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psnet.ahrq.gov/web-mm/forgotten-line
March 11, 2011 - Central line removal can have serious and even fatal complications (air embolism, catheter fracture and … This case illustrates a classic story of gaps or fracture points, in which critical patient information
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psnet.ahrq.gov/sites/default/files/2020-12/final_dec_spotlight_code_status_vs_care_status.pdf
January 01, 2020 - American man with metastatic squamous
cell carcinoma was admitted to the hospital with a T10 burst
fracture … schizophrenia, developmental delay (not
conserved), and COPD
• Received neurosurgical treatment for the fracture
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psnet.ahrq.gov/issue/noahs-story-please-listen
June 27, 2018 - Newspaper/Magazine Article
Noah's story: please listen.
Citation Text:
Noah's story: please listen. Lord T. Patient Saf Qual Healthc. March/April 2012;9:38-41,44.
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psnet.ahrq.gov/issue/disclosure-errors-surgical-procedures
April 13, 2022 - Review
Disclosure of errors in surgical procedures.
Citation Text:
Disclosure of errors in surgical procedures. Ryan M, Mekel M, Sinha MS. UptoDate. November 20, 2023.
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psnet.ahrq.gov/issue/patient-safety-performance-reversing-recent-declines-through-shared-profession-wide-system
December 01, 2021 - Commentary
Patient safety performance: reversing recent declines through shared profession-wide system-level solutions.
Citation Text:
doi:full/10.1056/CAT.22.0318.
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DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/through-and-beyond-anaesthesia-awareness
September 20, 2023 - Commentary
Through and beyond anaesthesia awareness.
Citation Text:
Aaen A-M, Møller K. Through and beyond anaesthesia awareness. BMJ. 2010;341:c3669. doi:10.1136/bmj.c3669.
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psnet.ahrq.gov/node/49572/psn-pdf
October 01, 2008 - in her left hip, the physicians obtained plain films, which
confirmed a nondisplaced femoral neck fracture
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psnet.ahrq.gov/issue/patient-centered-care-improvement-guide
June 10, 2020 - Book/Report
Patient-Centered Care Improvement Guide.
Citation Text:
Patient-Centered Care Improvement Guide. Frampton S, Guastello S, Brady C, et al. Derby, CT: Planetree; Camden, ME: Picker Institute; 2008.
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psnet.ahrq.gov/issue/error-traps-acute-pain-management-children
August 24, 2022 - Commentary
Error traps in acute pain management in children.
Citation Text:
Vecchione TM, Agarwal R, Monitto CL. Error traps in acute pain management in children. Paediatr Anaesth. 2022;32(9):982-992. doi:10.1111/pan.14514.
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psnet.ahrq.gov/issue/creative-education-rapid-response-team-implementation
October 13, 2018 - Commentary
Creative education for rapid response team implementation.
Citation Text:
Johnson AL. Creative education for rapid response team implementation. J Contin Educ Nurs. 2009;40(1):38-42.
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psnet.ahrq.gov/issue/human-reliability-analysis-critique-and-review-managers
November 21, 2021 - Review
Human reliability analysis: a critique and review for managers.
Citation Text:
French S, Bedford T, Pollard SJT, et al. Human reliability analysis: A critique and review for managers. Saf Sci. 2011;49(6). doi:10.1016/j.ssci.2011.02.008.
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DOI Go…
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psnet.ahrq.gov/issue/errors-and-malpractice-radiology
June 26, 2013 - Special or Theme Issue
Errors and Malpractice in Radiology.
Citation Text:
Errors and Malpractice in Radiology. Pinto A, ed. Semin Ultrasound CT MR. 2012;33:273-382.
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psnet.ahrq.gov/issue/hospital-discharge-and-readmission
March 27, 2005 - Review
Hospital discharge and readmission.
Citation Text:
Hospital discharge and readmission. Alper E, O'Malley TA, Greenwald J. UpToDate. February 3, 2023.
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psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation
January 02, 2011 - Multi-use Website
Anesthesia Patient Safety Foundation.
Citation Text:
Anesthesia Patient Safety Foundation. P.O. Box 6668, Rochester, MN 55903.
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psnet.ahrq.gov/issue/building-bridges-between-radiology-and-emergency-medicine-consensus-conference-imaging-safety
January 25, 2010 - Special or Theme Issue
Building Bridges Between Radiology and Emergency Medicine: Consensus Conference on Imaging Safety and Quality for Children in the Emergency Setting.
Citation Text:
Building Bridges Between Radiology and Emergency Medicine: Consensus Conference on Imaging Safety and…
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psnet.ahrq.gov/issue/quality-improvement-and-safety-pediatric-emergency-medicine
March 12, 2025 - Review
Quality improvement and safety in pediatric emergency medicine.
Citation Text:
Ku BC, Chamberlain JM, Shaw KN. Quality Improvement and Safety in Pediatric Emergency Medicine. Pediatr Clin North Am. 2018;65(6):1269-1281. doi:10.1016/j.pcl.2018.07.010.
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psnet.ahrq.gov/issue/incidence-accidental-awareness-during-general-anaesthesia-obstetrics-multicentre-prospective
December 10, 2024 - Study
Emerging Classic
Incidence of accidental awareness during general anaesthesia in obstetrics: a multicentre, prospective cohort study.
Citation Text:
Incidence of accidental awareness during general anaesthesia in obstetrics: a multicentre, prospective coho…
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psnet.ahrq.gov/issue/wake-safe-usa-international-patient-safety
August 23, 2023 - Study
Wake Up Safe in the USA & international patient safety.
Citation Text:
Iyer RS, Dave N, Du T, et al. Wake Up Safe in the USA & international patient safety. Paediatr Anaesth. 2024;34(9):958-969. doi:10.1111/pan.14920.
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psnet.ahrq.gov/node/49669/psn-pdf
November 01, 2012 - Transfusion Trigger Trial for Functional Outcomes in
Cardiovascular Patients Undergoing Surgical Hip Fracture … Repair (FOCUS).(4) This study randomized
2016 patients undergoing surgical repair for hip fracture
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psnet.ahrq.gov/node/49633/psn-pdf
September 01, 2011 - She was found to have a left hip
fracture as a result of the fall and underwent an uncomplicated surgical … (stage IV full
thickness ulcer), which had developed at the long-term care facility after her hip fracture