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psnet.ahrq.gov/issue/dead-mistake
August 10, 2016 - Multi-use Website
Dead by Mistake.
Citation Text:
Dead by Mistake. Crowley CF, Nalder E. New York, NY: Hearst Digital News; August 2009.
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psnet.ahrq.gov/issue/safety-and-satisfaction-where-are-connections
June 25, 2010 - Newspaper/Magazine Article
Safety and satisfaction: where are the connections?
Citation Text:
Safety and satisfaction: where are the connections? Wolosin RJ.
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psnet.ahrq.gov/issue/improving-reliability-root-cause-analysis
January 17, 2017 - Newspaper/Magazine Article
Improving reliability with root cause analysis.
Citation Text:
Improving reliability with root cause analysis. Latino RJ
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psnet.ahrq.gov/web-mm/resuscitation-errors-shocking-problem
October 19, 2022 - Delaying defibrillation to give basic cardiopulmonary resuscitation to patients with out-of-hospital … Delaying defibrillation to give basic cardiopulmonary resuscitation to patients with out-of-hospital
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psnet.ahrq.gov/node/49577/psn-pdf
January 01, 2009 - A basic
theme permeates the recommendations: there must be daily collaboration and communication between … Both the guideline and the written policy consist of three basic components: (i) a list of suggested
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psnet.ahrq.gov/issue/diffusion-innovations-5th-ed
January 27, 2021 - Book/Report
Classic
Diffusion of Innovations. 5th ed.
Citation Text:
Diffusion of Innovations. 5th ed. Rogers EM. New York NY: Free Press; 2005.
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psnet.ahrq.gov/issue/wise-event
October 09, 2024 - Commentary
Wise before the event.
Citation Text:
Watts G. Patient safety. Wise before the event. BMJ. 2010;340:c1378. doi:10.1136/bmj.c1378.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/emergency-nursing-and-medical-error-survey-two-states
January 25, 2010 - Study
Emergency nursing and medical error—a survey of two states.
Citation Text:
Emergency nursing and medical error—a survey of two states. Hohenhaus SM.
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psnet.ahrq.gov/issue/resolving-human-conflicts-when-questions-about-safety-medical-orders-arise
June 05, 2018 - Newspaper/Magazine Article
Resolving human conflicts when questions about the safety of medical orders arise.
Citation Text:
Resolving human conflicts when questions about the safety of medical orders arise. ISMP Medication Safety Alert! Acute care edition. March 13, 2008.
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psnet.ahrq.gov/perspective/conversation-vineet-arora-md-mapp
May 31, 2023 - In Conversation With… Vineet Arora, MD, MAPP
September 1, 2015
Citation Text:
In Conversation With… Vineet Arora, MD, MAPP. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/issue/decision-making-emergency-medicine-biases-errors-and-solutions
January 20, 2021 - Book/Report
Decision Making in Emergency Medicine: Biases, Errors and Solutions.
Citation Text:
Decision Making in Emergency Medicine: Biases, Errors and Solutions. Raz M, Pouryahya P, eds. Singapore; Springer Nature Singapore Pte Ltd; 2021. ISBN 9789811601422.
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psnet.ahrq.gov/issue/guideline-prevention-retained-surgical-items
April 26, 2023 - Commentary
Guideline for prevention of retained surgical items.
Citation Text:
Putnam K. Guideline for prevention of retained surgical items. AORN J. 2015;102(6):P11-P13.
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psnet.ahrq.gov/issue/lost-sponge-patient-safety-operating-room
January 26, 2022 - Commentary
The lost sponge: patient safety in the operating room.
Citation Text:
Grant-Orser A, Davies P, Singh SS. The lost sponge: patient safety in the operating room. CMAJ . 2012;184(11):1275-1278. doi:10.1503/cmaj.110900.
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psnet.ahrq.gov/issue/quality-and-safety-pediatric-anesthesia-how-can-guidelines-checklists-and-initiatives-improve
December 11, 2024 - Review
Quality and safety in pediatric anesthesia: how can guidelines, checklists, and initiatives improve the outcome?
Citation Text:
Hagerman NS, Varughese AM, Kurth D. Quality and safety in pediatric anesthesia: how can guidelines, checklists, and initiatives improve the outcome? Curr…
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psnet.ahrq.gov/web-mm/medication-overdose
September 01, 2011 - Even the most basic CPOE system eliminates issues of illegibility and ensures that orders are complete … not have such sophisticated medication ordering systems, the need remains for physicians to observe basic
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.155_slideshow.ppt
July 01, 2007 - Delaying defibrillation to give basic cardiopulmonary resuscitation to patients with out-of-hospital … Delaying defibrillation to give basic cardiopulmonary resuscitation to patients with out-of-hospital
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psnet.ahrq.gov/node/33625/psn-pdf
January 01, 2006 - One-day courses may be useful for
teaching basic concepts, but it is hard to imagine how they could … In some respects, these methods drawn from aviation are analogous to the basic sciences of safety and
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psnet.ahrq.gov/node/60268/psn-pdf
April 29, 2020 - Following this event, ICU nurses were trained in basic perfusion skills, and a protocol was instituted … ECMO specialist physicians (anesthetist intensivists),
and ECMO nurse aides – all with at least a basic … The hospital appears to have responded well by ensuring that a
broader range of personnel receive basic
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psnet.ahrq.gov/issue/do-micropauses-prevent-surgeons-fatigue-and-loss-accuracy-associated-prolonged-surgery
November 29, 2023 - Study
Do micropauses prevent surgeon's fatigue and loss of accuracy associated with prolonged surgery? An experimental prospective study.
Citation Text:
Dorion D, Darveau S. Do micropauses prevent surgeon's fatigue and loss of accuracy associated with prolonged surgery? An experimental…
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psnet.ahrq.gov/issue/strategies-and-tips-maximizing-failure-mode-and-effect-analysis-your-organization
January 13, 2016 - Book/Report
Strategies and tips for maximizing failure mode and effect analysis in your organization.
Citation Text:
Strategies and tips for maximizing failure mode and effect analysis in your organization. Chicago, IL: American Society of Healthcare Risk Management; 2002.
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