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psnet.ahrq.gov/node/45222/psn-pdf
June 08, 2016 - A program to prevent catheter-associated urinary tract
infection in acute care.
June 8, 2016
Saint S, Greene T, Krein SL, et al. A Program to Prevent Catheter-Associated Urinary Tract Infection in
Acute Care. New Engl J Med. 2016;374(22):2111-2119. doi:10.1056/NEJMoa1504906.
https://psnet.ahrq.gov/issue/program-pr…
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psnet.ahrq.gov/issue/patient-safety-during-perinatal-and-neonatal-care
November 15, 2017 - Special or Theme Issue
Patient Safety During Perinatal and Neonatal Care.
Citation Text:
Patient Safety During Perinatal and Neonatal Care. Am J Perinatol. 2012;29:1-70.
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digital.ahrq.gov/population/white
January 01, 2023 - White
eHealth Activity Among African-American and White Cancer Survivors - Final Report
Citation
Thompson H. eHealth Activity Among African-American and White Cancer Survivors - Final Report. (Prepared by Wayne State University at Indianapolis under Grant No. R01 HS022955). Ro…
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psnet.ahrq.gov/issue/acog-committee-statement-no-10-racial-and-ethnic-inequities-obstetrics-and-gynecology
November 13, 2024 - Organizational Policy/Guidelines
ACOG Committee Statement No. 10: Racial and Ethnic Inequities in Obstetrics and Gynecology.
Citation Text:
ACOG Committee Statement No. 10: Racial and Ethnic Inequities in Obstetrics and Gynecology. Obstet Gynecol. 2024;144(3):e62-e74. doi:10.1097/aog.000…
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psnet.ahrq.gov/issue/simulation-otolaryngology
January 23, 2019 - Special or Theme Issue
Simulation in Otolaryngology.
Citation Text:
Simulation in Otolaryngology. Malekzadeh S, ed. Otolaryngol Clin North Am. 2017;50(5):xv-xviii, 875-1036.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-25
December 30, 2014 - Commentary
ISMP medication error report analysis.
Citation Text:
ISMP medication error report analysis. Cohen MR, Smetzer JL. Hosp Pharm. 2008;43:353-356.
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psnet.ahrq.gov/issue/using-medication-reconciliation-prevent-errors
March 27, 2024 - Sentinel Event Alerts
Using medication reconciliation to prevent errors.
Citation Text:
Using medication reconciliation to prevent errors. Sentinel Event Alert. 2006;35(35):1-4.
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psnet.ahrq.gov/issue/wrong-site-surgery-critical-incident-analysis-near-miss
June 15, 2024 - Commentary
Wrong site surgery: a critical incident analysis of a near miss.
Citation Text:
Tichanow S. Wrong site surgery: A critical incident analysis of a near miss. J Perioper Pract. 2016;26(1-2):11-5.
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psnet.ahrq.gov/issue/practice-advisory-anesthetic-care-magnetic-resonance-imaging-report-american-society
August 09, 2023 - Commentary
Practice advisory on anesthetic care for magnetic resonance imaging: a report by the American Society of Anesthesiologists Task Force on Anesthetic Care for Magnetic Resonance Imaging.
Citation Text:
Practice advisory on anesthetic care for magnetic resonance imaging: an updat…
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psnet.ahrq.gov/issue/who-collaborating-centres-patient-safety
April 06, 2016 - Multi-use Website
Global Patient Safety Collaborative.
Citation Text:
Global Patient Safety Collaborative. World Alliance for Patient Safety; World Health Organization
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psnet.ahrq.gov/issue/patient-safety-13
November 26, 2018 - Special or Theme Issue
Patient Safety.
Citation Text:
Patient Safety. Todd DW, Bennett JD, eds. Oral Maxillofac Surg Clin North Am. 2017;29:121-244.
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psnet.ahrq.gov/issue/medication-errors-0
October 03, 2012 - Special or Theme Issue
Medication Errors.
Citation Text:
Medication Errors. Brit J Clin Pharmacol. 2009;67:589-695.
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psnet.ahrq.gov/issue/guide-hcas-safe-patient-transfers
March 03, 2019 - Newspaper/Magazine Article
A guide for HCAs on safe patient transfers.
Citation Text:
A guide for HCAs on safe patient transfers. Lees L.
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psnet.ahrq.gov/issue/antidote-medical-errors
May 02, 2017 - Newspaper/Magazine Article
The antidote to medical errors.
Citation Text:
The antidote to medical errors. Price M.
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psnet.ahrq.gov/issue/crisis-do-not-revive-requests-dont-always-work
December 16, 2015 - Newspaper/Magazine Article
In a crisis, do-not-revive requests don't always work.
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January 3, 2007
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psnet.ahrq.gov/node/43506/psn-pdf
September 10, 2014 - Review of Alleged Patient Deaths, Patient Wait Times, and
Scheduling Practices at the Phoenix VA Health Care
System.
September 10, 2014
Washington, DC: VA Office of the Inspector General; August 26, 2014. Report No.14-02603-267.
https://psnet.ahrq.gov/issue/review-alleged-patient-deaths-patient-wait-times-and-sche…
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psnet.ahrq.gov/node/40203/psn-pdf
February 09, 2011 - Changes in safety attitude and relationship to decreased
postoperative morbidity and mortality following
implementation of a checklist-based surgical safety
intervention.
February 9, 2011
Haynes AB, Weiser TG, Berry WR, et al. Changes in safety attitude and relationship to decreased
postoperative morbidity and mo…
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psnet.ahrq.gov/issue/learning-management-system
April 30, 2024 - Multi-use Website
Learning Management System.
Citation Text:
Learning Management System. Patient Safety Authority.
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psnet.ahrq.gov/node/46499/psn-pdf
May 17, 2018 - Evaluation of the association between Nursing Home
Survey on Patient Safety culture (NHSOPS) measures and
catheter-associated urinary tract infections: results of a
national collaborative.
May 17, 2018
Smith SN, Greene MT, Mody L, et al. Evaluation of the association between Nursing Home Survey on
Patient Safety …
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/fault-tree-analysis
January 01, 2023 - Fault Tree Analysis
Acronym
FTA
Description
Fault tree analyses (FTAs) study specific system, process, or product failures using a tree diagram . The process can be used to study a failure that actually occurred, or it could study a potential failure. The technique starts with the failure an…