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psnet.ahrq.gov/issue/tracking-intraoperative-complications
April 30, 2014 - Study
Tracking intraoperative complications.
Citation Text:
Platz J, Hyman N. Tracking intraoperative complications. J Am Coll Surg. 2012;215(4):519-23. doi:10.1016/j.jamcollsurg.2012.06.001.
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psnet.ahrq.gov/issue/challenges-and-opportunities-patient-safety-event-reporting
June 23, 2021 - Commentary
Challenges and opportunities of patient safety event reporting.
Citation Text:
Gong Y. Challenges and opportunities of patient safety event reporting. Stud Health Technol Inform. 2022;291:133-150. doi:10.3233/shti220014.
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psnet.ahrq.gov/issue/maternal-health-women-and-girls-african-descent-americas
September 02, 2015 - Book/Report
Maternal Health of Women and Girls of African Descent in the Americas.
Citation Text:
Maternal Health of Women and Girls of African Descent in the Americas. New York, NY: United Nations Population Fund; July 2023.
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psnet.ahrq.gov/issue/electronic-health-record-ehr-safety-and-usability-see-what-we-mean
June 08, 2011 - Audiovisual
Electronic Health Record (EHR) Safety and Usability: See What We Mean.
Citation Text:
Electronic Health Record (EHR) Safety and Usability: See What We Mean. MedStar Health National Center for Human Factors in Healthcare.
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psnet.ahrq.gov/issue/engaging-patients-patient-safety-advocacy-brief
January 29, 2019 - Book/Report
Engaging Patients for Patient Safety: Advocacy Brief.
Citation Text:
Engaging Patients for Patient Safety: Advocacy Brief. WHO Patient Safety Flagship. Geneva; World Health Organization; December 2023. ISBN: 9789240081987.
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psnet.ahrq.gov/issue/failure-rescue-neonatal-care
July 06, 2011 - Commentary
Failure to rescue in neonatal care.
Citation Text:
Gephart SM, McGrath JM, Effken JA. Failure to rescue in neonatal care. J Perinat Neonatal Nurs. 2011;25(3):275-282. doi:10.1097/JPN.0b013e318227cc03.
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psnet.ahrq.gov/issue/breaking-mould-patient-safety
June 20, 2011 - Commentary
Breaking the mould in patient safety.
Citation Text:
Degos L, Amalberti R, Bacou J, et al. Breaking the mould in patient safety. BMJ. 2009;338:b2585. doi:10.1136/bmj.b2585.
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psnet.ahrq.gov/issue/global-guidelines-prevention-surgical-site-infection
July 20, 2011 - Organizational Policy/Guidelines
Global Guidelines on the Prevention of Surgical Site Infection.
Citation Text:
Global Guidelines on the Prevention of Surgical Site Infection.
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psnet.ahrq.gov/issue/patient-safety-issues-advanced-practice-nursing-students-care-settings
April 10, 2013 - Study
Patient safety issues in advanced practice nursing students' care settings.
Citation Text:
Schnall R, Cook S, John RM, et al. Patient Safety Issues in Advanced Practice Nursing Studentsʼ Care Settings. J Nurs Care Qual. 2011;27(2). doi:10.1097/ncq.0b013e3182310d27.
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psnet.ahrq.gov/issue/medication-safety-look-alike-sound-alike-medicines
November 19, 2014 - Book/Report
Medication Safety for Look-alike, Sound-alike Medicines.
Citation Text:
Medication Safety for Look-alike, Sound-alike Medicines. Galappatthy P, Mair A, Dhingra-Kumar N et al. Geneva, Switzerland: World Health Organization; 2023. ISBN 9789240058897.
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psnet.ahrq.gov/issue/organizational-evidence-based-and-promising-practices-improving-clinician-well-being
July 19, 2017 - Book/Report
Organizational Evidence-Based and Promising Practices for Improving Clinician Well-Being.
Citation Text:
Organizational Evidence-Based and Promising Practices for Improving Clinician Well-Being. Sinsky CA, Biddison LD, Mallick A, et al. NAM Perspectives. Washington DC: N…
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psnet.ahrq.gov/issue/cyberattack-led-harrowing-lapses-ascension-hospitals-clinicians-say
March 06, 2024 - Newspaper/Magazine Article
Cyberattack led to harrowing lapses at Ascension hospitals, clinicians say.
Citation Text:
Cyberattack led to harrowing lapses at Ascension hospitals, clinicians say. Pradhan R, Wells K. KFF Health News and Morning Edition, Michigan Public Radio: June 19, 2024.…
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psnet.ahrq.gov/issue/safety-lessons-nih-clinical-center
April 10, 2024 - Commentary
Safety lessons from the NIH Clinical Center.
Citation Text:
Gandhi TK. Safety Lessons from the NIH Clinical Center. N Engl J Med. 2016;375(18):1705-1707.
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psnet.ahrq.gov/issue/measures-improve-diagnostic-safety-clinical-practice
September 01, 2021 - Commentary
Measures to improve diagnostic safety in clinical practice.
Citation Text:
Singh H, Graber ML, Hofer TP. Measures to Improve Diagnostic Safety in Clinical Practice. J Patient Saf. 2019;15(4):311-316. doi:10.1097/PTS.0000000000000338.
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psnet.ahrq.gov/issue/learning-others-legal-aspects-sharing-patient-safety-data-using-provider-consortia
May 04, 2019 - Commentary
Learning from others: legal aspects of sharing patient safety data using provider consortia.
Citation Text:
Learning from others: legal aspects of sharing patient safety data using provider consortia. Liang BA; Weinger MB; Suydam S. J Patient Saf 2005;1:83–89
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psnet.ahrq.gov/web-mm/charcoal-lavage-lungs
January 01, 2016 - Charcoal Lavage of the Lungs
Citation Text:
Wigton RS. Charcoal Lavage of the Lungs. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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psnet.ahrq.gov/node/49730/psn-pdf
April 01, 2015 - Transition to Nowhere
April 1, 2015
Farrell TW. Transition to Nowhere. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/transition-nowhere
The Case
A 75-year-old man with a history of prostate cancer, poorly controlled myotonic dystrophy, hypertension,
and chronic kidney disease was admitted to the hospital …
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psnet.ahrq.gov/node/33631/psn-pdf
April 01, 2006 - Count and Be Counted: Preparing Future Pharmacists to
Promote a Culture of Safety
April 1, 2006
Alldredge BK, Koda-Kimble MA. Count and Be Counted: Preparing Future Pharmacists to Promote a
Culture of Safety. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/count-and-be-counted-preparing-future-pharmacis…
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psnet.ahrq.gov/node/49656/psn-pdf
June 01, 2012 - Comanagement: Who's in Charge?
June 1, 2012
Cheng HQ. Comanagement: Who's in Charge? PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/comanagement-whos-charge
The Case
A 77-year-old man with a history of chronic obstructive pulmonary disease (COPD) was admitted with a left
hip fracture to the orthopedic surg…
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psnet.ahrq.gov/node/49514/psn-pdf
July 01, 2006 - One ACE Too Many
July 1, 2006
Juurlink DN. One ACE Too Many. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/one-ace-too-many
The Case
A 72-year-old man with coronary artery disease, diabetes, and recently diagnosed congestive heart failure
presented to the emergency department (ED) with chest pain. An acut…