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psnet.ahrq.gov/issue/identifying-patients-sepsis-hospital-wards
October 19, 2022 - Review
Identifying patients with sepsis on the hospital wards.
Citation Text:
Bhattacharjee P, Edelson DP, Churpek MM. Identifying Patients With Sepsis on the Hospital Wards. Chest. 2016;151(4). doi:10.1016/j.chest.2016.06.020.
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psnet.ahrq.gov/issue/error-traps-acute-pain-management-children
August 24, 2022 - Commentary
Error traps in acute pain management in children.
Citation Text:
Vecchione TM, Agarwal R, Monitto CL. Error traps in acute pain management in children. Paediatr Anaesth. 2022;32(9):982-992. doi:10.1111/pan.14514.
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psnet.ahrq.gov/issue/basics-fmea-2nd-edition
October 23, 2013 - Book/Report
Classic
The Basics of FMEA. 2nd ed.
Citation Text:
The Basics of FMEA. 2nd ed. McDermott RE, Mikulak RJ, Beauregard MR. New York, NY: CRC Press; 2009. ISBN: 9781563273773.
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psnet.ahrq.gov/issue/ranking-rate-state-medical-boards-serious-disciplinary-actions-2019-2021
October 05, 2016 - Book/Report
Ranking of the Rate of State Medical Boards’ Serious Disciplinary Actions, 2019-2021.
Citation Text:
Ranking of the Rate of State Medical Boards’ Serious Disciplinary Actions, 2019-2021. Wolfe SW, Oshel RE. Washington, DC: Public Citizen; August 16, 2023.
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psnet.ahrq.gov/issue/emergency-medical-services-safety-attitudes-questionnaire
November 10, 2010 - Study
The Emergency Medical Services Safety Attitudes Questionnaire.
Citation Text:
Patterson D, Huang DT, Fairbanks RJ, et al. The emergency medical services safety attitudes questionnaire. Am J Med Qual. 2010;25(2):109-15. doi:10.1177/1062860609352106.
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psnet.ahrq.gov/issue/surgical-fires-clear-and-present-danger
May 16, 2018 - Review
Surgical fires, a clear and present danger.
Citation Text:
Yardley IE, Donaldson LJ. Surgical fires, a clear and present danger. Surgeon. 2010;8(2):87-92. doi:10.1016/j.surge.2010.01.005.
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psnet.ahrq.gov/issue/quality-and-safety-indicators-anesthesia-systematic-review
June 08, 2010 - Review
Quality and safety indicators in anesthesia: a systematic review.
Citation Text:
Haller G, Stoelwinder J, Myles PS, et al. Quality and safety indicators in anesthesia: a systematic review. Anesthesiology. 2009;110(5):1158-75. doi:10.1097/ALN.0b013e3181a1093b.
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psnet.ahrq.gov/issue/fda-public-health-notification-unretrieved-device-fragments
June 02, 2021 - Press Release/Announcement
FDA public health notification: unretrieved device fragments.
Citation Text:
FDA public health notification: unretrieved device fragments. Silver Spring MD, Center for Devices and Radiological Health, US Food and Drug Administration; January 15, 2008.
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psnet.ahrq.gov/issue/awareness-and-use-cognitive-aid-anesthesiology
January 05, 2017 - Study
Awareness and use of a cognitive aid for anesthesiology.
Citation Text:
Neily J, DeRosier JM, Mills PD, et al. Awareness and use of a cognitive aid for anesthesiology. Jt Comm J Qual Patient Saf. 2007;33(8):502-11.
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psnet.ahrq.gov/issue/executive-order-safe-secure-and-trustworthy-development-and-use-artificial-intelligence
October 05, 2022 - Government Resource
Executive Order on the Safe, Secure, and Trustworthy Development and Use of Artificial Intelligence.
Citation Text:
Executive Order on the Safe, Secure, and Trustworthy Development and Use of Artificial Intelligence. Washington DC: The White House; October 30, 2023.&n…
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psnet.ahrq.gov/issue/implementing-and-validating-comprehensive-unit-based-safety-program
July 14, 2010 - Study
Implementing and validating a comprehensive unit-based safety program.
Citation Text:
Implementing and validating a comprehensive unit-based safety program. Pronovost P, Weast B, Rosenstein B, et al. J Patient Saf. 2005;1(1):33-40.
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psnet.ahrq.gov/issue/patient-safety-act
November 09, 2011 - Book/Report
Patient Safety Act.
Citation Text:
Patient Safety Act. Washington, DC: United States Government Accountability Office; January 28, 2010. Publication GAO-10-281.
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psnet.ahrq.gov/issue/just-culture-and-its-critical-link-patient-safety-part-1-and-part-2
June 10, 2018 - Newspaper/Magazine Article
Just Culture and its critical link to patient safety—part 1 and part 2.
Citation Text:
Just Culture and its critical link to patient safety—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. May 17, 2012;17:1-4; July 12, 2012;17:1-3.
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psnet.ahrq.gov/issue/oral-chemotherapy-we-simply-must-do-better
February 13, 2019 - Newspaper/Magazine Article
With oral chemotherapy, we simply must do better!
Citation Text:
With oral chemotherapy, we simply must do better! ISMP Medication Safety Alert! Acute Care Edition. July 17, 2014;19:1-4.
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psnet.ahrq.gov/issue/doctors-handovers-hospitals-literature-review
February 29, 2012 - Review
Doctors' handovers in hospitals: a literature review.
Citation Text:
Raduma-Tomàs MA, Flin R, Yule S, et al. Doctors' handovers in hospitals: a literature review. BMJ Qual Saf. 2011;20(2):128-33. doi:10.1136/bmjqs.2009.034389.
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psnet.ahrq.gov/issue/alliance-between-society-and-medicine-publics-stake-medical-professionalism
November 16, 2022 - Commentary
Alliance between society and medicine: the public's stake in medical professionalism.
Citation Text:
Cohen JJ, Cruess S, Davidson C. Alliance between society and medicine: the public's stake in medical professionalism. JAMA. 2007;298(6):670-3.
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psnet.ahrq.gov/issue/4-days-hospital-thought-he-had-just-pneumonia-it-was-coronavirus
November 29, 2023 - Newspaper/Magazine Article
For 4 days, the hospital thought he had just pneumonia. It was coronavirus.
Citation Text:
Goldstein J, Salcedo A. For 4 days, the hospital thought he had just pneumonia. It was coronavirus. New York Times. 2020;March 10.
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psnet.ahrq.gov/issue/frustrated-your-ehr-dont-blame-your-vendor-safety-shared-responsibility
May 13, 2015 - Commentary
Frustrated with your EHR? Don't blame your vendor—safety is a shared responsibility.
Citation Text:
Frustrated with your EHR? Don't blame your vendor—safety is a shared responsibility. Singh H, Sittig DF. NEJM Catalyst. December 7, 2017.
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psnet.ahrq.gov/issue/surgical-never-events-how-common-are-adverse-occurrences
November 16, 2022 - Commentary
Surgical 'never events': how common are adverse occurrences?
Citation Text:
West JC. Surgical ‘never events’: How common are adverse occurrences? Journal of Healthcare Risk Management. 2009;26(1). doi:10.1002/jhrm.5600260105.
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psnet.ahrq.gov/issue/review-educational-philosophies-applied-radiation-safety-training-medical-institutions
May 31, 2017 - Commentary
A review of educational philosophies as applied to radiation safety training at medical institutions.
Citation Text:
Dauer LT, St Germain J. A review of educational philosophies as applied to radiation safety training at medical institutions. Health Phys. 2006;90(5 Suppl):S6…