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  1. psnet.ahrq.gov/issue/taking-risky-business-out-mri-suite
    September 12, 2016 - Newspaper/Magazine Article Taking risky business out of the MRI suite. Citation Text: Rozovsky FA, Gilk TB, Latina RJ. Managing liability exposure and safety. Taking risky business out of the MRI suite. Materials management in health care. 2006;15(1):18-23. Copy Citation Format: …
  2. psnet.ahrq.gov/issue/three-australian-whistleblowing-sagas-lessons-internal-and-external-regulation
    August 17, 2005 - Study Three Australian whistleblowing sagas: lessons for internal and external regulation. Citation Text: Faunce TA, Bolsin SNC. Three Australian whistleblowing sagas: lessons for internal and external regulation. Med J Aust. 2004;181(1):44-7. Copy Citation Format: Google …
  3. psnet.ahrq.gov/issue/smart-pumps-implications-nurse-leaders
    February 02, 2022 - Commentary Smart pumps: implications for nurse leaders. Citation Text: Kirkbride G, Vermace B. Smart pumps: implications for nurse leaders. Nurs Adm Q. 2011;35(2):110-118. doi:10.1097/NAQ.0b013e31820fbdc0. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…
  4. psnet.ahrq.gov/issue/towards-framework-select-techniques-error-prediction-supporting-novice-users-healthcare
    March 28, 2011 - Review Towards a framework to select techniques for error prediction: supporting novice users in the healthcare sector. Citation Text: Lyons M. Towards a framework to select techniques for error prediction: supporting novice users in the healthcare sector. Appl Ergon. 2009;40(3):379-95…
  5. psnet.ahrq.gov/issue/physician-quality-officer-new-model-engaging-physicians-quality-improvement
    May 03, 2017 - Commentary Physician Quality Officer: a new model for engaging physicians in quality improvement. Citation Text: Walsh KE, Ettinger WH, Klugman R. Physician quality officer: a new model for engaging physicians in quality improvement. Am J Med Qual. 2009;24(4):295-301. doi:10.1177/10628…
  6. psnet.ahrq.gov/issue/designing-strategy-promote-safe-innovative-label-use-medications
    May 06, 2009 - Commentary Designing a strategy to promote safe, innovative off-label use of medications. Citation Text: Ansani N, Sirio CA, Smitherman T, et al. Designing a strategy to promote safe, innovative off-label use of medications. Am J Med Qual. 2006;21(4):255-261. Copy Citation Format…
  7. psnet.ahrq.gov/issue/standardizing-hand-processes
    June 03, 2020 - Commentary Standardizing hand-off processes. Citation Text: Gregory BSC. Standardizing hand-off processes. AORN J. 2006;84(6):1059-61. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …
  8. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/tool.html
    June 01, 2017 - Sustainability Tool - Sustainability Module Background: This tool can be used to identify sustainability issues in planning and implementing your improvement efforts. How to use this tool: The Implementation Team leader (or individual designated by the leader) should complete this checklist. Us…
  9. psnet.ahrq.gov/issue/improving-operating-room-and-perioperative-safety-background-and-specific-recommendations
    August 29, 2011 - Commentary Improving operating room and perioperative safety: background and specific recommendations. Citation Text: Schimpff SC. Improving operating room and perioperative safety: background and specific recommendations. Surg Innov. 2007;14(2):127-35. Copy Citation Format: …
  10. psnet.ahrq.gov/issue/my-life-was-upended-35-years-cancer-diagnosis-doctor-just-told-me-i-was-misdiagnosed
    April 11, 2018 - Newspaper/Magazine Article My life was upended for 35 years by a cancer diagnosis. A doctor just told me I was misdiagnosed. Citation Text: My life was upended for 35 years by a cancer diagnosis. A doctor just told me I was misdiagnosed. Henigson J. Washington Post. March 26, 2021. …
  11. psnet.ahrq.gov/issue/safety-hospital-stroke-care
    December 02, 2020 - Study The safety of hospital stroke care. Citation Text: Holloway RG, Tuttle D, Baird T, et al. The safety of hospital stroke care. Neurology. 2007;68(8):550-555. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  12. psnet.ahrq.gov/issue/tubing-safety-obstetric-setting-preventing-medication-errors
    November 04, 2020 - Commentary Tubing safety in the obstetric setting: preventing medication errors. Citation Text: Broussard BS. Tubing safety in the obstetric setting: preventing medication errors. Nurs Womens Health. 2009;13(2):155-158. doi:10.1111/j.1751-486X.2009.01407.x. Copy Citation Format: …
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/ed-workflowdiagrams.pdf
    January 01, 2018 - Emergency Department Workflow Diagrams Emergency Department Workflow Diagrams Ambulatory patient arrives. Provider assigns patient to self and evaluates patient. Diagnostic testing including labwork and chest x-ray. Diagnosis CAP? Pursue other diagnoses. Inpatient treatment warranted? Based on clin…
  14. psnet.ahrq.gov/issue/eight-year-experience-neurosurgical-checklist
    September 27, 2023 - Study Eight-year experience with a neurosurgical checklist. Citation Text: Lyons MK. Eight-year experience with a neurosurgical checklist. Am J Med Qual. 2010;25(4):285-8. doi:10.1177/1062860610363305. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML …
  15. psnet.ahrq.gov/issue/costly-issues-uncommunicative-or
    July 29, 2020 - Newspaper/Magazine Article Costly issues of an uncommunicative OR. Citation Text: Neil R. Costly issues of an uncommunicative OR. Materials management in health care. 2006;15(3):30-3. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…
  16. psnet.ahrq.gov/issue/sample-sample-carryover-source-analytical-laboratory-error-and-its-relevance-integrated
    January 12, 2022 - Study Sample to sample carryover: a source of analytical laboratory error and its relevance to integrated clinical chemistry/immunoassay systems. Citation Text: Armbruster DA, Alexander DB. Sample to sample carryover: a source of analytical laboratory error and its relevance to integra…
  17. www.ahrq.gov/patient-safety/news-events/psaw-2021/index.html
    July 01, 2022 - Patient Safety Awareness Week AHRQ and colleagues from the U.S. Department of Health and Human Services, the Health Resources and Services Administration, the Institute for Healthcare Improvement, and the entire patient safety community are collaborating to observe Patient Safety Awareness Week. While AHRQ's …
  18. psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-system-innovation-concord-hospital
    October 19, 2022 - Commentary John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital. Citation Text: Uhlig PN, Brown J, Nason AK, et al. John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital. Jt Comm J Qual Improv. 2002;28(12):666-672. Copy Citation Format…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49791/psn-pdf
    April 01, 2017 - The fall occurred as she attempted to sit down in the bathroom and missed the toilet, falling backwards
  20. psnet.ahrq.gov/issue/better-approach-medical-malpractice-claims-university-michigan-experience
    March 19, 2008 - July 23, 2010 How to avoid falling victim to a hospital mistake.