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psnet.ahrq.gov/issue/bad-stars-or-guiding-lights-learning-disasters-improve-patient-safety
June 08, 2011 - Commentary
Bad stars or guiding lights? Learning from disasters to improve patient safety.
Citation Text:
Hughes C, Travaglia JF, Braithwaite J. Bad stars or guiding lights? Learning from disasters to improve patient safety. Qual Saf Health Care. 2010;19(4):332-6. doi:10.1136/qshc.2008…
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psnet.ahrq.gov/issue/reviewing-methodologically-disparate-data-practical-guide-patient-safety-research-field
April 24, 2018 - Commentary
Reviewing methodologically disparate data: a practical guide for the patient safety research field.
Citation Text:
Brown KF, Long SJ, Athanasiou T, et al. Reviewing methodologically disparate data: a practical guide for the patient safety research field. J Eval Clin Pract. 2…
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psnet.ahrq.gov/issue/health-information-technology-and-hospital-patient-safety-conceptual-model-guide-research
December 17, 2009 - Study
Health information technology and hospital patient safety: a conceptual model to guide research.
Citation Text:
Paez K, Roper RA, Andrews RM. Health information technology and hospital patient safety: a conceptual model to guide research. Jt Comm J Qual Patient Saf. 2013;39(9):41…
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psnet.ahrq.gov/issue/help-your-patient-get-what-you-just-said-health-literacy-guide
December 18, 2014 - Commentary
Help your patient "get" what you just said: a health literacy guide.
Citation Text:
Roett MA, Wessel L. Help your patient "get" what you just said: a health literacy guide. J Family Pract. 2012;61(4):190-196.
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psnet.ahrq.gov/issue/checklists-improve-patient-safety
July 31, 2013 - Book/Report
Checklists to Improve Patient Safety.
Citation Text:
Checklists to Improve Patient Safety. Chicago, IL: Health Research & Educational Trust; June 2013.
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psnet.ahrq.gov/issue/patient-safety-intensive-care-unit
February 28, 2018 - Book/Report
Patient Safety in the Intensive Care Unit.
Citation Text:
Patient Safety in the Intensive Care Unit. Oak Brook, IL: Joint Commission Resources; 2010. ISBN: 9781599403144.
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psnet.ahrq.gov/issue/what-correct-site-surgery
October 15, 2018 - Fact Sheet/FAQs
What is Correct-Site Surgery?
Citation Text:
What is Correct-Site Surgery? American College of Surgeons.
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psnet.ahrq.gov/issue/checking-checklist
July 11, 2023 - Book/Report
Checking In on the Checklist.
Citation Text:
Checking In on the Checklist. Buissonniere M. Brooklyn NY: Lifebox and Ariadne Labs; 2020.
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psnet.ahrq.gov/issue/global-report-infection-prevention-and-control-executive-summary
March 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.
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psnet.ahrq.gov/issue/improving-medication-safety-high-risk-medicare-beneficiaries-toolkit
October 23, 2019 - Government Resource
Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit.
Citation Text:
Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit. Touchette DR, Stubbings J, Schumock G. Effective Healthcare Research Report No. 38. Rockville, MD: Agen…
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psnet.ahrq.gov/issue/global-patient-safety-action-plan-2021-2030-towards-eliminating-avoidable-harm-health-care
July 14, 2021 - Book/Report
Global Patient Safety Action Plan 2021-2030: Towards Eliminating Avoidable Harm in Health Care.
Citation Text:
Global Patient Safety Action Plan 2021-2030: Towards Eliminating Avoidable Harm in Health Care. Geneva, Switzerland: World Health Organization; 2021. ISBN: 978924003…
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psnet.ahrq.gov/issue/make-safety-priority-create-and-maintain-culture-safety
February 25, 2013 - Newspaper/Magazine Article
Make safety a priority: create and maintain a culture of safety.
Citation Text:
Make safety a priority: create and maintain a culture of safety. Leonard M; Frankel A.
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psnet.ahrq.gov/issue/fda-identifies-harm-reported-sudden-discontinuation-opioid-pain-medicines-and-requires-label
March 12, 2010 - Government Resource
FDA identifies harm reported from sudden discontinuation of opioid pain medicines and requires label changes to guide prescribers on gradual, individualized tapering.
Citation Text:
FDA identifies harm reported from sudden discontinuation of opioid pain medicines and …
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psnet.ahrq.gov/issue/health-literacy-prescription-end-confusion
August 15, 2012 - Book/Report
Health Literacy: A Prescription to End Confusion.
Citation Text:
Health Literacy: A Prescription to End Confusion. Nielsen-Bohlman L; Panzer AM; Kindig DA; Board on Neuroscience and Behavioral Health, Institute of Medicine. Washington, DC: The National Academies Press; 2004. …
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psnet.ahrq.gov/issue/improving-patient-safety-culture-through-teamwork-and-communication-teamstepps
November 21, 2016 - Book/Report
Improving Patient Safety Culture Through Teamwork and Communication: TeamSTEPPS.
Citation Text:
Improving Patient Safety Culture Through Teamwork and Communication: TeamSTEPPS. Chicago, IL: Health Research & Educational Trust; June 2015.
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psnet.ahrq.gov/node/49715/psn-pdf
August 21, 2014 - Liver Biopsy: Proceed With Caution
August 21, 2014
Rockey DC. Liver Biopsy: Proceed With Caution. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/liver-biopsy-proceed-caution
The Case
A 42-year-old woman with a history of multiple malignancies, including osteosarcoma and recurrent breast
cancer, presented t…
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psnet.ahrq.gov/node/47361/psn-pdf
April 07, 2019 - Implementing bedside handoff in the emergency
department: a practice improvement project.
April 7, 2019
Campbell D, Dontje K. Implementing Bedside Handoff in the Emergency Department: A Practice
Improvement Project. J Emerg Nurs. 2019;45(2):149-154. doi:10.1016/j.jen.2018.09.007.
https://psnet.ahrq.gov/issue/imple…
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psnet.ahrq.gov/node/60022/psn-pdf
March 11, 2020 - Work system barriers and facilitators in inpatient care
transitions of pediatric trauma patients.
March 11, 2020
Wooldridge AR, Carayon P, Hoonakker P, et al. Work system barriers and facilitators in inpatient care
transitions of pediatric trauma patients. App Ergon. 2020;85:103059. doi:10.1016/j.apergo.2020.103059…
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psnet.ahrq.gov/node/60015/psn-pdf
March 04, 2020 - Uncertainty in decision making in medicine: a scoping
review and thematic analysis of conceptual models.
March 4, 2020
Helou MA, DiazGranados D, Ryan MS, et al. Uncertainty in Decision Making in Medicine. Acad Med.
2020;95(1):157-165. doi:10.1097/acm.0000000000002902.
https://psnet.ahrq.gov/issue/uncertainty-decis…
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psnet.ahrq.gov/issue/preventing-falls-injury
May 06, 2015 - Multi-use Website
Preventing Falls With Injury.
Citation Text:
Preventing Falls With Injury. Joint Commission Center for Transforming Healthcare; TST.
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