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psnet.ahrq.gov/node/837324/psn-pdf
July 08, 2022 - when the rate reached over
30% of all births) was not associated with improved outcomes for moms or babies … Cesarean
sections can also impact fertility and make subsequent cesarean sections riskier.13 Babies
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psnet.ahrq.gov/perspective/conversation-susan-haas-md-msc
March 01, 2019 - The doctor came back from the second day on call and said, "I delivered 11 babies in 24 hours by myself … Then your person came back and told you that he or she delivered 11 babies, and you felt it was unsafe … We do that for premature babies, back-transfer them to a lower level nursery.
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psnet.ahrq.gov/perspective/building-safety-program-vast-health-care-network
March 01, 2019 - The doctor came back from the second day on call and said, "I delivered 11 babies in 24 hours by myself … Then your person came back and told you that he or she delivered 11 babies, and you felt it was unsafe … We do that for premature babies, back-transfer them to a lower level nursery.
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psnet.ahrq.gov/issue/partnership-healthcare-excellence
October 26, 2020 - July 24, 2019
Better Health for Mothers and Babies.
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psnet.ahrq.gov/issue/assessment-ahrq-patient-safety-initiative-moving-research-practice-evaluation-report-ii-2003
May 21, 2014 - Book/Report
Assessment of the AHRQ Patient Safety Initiative: Moving from Research to Practice Evaluation Report II (2003–2004).
Citation Text:
Assessment of the AHRQ Patient Safety Initiative: Moving from Research to Practice Evaluation Report II (2003–2004). Farley D, Morton SC, Damber…
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psnet.ahrq.gov/issue/safer-services-toolkit-specialist-mental-health-services-and-primary-care
November 25, 2009 - Tools/Toolkit
Safer Services: A Toolkit for Specialist Mental Health Services and Primary Care.
Citation Text:
Safer Services: A Toolkit for Specialist Mental Health Services and Primary Care. National Confidential Inquiry into Suicide and Safety in Mental Health. Manchester, UK: Univers…
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psnet.ahrq.gov/issue/human-factors-and-error-prevention-emergency-medicine
October 03, 2011 - Commentary
Human factors and error prevention in emergency medicine.
Citation Text:
Bleetman A, Sanusi S, Dale T, et al. Human factors and error prevention in emergency medicine. Emerg Med J. 2012;29(5):389-93. doi:10.1136/emj.2010.107698.
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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/method-identify-pediatric-high-risk-diagnoses-missed-emergency-department
October 26, 2022 - Study
A method to identify pediatric high-risk diagnoses missed in the emergency department.
Citation Text:
Sundberg M, Perron CO, Kimia A, et al. A method to identify pediatric high-risk diagnoses missed in the emergency department. Diagnosis (Berl). 2018;5(2):63-69. doi:10.1515/dx-2018…
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psnet.ahrq.gov/issue/reclaiming-systems-approach-paediatric-safety
April 03, 2019 - Commentary
Reclaiming the systems approach to paediatric safety.
Citation Text:
Cheung R, Roland D, Lachman P. Reclaiming the systems approach to paediatric safety. Arch Dis Child. 2019;104(12):1130-1133. doi:10.1136/archdischild-2018-316401.
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DOI Googl…
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psnet.ahrq.gov/issue/diagnostic-decision-making-emergency-department
December 16, 2020 - Review
Diagnostic decision-making in the emergency department.
Citation Text:
Medford-Davis LN, Singh H, Mahajan P. Diagnostic decision-making in the emergency department. Pediatr Clin North Am. 2018;65(6):1097-1105. doi:10.1016/j.pcl.2018.07.003.
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DOI …
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psnet.ahrq.gov/issue/delivering-high-reliability-maternity-care-situ-simulation-source-organisational-resilience
April 05, 2023 - Commentary
Emerging Classic
Delivering high reliability in maternity care: in situ simulation as a source of organisational resilience.
Citation Text:
Macrae C, Draycott T. Delivering high reliability in maternity care: In situ simulation as a source of organisa…
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psnet.ahrq.gov/issue/black-patients-are-more-likely-white-patients-be-hospitals-worse-patient-safety-conditions
August 18, 2021 - Book/Report
Black Patients are More Likely Than White Patients to be in Hospitals with Worse Patient Safety Conditions.
Citation Text:
Black Patients are More Likely Than White Patients to be in Hospitals with Worse Patient Safety Conditions. Gangopadhyaya A. Washington DC: Urban Institu…
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psnet.ahrq.gov/issue/national-patient-safety-agency-combining-stories-statistics-minimise-harm
November 18, 2020 - Study
National Patient Safety Agency: combining stories with statistics to minimise harm.
Citation Text:
Lamont T, Scarpello J. National Patient Safety Agency: combining stories with statistics to minimise harm. BMJ. 2009;339:b4489. doi:10.1136/bmj.b4489.
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…
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psnet.ahrq.gov/issue/clinician-factors-associated-delayed-diagnosis-appendicitis
October 26, 2022 - Study
Clinician factors associated with delayed diagnosis of appendicitis.
Citation Text:
Michelson KA, McGarghan FLE, Patterson EE, et al. Clinician factors associated with delayed diagnosis of appendicitis. Diagnosis (Berl). 2023;10(2):183-186. doi:10.1515/dx-2022-0119.
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psnet.ahrq.gov/issue/quality-improvement-and-safety-pediatric-emergency-medicine
December 16, 2020 - Review
Quality improvement and safety in pediatric emergency medicine.
Citation Text:
Ku BC, Chamberlain JM, Shaw KN. Quality Improvement and Safety in Pediatric Emergency Medicine. Pediatr Clin North Am. 2018;65(6):1269-1281. doi:10.1016/j.pcl.2018.07.010.
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…
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psnet.ahrq.gov/issue/time-out-patient-safety
October 26, 2022 - Commentary
Time out for patient safety.
Citation Text:
Meginniss A, Damian F, Falvo F. Time out for patient safety. J Emerg Nurs. 2012;38(1):51-53. doi:10.1016/j.jen.2011.04.007.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
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psnet.ahrq.gov/issue/acute-stroke-chameleons-university-hospital-risk-factors-circumstances-and-outcomes
March 05, 2025 - Study
Acute stroke chameleons in a university hospital: risk factors, circumstances, and outcomes.
Citation Text:
Richoz B, Hugli O, Dami F, et al. Acute stroke chameleons in a university hospital: Risk factors, circumstances, and outcomes. Neurology. 2015;85(6):505-11. doi:10.1212/WNL.0…
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psnet.ahrq.gov/issue/antimicrobial-stewardship-another-focus-patient-safety
May 29, 2024 - Review
Antimicrobial stewardship: another focus for patient safety?
Citation Text:
Tamma PD, Holmes A, Ashley ED. Antimicrobial stewardship: another focus for patient safety? Curr Opin Infect Dis. 2014;27(4):348-55. doi:10.1097/QCO.0000000000000077.
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DO…
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psnet.ahrq.gov/issue/beyond-clinical-team-evaluating-human-factors-oriented-training-non-clinical-professionals
March 12, 2025 - Study
Beyond the clinical team: evaluating the human factors-oriented training of non-clinical professionals working in healthcare contexts.
Citation Text:
Lavelle M, Reedy GB, Attoe C, et al. Beyond the clinical team: evaluating the human factors-oriented training of non-clinical profes…