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psnet.ahrq.gov/issue/beyond-our-walls-impact-patient-and-provider-coordination-across-continuum-outcomes-surgical
March 24, 2021 - Study
Beyond our walls: impact of patient and provider coordination across the continuum on outcomes for surgical patients.
Citation Text:
Weinberg DB, Gittell JH, Lusenhop W, et al. Beyond our walls: impact of patient and provider coordination across the continuum on outcomes for surg…
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psnet.ahrq.gov/issue/reporting-hazards-and-near-misses-ambulatory-care-setting
October 19, 2011 - Study
Reporting of hazards and near-misses in the ambulatory care setting.
Citation Text:
Schnall R, Bakken S. Reporting of hazards and near-misses in the ambulatory care setting. J Nurs Care Qual. 2011;26(4):328-334. doi:10.1097/NCQ.0b013e3182109204.
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psnet.ahrq.gov/issue/leadership-and-patient-safety-review-literature
March 29, 2023 - Review
Leadership and patient safety: a review of the literature.
Citation Text:
Ring L, Fairchild RM. Leadership and Patient Safety: A Review of the Literature. J Nurs Reg. 2015;4(1):52-56. doi:10.1016/s2155-8256(15)30164-2.
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psnet.ahrq.gov/issue/utilizing-systems-and-design-thinking-approach-improving-well-being-within-health
March 10, 2021 - Book/Report
Utilizing a Systems and Design Thinking Approach for Improving Well-Being Within Health Professional Education and Health Care.
Citation Text:
Utilizing a Systems and Design Thinking Approach for Improving Well-Being Within Health Professional Education and Health Care. Kreit…
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psnet.ahrq.gov/issue/improving-patient-safety-through-systematic-evaluation-patient-outcomes
August 25, 2011 - Review
Improving patient safety through the systematic evaluation of patient outcomes.
Citation Text:
Forster AJ, Dervin G, Martin C, et al. Improving patient safety through the systematic evaluation of patient outcomes. Can J Surg. 2012;55(6):418-25. doi:10.1503/cjs.007811.
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psnet.ahrq.gov/issue/quick-response-codes-surgical-safety-prospective-pilot-study
June 07, 2016 - Study
Quick Response codes for surgical safety: a prospective pilot study.
Citation Text:
Dixon JL, Smythe WR, Momsen LS, et al. Quick Response codes for surgical safety: a prospective pilot study. Journal of Surgical Research. 2013;184(1). doi:10.1016/j.jss.2013.06.036.
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psnet.ahrq.gov/issue/racism-root-cause-approach-new-framework
December 17, 2020 - Commentary
Racism as a Root Cause approach: a new framework.
Citation Text:
Malawa Z, Gaarde J, Spellen S. Racism as a Root Cause approach: a new framework. Pediatrics. 2021;147(1):e2020015602. doi:10.1542/peds.2020-015602.
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psnet.ahrq.gov/issue/impact-complications-surgeons
November 16, 2022 - Special or Theme Issue
The Impact of Complications on Surgeons.
Citation Text:
The Impact of Complications on Surgeons. Modi PK, Singer EA, eds. Urol Oncol. 2024;42(10):295-320. doi:10.1016/j.urolonc.2024.05.016.
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psnet.ahrq.gov/issue/fdas-promised-guidance-pulse-oximeters-unlikely-end-decades-racial-bias
November 06, 2024 - Newspaper/Magazine Article
FDA’s promised guidance on pulse oximeters unlikely to end decades of racial bias.
Citation Text:
Allen A. FDA’s promised guidance on pulse oximeters unlikely to end decades of racial bias. KFF Health News. October 07, 2024;
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psnet.ahrq.gov/issue/variability-and-quality-medication-container-labels
March 04, 2009 - Study
The variability and quality of medication container labels.
Citation Text:
Shrank WH, Agnew-Blais J, Choudhry NK, et al. The variability and quality of medication container labels. Arch Intern Med. 2007;167(16):1760-1765.
