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psnet.ahrq.gov/issue/rapid-learning-adverse-medical-event-disclosure-and-apology
November 04, 2014 - Study
Rapid learning of adverse medical event disclosure and apology.
Citation Text:
Raemer D, Locke S, Walzer TB, et al. Rapid Learning of Adverse Medical Event Disclosure and Apology. J Patient Saf. 2016;12(3):140-7. doi:10.1097/PTS.0000000000000080.
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psnet.ahrq.gov/issue/safe-medication-management-ambulatory-surgery-centers
December 14, 2016 - Commentary
Safe medication management at ambulatory surgery centers.
Citation Text:
Ubaldi K. Safe Medication Management at Ambulatory Surgery Centers. AORN J. 2019;109(4):435-442. doi:10.1002/aorn.12635.
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psnet.ahrq.gov/issue/diagnostic-errors-and-diagnostic-calibration
April 04, 2018 - Commentary
Diagnostic errors and diagnostic calibration.
Citation Text:
Cifu AS. Diagnostic Errors and Diagnostic Calibration. JAMA. 2017;318(10):905-906. doi:10.1001/jama.2017.11030.
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psnet.ahrq.gov/web-mm/transfusion-overload
September 23, 2020 - Red blood cell transfusion: a clinical practice guideline from the AABB. … Clinical practice guideline: red blood cell transfusion in adult trauma and critical care.
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psnet.ahrq.gov/web-mm/painful-medication-reconciliation-mishap
May 01, 2008 - Management of postoperative pain: a clinical practice guideline from the American Pain Society, the American … Diagnosing HIV-It Doesn't Take a Brain Surgeon
May 1, 2008
CDC Clinical … Practice Guideline for Prescribing Opioids for Pain - United States, 2022.
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psnet.ahrq.gov/node/72563/psn-pdf
December 07, 2020 - In her
professional role, she also serves on a clinical practice guideline panel for the American Dental
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.173_slideshow.ppt
April 01, 2008 - Clinical practice guideline: adult sinusitis.
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psnet.ahrq.gov/issue/teamwork-and-patient-safety-dynamic-domains-healthcare-review-literature
May 29, 2013 - Review
Teamwork and patient safety in dynamic domains of healthcare: a review of the literature.
Citation Text:
Manser T. Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta Anaesthesiol Scand. 2009;53(2):143-51. doi:10.1111/j.1399-6576.2008.…
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psnet.ahrq.gov/weekly-resource/rss.xml
January 01, 2024 - Guidelines) Opioid prescribing for acute pain management in children and adolescents in outpatient settings: clinical … practice guideline.
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psnet.ahrq.gov/perspective/conversation-katie-j-suda-pharmd-ms
December 07, 2020 - In her professional role, she also serves on a clinical practice guideline panel for the American Dental … In her professional role, she also serves on a clinical practice guideline panel for the American Dental
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psnet.ahrq.gov/node/72689/psn-pdf
January 29, 2021 - Clinical practice guideline for the use of antimicrobial
agents in neutropenic patients with cancer:
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.152_slideshow.ppt
June 01, 2007 - Spotlight Case [MONTH] 2003
Spotlight Case June 2007
Beeline to Spine
Source and Credits
This presentation is based on June 2007
AHRQ WebM&M Spotlight Case
See full article at http://webmm.ahrq.gov
CME credit is available online
Commentary by: Gerald W. Smetana, MD, Harvard Medical School, Beth Israel D…
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psnet.ahrq.gov/issue/improving-risk-management-lame-excuses-principled-practice
April 05, 2006 - March 3, 2021
Clinical practice guideline: safe medication use in the ICU.
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psnet.ahrq.gov/web-mm/safeguarding-diagnostic-testing-point-care
September 30, 2011 - Safeguarding Diagnostic Testing at the Point of Care
Citation Text:
Kost GJ, Ehrmeyer SS. Safeguarding Diagnostic Testing at the Point of Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/issue/judgment-errors-surgical-care
December 14, 2022 - Study
Judgment errors in surgical care.
Citation Text:
Marsh KM, Turrentine FE, Jin R, et al. Judgment errors in surgical care. J Am Coll Surg. 2024;238(5):874-879. doi:10.1097/xcs.0000000000001011.
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psnet.ahrq.gov/issue/journey-no-preventable-risk-baylor-health-care-system-patient-safety-experience
November 23, 2014 - Commentary
Journey to no preventable risk: The Baylor Health Care System patient safety experience.
Citation Text:
Kennerly DA, Richter KM, Good V, et al. Journey to no preventable risk: the Baylor Health Care System patient safety experience. Am J Med Qual. 2011;26(1):43-52. doi:10.11…
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psnet.ahrq.gov/issue/patient-safety-and-error-reduction-surgical-pathology
January 08, 2016 - Review
Patient safety and error reduction in surgical pathology.
Citation Text:
Nakhleh RE. Patient safety and error reduction in surgical pathology. Arch Pathol Lab Med. 2008;132(2):181-185. doi:10.1043/1543-2165(2008)132[181:PSAERI]2.0.CO;2.
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psnet.ahrq.gov/issue/aspen-safe-practices-enteral-nutrition-therapy
June 12, 2018 - Organizational Policy/Guidelines
ASPEN Safe Practices for Enteral Nutrition Therapy.
Citation Text:
Boullata JI, Carrera AL, Harvey L, et al. ASPEN Safe Practices for Enteral Nutrition Therapy. JPEN J Parenter Enteral Nutr. 2017;41(1):15-103. doi:10.1177/0148607116673053.
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psnet.ahrq.gov/issue/improving-resident-and-fellow-engagement-patient-safety-through-graduate-medical-education
June 02, 2021 - Study
Improving resident and fellow engagement in patient safety through a graduate medical education incentive program.
Citation Text:
Turner DA, Bae J, Cheely G, et al. Improving Resident and Fellow Engagement in Patient Safety Through a Graduate Medical Education Incentive Program. J …
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psnet.ahrq.gov/issue/five-ways-you-can-reduce-inappropriate-prescribing-elderly-systematic-review
September 23, 2020 - Review
Five ways you can reduce inappropriate prescribing in the elderly: a systematic review.
Citation Text:
Garcia RM. Five ways you can reduce inappropriate prescribing in the elderly: a systematic review. J Fam Pract. 2006;55(4):305-12.
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