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psnet.ahrq.gov/issue/anesthesiologist-group-says-hospitals-can-prevent-fatal-errors-vanderbilts
June 01, 2022 - Newspaper/Magazine Article
Anesthesiologist group says hospitals can prevent fatal errors like Vanderbilt's.
Citation Text:
Anesthesiologist group says hospitals can prevent fatal errors like Vanderbilt's. Clark C. MedPage Today. June 2, 2022
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psnet.ahrq.gov/issue/structured-patient-handoffs-movement-toward-adverse-event-reduction-perioperative-unit
December 16, 2020 - Newspaper/Magazine Article
Structured patient handoffs: the movement toward adverse event reduction in the perioperative unit.
Citation Text:
Structured patient handoffs: the movement toward adverse event reduction in the perioperative unit. Hamilton WL.
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psnet.ahrq.gov/issue/quest-six-sigma
January 04, 2010 - Commentary
On the quest for Six Sigma.
Citation Text:
Moorman D. On the quest for Six Sigma. Am J Surg. 2005;189(3):253-8.
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psnet.ahrq.gov/issue/non-accidental-injuries-infants-attending-emergency-department
May 31, 2023 - Book/Report
Non-accidental Injuries in Infants Attending the Emergency Department.
Citation Text:
Non-accidental Injuries in Infants Attending the Emergency Department. Farnborough, UK: Healthcare Safety Investigation Branch; April 2023.
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psnet.ahrq.gov/issue/algorithm-detects-sepsis-cut-deaths-nearly-20-percent
October 12, 2022 - Newspaper/Magazine Article
Algorithm that detects sepsis cut deaths by nearly 20 percent.
Citation Text:
Algorithm that detects sepsis cut deaths by nearly 20 percent. Bushwick S. Scientific American. August 1, 2022.
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psnet.ahrq.gov/issue/2018-john-m-eisenberg-patient-safety-and-quality-award-recipients-announced
February 28, 2018 - Press Release/Announcement
2018 John M. Eisenberg Patient Safety and Quality Award Recipients Announced.
Citation Text:
2018 John M. Eisenberg Patient Safety and Quality Award Recipients Announced. Joint Commission.
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psnet.ahrq.gov/issue/team-communication-operating-room
January 28, 2009 - Commentary
Team communication in the operating room.
Citation Text:
Davies JM. Team communication in the operating room. Acta Anaesthesiol Scand. 2005;49(7):898-901.
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psnet.ahrq.gov/issue/hospital-bed-system-dimensional-and-assessment-guidance-reduce-entrapment
October 28, 2010 - Book/Report
Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment.
Citation Text:
Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment. Rockville MD: Center for Devices and Radiological Health, Food and Drug Administration; 2006.
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psnet.ahrq.gov/issue/strengthening-core-middle-managers-play-vital-role-improving-safety
April 25, 2016 - Newspaper/Magazine Article
Strengthening the core. Middle managers play a vital role in improving safety.
Citation Text:
Federico F, Bonacum D. Strengthening the core. Middle managers play a vital role in improving safety. Healthcare executive. 2010;25(1):68-70.
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psnet.ahrq.gov/issue/they-cant-ignore-us-any-more-five-women-long-covid-and-medical-misogyny
September 14, 2022 - Newspaper/Magazine Article
‘They can’t ignore us any more’: five women on long Covid and medical misogyny.
Citation Text:
‘They can’t ignore us any more’: five women on long Covid and medical misogyny. Lu D. The Guardian. October 18, 2022.
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psnet.ahrq.gov/issue/what-doctors-can-learn-factory-floor
June 13, 2011 - Commentary
What doctors can learn from the factory floor.
Citation Text:
Martyn C. What doctors can learn from the factory floor. BMJ. 2010;340(mar03 3). doi:10.1136/bmj.c1217.
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psnet.ahrq.gov/issue/supporting-nurses-essential-partners-diagnosis
August 05, 2020 - Newspaper/Magazine Article
Supporting nurses as essential partners in diagnosis.
Citation Text:
Supporting nurses as essential partners in diagnosis. Carr S. ImproveDx. March 2021:8(2)
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psnet.ahrq.gov/issue/2007-john-m-eisenberg-patient-safety-and-quality-awards
January 06, 2017 - Award Recipient
2007 John M. Eisenberg Patient Safety and Quality Awards.
Citation Text:
2007 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2007;33(12):709-757.
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psnet.ahrq.gov/issue/2017-john-m-eisenberg-patient-safety-and-quality-award-recipients-announced
February 28, 2018 - Press Release/Announcement
2017 John M. Eisenberg Patient Safety and Quality Award Recipients Announced.
Citation Text:
2017 John M. Eisenberg Patient Safety and Quality Award Recipients Announced. Joint Commission.
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psnet.ahrq.gov/issue/perioperative-handoffs
October 04, 2017 - Special or Theme Issue
Perioperative Handoffs.
Citation Text:
Perioperative Handoffs. Abraham J, Rosen M, Greilich PE eds. Jt Comm J Qual Patient Saf. 2023;49(8):341-434.
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psnet.ahrq.gov/node/49544/psn-pdf
September 01, 2007 - Discharging Our Responsibility
September 1, 2007
Fonarow GC. Discharging Our Responsibility. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/discharging-our-responsibility
The Case
A 75-year-old man with a history of hypertension, coronary artery disease, and congestive heart failure
(CHF) presented to the …
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psnet.ahrq.gov/web-mm/cyp450-drugs-expect-unexpected
October 19, 2022 - CYP450 Drugs: Expect the Unexpected
Citation Text:
Gonzalez CJ. CYP450 Drugs: Expect the Unexpected. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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psnet.ahrq.gov/web-mm/unexpected-drawbacks-electronic-order-sets
December 01, 2017 - Unexpected Drawbacks of Electronic Order Sets
Citation Text:
McGreevey JD. Unexpected Drawbacks of Electronic Order Sets. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/node/33882/psn-pdf
June 01, 2019 - Building a Safety Program Using Principles of Resilience
Engineering
June 1, 2019
Hegde S, Fairbanks RJ, Bisantz A. Building a Safety Program Using Principles of Resilience Engineering.
PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
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psnet.ahrq.gov/issue/patient-death-after-inadvertent-infusion-prn-medication-hanging-bedside-intravenous-iv-pole
April 17, 2024 - Newspaper/Magazine Article
Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole.
Citation Text:
Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole. ISMP Medication Safety Alert! Acute Care. 20…