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psnet.ahrq.gov/issue/life-after-death-aftermath-perioperative-catastrophesMarch 29, 2012 - Review Life after death: the aftermath of perioperative catastrophes. Citation Text: Gazoni FM, Durieux ME, Wells L. Life after death: the aftermath of perioperative catastrophes. Anesth Analg. 2008;107(2):591-600. doi:10.1213/ane.0b013e31817a9c77. Copy Citation Format: D…
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psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients-tackling-three-tough-casesDecember 19, 2018 - Commentary Disclosing harmful medical errors to patients: tackling three tough cases. Citation Text: Gallagher TH, Bell SK, Smith KM, et al. Disclosing harmful medical errors to patients: tackling three tough cases. Chest. 2009;136(3):897-903. doi:10.1378/chest.09-0030. Copy Citation …
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psnet.ahrq.gov/issue/wrong-site-surgery-wrong-patient-invasive-procedures-outpatient-settingsJune 09, 2021 - Book/Report Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings. Citation Text: Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings. Farnborough, UK: Healthcare Safety Investigation Branch; June 2021. Copy Citation …
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psnet.ahrq.gov/issue/normalization-deviance-contrary-principles-high-reliabilityJune 09, 2021 - Commentary Normalization of deviance is contrary to the principles of high reliability. Citation Text: Wright I. Normalization of deviance Is contrary to the principles of high reliability. AORN J. 2023;117(4):231-238. doi:10.1002/aorn.13894. Copy Citation Format: DOI Googl…
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psnet.ahrq.gov/issue/frequency-and-type-errors-and-near-errors-reported-critical-care-nursesJune 21, 2006 - Study Frequency and type of errors and near errors reported by critical care nurses. Citation Text: Frequency and type of errors and near errors reported by critical care nurses. Balas MC; Scott LD; Rogers AE. Copy Citation Save Save to your library Pri…
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psnet.ahrq.gov/issue/incidence-diagnostic-error-medicineJuly 15, 2015 - Review The incidence of diagnostic error in medicine. Citation Text: Graber ML. The incidence of diagnostic error in medicine. BMJ Qual Saf. 2013;22 Suppl 2:ii21-ii27. doi:10.1136/bmjqs-2012-001615. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML End…
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psnet.ahrq.gov/issue/latest-results-first-trialOctober 29, 2017 - Special or Theme Issue Latest Results From the "FIRST" Trial. Citation Text: Latest Results From the "FIRST" Trial. J Am Coll Surg. 2017;224:103-159. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …
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psnet.ahrq.gov/issue/how-perioperative-nurses-define-attribute-causes-and-react-intraoperative-nursing-errorsSeptember 11, 2024 - Study How perioperative nurses define, attribute causes of, and react to intraoperative nursing errors. Citation Text: Chard R. How perioperative nurses define, attribute causes of, and react to intraoperative nursing errors. AORN J. 2010;91(1):132-45. doi:10.1016/j.aorn.2009.06.028. C…
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psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs-serious-incidentFebruary 21, 2024 - Book/Report Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. Citation Text: Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. Dorset, UK: Health Services Safety Inve…
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psnet.ahrq.gov/issue/performing-inadvertent-procedureOctober 16, 2019 - Commentary Performing an inadvertent procedure. Citation Text: Gupta A, Jain S, Croft C. Performing an Inadvertent Procedure. JAMA. 2019;321(5):504-505. doi:10.1001/jama.2018.21438. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …
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psnet.ahrq.gov/issue/surgical-adverse-events-systematic-reviewJune 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. Copy Citation Format: DOI Google Scholar PubMed BibTeX…
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psnet.ahrq.gov/issue/global-report-infection-prevention-and-control-executive-summaryMarch 09, 2022 - Book/Report Global Report on Infection Prevention and Control: Executive Summary. Citation Text: Global Report on Infection Prevention and Control: Executive Summary. Geneva, Switzerland; World Health Organization; May 5, 2022. Copy Citation Save Save to your li…
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psnet.ahrq.gov/issue/prescription-disaster-americas-broken-pharmacy-system-revolt-over-burnout-and-errorsMay 17, 2023 - Newspaper/Magazine Article Prescription for disaster: America's broken pharmacy system in revolt over burnout and errors. Citation Text: Prescription for disaster: America's broken pharmacy system in revolt over burnout and errors. Le Coz E. USA Today. October 26, 2023. Copy Citation…
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psnet.ahrq.gov/issue/advancing-diagnostic-excellence-older-adults-proceedings-workshop-briefApril 20, 2022 - Book/Report Advancing Diagnostic Excellence for Older Adults: Proceedings of a Workshop in Brief. Citation Text: Advancing Diagnostic Excellence for Older Adults: Proceedings of a Workshop in Brief. National Academies of Sciences, Engineering, and Medicine. Washington, DC: The…
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psnet.ahrq.gov/issue/medical-audible-alarms-reviewAugust 11, 2021 - Review Medical audible alarms: a review. Citation Text: Edworthy J. Medical audible alarms: a review. J Am Med Inform Assoc. 2013;20(3):584-9. doi:10.1136/amiajnl-2012-001061. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…
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psnet.ahrq.gov/issue/patients-went-hospital-care-after-testing-positive-there-covid-some-never-came-outJanuary 26, 2022 - Newspaper/Magazine Article Patients went into the hospital for care. After testing positive there for Covid, some never came out. Citation Text: Patients went into the hospital for care. After testing positive there for Covid, some never came out. Jewett C. Kaiser Health News. November 4…
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psnet.ahrq.gov/issue/rapid-response-systems-should-we-still-question-their-implementationJanuary 06, 2017 - Commentary Rapid response systems: should we still question their implementation? Citation Text: Winters BD, Pronovost P. Rapid response systems: should we still question their implementation? J Hosp Med. 2013;8(5):278-81. doi:10.1002/jhm.2050. Copy Citation Format: DOI G…
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www.ahrq.gov/ncepcr/reports/grants-transform/introduction.htmlOctober 01, 2023 - Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report Introduction Previous Page Next Page Table of Contents Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report Executive Summary Introduction Methods Overview of the 14 Transfo…
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psnet.ahrq.gov/issue/simulation-obstetric-anesthesiaJanuary 12, 2011 - Review Simulation in obstetric anesthesia. Citation Text: Pratt SD. Focused review: simulation in obstetric anesthesia. Anesth Analg. 2012;114(1):186-90. doi:10.1213/ANE.0b013e3182377bbc. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …
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psnet.ahrq.gov/issue/bundaberg-and-beyond-duty-disclose-adverse-events-patientsJanuary 12, 2022 - Commentary Bundaberg and beyond: duty to disclose adverse events to patients. Citation Text: Madden B, Cockburn T. Bundaberg and beyond: duty to disclose adverse events to patients. J Law Med. 2007;14(4):501-27. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…
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