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psnet.ahrq.gov/issue/which-clinical-errors-lead-referral-uk-paediatricians-national-clinical-assessment-service
January 22, 2014 - Study
Which clinical errors lead to the referral of UK paediatricians to the National Clinical Assessment Service?
Citation Text:
Raine J, Scarrott D. Which clinical errors lead to the referral of UK paediatricians to the National Clinical Assessment Service? Eur J Pediatr. 2012;171(10…
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psnet.ahrq.gov/issue/medical-error-leads-tragedy-how-do-we-inform-patient
April 08, 2018 - Commentary
A medical error leads to tragedy: how do we inform the patient?
Citation Text:
Baumrucker SJ. A medical error leads to tragedy: how do we inform the patient? Am J Hosp Palliat Care. 2006;23(5):417-21.
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psnet.ahrq.gov/issue/night-and-day-shedding-light-hours-care
September 28, 2010 - Commentary
Like night and day — shedding light on off-hours care.
Citation Text:
Shulkin DJ. Like night and day--shedding light on off-hours care. N Engl J Med. 2008;358(20):2091-3. doi:10.1056/NEJMp0707144.
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psnet.ahrq.gov/issue/high-reliability-excellent-care-every-time
July 19, 2018 - Newspaper/Magazine Article
High reliability: excellent care every time.
Citation Text:
Saver C. High reliability: Excellent care every time. OR manager. 2016;32(3):22-6.
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psnet.ahrq.gov/issue/current-and-emerging-infectious-risks-blood-transfusions
June 09, 2021 - Study
Current and emerging infectious risks of blood transfusions.
Citation Text:
Busch MP, Kleinman SH, Nemo GJ. Current and emerging infectious risks of blood transfusions. JAMA. 2003;289(8):959-62.
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psnet.ahrq.gov/issue/leapfrog-and-critical-care-evidence-and-reality-based-intensive-care-21st-century
September 30, 2009 - Commentary
Leapfrog and critical care: evidence- and reality-based intensive care for the 21st century.
Citation Text:
Manthous CA. Leapfrog and critical care: evidence- and reality-based intensive care for the 21st century. Am J Med. 2004;116(3):188-93.
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psnet.ahrq.gov/issue/do-some-surgical-implants-do-more-harm-good
January 14, 2011 - Newspaper/Magazine Article
Do some surgical implants do more harm than good?
Citation Text:
Do some surgical implants do more harm than good? Groopman J. New Yorker Online. April 13, 2020.
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psnet.ahrq.gov/issue/using-market-model-track-advances-patient-safety
September 28, 2010 - Commentary
Using a market model to track advances in patient safety.
Citation Text:
Shulkin DJ. Using a market model to track advances in patient safety. Jt Comm J Qual Saf. 2003;29(3):146-51.
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psnet.ahrq.gov/issue/review-educational-philosophies-applied-radiation-safety-training-medical-institutions
May 31, 2017 - Commentary
A review of educational philosophies as applied to radiation safety training at medical institutions.
Citation Text:
Dauer LT, St Germain J. A review of educational philosophies as applied to radiation safety training at medical institutions. Health Phys. 2006;90(5 Suppl):S6…
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psnet.ahrq.gov/issue/patient-safety-and-office-based-anesthesia
August 13, 2014 - Review
Patient safety and office-based anesthesia.
Citation Text:
Urman RD, Punwani N, Shapiro FE. Patient safety and office-based anesthesia. Curr Opin Anaesthesiol. 2012;25(6):648-53. doi:10.1097/ACO.0b013e3283593094.
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psnet.ahrq.gov/issue/relationship-between-safety-climate-and-occupational-burnout-healthcare-organizations
February 08, 2023 - Study
On the relationship between safety climate and occupational burnout in healthcare organizations.
Citation Text:
Zarei E, Khakzad N, Reniers G, et al. On the relationship between safety climate and occupational burnout in healthcare organizations. Saf Sci. 2016;89:1-10. doi:10.1016/…
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psnet.ahrq.gov/issue/mother-claims-hospital-error-kept-her-newborn-daughter
June 13, 2011 - Newspaper/Magazine Article
Mother claims hospital error kept her from newborn daughter.
Citation Text:
Mother claims hospital error kept her from newborn daughter. Barbella M. Drug Topics. October 8, 2007.
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psnet.ahrq.gov/issue/preventing-complications-central-venous-catheterization
September 02, 2015 - Review
Preventing complications of central venous catheterization.
Citation Text:
McGee DC, Gould MK. Preventing complications of central venous catheterization. N Engl J Med. 2003;348(12):1123-33.
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psnet.ahrq.gov/issue/long-term-solution-malpractice-crises-reduce-harm-patients
September 12, 2018 - Commentary
Long-term solution to malpractice crises: reduce harm to patients.
Citation Text:
Schoenbaum S, Segel K. Long-term solution to malpractice crises: reduce harm to patients. Physician Exec. 2006;32(2):26-9, 31.
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psnet.ahrq.gov/node/73104/psn-pdf
January 04, 2021 - expansion of
services delivered through telehealth across all specialties and subspecialties, the varied experiences … for emergency use, it is essential
that the healthcare community and policymakers learn from past experiences
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.326_slideshow.ppt
June 01, 2014 - PowerPoint Presentation
Spotlight
Wandering Off the Floors: Safety and Security Risks of Patient Wandering
1
This presentation is based on the June 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Thomas A. Smith, CHPA, CPP, President, Healthc…
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psnet.ahrq.gov/primer/duty-hours-and-patient-safety
June 15, 2024 - Duty Hours and Patient Safety
Citation Text:
Duty Hours and Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/print/pdf/node/842920
December 14, 2022 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Diagnostic Errors Case Studies
Curated Library
Web M&Ms
A Postpartum Woman with an Erroneous SARS-CoV-2 Test
Stephen A. Martin, MD, EdM, Gordon D. Schiff, MD, and Sanjat Kanjilal, MD, MPH | April 28, 2021
A pregnant patient was admitted for…
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psnet.ahrq.gov/primer/never-events
June 15, 2024 - Never Events
Citation Text:
Never Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/primer/triggers-and-trigger-tools
September 15, 2024 - Triggers and Trigger Tools
Citation Text:
Triggers and Trigger Tools. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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