quantification of anesthesia providers' hand hygiene in a busy metropolitan operating room: what would Semmelweis think? Am J …
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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/addressing-postdischarge-adverse-events-neglected-area
November 13, 2024 - Review
Addressing postdischarge adverse events: a neglected area.
Citation Text:
Tsilimingras D. Addressing postdischarge adverse events: a neglected area. Jt Comm J Qual Patient Saf. 2008;34(2):85-97.
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psnet.ahrq.gov/issue/communication-errors-dispatch-air-medical-transport
July 03, 2014 - Study
Communication errors in dispatch of air medical transport.
Citation Text:
Vilensky D, MacDonald RD. Communication errors in dispatch of air medical transport. Prehosp Emerg Care. 2011;15(1):39-43. doi:10.3109/10903127.2011.519817.
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psnet.ahrq.gov/issue/doctors-thinking-about-system-threat-patient-safety
December 09, 2020 - Study
Doctors' thinking about 'the system' as a threat to patient safety.
Citation Text:
Waring J. Doctors' thinking about 'the system' as a threat to patient safety. Health (London). 2007;11(1):29-46.
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psnet.ahrq.gov/issue/university-michigan-quality-and-safety-academic-medical-center
November 13, 2024 - Commentary
University of Michigan: quality and safety in an academic medical center.
Citation Text:
Strong DL, Kin JM, Kratochwill EW, et al. University of Michigan: quality and safety in an academic medical center. Jt Comm J Qual Patient Saf. 2008;34(11):671-7.
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psnet.ahrq.gov/issue/differences-reporting-care-related-patient-injuries-existing-reporting-systems
December 12, 2018 - Commentary
Differences in the reporting of care-related patient injuries to existing reporting systems.
Citation Text:
Williams K, Pladevall M, Fendrick M, et al. Differences in the reporting of care-related patient injuries to existing reporting systems. Jt Comm J Qual Patient Saf. 20…
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psnet.ahrq.gov/issue/medication-reconciliation-emergency-department-opportunities-workflow-redesign
August 04, 2021 - Commentary
Medication reconciliation in the emergency department: opportunities for workflow redesign.
Citation Text:
Hummel J, Evans PC, Lee H. Medication reconciliation in the emergency department: opportunities for workflow redesign. Qual Saf Health Care. 2010;19(6):531-5. doi:10.11…
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psnet.ahrq.gov/issue/why-your-doctors-white-coat-can-be-threat-your-health
November 18, 2016 - Newspaper/Magazine Article
Why your doctor's white coat can be a threat to your health.
Citation Text:
Haun N, Hooper-Lane C, Safdar N. Healthcare Personnel Attire and Devices as Fomites: A Systematic Review. Infect Control Hosp Epidemiol. 2016;37(11):1367-1373.
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psnet.ahrq.gov/issue/creating-fellowship-curriculum-patient-safety-and-quality
September 09, 2020 - Commentary
Creating a fellowship curriculum in patient safety and quality.
Citation Text:
Abookire SA, Gandhi TK, Kachalia A, et al. Creating a Fellowship Curriculum in Patient Safety and Quality. Am J Med Qual. 2016;31(1):27-30. doi:10.1177/1062860614549012.
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psnet.ahrq.gov/issue/tracing-foundations-conceptual-framework-patient-safety-ontology
March 23, 2011 - Commentary
Tracing the foundations of a conceptual framework for a patient safety ontology.
Citation Text:
Runciman WB, Baker GR, Michel P, et al. Tracing the foundations of a conceptual framework for a patient safety ontology. BMJ Qual Saf. 2010;19(6). doi:10.1136/qshc.2009.035147.
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psnet.ahrq.gov/issue/case-based-learning-patient-safety-lessons-learnt-program-uk-junior-doctors
July 15, 2015 - Commentary
Case-based learning for patient safety: the Lessons Learnt program for UK junior doctors.
Citation Text:
Ahmed M, Arora S, Baker P, et al. Case-based learning for patient safety: the Lessons Learnt program for UK junior doctors. World J Surg. 2012;36(5):956-8. doi:10.1007/s0…
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psnet.ahrq.gov/issue/conscious-sedation-general-ward-met-and-clinical-governance
January 05, 2017 - Commentary
Conscious sedation on a general ward: the MET and clinical governance.
Citation Text:
Warrillow S, Bellomo R, Jones D. Conscious sedation on a general ward: the MET and clinical governance. Jt Comm J Qual Patient Saf. 2007;33(2):112-7, 61.
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psnet.ahrq.gov/node/43658/psn-pdf
December 19, 2014 - https://psnet.ahrq.gov/primer/handoffs-and-signouts
https://psnet.ahrq.gov/issue/interprofessional-approaches-patient-safety
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psnet.ahrq.gov/node/44702/psn-pdf
December 16, 2015 - that contribute to alarm
fatigue, this review outlines technical, organizational, and educational approaches