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psnet.ahrq.gov/issue/distinct-newborn-identification-requirement
September 11, 2019 - Newspaper/Magazine Article
Distinct newborn identification requirement.
Citation Text:
Distinct newborn identification requirement. R3 Report. June 25, 2018;7:1-2.
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psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable
August 10, 2019 - regional anesthesia procedures incorporating Universal Protocol principles.( 13 ) Providers should be aware
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psnet.ahrq.gov/issue/patient-safety-movement-foundation
January 01, 2020 - Multi-use Website
Patient Safety Movement Foundation.
Citation Text:
Patient Safety Movement Foundation. 15642 Sand Canyon Ave. #51268, Irvine, CA 92619. 877-236-0279, info@psmf.org.
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psnet.ahrq.gov/issue/patient-safety-certificate-course
August 07, 2013 - Course Material/Curriculum
Patient Safety Certificate Course.
Citation Text:
Patient Safety Certificate Course. American Board of Quality Assurance and Utilization Review Physicians; ABQAURP.
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psnet.ahrq.gov/issue/national-survey-consumers-experiences-patient-safety-and-quality-information
December 17, 2008 - Audiovisual Presentation
National Survey on Consumers' Experiences With Patient Safety and Quality Information.
Citation Text:
National Survey on Consumers' Experiences With Patient Safety and Quality Information. Washington DC: Kaiser Family Foundation, Agency for Healthcare Resea…
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psnet.ahrq.gov/issue/defusing-disruptive-behavior-workbook-health-care-leaders
April 24, 2007 - Book/Report
Defusing Disruptive Behavior. A Workbook for Health Care Leaders.
Citation Text:
Defusing Disruptive Behavior. A Workbook for Health Care Leaders. Oakbrook, IL: Joint Commission Resources; 2007. ISBN: 9781599400846.
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psnet.ahrq.gov/issue/follow-markedly-elevated-serum-potassium-results-ambulatory-setting-implications-patient
September 29, 2021 - Study
Follow-up of markedly elevated serum potassium results in the ambulatory setting: implications for patient safety.
Citation Text:
Follow-up of markedly elevated serum potassium results in the ambulatory setting: implications for patient safety. Moore CR; Lin JJ; O'Connor N; Hal…
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psnet.ahrq.gov/issue/high-cost-retained-surgical-items
February 22, 2023 - Newspaper/Magazine Article
The high cost of retained surgical items.
Citation Text:
The high cost of retained surgical items. Moorehead LD. Outpatient Surgery. April 5, 2023.
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psnet.ahrq.gov/issue/collaborative-accountability-and-improvement
August 14, 2018 - Multi-use Website
Collaborative for Accountability and Improvement.
Citation Text:
Collaborative for Accountability and Improvement. University of Washington.
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psnet.ahrq.gov/issue/cmpa-good-practices-guide
November 21, 2018 - Multi-use Website
CMPA Good Practices Guide.
Citation Text:
CMPA Good Practices Guide. Ottawa, Ontario: Canadian Medical Protective Association; 2016.
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psnet.ahrq.gov/issue/freedom-speak-review-whistleblowing-nhs
April 24, 2013 - Book/Report
Freedom to Speak Up: A Review of Whistleblowing in the NHS.
Citation Text:
Freedom to Speak Up: A Review of Whistleblowing in the NHS. Francis R. London, UK: Department of Health; February 2015.
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psnet.ahrq.gov/issue/apsf-endorsed-statement-revising-recommendations-patient-monitoring-during-anesthesia
July 25, 2018 - Organizational Policy/Guidelines
APSF endorsed statement on revising recommendations for patient monitoring during anesthesia.
Citation Text:
APSF endorsed statement on revising recommendations for patient monitoring during anesthesia. The APSF Committee on Technology. APSF Newsletter.&n…
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psnet.ahrq.gov/issue/latex-lingering-and-lurking-safety-risk
October 03, 2018 - Newspaper/Magazine Article
Latex: a lingering and lurking safety risk.
Citation Text:
Latex: a lingering and lurking safety risk. Liberatore K. PA-PSRS Patient Saf Advis. 2018 March;15.
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psnet.ahrq.gov/node/33691/psn-pdf
December 01, 2009 - How to Identify and Manage Problem Behaviors
December 1, 2009
Rosenstein AH, O'Daniel M. How to Identify and Manage Problem Behaviors. PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
Perspective
The 1999 Institute of Medicine report highlighted the need for heal…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.350_slideshow.ppt
June 01, 2015 - PowerPoint Presentation
Spotlight
Anchoring Bias With Critical Implications
1
This presentation is based on the June 2015
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Edward Etchells, MD, MSc, Division of General Internal Medicine, Centre for Q…
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psnet.ahrq.gov/issue/us-delete-data-life-threatening-mistakes-website
July 14, 2010 - Newspaper/Magazine Article
U.S. to delete data on life-threatening mistakes from website.
Citation Text:
U.S. to delete data on life-threatening mistakes from website. Babcock CR. Bloomberg News. May 1, 2013.
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psnet.ahrq.gov/issue/non-technical-skills-intensive-care-unit
April 18, 2011 - Review
Non-technical skills in the intensive care unit.
Citation Text:
Reader T, Flin R, Lauche K, et al. Non-technical skills in the intensive care unit. Br J Anaesth. 2006;96(5):551-9.
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psnet.ahrq.gov/issue/optimizing-crisis-resource-management-improve-patient-safety-and-team-performance-handbook
August 16, 2016 - Book/Report
Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance--A Handbook for Acute Care Health Professionals.
Citation Text:
Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance--A Handbook for Acute Care Health Professi…
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psnet.ahrq.gov/issue/cognitive-bias-clinical-medicine
February 20, 2019 - Commentary
Classic
Cognitive bias in clinical medicine.
Citation Text:
O'Sullivan ED, Schofield SJ. Cognitive bias in clinical medicine. J R Coll Physicians Edinb. 2018;48(3):225-232. doi:10.4997/JRCPE.2018.306.
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psnet.ahrq.gov/issue/handling-injectable-medications-anaesthesia-guidelines-association-anaesthetists
March 14, 2022 - Organizational Policy/Guidelines
Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists.
Citation Text:
Kinsella SM, Boaden B, El‐Ghazali S, et al. Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists. …