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psnet.ahrq.gov/issue/improving-healthcare-team-communication-building-lessons-aviation-and-aerospace
August 08, 2007 - Book/Report
Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace.
Citation Text:
Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace. Nemeth CP, ed. Burlington, VT: Ashgate Publishing; 2008. ISBN: 9780754670254.
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psnet.ahrq.gov/issue/investigators-find-hospital-error-caused-mothers-death-brooklyn
February 01, 2023 - Newspaper/Magazine Article
Investigators find hospital error caused mother’s death in Brooklyn.
Citation Text:
Investigators find hospital error caused mother’s death in Brooklyn. Goldstein J. New York Times. January 14, 2024.
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psnet.ahrq.gov/issue/mea-culpa-childrens-was-confident-its-air-systems-werent-source-infection
July 19, 2010 - Newspaper/Magazine Article
Before mea culpa, Children’s was confident its air systems weren’t source of infection
Citation Text:
Before mea culpa, Children’s was confident its air systems weren’t source of infection Gilbert D, Gutman D. Seattle Times. November 26, 2019.
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psnet.ahrq.gov/issue/patient-safety-global-action-patient-safety
July 18, 2018 - Book/Report
Patient Safety: Global Action on Patient Safety.
Citation Text:
Patient Safety: Global Action on Patient Safety. Executive Board EB144/29 144th session. Geneva, Switzerland: World Health Organization; December 12, 2018.
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psnet.ahrq.gov/issue/surgical-patient-safety-case-based-approach
February 14, 2018 - Book/Report
Surgical Patient Safety: A Case-Based Approach.
Citation Text:
Surgical Patient Safety: A Case-Based Approach. Stahel PF, ed. New York, NY: McGraw-Hill Education/Medical; 2017. ISBN: 9780071842631.
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psnet.ahrq.gov/issue/these-patients-had-lobby-correct-diabetes-diagnoses-was-their-race-reason
July 10, 2024 - Newspaper/Magazine Article
These patients had to lobby for correct diabetes diagnoses. Was their race a reason?
Citation Text:
These patients had to lobby for correct diabetes diagnoses. Was their race a reason? Sable-Smith B. KFF Health News. January 9, 2024.
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psnet.ahrq.gov/issue/cognitive-errors-and-diagnostic-mistakes-case-based-guide-critical-thinking-medicine
September 11, 2019 - Book/Report
Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical Thinking in Medicine.
Citation Text:
Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical Thinking in Medicine. Howard J. Cham, Switzerland: Springer Nature Switzerland; 2019. ISBN: 9…
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psnet.ahrq.gov/issue/mri-safety-prepare-new-guidance
September 12, 2016 - Commentary
MRI safety: prepare for new guidance.
Citation Text:
MRI safety: prepare for new guidance. Gilk T. Appl Radiol. 2023;52(6):24-26.
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psnet.ahrq.gov/issue/patient-safety-office-based-practice-setting
May 10, 2016 - Book/Report
Patient Safety in the Office-Based Practice Setting.
Citation Text:
Patient Safety in the Office-Based Practice Setting. Philadelphia, PA: American College of Physicians; 2017.
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psnet.ahrq.gov/issue/role-hospitalists-patient-safety
July 12, 2006 - Book/Report
The Role of Hospitalists in Patient Safety.
Citation Text:
The Role of Hospitalists in Patient Safety. Scheurer D, ed. Oakbrook Terrace, IL: Joint Commission Resources; 2009. ISBN: 9781599403045.
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psnet.ahrq.gov/issue/framework-analysing-risk-and-safety-clinical-medicine
March 05, 2014 - Commentary
Classic
Framework for analysing risk and safety in clinical medicine.
Citation Text:
Vincent C, Taylor-Adams S, Stanhope N. Framework for analysing risk and safety in clinical medicine. BMJ. 1998;316(7138):1154-7.
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psnet.ahrq.gov/issue/positive-patient-identification
June 19, 2024 - Book/Report
Positive Patient Identification.
Citation Text:
Positive Patient Identification. Healthcare Safety Investigation Branch (HSIB), Dorset, UK: Health Services Safety Investigations Body; February 2024.
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psnet.ahrq.gov/issue/ahrq-2012-annual-conference
August 01, 2012 - Meeting/Conference Proceedings
AHRQ 2012 Annual Conference.
Citation Text:
AHRQ 2012 Annual Conference. Agency for Healthcare Research and Quality. September 9–12, 2012; Bethesda North Marriott Hotel & Conference Center, Bethesda, MD.
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www.ahrq.gov/funding/grantee-profiles/grtprofile-verduzco-gutierrez.html
August 01, 2024 - Grantee Profile
Identifying and Disseminating Best Practices To Treat Long COVID
Monica Verduzco-Gutierrez, M.D. Professor and Chair, Department of Rehabilitation Medicine Long School of Medicine, University of Texas Health Science Center Monica Verduzco-Gutierrez, M.D. “AHRQ really wants to get at this… Th…
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psnet.ahrq.gov/issue/us-hospitals-drug-mix-just-few-keystrokes-away
March 30, 2022 - Newspaper/Magazine Article
At US hospitals, a drug mix-up is just a few keystrokes away.
Citation Text:
At US hospitals, a drug mix-up is just a few keystrokes away. Kelman B. Kaiser Health News. April 29, 2022.
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psnet.ahrq.gov/issue/toolkits-reduce-hypertension-pregnancy-and-obstetric-hemorrhage
August 01, 2012 - Toolkit
Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage.
Citation Text:
Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage. Rockville, MD: Agency for Healthcare Research and Quality; July 2023.
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psnet.ahrq.gov/issue/surgical-count-practice-variability-and-potential-retained-surgical-items
October 20, 2010 - Commentary
Surgical count practice variability and the potential for retained surgical items.
Citation Text:
Edel EM. Surgical count practice variability and the potential for retained surgical items. AORN J. 2012;95(2):228-38. doi:10.1016/j.aorn.2011.02.014.
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psnet.ahrq.gov/issue/important-actions-community-pharmacists-need-take-now-reduce-potentially-harmful-dispensing
June 30, 2021 - Webinar
Important Actions Community Pharmacists Need to Take Now to Reduce Potentially Harmful Dispensing Errors.
Citation Text:
Important Actions Community Pharmacists Need to Take Now to Reduce Potentially Harmful Dispensing Errors. Institute for Safe Medication Practices. October 26, …
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psnet.ahrq.gov/issue/art-apology-when-and-how-seek-forgiveness
May 17, 2023 - Commentary
The art of apology: when and how to seek forgiveness.
Citation Text:
The art of apology: when and how to seek forgiveness. Roberts RG. Fam Pract Manag. 2007;14(7):44-49.
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psnet.ahrq.gov/issue/stop-measure-safe-and-transparent-opioid-prescribing-promote-patient-safety-and-reduced-risk
October 30, 2019 - Book/Report
The STOP Measure. Safe and Transparent Opioid Prescribing to Promote Patient Safety and Reduced Risk of Opioid Misuse.
Citation Text:
The STOP Measure. Safe and Transparent Opioid Prescribing to Promote Patient Safety and Reduced Risk of Opioid Misuse. Washington, DC: America…