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psnet.ahrq.gov/issue/safetynet-lessons-learned-close-calls-or
October 28, 2020 - Special or Theme Issue
SafetyNet: Lessons Learned from Close Calls in the OR.
Citation Text:
SafetyNet: Lessons Learned from Close Calls in the OR. AORN J. 2006;84(1S1):CO1-CO2,s6-s12.
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psnet.ahrq.gov/issue/weight-based-medication-errors-children
March 16, 2022 - Book/Report
Weight-based Medication Errors in Children.
Citation Text:
Weight-based Medication Errors in Children. Farnborough, UK: Healthcare Safety Investigation Branch; February 2022.
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psnet.ahrq.gov/issue/shining-glaring-light-surgery-technology-records-every-move-aims-improve-safety
January 29, 2020 - Newspaper/Magazine Article
Shining a glaring light on surgery: technology that records every move aims to improve safety.
Citation Text:
Shining a glaring light on surgery: technology that records every move aims to improve safety. Freyer FJ. Boston Globe. January 13, 2024.
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psnet.ahrq.gov/issue/when-water-breaks
February 06, 2019 - Newspaper/Magazine Article
When the water breaks.
Citation Text:
When the water breaks. Jones LA. The Philadelphia Inquirer. July 17, 2022.
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psnet.ahrq.gov/issue/edge-nursing-age-complexity
August 20, 2012 - Book/Report
On the Edge: Nursing in the Age of Complexity.
Citation Text:
On the Edge: Nursing in the Age of Complexity. Lindberg C, Nash S, Lindberg C. Bordentown, NJ: PlexusPress; 2008. ISBN: 1438246765.
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psnet.ahrq.gov/issue/quality-cot-connection-dont-be-fooled-illusion-patient-safety
March 01, 2007 - Commentary
Don't be fooled by the illusion of patient safety.
Citation Text:
Spath P. Don't be fooled by the illusion of patient safety. Hosp Peer Rev. 2005;30(5):69-71.
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psnet.ahrq.gov/issue/prevent-administration-ear-drops-eyes
December 16, 2020 - Newspaper/Magazine Article
Prevent administration of ear drops into the eyes.
Citation Text:
Prevent administration of ear drops into the eyes. ISMP Medication Safety Alert!: Acute Care Edition. December 1, 2022;27(24):1-3.
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psnet.ahrq.gov/issue/ajr-podcast-series-diagnostic-excellence-and-error
November 19, 2014 - Audiovisual
AJR Podcast Series on Diagnostic Excellence and Error.
Citation Text:
AJR Podcast Series on Diagnostic Excellence and Error. Deng F, ed. AJR Am J Roentgenol. July 2024-February 2025.
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psnet.ahrq.gov/issue/diagnostic-safety-supplemental-item-set-medical-office-sops
December 24, 2008 - Multi-use Website
Diagnostic Safety Supplemental Item Set for Medical Office SOPS.
Citation Text:
Diagnostic Safety Supplemental Item Set for Medical Office SOPS. Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/issue/special-section-event-analysis-and-risk-management
March 11, 2020 - Book/Report
Special Section: Event Analysis and Risk Management.
Citation Text:
Special Section: Event Analysis and Risk Management. Alemi F ed. Qual Manag Health Care. 2020;29(4):232-278.
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psnet.ahrq.gov/issue/investigation-death-baby-j-university-hospitals-bristol-and-weston-nhs-foundation-trust
August 04, 2021 - Book/Report
An Investigation into the Death of Baby J at University Hospitals Bristol and Weston NHS Foundation Trust.
Citation Text:
An Investigation into the Death of Baby J at University Hospitals Bristol and Weston NHS Foundation Trust. Manchester, UK: Parliamentary and Health Servic…
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psnet.ahrq.gov/issue/interference-between-ct-and-electronic-medical-devices
May 04, 2015 - Government Resource
Interference between CT and Electronic Medical Devices.
Citation Text:
Interference between CT and Electronic Medical Devices. Center for Devices and Radiological Health; CDER; Food and Drug Administration; FDA.
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psnet.ahrq.gov/issue/initiative-reduce-unnecessary-radiation-exposure-medical-imaging
January 17, 2017 - Government Resource
Initiative to Reduce Unnecessary Radiation Exposure from Medical Imaging.
Citation Text:
Initiative to Reduce Unnecessary Radiation Exposure from Medical Imaging. Center for Devices and Radiological Health; CDRH; US Food and Drug Administration; FDA.
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psnet.ahrq.gov/issue/deep-dive-racial-and-ethnic-disparities-health-and-healthcare
March 10, 2021 - Book/Report
Deep Dive: Racial and Ethnic Disparities in Health and Healthcare.
Citation Text:
Deep Dive: Racial and Ethnic Disparities in Health and Healthcare. Plymouth Meeting, PA: ECRI and the Institute for Safe Medication Practices; 2022.
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psnet.ahrq.gov/issue/fatal-drug-mix-exposes-hospital-flaws
March 02, 2016 - Newspaper/Magazine Article
Fatal drug mix-up exposes hospital flaws.
Citation Text:
Fatal drug mix-up exposes hospital flaws. Davies T.
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psnet.ahrq.gov/issue/2008-recommendations-pre-anesthesia-checkout-procedures
April 22, 2020 - Organizational Policy/Guidelines
2008 Recommendations for Pre-Anesthesia Checkout Procedures.
Citation Text:
2008 Recommendations for Pre-Anesthesia Checkout Procedures. ASA Committee on Equipment and Facilities. Park Ridge, IL: American Society of Anesthesiologists; 2008.
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psnet.ahrq.gov/issue/ismp-medication-safety-self-assessmentr-perioperative-settings
January 26, 2023 - Measurement Tool/Indicator
ISMP Medication Safety Self Assessment® for Perioperative Settings.
Citation Text:
ISMP Medication Safety Self Assessment® for Perioperative Settings. Institute for Safe Medication Practices
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psnet.ahrq.gov/issue/patient-safety-article-collection
December 19, 2012 - Multi-use Website
Patient Safety Article Collection.
Citation Text:
Patient Safety Article Collection. American Patient Rights Association. 2012-2022.
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psnet.ahrq.gov/issue/putting-sleepy-resident-issue-bed-federal-legislation-not-answer-excessive-medical-resident
November 03, 2015 - Commentary
Putting the sleepy resident issue to bed: federal legislation is not the answer to excessive medical resident working hours.
Citation Text:
Putting the sleepy resident issue to bed: federal legislation is not the answer to excessive medical resident working hours. Stone …
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psnet.ahrq.gov/issue/what-doctor-may-miss-reaching-mri-first
May 22, 2013 - Newspaper/Magazine Article
What a doctor may miss by reaching for the MRI first.
Citation Text:
What a doctor may miss by reaching for the MRI first. Boodman SG, Kaiser Health News. Washington Post. May 19, 2014.
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