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psnet.ahrq.gov/node/866867/psn-pdf
October 02, 2024 - Report links Georgia's abortion ban to preventable
deaths.
October 2, 2024
Yang J, Surana K. Report links Georgia's abortion ban to preventable deaths. PBS News Hour. 2024.
https://psnet.ahrq.gov/issue/report-links-georgias-abortion-ban-preventable-deaths
Poorly implemented and communicated policy can affect the a…
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psnet.ahrq.gov/node/853247/psn-pdf
September 06, 2023 - Dangers and deaths around black pregnancies seen as a
‘completely preventable’ health crisis.
September 6, 2023
West S. KFF Health News. August 24, 2023.
https://psnet.ahrq.gov/issue/dangers-and-deaths-around-black-pregnancies-seen-completely-preventable-
health-crisis
The challenge of unsafe maternal care is gai…
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psnet.ahrq.gov/node/34781/psn-pdf
June 23, 2015 - Standards for patient monitoring during general
anesthesia at Harvard Medical School.
June 23, 2015
Eichhorn JH, Cooper JB, Cullen DJ, et al. Standards for patient monitoring during anesthesia at Harvard
Medical School. JAMA. 1986;256(8):1017-20.
https://psnet.ahrq.gov/issue/standards-patient-monitoring-during-gen…
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psnet.ahrq.gov/node/44520/psn-pdf
September 30, 2015 - Patient safety in dermatologic surgery: parts 1 and 2.
September 30, 2015
Lolis M, Dunbar SW, Goldberg DJ, et al. J Am Acad Dermatol. 2015;73(1):1-26.
https://psnet.ahrq.gov/issue/patient-safety-dermatologic-surgery-part-1-patient-safety-procedural-
dermatology-part-2
This two-part review series explores patient s…
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psnet.ahrq.gov/node/38101/psn-pdf
December 17, 2009 - The unintended consequences of computerized provider
order entry: findings from a mixed methods exploration.
December 17, 2009
Ash JS, Sittig DF, Dykstra RH, et al. The unintended consequences of computerized provider order entry:
Findings from a mixed methods exploration. Int J Med Inform. 2008;78. doi:10.1016/j.i…
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psnet.ahrq.gov/node/60904/psn-pdf
September 09, 2020 - Two pandemics, same story: the potentially dangerous
overuse of antibiotics and 'the road to medical hell'.
September 9, 2020
Fauber J, Chen D. Milwaukee Journal Sentinel. August 31, 2020.
https://psnet.ahrq.gov/issue/two-pandemics-same-story-potentially-dangerous-overuse-antibiotics-and-
road-medical-hell
Antibi…
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psnet.ahrq.gov/node/44578/psn-pdf
February 24, 2016 - A new frontier in healthcare risk management: working to
reduce avoidable patient suffering.
February 24, 2016
Card AJ, Klein VR. A new frontier in healthcare risk management: Working to reduce avoidable patient
suffering. J Healthc Risk Manag. 2016;35(3):31-7. doi:10.1002/jhrm.21207.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/861291/psn-pdf
January 24, 2024 - COVID-19 and patient safety- lessons from 2 efforts to
keep people safe.
January 24, 2024
Wachter RM. COVID-19 and patient safety- lessons from 2 efforts to keep people safe. JAMA Intern Med.
2024;184(2):127-128. doi:10.1001/jamainternmed.2023.7527.
https://psnet.ahrq.gov/issue/covid-19-and-patient-safety-lessons-…
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psnet.ahrq.gov/node/36017/psn-pdf
June 14, 2006 - Medical errors and quality of care: from control to
commitment.
June 14, 2006
Khatri N, Baveja A, Boren SA, et al. Medical Errors and Quality of Care: From Control to Commitment.
California Manage Review. 2006;48(3):115-141. doi:10.2307/41166353.
https://psnet.ahrq.gov/issue/medical-errors-and-quality-care-control…
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psnet.ahrq.gov/node/61063/psn-pdf
October 28, 2020 - The radiology impact of healthcare errors during shift
work.
October 28, 2020
Elliott J, Williamson K. The radiology impact of healthcare errors during shift work. Radiography.
2020;26(3):248-253. doi:10.1016/j.radi.2019.12.007.
https://psnet.ahrq.gov/issue/radiology-impact-healthcare-errors-during-shift-work
Ext…
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psnet.ahrq.gov/node/60622/psn-pdf
January 01, 2021 - Managing teamwork in the face of pandemic: evidence-
based tips.
