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psnet.ahrq.gov/issue/rural-hospital-patient-safety-systems-implementation-two-states
February 03, 2011 - Study
Rural hospital patient safety systems implementation in two states.
Citation Text:
Longo DR, Hewett JE, Ge B, et al. Rural Hospital Patient Safety Systems Implementation in Two States. The Journal of Rural Health. 2007;23(3). doi:10.1111/j.1748-0361.2007.00090.x.
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psnet.ahrq.gov/issue/hospital-patient-safety-characteristics-best-performing-hospitals
February 03, 2011 - Study
Hospital patient safety: characteristics of best-performing hospitals.
Citation Text:
Longo DR, Hewett JE, Ge B, et al. Hospital patient safety: characteristics of best-performing hospitals. J Healthc Manag. 2007;52(3):188-204; discussion 204-5.
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psnet.ahrq.gov/issue/errors-thyroid-gland-fine-needle-aspiration
March 28, 2012 - Study
Errors in thyroid gland fine-needle aspiration.
Citation Text:
Raab SS, Vrbin CM, Grzybicki DM, et al. Errors in Thyroid Gland Fine-Needle Aspiration. Am J Clin Pathol. 2007;125(6). doi:10.1309/7rqe37k6439t4pb4.
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psnet.ahrq.gov/issue/interns-overestimate-effectiveness-their-hand-communication
March 02, 2011 - Study
Interns overestimate the effectiveness of their hand-off communication.
Citation Text:
Chang VY, Arora V, Lev-Ari S, et al. Interns overestimate the effectiveness of their hand-off communication. Pediatrics. 2010;125(3):491-496. doi:10.1542/peds.2009-0351.
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psnet.ahrq.gov/issue/medication-errors-and-patient-complications-continuous-renal-replacement-therapy
June 25, 2009 - Study
Medication errors and patient complications with continuous renal replacement therapy.
Citation Text:
Barletta JF, Barletta G-M, Brophy PD, et al. Medication errors and patient complications with continuous renal replacement therapy. Pediatr Nephrol. 2006;21(6):842-5.
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psnet.ahrq.gov/issue/ambiguity-and-workarounds-contributors-medical-error
December 23, 2008 - Commentary
Ambiguity and workarounds as contributors to medical error.
Citation Text:
Spear SJ, Schmidhofer M. Ambiguity and workarounds as contributors to medical error. Ann Intern Med. 2005;142(8):627-630.
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psnet.ahrq.gov/issue/clinical-reasoning-core-competency
August 20, 2018 - Commentary
Clinical reasoning as a core competency.
Citation Text:
Connor DM, Durning SJ, Rencic J. Clinical Reasoning as a Core Competency. Acad Med. 2020;95(8):1166-1171. doi:10.1097/acm.0000000000003027.
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psnet.ahrq.gov/issue/prevention-3-never-events-operating-room-fires-gossypiboma-and-wrong-site-surgery
February 10, 2012 - Review
Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery.
Citation Text:
Zahiri HR, Stromberg J, Skupsky H, et al. Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. Surg Innov. 2011;18(1):55-…
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psnet.ahrq.gov/issue/laneys-story-problem-delayed-diagnosis-pediatric-stroke
April 24, 2018 - Commentary
Laney's story: the problem of delayed diagnosis of pediatric stroke.
Citation Text:
Fitzsimons BT, Fitzsimons LL, Sun LR. Laney's Story: The Problem of Delayed Diagnosis of Pediatric Stroke. Pediatrics. 2019;143(4):e20183458. doi:10.1542/peds.2018-3458.
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psnet.ahrq.gov/node/33715/psn-pdf
July 01, 2011 - Rory Jaffe, MD, MBA Executive Director, California Hospital Patient Safety Organization
References
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psnet.ahrq.gov/node/49716/psn-pdf
August 21, 2014 - Standardized initial and continuing training should be in place, consistent with medical director
requirements
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psnet.ahrq.gov/node/49845/psn-pdf
October 01, 2018 - Coming Up Short: Maintaining Safety in the Face of Drug
Shortages
October 1, 2018
Plogsted S. Coming Up Short: Maintaining Safety in the Face of Drug Shortages. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages
The Case
A 1-month-old preterm infant in the ne…
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psnet.ahrq.gov/perspective/playing-well-others-translocational-research-patient-safety
September 01, 2005 - Carolyn Clancy has been the Director of the Agency for Healthcare Research and Quality (AHRQ) since 2003 … Prior to becoming AHRQ Director, she led the Agency's Center for Outcomes and Effectiveness Research. … RW: For my last question, I wanted to give you a chance to say something about Dan Stryer [the Director … level about where the health care system stood, he was very much like John Eisenberg [the late AHRQ Director
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psnet.ahrq.gov/node/49770/psn-pdf
September 01, 2016 - Annie Yang, PharmD Assistant Director of Medication Safety and Quality NYU Langone Medical Center
New … Perelman Department of
Emergency Medicine New York University School of Medicine Director, Fellowship
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psnet.ahrq.gov/node/33876/psn-pdf
August 01, 2018 - Phrampus, MD Director, Peter M. … Education and Research
(WISER) Professor, Departments of Emergency Medicine and Anesthesiology Medical Director
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psnet.ahrq.gov/node/49623/psn-pdf
March 01, 2011 - the staff and
https://psnet.ahrq.gov/web-mm/are-we-pushing-graduate-nurses-too-fast
critical care director … references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#figure
Nancy Spector, PhD, RN Director
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psnet.ahrq.gov/web-mm/little-shuteye
December 22, 2018 - The department director, nurse manager, or nurse educator are typically responsible for ensuring the … The department director and/or nurse manager should be responsible for determining the extent of notification
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psnet.ahrq.gov/issue/analysis-medication-prescribing-errors-critically-ill-children
March 28, 2012 - Study
Analysis of medication prescribing errors in critically ill children.
Citation Text:
Glanzmann C, Frey B, Meier CR, et al. Analysis of medication prescribing errors in critically ill children. Eur J Pediatr. 2015;174(10):1347-1355. doi:10.1007/s00431-015-2542-4.
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psnet.ahrq.gov/issue/what-do-nursing-students-learn-about-patient-safety-integrative-literature-review
October 15, 2016 - Review
What do nursing students learn about patient safety? An integrative literature review.
Citation Text:
Tella S, Liukka M, Jamookeeah D, et al. What do nursing students learn about patient safety? an integrative literature review. J Nurs Educ. 2014;53(1):7-13. doi:10.3928/01484834-…
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psnet.ahrq.gov/issue/building-safety-net
December 21, 2009 - Newspaper/Magazine Article
Building a safety net.
Citation Text:
Rogoski RR. Building a safety net. By leveraging huge amounts of data and applying it to a wide array of projects and purposes, hospitals stay focused on patient safety and make headway. Health management technology. 2006…