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psnet.ahrq.gov/issue/variation-emergency-medical-services-workplace-safety-culture
December 07, 2011 - Study
Variation in emergency medical services workplace safety culture.
Citation Text:
Patterson PD, Huang DT, Fairbanks RJ, et al. Variation in Emergency Medical Services Workplace Safety Culture. Prehospital Emergency Care. 2010;14(4). doi:10.3109/10903127.2010.497900.
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psnet.ahrq.gov/issue/patient-safety-what-really-issue
October 18, 2017 - Commentary
Patient safety: what is really at issue?
Citation Text:
Bagian JP. Patient safety: what is really at issue? Front Health Serv Manage. 2005;22(1):3-16.
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psnet.ahrq.gov/issue/living-will-misinterpreted-dnr-order-confusion-compromises-patient-care
September 11, 2019 - Commentary
A living will misinterpreted as a DNR order: confusion compromises patient care.
Citation Text:
Katsetos AD, Mirarchi FL. A living will misinterpreted as a DNR order: confusion compromises patient care. J Emerg Med. 2011;40(6):629-32. doi:10.1016/j.jemermed.2008.11.014.
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psnet.ahrq.gov/issue/radiation-protection-and-dose-monitoring-medical-imaging-journey-awareness-through
May 18, 2022 - Review
Radiation protection and dose monitoring in medical imaging: a journey from awareness, through accountability, ability and action … but where will we arrive?
Citation Text:
Frush DP, Denham CR, Goske MJ, et al. Radiation Protection and Dose Monitoring in Medical Imaging. J Patien…
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psnet.ahrq.gov/issue/simulation-techniques-teaching-time-outs-controlled-trial
June 22, 2016 - Study
Simulation techniques for teaching time-outs: a controlled trial.
Citation Text:
Simulation techniques for teaching time-outs: a controlled trial. Paull DE, Williams L, Sine DM. Patient Saf Qual Healthc. March/April 2016;13:28-37.
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psnet.ahrq.gov/issue/expert-panel-report-texas-health-resources-leadership-2014-ebola-events
February 10, 2016 - Book/Report
The Expert Panel Report to Texas Health Resources Leadership on the 2014 Ebola Events.
Citation Text:
The Expert Panel Report to Texas Health Resources Leadership on the 2014 Ebola Events. Cortese D, Abbott P, Chassin M, Lyon GM III, Riley WJ. Dallas, TX: Texas Health Resourc…
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psnet.ahrq.gov/issue/zero-tolerance-deadly-hospital-acquired-infections
March 11, 2020 - Newspaper/Magazine Article
Zero tolerance for deadly hospital-acquired infections.
Citation Text:
Levine H. Zero Tolerance for Deadly Hospital-Acquired Infections. Consum Rep. 2017;82(1):32-40.
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psnet.ahrq.gov/issue/how-one-medical-checkup-can-snowball-cascade-tests-causing-more-harm-good
February 03, 2021 - Newspaper/Magazine Article
How one medical checkup can snowball into a ‘cascade’ of tests, causing more harm than good.
Citation Text:
How one medical checkup can snowball into a ‘cascade’ of tests, causing more harm than good. Ganguli I. Washington Post. January 5, 2020.
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psnet.ahrq.gov/issue/raising-and-responding-frontline-concerns-healthcare
November 13, 2019 - Commentary
Raising and responding to frontline concerns in healthcare.
Citation Text:
Mannion R, Davies H. Raising and responding to frontline concerns in healthcare. BMJ. 2019;366:l4944. doi:10.1136/bmj.l4944.
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psnet.ahrq.gov/issue/drug-shortages-root-causes-and-potential-solutions
January 13, 2021 - Book/Report
Emerging Classic
Drug Shortages: Root Causes and Potential Solutions.
Citation Text:
Drug Shortages: Root Causes and Potential Solutions. Drug Shortage Task Force. Silver Spring, MD: US Food and Drug Administration; 2020.
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psnet.ahrq.gov/issue/patient-safety-when-are-we-too-old-operate
October 19, 2022 - Commentary
On patient safety: when are we too old to operate?
Citation Text:
Lee MJ. On Patient Safety: When Are We Too Old to Operate? Clin Orthop Relat Res. 2016;474(4):895-8. doi:10.1007/s11999-016-4722-6.
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psnet.ahrq.gov/issue/reportable-incidents
November 02, 2016 - Newspaper/Magazine Article
Reportable incidents.
Citation Text:
Barishansky RM, Glick DE. Reportable incidents. Establishing policies and procedures for when calls go wrong. EMS magazine. 2009;38(3):43-7.
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psnet.ahrq.gov/issue/measure-twice-cut-once
June 14, 2023 - Commentary
Measure twice, cut once.
Citation Text:
Atkinson WK. Measure twice, cut once. AORN J. 2013;98(1):77-80. doi:10.1016/j.aorn.2013.05.004.
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psnet.ahrq.gov/issue/beyond-medication-reconciliation-correct-medication-list
February 15, 2017 - Commentary
Beyond medication reconciliation: the correct medication list.
Citation Text:
Rose AJ, Fischer SH, Paasche-Orlow MK. Beyond Medication Reconciliation: The Correct Medication List. JAMA. 2017;317(20):2057-2058. doi:10.1001/jama.2017.4628.
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psnet.ahrq.gov/issue/mentoring-staff-members-patient-safety-leaders-clarian-safe-passage-program
January 10, 2011 - Commentary
Mentoring staff members as patient safety leaders: the Clarian Safe Passage Program.
Citation Text:
Rapala K. Mentoring staff members as patient safety leaders: the Clarian Safe Passage Program. Crit Care Nurs Clin North Am. 2005;17(2):121-126, ix.
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psnet.ahrq.gov/issue/medication-safety-education-program-reduce-risk-harm-caused-medication-errors
June 27, 2018 - Commentary
A medication safety education program to reduce the risk of harm caused by medication errors.
Citation Text:
Dennison RD. A medication safety education program to reduce the risk of harm caused by medication errors. J Contin Educ Nurs. 2007;38(4):176-84.
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psnet.ahrq.gov/issue/impact-nurse-peer-review-culture-safety
November 29, 2023 - Commentary
Impact of nurse peer review on a culture of safety.
Citation Text:
Herrington CR, Hand MW. Impact of Nurse Peer Review on a Culture of Safety. J Nurs Care Qual. 2019;34(2):158-162. doi:10.1097/NCQ.0000000000000361.
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psnet.ahrq.gov/issue/critical-deficiencies-washington-dc-va-medical-center
December 16, 2020 - Government Resource
Critical Deficiencies at the Washington DC VA Medical Center.
Citation Text:
Critical Deficiencies at the Washington DC VA Medical Center. Washington, DC: Department of Veterans Affairs, Office of Inspector General. March 7, 2018. Report No. 17-02644-130.
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psnet.ahrq.gov/issue/duration-anesthesia-indicator-morbidity-and-mortality-office-based-facial-plastic-surgery
March 19, 2018 - Study
Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surgery: a review of 1200 consecutive cases.
Citation Text:
Gordon NA, Koch ME. Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surger…
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psnet.ahrq.gov/issue/direct-oral-anticoagulants-new-drugs-practical-problems-how-can-nurses-help-prevent-patient
November 16, 2022 - Commentary
Direct oral anticoagulants: new drugs with practical problems. How can nurses help prevent patient harm?
Citation Text:
Barras MA, Hughes D, Ullner M. Direct oral anticoagulants: New drugs with practical problems. How can nurses help prevent patient harm? Nurs Health Sci. 2016…