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psnet.ahrq.gov/issue/what-nhs-safety-thermometer
November 02, 2016 - Commentary
What is the NHS Safety Thermometer?
Citation Text:
Power M, Stewart K, Brotherton A. What is the NHS Safety Thermometer? Clin Risk. 2012;18(5):163-169.
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…
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psnet.ahrq.gov/node/836976/psn-pdf
April 27, 2022 - Intraosseous Line Extravasation in a Pediatric Trauma
Patient
April 27, 2022
Yoon J, Barnes DK. Intraosseous Line Extravasation in a Pediatric Trauma Patient. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
Disclosure of Relevant Financial Relationship…
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psnet.ahrq.gov/node/40011/psn-pdf
November 17, 2010 - Quality of traditional surveillance for public reporting of
nosocomial bloodstream infection rates.
November 17, 2010
Lin MY, Hota B, Khan YM, et al. Quality of traditional surveillance for public reporting of nosocomial
bloodstream infection rates. JAMA. 2010;304(18):2035-41. doi:10.1001/jama.2010.1637.
https://p…
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psnet.ahrq.gov/node/40235/psn-pdf
May 11, 2011 - Assessing and improving safety climate in a large cohort
of intensive care units.
May 11, 2011
Sexton B, Berenholtz SM, Goeschel CA, et al. Assessing and improving safety climate in a large cohort of
intensive care units. Crit Care Med. 2011;39(5):934-9. doi:10.1097/CCM.0b013e318206d26c.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/41882/psn-pdf
November 28, 2012 - What is the NHS Safety Thermometer?
November 28, 2012
Power M, Stewart K, Brotherton A. What is the NHS Safety Thermometer? Clin Risk. 2012;18(5):163-169.
https://psnet.ahrq.gov/issue/what-nhs-safety-thermometer
This commentary describes the design and initial test of a large-scale initiative to track incidents inv…
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psnet.ahrq.gov/node/40472/psn-pdf
May 25, 2011 - The ability of intensive care units to maintain zero central
line–associated bloodstream infections.
May 25, 2011
Lipitz-Snyderman A. The Ability of Intensive Care Units to Maintain Zero Central Line–Associated
Bloodstream Infections. Arch Intern Med. 2011;171(9). doi:10.1001/archinternmed.2011.161.
https://psnet.…
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psnet.ahrq.gov/node/46977/psn-pdf
April 04, 2018 - Latex: a lingering and lurking safety risk.
April 4, 2018
Liberatore K. PA-PSRS Patient Saf Advis. 2018 March;15.
https://psnet.ahrq.gov/issue/latex-lingering-and-lurking-safety-risk
Latex products are widely available in hospitals and represent a persistent threat to patients with latex
allergies. Drawing from 61…
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psnet.ahrq.gov/node/42303/psn-pdf
December 18, 2013 - A systematic review of strategies for reporting of neonatal
hospital–acquired bloodstream infections.
December 18, 2013
Folgori L, Bielicki J, Sharland M. A systematic review of strategies for reporting of neonatal hospital-
acquired bloodstream infections. Arch Dis Child Fetal Neonatal Ed. 2013;98(6):F518-23.
doi…
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psnet.ahrq.gov/issue/biased-test-kept-thousands-black-people-getting-kidney-transplant
September 02, 2016 - Newspaper/Magazine Article
A biased test kept thousands of Black people from getting a kidney transplant.
Citation Text:
A biased test kept thousands of Black people from getting a kidney transplant. Neergaard L. Associated Press. April 1, 2024.
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psnet.ahrq.gov/issue/performing-wrong-procedure
April 24, 2018 - Commentary
Performing the wrong procedure.
Citation Text:
Minnier T, Phrampus P, Waddell L. Performing the Wrong Procedure. JAMA. 2016;316(11):1207-1208. doi:10.1001/jama.2016.9134.
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Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …
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psnet.ahrq.gov/periodic-issue/periodic-issue-335
April 27, 2022 - March 30, 2022 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports,…
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psnet.ahrq.gov/periodic-issue/periodic-issue-339
April 27, 2022 - April 27, 2022 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports,…
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psnet.ahrq.gov/periodic-issue/periodic-issue-334
March 31, 2022 - March 23, 2022 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports,…
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psnet.ahrq.gov/node/853072/psn-pdf
September 01, 2014 - Compendium of Strategies to Prevent HAIs in Acute Care
Hospitals 2014.
September 1, 2014
Infect Control Hosp Epidemiol. 2014;35(Suppl 2):s1-s178;35:460-463;797-801.
https://psnet.ahrq.gov/issue/compendium-strategies-prevent-hais-acute-care-hospitals-2014
Preventing healthcare-acquired infections (HAIs) remains a p…
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psnet.ahrq.gov/node/46887/psn-pdf
May 03, 2018 - Financial incentives to reduce hospital-acquired
infections under alternative payment arrangements.
May 3, 2018
Cohen CC, Liu J, Cohen B, et al. Financial Incentives to Reduce Hospital-Acquired Infections Under
Alternative Payment Arrangements. Infect Control Hosp Epidemiol. 2018;39(5):509-515.
doi:10.1017/ice.201…
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psnet.ahrq.gov/node/40343/psn-pdf
December 21, 2014 - Trends in central line–associated bloodstream infections
in a trauma-surgical intensive care unit.
December 21, 2014
Ong A, Dysert K, Herbert C, et al. Trends in central line-associated bloodstream infections in a trauma-
surgical intensive care unit. Arch Surg. 2011;146(3):302-7. doi:10.1001/archsurg.2011.9.
http…
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psnet.ahrq.gov/node/35174/psn-pdf
June 23, 2009 - Profiles in patient safety: misplaced femoral line
guidewire and multiple failures to detect the foreign body
on chest radiography.
June 23, 2009
Lum TE, Fairbanks RJ, Pennington EC, et al. Profiles in Patient Safety: Misplaced Femoral Line Guidewire
and Multiple Failures to Detect the Foreign Body on Chest Radiog…
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psnet.ahrq.gov/node/45711/psn-pdf
March 27, 2017 - Management of a patient with a latex allergy.
March 27, 2017
Minami CA, Barnard C, Bilimoria KY. Management of a Patient With a Latex Allergy. JAMA.
2017;317(3):309-310. doi:10.1001/jama.2016.20034.
https://psnet.ahrq.gov/issue/management-patient-latex-allergy
This case analysis discusses the use of a latex cathet…
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psnet.ahrq.gov/node/37547/psn-pdf
February 20, 2008 - Intensive care unit nurses' perceptions of safety after a
highly specific safety intervention.
February 20, 2008
Elder NC, Brungs SM, Nagy M, et al. Intensive care unit nurses' perceptions of safety after a highly specific
safety intervention. Qual Saf Health Care. 2008;17(1):25-30. doi:10.1136/qshc.2006.021949.
h…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.140_slideshow.ppt
December 01, 2006 - Spotlight Case [MONTH] 2003
Spotlight Case December 2006
Hidden Heparins: HIT Happens
Source and Credits
This presentation is based on the December 2006
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Patrick F. Fogarty,…