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psnet.ahrq.gov/issue/implementation-protocol-reduce-occurrence-retained-sponges-after-vaginal-delivery
May 18, 2022 - Commentary
Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery.
Citation Text:
Lutgendorf MA, Schindler LL, Hill JB, et al. Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Mil Med. 2011;176(6):702-704.…
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psnet.ahrq.gov/issue/rapid-response-teams-improve-outcomes-part-1-part-2-and-part-3
November 30, 2016 - Commentary
Rapid response teams improve outcomes—Part 1, Part 2, and Part 3.
Citation Text:
Rapid response teams improve outcomes—Part 1, Part 2, and Part 3. Intensive Care Med. 2016;42(4):591-601.
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psnet.ahrq.gov/issue/improving-quality-surgical-morbidity-and-mortality-conference-prospective-intervention-study
March 14, 2012 - Study
Improving the quality of the surgical morbidity and mortality conference: a prospective intervention study.
Citation Text:
Mitchell EL, Lee DY, Arora S, et al. Improving the quality of the surgical morbidity and mortality conference: a prospective intervention study. Acad Med. 2013…
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psnet.ahrq.gov/issue/measuring-cost-hospital-adverse-patient-safety-events
November 16, 2022 - Study
Measuring the cost of hospital adverse patient safety events.
Citation Text:
Carey K, Stefos T. Measuring the cost of hospital adverse patient safety events. Health Econ. 2011;20(12):1417-30. doi:10.1002/hec.1680.
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psnet.ahrq.gov/issue/resident-led-institutional-patient-safety-and-quality-improvement-process
November 16, 2022 - Study
A resident-led institutional patient safety and quality improvement process.
Citation Text:
Stueven J, Sklar DP, Kaloostian P, et al. A resident-led institutional patient safety and quality improvement process. Am J Med Qual. 2012;27(5):369-76. doi:10.1177/1062860611429387.
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psnet.ahrq.gov/issue/risk-management-or-just-different-risk
April 12, 2011 - Study
Risk management, or just a different risk?
Citation Text:
Freer Y, Lyon A. Risk management, or just a different risk? Arch Dis Child Fetal Neonatal Ed. 2006;91(5):F327-9.
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psnet.ahrq.gov/issue/nobody-cared-women-who-have-reported-mistreatment-while-giving-birth-say-cdc-report-validates
April 27, 2022 - Newspaper/Magazine Article
'Nobody cared': Women who have reported mistreatment while giving birth say CDC report validates their trauma. Advocates call for systemic change in treatment of pregnant people.
Citation Text:
'Nobody cared': Women who have reported mistreatment while giving b…
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psnet.ahrq.gov/issue/case-improving-measurement-intraoperative-iatrogenic-injuries
February 14, 2017 - Commentary
A case for improving measurement of intraoperative iatrogenic injuries.
Citation Text:
Paruch JL, Ko CY, Bilimoria KY. A case for improving measurement of intraoperative iatrogenic injuries. JAMA Surg. 2014;149(9):887-8. doi:10.1001/jamasurg.2013.5237.
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psnet.ahrq.gov/issue/hospital-prescribing-opioids-medicare-beneficiaries
December 04, 2016 - Study
Hospital prescribing of opioids to Medicare beneficiaries.
Citation Text:
Jena AB, Goldman D, Karaca-Mandic P. Hospital Prescribing of Opioids to Medicare Beneficiaries. JAMA Intern Med. 2016;176(7):990-7. doi:10.1001/jamainternmed.2016.2737.
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psnet.ahrq.gov/issue/electronic-health-records-and-malpractice-claims-office-practice
December 31, 2014 - Study
Electronic health records and malpractice claims in office practice.
Citation Text:
Virapongse A, Bates DW, Shi P, et al. Electronic health records and malpractice claims in office practice. Arch Intern Med. 2008;168(21):2362-7. doi:10.1001/archinte.168.21.2362.
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psnet.ahrq.gov/issue/time-sign-signout
March 11, 2011 - Commentary
Time to sign off on signout.
Citation Text:
Stein DM, Stetson PD. Commentary: time to sign off on signout. Acad Med. 2011;86(7):804-6. doi:10.1097/ACM.0b013e31821d8409.
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psnet.ahrq.gov/issue/important-change-heparin-container-labels-clearly-state-total-drug-strength
December 16, 2020 - Government Resource
Important change to heparin container labels to clearly state the total drug strength.
Citation Text:
Important change to heparin container labels to clearly state the total drug strength. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; Dece…
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psnet.ahrq.gov/issue/reforming-veterans-health-administration-beyond-palliation-symptoms
May 11, 2019 - Commentary
Reforming the Veterans Health Administration—beyond palliation of symptoms.
Citation Text:
Giroir BP, Wilensky GR. Reforming the Veterans Health Administration--Beyond Palliation of Symptoms. N Engl J Med. 2015;373(18):1693-5. doi:10.1056/NEJMp1511438.
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psnet.ahrq.gov/issue/better-home-how-we-fail-children-complex-medical-conditions
December 14, 2022 - Commentary
Better off at home--how we fail children with complex medical conditions.
Citation Text:
Newcomer CA. Better off at home--how we fail children with complex medical conditions. N Engl J Med. 2023;388(3):198-200. doi:10.1056/nejmp2213657.
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psnet.ahrq.gov/issue/effective-surgical-safety-checklist-implementation
July 30, 2014 - Study
Effective surgical safety checklist implementation.
Citation Text:
Conley DM, Singer SJ, Edmondson L, et al. Effective surgical safety checklist implementation. J Am Coll Surg. 2011;212(5):873-9. doi:10.1016/j.jamcollsurg.2011.01.052.
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psnet.ahrq.gov/issue/paramedic-self-reported-medication-errors-0
October 27, 2010 - Study
Paramedic self-reported medication errors.
Citation Text:
Vilke GM, Tornabene S, Stepanski B, et al. Paramedic self-reported medication errors. Prehosp Emerg Care. 2007;11(1):80-4.
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psnet.ahrq.gov/issue/nuclear-power-industry-alternative-analogy-safety-anaesthesia-and-novel-approach
February 13, 2019 - Commentary
The nuclear power industry as an alternative analogy for safety in anaesthesia and a novel approach for the conceptualisation of safety goals.
Citation Text:
Webster CS. The nuclear power industry as an alternative analogy for safety in anaesthesia and a novel approach for t…
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psnet.ahrq.gov/issue/themed-issue-innovations-medication-safety
August 30, 2017 - Special or Theme Issue
Themed Issue on Innovations in Medication Safety.
Citation Text:
Kane-Gill SL. Innovations in Medication Safety: Services and Technologies to Enhance the Understanding and Prevention of Adverse Drug Reactions. Pharmacotherapy. 2018;38(8):782-784. doi:10.1002/phar.2…
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psnet.ahrq.gov/issue/learning-without-borders-review-implementation-medical-error-reporting-medecins-sans
December 21, 2022 - Study
Learning without borders: a review of the implementation of medical error reporting in Médecins Sans Frontières.
Citation Text:
Shanks L, Bil K, Fernhout J. Learning without Borders: A Review of the Implementation of Medical Error Reporting in Médecins Sans Frontières. PLoS One. 20…
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psnet.ahrq.gov/issue/coronavirus-pandemics-wider-health-care-crisis
June 21, 2016 - Newspaper/Magazine Article
The coronavirus pandemic’s wider health-care crisis.
Citation Text:
Khullar D. The coronavirus pandemic’s wider health-care crisis. New Yorker. 2020;Jun 29.
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