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psnet.ahrq.gov/issue/medication-error-care-hivaids-patients-electronic-surveillance-confirmation-and-adverse
September 28, 2022 - Study
Medication error in the care of HIV/AIDS patients: electronic surveillance, confirmation, and adverse events.
Citation Text:
DeLorenze GN, Follansbee SF, Nguyen DP, et al. Medication error in the care of HIV/AIDS patients: electronic surveillance, confirmation, and adverse events…
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psnet.ahrq.gov/issue/pediatric-medication-safety-emergency-department-0
November 19, 2018 - Organizational Policy/Guidelines
Pediatric medication safety in the emergency department.
Citation Text:
Benjamin L, Frush K, Shaw KN, et al. Pediatric Medication Safety in the Emergency Department. Ann Emerg Med. 2018;71(3):e17-e24. doi:10.1016/j.annemergmed.2017.12.013.
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psnet.ahrq.gov/issue/pediatric-patient-safety-prehospitalemergency-department-setting
June 21, 2010 - Review
Pediatric patient safety in the prehospital/emergency department setting.
Citation Text:
Barata IA, Benjamin LS, Mace SE, et al. Pediatric patient safety in the prehospital/emergency department setting. Pediatr Emerg Care. 2007;23(6):412-8.
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psnet.ahrq.gov/issue/tech-check-tech-review-evidence-its-safety-and-benefits
September 23, 2020 - Review
"Tech-check-tech": a review of the evidence on its safety and benefits.
Citation Text:
Adams AJ, Martin SJ, Stolpe SF. "Tech-check-tech": a review of the evidence on its safety and benefits. Am J Health Syst Pharm. 2011;68(19):1824-33. doi:10.2146/ajhp110022.
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psnet.ahrq.gov/issue/diagnostic-error-internal-medicine
May 25, 2022 - Study
Diagnostic error in internal medicine.
Citation Text:
Graber ML, Franklin N, Gordon R. Diagnostic error in internal medicine. Arch Intern Med. 2005;165(13):1493-1499.
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psnet.ahrq.gov/issue/can-your-nurses-stop-surgeon
September 02, 2020 - Newspaper/Magazine Article
Can your nurses stop a surgeon?
Citation Text:
Weinstock M. Can your nurses stop a surgeon? Hosp Health Netw. 2007;81(9):38-42.
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psnet.ahrq.gov/issue/our-pharmacy-meeting-patients-needs-pharmacy-health-literacy-assessment-tool-users-guide
December 24, 2008 - Measurement Tool/Indicator
Is Our Pharmacy Meeting Patients' Needs? A Pharmacy Health Literacy Assessment Tool User's Guide.
Citation Text:
Is Our Pharmacy Meeting Patients' Needs? A Pharmacy Health Literacy Assessment Tool User's Guide. Jacobson KL, Gazmararian JA, Kripalani S, et a…
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psnet.ahrq.gov/issue/how-real-time-data-can-change-patient-safety-game
July 07, 2021 - Commentary
How real-time data can change the patient safety game.
Citation Text:
Diesing G. How real-time data can change the patient safety game. J AHIMA. 2020;July 1.
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psnet.ahrq.gov/issue/recommendations-and-low-technology-safety-solutions-following-neuromuscular-blocking-agent
October 02, 2024 - Commentary
Recommendations and low-technology safety solutions following neuromuscular blocking agent incidents.
Citation Text:
Graudins L, Downey G, Bui T, et al. Recommendations and Low-Technology Safety Solutions Following Neuromuscular Blocking Agent Incidents. Jt Comm J Qual Patient…
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psnet.ahrq.gov/issue/death-inside-lemuel-shattuck-hospital-case-study-medical-treatment-persons-mental-health
May 03, 2023 - Book/Report
Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment for Persons with Mental Health Disabilities.
Citation Text:
Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment for Persons with Mental Health Disabilities. Massachusetts Protection …