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psnet.ahrq.gov/node/44152/psn-pdf
November 06, 2015 - Infection Prevention.
November 6, 2015
Allen G, ed. AORN J. 2015;101:505-596.
https://psnet.ahrq.gov/issue/infection-prevention
A primary concern in the perioperative setting is the prevention of health care–associated infections,
particularly surgical site infections. Articles in this special issue explore strate…
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psnet.ahrq.gov/node/39876/psn-pdf
July 02, 2014 - The anatomy of health care team training and the state of
practice: a critical review.
July 2, 2014
Weaver SJ, Lyons R, DiazGranados D, et al. The anatomy of health care team training and the state of
practice: a critical review. Acad Med. 2010;85(11):1746-60. doi:10.1097/ACM.0b013e3181f2e907.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/34744/psn-pdf
January 07, 2019 - Judgment under Uncertainty: Heuristics and Biases.
January 7, 2019
Kahneman D, Slovic P, Tversky A, eds. Cambridge, NY: Cambridge University Press;
1982. ISBN: 0521284147.
https://psnet.ahrq.gov/issue/judgment-under-uncertainty-heuristics-and-biases
Judgement is an inherently human activity tha…
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psnet.ahrq.gov/primer/pharmacists-role-medication-safety
March 14, 2018 - Pharmacist's Role in Medication Safety
Citation Text:
The Pharmacist's Role in Medication Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/web-mm/complicated-course-severe-alcohol-withdrawal-dexmedetomidine-infusion
June 14, 2023 - SPOTLIGHT CASE
A Complicated Course: Severe Alcohol Withdrawal with Dexmedetomidine Infusion
Citation Text:
Duong T, Boctor N, Bourgeois JA. A Complicated Course: Severe Alcohol Withdrawal with Dexmedetomidine Infusion.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality…
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psnet.ahrq.gov/issue/case-shook-medicine
October 24, 2012 - Newspaper/Magazine Article
A case that shook medicine.
Citation Text:
A case that shook medicine. Lerner BH.
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psnet.ahrq.gov/issue/removing-insult-injury-disclosing-adverse-events
November 07, 2012 - Audiovisual
Removing Insult from Injury: Disclosing Adverse Events.
Citation Text:
Removing Insult from Injury: Disclosing Adverse Events. Johns Hopkins Bloomberg School of Public Health
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psnet.ahrq.gov/issue/healing-words-power-apology-medicine
July 06, 2011 - Book/Report
Healing Words: The Power of Apology in Medicine. 2nd edition.
Citation Text:
Healing Words: The Power of Apology in Medicine. 2nd edition. Woods MS. Oakbrook Terrace IL: Joint Commission Resources; 2007.
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psnet.ahrq.gov/issue/effect-health-care-working-conditions-patient-safety-evidence-reporttechnology-assessment
December 18, 2008 - Book/Report
The Effect of Health Care Working Conditions on Patient Safety. Evidence Report/Technology Assessment.
Citation Text:
The Effect of Health Care Working Conditions on Patient Safety. Evidence Report/Technology Assessment. Rockville, MD: Agency for Healthcare Research and Quali…
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psnet.ahrq.gov/issue/safety-critical-care-medicine
July 14, 2021 - Special or Theme Issue
Safety in Critical Care Medicine.
Citation Text:
Safety in Critical Care Medicine. Fein AM, Heffner JE, eds. Crit Care Clin. 2005;21(1):1-176.
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psnet.ahrq.gov/issue/using-human-factors-engineering-improve-patient-safety-second-edition
May 18, 2016 - Book/Report
Using Human Factors Engineering to Improve Patient Safety, Second edition.
Citation Text:
Using Human Factors Engineering to Improve Patient Safety, Second edition. Gosbee JW, Gosbee LL. Oakbrook, IL: Joint Commission; 2010. ISBN: 9781599404110.
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psnet.ahrq.gov/issue/patient-safety-risk-management-playbook
February 17, 2016 - Book/Report
Patient Safety Risk Management Playbook.
Citation Text:
Patient Safety Risk Management Playbook. Chicago, IL: American Society for Healthcare Risk Management; 2015.
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psnet.ahrq.gov/issue/tips-safer-surgery
December 22, 2021 - Fact Sheet/FAQs
Tips for Safer Surgery.
Citation Text:
Tips for Safer Surgery. Surgical Care Improvement Project. Oklahoma City, OK: Oklahoma Foundation for Medical Quality; 2006.
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psnet.ahrq.gov/issue/effectiveness-interventions-designed-promote-patient-involvement-enhance-safety-systematic
January 19, 2011 - Review
Effectiveness of interventions designed to promote patient involvement to enhance safety: a systematic review.
Citation Text:
Hall J, Peat M, Birks Y, et al. Effectiveness of interventions designed to promote patient involvement to enhance safety: a systematic review. Qual Saf Hea…
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psnet.ahrq.gov/issue/effects-educational-patient-safety-campaign-patients-safety-behaviours-and-adverse-events
November 05, 2013 - Study
Effects of an educational patient safety campaign on patients' safety behaviours and adverse events.
Citation Text:
Schwappach DLB, Frank O, Buschmann U, et al. Effects of an educational patient safety campaign on patients' safety behaviours and adverse events. J Eval Clin Pract.…
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psnet.ahrq.gov/issue/patient-safety-culture-effects-errors-incident-reporting-and-patient-safety-grade
August 26, 2020 - Study
Patient safety culture: effects on errors, incident reporting, and patient safety grade.
Citation Text:
Kaya S, Banaz Goncuoglu M, Mete B, et al. Patient safety culture: effects on errors, incident reporting, and patient safety grade. J Patient Saf. 2023;19(7):439-446. doi:10.1097/…
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psnet.ahrq.gov/issue/effect-burnout-among-physicians-observed-adverse-patient-outcomes-literature-review
October 27, 2021 - Review
Effect of burnout among physicians on observed adverse patient outcomes: a literature review.
Citation Text:
Mangory KY, Ali LY, Rø KI, et al. Effect of burnout among physicians on observed adverse patient outcomes: a literature review. BMC Health Serv Res. 2021;21(1):369. doi:10.…
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psnet.ahrq.gov/issue/abbreviation-use-decreases-effective-clinical-communication-and-can-compromise-patient-safety
October 29, 2017 - Commentary
Abbreviation use decreases effective clinical communication and can compromise patient safety.
Citation Text:
Parry D, Odedra A, Fagbohun M, et al. Abbreviation use decreases effective clinical communication and can compromise patient safety. Br J Oral Maxillofac Surg. 2023;61…
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psnet.ahrq.gov/issue/prescription-drug-overload-critics-fighting-curb-epidemic-medication-side-effects
January 24, 2024 - Newspaper/Magazine Article
Prescription drug overload: critics fighting to curb an epidemic of medication side effects.
Citation Text:
Prescription drug overload: critics fighting to curb an epidemic of medication side effects. Weisman R. Boston Globe. January 13, 2020.
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psnet.ahrq.gov/issue/systematic-review-evidence-links-between-patient-experience-and-clinical-safety-and
May 01, 2019 - Review
A systematic review of evidence on the links between patient experience and clinical safety and effectiveness.
Citation Text:
Doyle C, Lennox L, Bell D. A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. BMJ Open. 2013;…