June 24, 2020
Tannenbaum SI, Traylor AM, Thomas EJ, et al. Managing teamwork in the face of pandemic: evidence-
based tips. BMJ Qual Saf. 2021;30(1):59-63. doi:10.1136/bmjqs-2020-011447.
https://psnet.ahrq.gov/issue/managing-teamwork-face-pandemic-ev…
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psnet.ahrq.gov/node/72728/psn-pdf
February 10, 2021 - Risk of misdiagnosis and delayed diagnosis with COVID-
19: a syndemic approach.
February 10, 2021
Muhrer JC. Risk of misdiagnosis and delayed diagnosis with COVID-19. Nurs Pract. 2021;46(2):44-49.
doi:10.1097/01.npr.0000731572.91985.98.
https://psnet.ahrq.gov/issue/risk-misdiagnosis-and-delayed-diagnosis-covid-19-…
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psnet.ahrq.gov/node/35023/psn-pdf
March 04, 2011 - Building a framework for trust: critical event analysis of
deaths in surgical care.
March 4, 2011
Thompson A, Stonebridge PA. Building a framework for trust: critical event analysis of deaths in surgical
care. BMJ. 2005;330(7500):1139-42.
https://psnet.ahrq.gov/issue/building-framework-trust-critical-event-analysi…
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psnet.ahrq.gov/node/60617/psn-pdf
June 24, 2020 - Amid the COVID-19 pandemic, meaningful communication
between family caregivers and residents of long-term care
facilities is imperative.
June 24, 2020
Hado E, Friss Feinberg L. Amid the COVID-19 pandemic, meaningful communication between family
caregivers and residents of long-term care facilities is imperative. J…
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psnet.ahrq.gov/node/44872/psn-pdf
February 12, 2016 - Reducing preventable harm in hospitals.
February 12, 2016
Bornstein D. New York Times. January 26, and February 2, 2016.
https://psnet.ahrq.gov/issue/reducing-preventable-harm-hospitals
Discussing the importance of designing safeguards to prevent system failures that can result in patient
harm, this two-part newsp…
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psnet.ahrq.gov/node/35635/psn-pdf
June 24, 2010 - Patient safety problems in adolescent medical care.
June 24, 2010
Woods D, Holl JL, Klein JD, et al. Patient safety problems in adolescent medical care. J Adolesc Health.
2006;38(1):5-12.
https://psnet.ahrq.gov/issue/patient-safety-problems-adolescent-medical-care
Using data from the Colorado and Utah Medical Prac…
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psnet.ahrq.gov/node/44512/psn-pdf
September 23, 2015 - Increased mortality associated with weekend hospital
admission: a case for expanded seven day services?
September 23, 2015
Freemantle N, Ray D, McNulty D, et al. Increased mortality associated with weekend hospital admission: a
case for expanded seven day services? BMJ. 2015;351:h4596. doi:10.1136/bmj.h4596.
https…
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psnet.ahrq.gov/node/45546/psn-pdf
October 05, 2016 - Using standardized OR checklists and creating extended
time-out checklists.
October 5, 2016
Hey LA, Turner TC. Using Standardized OR Checklists and Creating Extended Time-Out Checklists.
AORN J. 2016;104(3):248-53. doi:10.1016/j.aorn.2016.07.007.
https://psnet.ahrq.gov/issue/using-standardized-or-checklists-and-cr…
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psnet.ahrq.gov/node/72723/psn-pdf
February 10, 2021 - The impact of critical incidents on nurses and midwives:
a systematic review.
February 10, 2021
Buhlmann M, Ewens B, Rashidi A. The impact of critical incidents on nurses and midwives: A systematic
review. J Clin Nurs. 2020;30(9-10):1195-1205. doi:10.1111/jocn.15608.
https://psnet.ahrq.gov/issue/impact-critical-in…
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psnet.ahrq.gov/node/36558/psn-pdf
May 27, 2011 - The National Quality Forum safe practice standard for
computerized physician order entry: updating a critical
patient safety practice.
May 27, 2011
Kilbridge PM, Classen D, Bates DW, et al. The National Quality Forum Safe Practice Standard for
Computerized Physician Order Entry. J Patient Saf. 2008;2(4). doi:10.10…