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psnet.ahrq.gov/issue/canadian-quality-and-patient-safety-framework-health-and-social-services
December 09, 2020 - Multi-use Website
The Canadian Quality and Patient Safety Framework for Health and Social Services.
Citation Text:
The Canadian Quality and Patient Safety Framework for Health and Social Services. Canadian Patient Safety Institute and Health Standards Organization.
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psnet.ahrq.gov/issue/tracking-intraoperative-complications
April 30, 2014 - Study
Tracking intraoperative complications.
Citation Text:
Platz J, Hyman N. Tracking intraoperative complications. J Am Coll Surg. 2012;215(4):519-23. doi:10.1016/j.jamcollsurg.2012.06.001.
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psnet.ahrq.gov/issue/preventing-home-medication-errors
September 15, 2021 - Audiovisual Presentation
Preventing home medication errors.
Citation Text:
Preventing home medication errors. Shaikh U, van der List L, Blumberg D. Kids Considered. March 27, 2023.
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psnet.ahrq.gov/issue/systemic-error-radiology
August 01, 2018 - Commentary
Systemic error in radiology.
Citation Text:
Waite S, Scott JM, Legasto A, et al. Systemic Error in Radiology. AJR Am J Roentgenol. 2017;209(3):629-639. doi:10.2214/AJR.16.17719.
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psnet.ahrq.gov/issue/emergency-department-crowding-canary-health-care-system
March 30, 2022 - Study
Emergency department crowding: the canary in the health care system.
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doi:10.1056/CAT.21.0217.
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psnet.ahrq.gov/issue/challenges-and-opportunities-patient-safety-event-reporting
June 23, 2021 - Commentary
Challenges and opportunities of patient safety event reporting.
Citation Text:
Gong Y. Challenges and opportunities of patient safety event reporting. Stud Health Technol Inform. 2022;291:133-150. doi:10.3233/shti220014.
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psnet.ahrq.gov/issue/secondary-care-nursing-perspective-medication-administration-safety
July 23, 2010 - Study
A secondary care nursing perspective on medication administration safety.
Citation Text:
McBride-Henry K, Foureur M. A secondary care nursing perspective on medication administration safety. J Adv Nurs. 2007;60(1):58-66.
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psnet.ahrq.gov/issue/nursing-home-workers-warned-government-about-safety-violations-covid-19-outbreaks-and-deaths
September 15, 2021 - Newspaper/Magazine Article
Nursing home workers warned government about safety violations before COVID-19 outbreaks and deaths.
Citation Text:
Nursing home workers warned government about safety violations before COVID-19 outbreaks and deaths. Ellis B, Hicken M. CNN. May 14, 2020.
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psnet.ahrq.gov/issue/patient-safety-achieving-new-standard-care
January 04, 2009 - Book/Report
Patient Safety: Achieving a New Standard for Care.
Citation Text:
Patient Safety: Achieving a New Standard for Care. Aspden P ed, Committee for Data Standards for Patient Safety, Institute of Medicine. Washington DC: National Academies Press; 2004. ISBN 0309090776.
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psnet.ahrq.gov/issue/quality-and-economic-impact-disruptive-behaviors-clinical-outcomes-patient-care
February 03, 2010 - Commentary
The quality and economic impact of disruptive behaviors on clinical outcomes of patient care.
Citation Text:
Rosenstein AH. The quality and economic impact of disruptive behaviors on clinical outcomes of patient care. Am J Med Qual. 2011;26(5):372-9. doi:10.1177/106286061140…
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psnet.ahrq.gov/issue/guidelines-practice-prevention-unintentionally-retained-surgical-items
August 03, 2022 - Commentary
Guidelines in Practice: prevention of unintentionally retained surgical items.
Citation Text:
Cochran K. Guidelines in Practice: prevention of unintentionally retained surgical items. AORN J. 2022;116(5):427-440. doi:10.1002/aorn.13804.
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psnet.ahrq.gov/issue/science-improvement
August 04, 2021 - Commentary
Classic
The science of improvement.
Citation Text:
Berwick DM. The science of improvement. JAMA. 2008;299(10):1182-4. doi:10.1001/jama.299.10.1182.
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psnet.ahrq.gov/issue/experts-offer-smart-tips-smart-pumps
May 20, 2020 - Newspaper/Magazine Article
Experts offer smart tips for smart pumps.
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Experts offer smart tips for smart pumps. Gebhart F. Drug Topics. July 23, 2007.
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psnet.ahrq.gov/issue/implementing-and-validating-comprehensive-unit-based-safety-program
July 14, 2010 - Study
Implementing and validating a comprehensive unit-based safety program.
Citation Text:
Implementing and validating a comprehensive unit-based safety program. Pronovost P, Weast B, Rosenstein B, et al. J Patient Saf. 2005;1(1):33-40.
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psnet.ahrq.gov/issue/eau-policy-live-surgery-events
December 29, 2014 - Review
EAU policy on live surgery events.
Citation Text:
Artibani W, Ficarra V, Challacombe BJ, et al. EAU policy on live surgery events. Eur Urol. 2014;66(1):87-97. doi:10.1016/j.eururo.2014.01.028.
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psnet.ahrq.gov/issue/transformation-health-care-front-line
July 24, 2017 - Commentary
Transformation of health care at the front line.
Citation Text:
Conway PH, Clancy CM. Transformation of health care at the front line. JAMA. 2009;301(7):763-5. doi:10.1001/jama.2009.103.
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psnet.ahrq.gov/issue/system-failure-versus-personal-accountability-case-clean-hands
February 16, 2011 - Commentary
System failure versus personal accountability--the case for clean hands.
Citation Text:
Goldmann DA. System failure versus personal accountability--the case for clean hands. N Engl J Med. 2006;355(2):121-3.
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psnet.ahrq.gov/issue/npsd-data-spotlight-patterns-fall-interventions
September 13, 2023 - Book/Report
NPSD Data Spotlight: Patterns of Fall Interventions.
Citation Text:
NPSD Data Spotlight: Patterns of Fall Interventions. Rockville, MD: Agency for Healthcare Research and Quality; September 2023. AHRQ Publication no. 23-0055.
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psnet.ahrq.gov/issue/towards-model-surgeons-leadership-operating-room
July 01, 2020 - Review
Towards a model of surgeons' leadership in the operating room.
Citation Text:
Parker SH, Yule S, Flin R, et al. Towards a model of surgeons' leadership in the operating room. BMJ Qual Saf. 2011;20(7):570-9. doi:10.1136/bmjqs.2010.040295.
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psnet.ahrq.gov/issue/approaches-and-challenges-electronically-matching-patients-records-across-providers
September 25, 2019 - Book/Report
Approaches and Challenges to Electronically Matching Patients' Records Across Providers.
Citation Text:
Approaches and Challenges to Electronically Matching Patients' Records Across Providers. Washington, DC: United States Government Accountability Office; January 2019. Publi…