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psnet.ahrq.gov/issue/sages-fuse-program-bridging-patient-safety-gap
April 05, 2017 - Commentary
The SAGES FUSE program: bridging a patient safety gap.
Citation Text:
Fuchshuber PR, Robinson TN, Feldman LS, et al. The SAGES FUSE program: bridging a patient safety gap. Bull Am Coll Surg. 2014;99(9):18-27.
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psnet.ahrq.gov/issue/nurses-behaviors-and-visual-scanning-patterns-may-reduce-patient-identification-errors
December 12, 2012 - Study
Nurses' behaviors and visual scanning patterns may reduce patient identification errors.
Citation Text:
Marquard J, Henneman PL, He Z, et al. Nurses' behaviors and visual scanning patterns may reduce patient identification errors. J Exp Psychol Appl. 2011;17(3):247-56. doi:10.1037/…
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psnet.ahrq.gov/issue/adverse-drug-event-related-admissions-pediatric-emergency-unit
October 05, 2022 - Study
Adverse drug event-related admissions to a pediatric emergency unit.
Citation Text:
Carvalho IV, Sousa VM de, Visacri MB, et al. Adverse drug event-related admissions to a pediatric emergency unit. Pediatr Emerg Care. 2021;37(4):e152-e158. doi:10.1097/pec.0000000000001582.
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psnet.ahrq.gov/issue/frequency-expected-effects-obstacles-and-facilitators-disclosure-patient-safety-incidents
February 11, 2015 - Review
Frequency, expected effects, obstacles, and facilitators of disclosure of patient safety incidents: a systematic review.
Citation Text:
Ock M, Lim SY, Jo M-W, et al. Frequency, Expected Effects, Obstacles, and Facilitators of Disclosure of Patient Safety Incidents: A Systematic Re…
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psnet.ahrq.gov/issue/disruptive-behavior-inherent-surgeon-or-environment-analysis-314-events-single-academic
October 19, 2022 - Study
Is disruptive behavior inherent to the surgeon or the environment? Analysis of 314 events at a single academic medical center.
Citation Text:
Heslin MJ, Singletary BA, Benos KC, et al. Is Disruptive Behavior Inherent to the Surgeon or the Environment? Analysis of 314 Events at a Si…
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psnet.ahrq.gov/issue/incidence-adverse-events-integrated-us-healthcare-system-retrospective-observational-study
April 08, 2011 - Study
Incidence of adverse events in an integrated US healthcare system: a retrospective observational study of 82,784 surgical hospitalizations.
Citation Text:
Zeeshan MF, Dembe AE, Seiber EE, et al. Incidence of adverse events in an integrated US healthcare system: a retrospective obse…
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psnet.ahrq.gov/issue/impact-percentage-overlapping-surgery-patient-outcomes-retrospective-cohort-study-87000
February 22, 2019 - Review
Impact of the percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 87,000 surgical cases.
Citation Text:
Pitts CC, Ponce BA, Arguello AM, et al. Impact of the percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 8…
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psnet.ahrq.gov/issue/impacts-pharmacist-managed-outpatient-clinic-and-chemotherapy-directed-electronic-order-sets
June 18, 2014 - Study
The impacts of a pharmacist-managed outpatient clinic and chemotherapy-directed electronic order sets for monitoring oral chemotherapy.
Citation Text:
Battis B, Clifford L, Huq M, et al. The impacts of a pharmacist-managed outpatient clinic and chemotherapy-directed electronic orde…
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psnet.ahrq.gov/issue/patient-safety-orthopedic-surgery-prioritizing-key-areas-iatrogenic-harm-through-analysis
December 18, 2013 - Study
Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic harm through an analysis of 48,095 incidents reported to a national database of errors.
Citation Text:
Panesar S, Carson-Stevens A, Salvilla SA, et al. Patient safety in orthopedic surgery: prioritizing ke…
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psnet.ahrq.gov/issue/association-pharmaceutical-industry-marketing-opioid-products-mortality-opioid-related
November 17, 2021 - Study
Classic
Association of pharmaceutical industry marketing of opioid products with mortality from opioid-related overdoses.
Citation Text:
Hadland SE, Rivera-Aguirre A, Marshall BDL, et al. Association of Pharmaceutical Industry Marketing of Opioid Products …
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psnet.ahrq.gov/issue/understanding-patient-and-clinician-reported-nonroutine-events-ambulatory-surgery
December 16, 2020 - Study
Understanding patient and clinician reported nonroutine events in ambulatory surgery.
Citation Text:
Salwei ME, Anders S, Slagle JM, et al. Understanding patient and clinician reported nonroutine events in ambulatory surgery. J Patient Saf. 2023;19(2):e38-e45. doi:10.1097/pts.00000…
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psnet.ahrq.gov/issue/individual-surgeon-mortality-rates-can-outliers-be-detected-national-utility-analysis
October 27, 2021 - Study
Individual surgeon mortality rates: can outliers be detected? A national utility analysis.
Citation Text:
Harrison EM, Drake TM, O'Neill S, et al. Individual surgeon mortality rates: can outliers be detected? A national utility analysis. BMJ Open. 2016;6(10):e012471. doi:10.1136/bm…
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psnet.ahrq.gov/issue/cdc-central-line-bloodstream-infection-prevention-efforts-produced-net-benefits-least-640
October 31, 2014 - Study
CDC central-line bloodstream infection prevention efforts produced net benefits of at least $640 million during 1990–2008.
Citation Text:
Scott D, Sinkowitz-Cochran R, Wise ME, et al. CDC central-line bloodstream infection prevention efforts produced net benefits of at least $640 M…
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psnet.ahrq.gov/web-mm/triaging-interhospital-transfers
April 12, 2023 - The admitting physician was concerned that the patient might require subspecialty care, including dermatology
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psnet.ahrq.gov/web-mm/emr-entry-error-not-so-benign
July 01, 2012 - The dermatology service was consulted, and they performed biopsies of both lesions. … Health Care Providers
Health Care Executives and Administrators
Information Professionals
Dermatology
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psnet.ahrq.gov/node/49852/psn-pdf
February 01, 2019 - The admitting physician was concerned that the patient might require subspecialty care, including
dermatology
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psnet.ahrq.gov/web-mm/hidden-heparins-hit-happens
March 27, 2024 - (Picture reprinted with permission from International Journal of Dermatology.)
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psnet.ahrq.gov/topics-0
March 03, 2025 - Anesthesiology Go to this topic
Critical Care Go to this topic
Dermatology
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psnet.ahrq.gov/node/49525/psn-pdf
December 01, 2006 - (Picture reprinted with permission from International Journal of
Dermatology.)
Figure 3.
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psnet.ahrq.gov/primer/systems-approach
June 15, 2024 - Summary
February 26, 2025
Implementing patient safety and quality improvement in dermatology