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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/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/weak-oversight-allows-lab-failures-put-patients-risk
June 12, 2019 - Newspaper/Magazine Article
Weak oversight allows lab failures to put patients at risk.
Citation Text:
Weak oversight allows lab failures to put patients at risk. Gabler E. Milwaukee Journal Sentinel. May 15, 2015.
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psnet.ahrq.gov/issue/why-current-breast-pathology-practices-must-be-evaluated
February 23, 2018 - Book/Report
Why Current Breast Pathology Practices Must Be Evaluated.
Citation Text:
Why Current Breast Pathology Practices Must Be Evaluated. Dallas, TX: Susan G Komen Breast Cancer Foundation; 2006.
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psnet.ahrq.gov/issue/sick-children-face-potentially-deadly-danger-medication-errors
September 02, 2009 - Newspaper/Magazine Article
Sick children face potentially deadly danger: medication errors.
Citation Text:
Sick children face potentially deadly danger: medication errors. Furfaro H. Wall Street Journal. September 25, 2016.
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psnet.ahrq.gov/issue/high-cost-retained-surgical-items
February 22, 2023 - Newspaper/Magazine Article
The high cost of retained surgical items.
Citation Text:
The high cost of retained surgical items. Moorehead LD. Outpatient Surgery. April 5, 2023.
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psnet.ahrq.gov/issue/investigating-clinical-incidents-nhs
February 04, 2015 - Book/Report
Investigating Clinical Incidents in the NHS.
Citation Text:
Investigating Clinical Incidents in the NHS. Sixth Report of Session 2014–15. House of Commons Public Administration Select Committee. London, England: The Stationery Office; March 27, 2015. Publication HC 886.
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psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving-surgical-care-safety
November 30, 2016 - Book/Report
Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety.
Citation Text:
Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety. Wiley K, Davies JM. Edmonton, AB: Canadia…
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psnet.ahrq.gov/issue/tragic-error-neuromuscular-blocker-should-prompt-risk-assessment-all-hospitals
November 16, 2015 - Newspaper/Magazine Article
Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals.
Citation Text:
Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals. ISMP Medication Safety Alert! Acute Care Edition. December 18, 2014;19…
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psnet.ahrq.gov/issue/survey-lasa-drug-name-pairs-who-knows-whats-your-list-and-best-ways-prevent-mix-ups
June 10, 2018 - Newspaper/Magazine Article
Survey on LASA drug name pairs: who knows what’s on your list and the best ways to prevent mix-ups?
Citation Text:
Survey on LASA drug name pairs: who knows what’s on your list and the best ways to prevent mix-ups? ISMP Medication Safety Alert! Acute Care Editi…
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psnet.ahrq.gov/issue/fatal-pca-adverse-events-continue-happenbetter-patient-monitoring-essential-prevent-harm
June 10, 2018 - Newspaper/Magazine Article
Fatal PCA adverse events continue to happen...better patient monitoring is essential to prevent harm.
Citation Text:
Fatal PCA adverse events continue to happen...better patient monitoring is essential to prevent harm. ISMP Medication Safety Alert! Acute Care E…
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psnet.ahrq.gov/issue/investigation-role-clinical-pharmacy-services-helping-identify-and-reduce-high-risk
September 29, 2021 - Book/Report
Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hospital.
Citation Text:
Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hos…
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psnet.ahrq.gov/issue/interruptions-and-multitasking-nursing-care
September 28, 2010 - Study
Interruptions and multitasking in nursing care.
Citation Text:
Kalisch BJ, Aebersold M. Interruptions and multitasking in nursing care. Jt Comm J Qual Patient Saf. 2010;36(3):126-132.
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psnet.ahrq.gov/issue/communicating-critical-test-results
May 24, 2006 - Special or Theme Issue
Communicating Critical Test Results.
Citation Text:
Communicating Critical Test Results. Schiff GD, Bates DW, Leape LL, eds. Jt Comm J Qual Patient Saf. 2005;31(2):62-119.
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psnet.ahrq.gov/issue/clinical-investigation-booking-systems-failures-written-communications-community-languages
May 17, 2023 - Book/Report
Clinical Investigation Booking Systems Failures: Written Communications in Community Languages.
Citation Text:
Clinical Investigation Booking Systems Failures: Written Communications in Community Languages. Farnborough, UK: Healthcare Safety Investigation Branch; April 2023.
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psnet.ahrq.gov/issue/no-place-home-advancing-safety-care-home
January 09, 2019 - Book/Report
No Place Like Home: Advancing the Safety of Care in the Home.
Citation Text:
No Place Like Home: Advancing the Safety of Care in the Home. Boston, MA: Institute for Healthcare Improvement; 2018.
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psnet.ahrq.gov/issue/partnering-heal-teaming-against-healthcare-associated-infections
November 16, 2011 - Course Material/Curriculum
Partnering to Heal: Teaming-Up Against Healthcare-Associated Infections.
Citation Text:
Partnering to Heal: Teaming-Up Against Healthcare-Associated Infections. Washington, DC: US Department of Health and Human Services; May 2011.
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psnet.ahrq.gov/issue/mri-suites-safety-outside-bore
April 28, 2021 - Commentary
MRI suites: safety outside the bore.
Citation Text:
MRI suites: safety outside the bore. Gilk T. Patient Safety and Quality Healthcare. September/October 2006:1-8.
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psnet.ahrq.gov/issue/partnering-improve-quality-and-safety-framework-working-patient-and-family-advisors
July 01, 2015 - Book/Report
Partnering to Improve Quality and Safety: A Framework for Working With Patient and Family Advisors.
Citation Text:
Partnering to Improve Quality and Safety: A Framework for Working With Patient and Family Advisors. Chicago, IL: Health Research & Educational Trust; 2015.
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psnet.ahrq.gov/issue/few-hospitals-are-willing-bear-cost-providing-psychiatric-care-kids
March 15, 2023 - Newspaper/Magazine Article
Few hospitals are willing to bear the cost of providing psychiatric care for kids.
Citation Text:
Few hospitals are willing to bear the cost of providing psychiatric care for kids. Schorsch K, Karp S. WBEZ Chicago. March 9, 2023.
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