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psnet.ahrq.gov/issue/who-patient-safety-curriculum-guide-medical-schools
March 23, 2011 - Commentary
The WHO patient safety curriculum guide for medical schools.
Citation Text:
Walton M, Woodward H, Van Staalduinen S, et al. The WHO patient safety curriculum guide for medical schools. Qual Saf Health Care. 2010;19(6):542-6. doi:10.1136/qshc.2009.036970.
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psnet.ahrq.gov/issue/2019-update-medical-overuse-review
May 05, 2021 - Review
Emerging Classic
2019 update on medical overuse: a review.
Citation Text:
Morgan DJ, Dhruva SS, Coon ER, et al. 2019 update on medical overuse: a review. JAMA Intern Med. 2019;179(11):1568. doi:10.1001/jamainternmed.2019.3842.
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psnet.ahrq.gov/issue/standardization-mechanism-improve-safety-health-care
January 05, 2017 - Study
Standardization as a mechanism to improve safety in health care.
Citation Text:
Rozich JD, Howard RJ, Justeson JM, et al. Standardization as a mechanism to improve safety in health care. Jt Comm J Qual Patient Saf. 2004;30(1):5-14.
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www.ahrq.gov/news/newsroom/case-studies/201605.html
May 01, 2016 - Blue Shield of California Foundation Uses AHRQ Guide to Reduce Hospital Readmissions
Search All Impact Case Studies
May 2016
AHRQ's Hospital Guide to Reducing Medicaid Readmissions was used by Blue Shield of California Foundation to apply evidence-based strategies that significantly cut hospital readmissi…
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psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero
September 30, 2010 - Commentary
Preventing pressure ulcers: the goal is zero.
Citation Text:
Duncan KD. Preventing pressure ulcers: the goal is zero. Jt Comm J Qual Patient Saf. 2007;33(10):605-10.
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psnet.ahrq.gov/issue/reducing-medical-errors-and-adverse-events
March 21, 2012 - Review
Reducing medical errors and adverse events.
Citation Text:
Pham JC, Aswani MS, Rosen MA, et al. Reducing medical errors and adverse events. Annu Rev Med. 2012;63:447-63. doi:10.1146/annurev-med-061410-121352.
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psnet.ahrq.gov/issue/wrong-site-surgery-1
September 02, 2020 - Commentary
Wrong-site surgery.
Citation Text:
Engelhardt KE, Barnard C, Bilimoria KY. Wrong-Site Surgery. JAMA. 2017;318(20):2033-2034. doi:10.1001/jama.2017.17177.
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psnet.ahrq.gov/issue/safety-improvements-urged-mri-facilities
February 02, 2011 - Newspaper/Magazine Article
Safety improvements urged for MRI facilities.
Citation Text:
Mitka M. Safety improvements urged for MRI facilities. JAMA. 2005;294(17):2145-8.
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psnet.ahrq.gov/issue/surgical-adverse-events-systematic-review
June 01, 2012 - Review
Surgical adverse events: a systematic review.
Citation Text:
Anderson O, Davis R, Hanna GB, et al. Surgical adverse events: a systematic review. Am J Surg. 2013;206(2):253-62. doi:10.1016/j.amjsurg.2012.11.009.
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psnet.ahrq.gov/issue/group-urges-going-metric-head-dosing-mistakes
December 19, 2017 - Commentary
Group urges going metric to head off dosing mistakes.
Citation Text:
Budnitz DS, Lovegrove MC, Rose KO. Adherence to Label and Device Recommendations for Over-the-Counter Pediatric Liquid Medications. PEDIATRICS. 2014;133(2). doi:10.1542/peds.2013-2362.
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psnet.ahrq.gov/issue/non-english-speakers-drug-label-instructions-can-be-lost-translation
September 12, 2016 - Newspaper/Magazine Article
For non-English speakers, drug label instructions can be lost in translation.
Citation Text:
Mitka M. For non-english speakers, drug label instructions can be lost in translation. JAMA. 2007;297(23):2575-7.
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psnet.ahrq.gov/issue/southern-baptist-hospital-florida-v-charles
May 20, 2009 - Legislation/Case Law
Southern Baptist Hospital of Florida v. Charles.
Citation Text:
Southern Baptist Hospital of Florida v. Charles. Fla Ct App, 1st Dist. October 28, 2015.
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psnet.ahrq.gov/issue/retained-lumbar-catheter-tip
June 07, 2017 - Commentary
Retained lumbar catheter tip.
Citation Text:
DeLancey JO, Barnard C, Bilimoria KY. Retained Lumbar Catheter Tip. JAMA. 2017;317(12):1269-1270. doi:10.1001/jama.2017.1713.
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psnet.ahrq.gov/issue/joint-commission-offers-warnings-advice-adopting-new-health-care-it-systems
September 12, 2016 - Newspaper/Magazine Article
Joint Commission offers warnings, advice on adopting new health care IT systems.
Citation Text:
Mitka M. Joint commission offers warnings, advice on adopting new health care IT systems. JAMA. 2009;301(6):587-9. doi:10.1001/jama.2009.37.
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psnet.ahrq.gov/issue/understanding-and-attitudes-towards-patient-safety-concepts-obstetrics
March 29, 2012 - Study
Understanding and attitudes towards patient safety concepts in obstetrics.
Citation Text:
Nabhan A, Ahmed-Tawfik MS. Understanding and attitudes towards patient safety concepts in obstetrics. Int J Gynaecol Obstet. 2007;98(3):212-6.
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psnet.ahrq.gov/issue/viewing-health-care-delivery-science-challenges-benefits-and-policy-implications
May 24, 2012 - Commentary
Viewing health care delivery as science: challenges, benefits, and policy implications.
Citation Text:
Pronovost P, Goeschel CA. Viewing health care delivery as science: challenges, benefits, and policy implications. Health Serv Res. 2010;45(5 Pt 2):1508-22. doi:10.1111/j.1…
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psnet.ahrq.gov/issue/insulin-dosing-error-patient-severe-hyperkalemia
May 06, 2020 - Commentary
Insulin dosing error in a patient with severe hyperkalemia.
Citation Text:
Hewitt B, Barnard C, Bilimoria KY. Insulin Dosing Error in a Patient With Severe Hyperkalemia. JAMA. 2017;318(24):2485-2486. doi:10.1001/jama.2017.7964.
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psnet.ahrq.gov/issue/probability-error-diagnosis-conjunction-fallacy-among-beginning-medical-students
June 21, 2017 - Study
Probability error in diagnosis: the conjunction fallacy among beginning medical students.
Citation Text:
Rao G. Probability error in diagnosis: the conjunction fallacy among beginning medical students. Fam Med. 2009;41(4):262-5.
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psnet.ahrq.gov/issue/creating-culture-safety-emergency-department-value-teamwork-training
October 14, 2020 - Study
Creating a culture of safety in the emergency department: the value of teamwork training.
Citation Text:
Jones F, Podila P, Powers C. Creating a culture of safety in the emergency department: the value of teamwork training. J Nurs Adm. 2013;43(4):194-200. doi:10.1097/NNA.0b013e318…
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psnet.ahrq.gov/issue/2019-john-m-eisenberg-patient-safety-and-quality-awards
August 14, 2024 - Special or Theme Issue
The 2019 John M. Eisenberg Patient Safety and Quality Awards.
Citation Text:
The 2019 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Saf. 2020;46(7):PI-II:2020;371-399.
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