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psnet.ahrq.gov/issue/gossypiboma-tales-lost-sponges-and-lessons-learned
March 24, 2021 - Study
Gossypiboma: tales of lost sponges and lessons learned.
Citation Text:
McIntyre LK. Gossypiboma. Archives of Surgery. 2010;145(8). doi:10.1001/archsurg.2010.152.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/supplhighlight07.pdf
February 01, 2014 - Supplement to Evaluation Highlight No. 7: How are CHIPRA quality demonstration States designing and implementing caregiver peer support programs?
Supplement to Evaluation Highlight No. 7: How are CHIPRA quality demonstration States designing and implementing caregiver peer support programs?
February 2014
Evaluati…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supplhighlight07.html
February 01, 2014 - Supplement to Evaluation Highlight No. 7
How are CHIPRA quality demonstration States designing and implementing caregiver peer support programs?
February 2014
Evaluation Highlight No. 7 is the seventh in a series of reports that present descriptive and analytic findings from the national evaluation of the …
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psnet.ahrq.gov/issue/decreasing-30-day-readmission-rates
July 19, 2018 - Commentary
Decreasing 30-day readmission rates.
Citation Text:
Lacker C. Decreasing 30-day readmission rates. Am J Nurs. 2011;111(11):65-69. doi:10.1097/01.NAJ.0000407308.53587.02.
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psnet.ahrq.gov/issue/leaders-role-medical-device-safety
August 14, 2017 - Newspaper/Magazine Article
The leader's role in medical device safety.
Citation Text:
Federico F. The leader's role in medical device safety. Healthcare executives must ensure appropriate policies, procedures. Healthcare executive. 2013;28(3):82-5.
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psnet.ahrq.gov/issue/alliance-between-society-and-medicine-publics-stake-medical-professionalism
November 16, 2022 - Commentary
Alliance between society and medicine: the public's stake in medical professionalism.
Citation Text:
Cohen JJ, Cruess S, Davidson C. Alliance between society and medicine: the public's stake in medical professionalism. JAMA. 2007;298(6):670-3.
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psnet.ahrq.gov/issue/plan-quality-improve-patient-safety-point-care
February 01, 2017 - Review
Plan for quality to improve patient safety at the point of care.
Citation Text:
Ehrmeyer SS. Plan for Quality to Improve Patient Safety at the Point of Care. Ann Saudi Med. 2011;31(4). doi:10.4103/0256-4947.83203.
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psnet.ahrq.gov/issue/disclosure-and-apology-nursing-and-risk-management-working-together
August 21, 2015 - Commentary
Disclosure and apology: nursing and risk management working together.
Citation Text:
Russell D. Disclosure and apology: Nursing and risk management working together. Nurs Manage. 2018;49(6):17-19. doi:10.1097/01.NUMA.0000533773.14544.e2.
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psnet.ahrq.gov/issue/avoiding-wrong-site-surgery-systematic-review
October 19, 2022 - Review
Avoiding wrong site surgery: a systematic review.
Citation Text:
Devine J, Chutkan N, Norvell DC, et al. Avoiding wrong site surgery: a systematic review. Spine (Phila Pa 1976). 2010;35(9 Suppl):S28-36. doi:10.1097/BRS.0b013e3181d833ac.
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psnet.ahrq.gov/issue/evaluating-effectiveness-health-care-teams
September 20, 2023 - Review
Evaluating the effectiveness of health care teams.
Citation Text:
Mickan SM. Evaluating the effectiveness of health care teams. Aust Health Rev. 2005;29(2):211-7.
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psnet.ahrq.gov/issue/using-met-service-manage-acute-thromboembolic-stroke
January 05, 2017 - Commentary
Using an MET service to manage an acute thromboembolic stroke.
Citation Text:
Jones D, Bellomo R, Leong T. Using an MET service to manage an acute thromboembolic stroke. Jt Comm J Qual Patient Saf. 2006;32(7):361-5, 357.
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psnet.ahrq.gov/issue/unpredictable-drug-shortages-ethical-framework-short-term-rationing-hospitals
May 09, 2014 - Commentary
Unpredictable drug shortages: an ethical framework for short-term rationing in hospitals.
Citation Text:
Rosoff PM. Unpredictable drug shortages: an ethical framework for short-term rationing in hospitals. Am J Bioeth. 2012;12(1):1-9. doi:10.1080/15265161.2011.634483.
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psnet.ahrq.gov/issue/non-luer-connectors-are-we-nearly-there-yet
March 01, 2023 - Commentary
Non-Luer connectors: are we nearly there yet?
Citation Text:
Cook TM. Non-Luer connectors: are we nearly there yet? Anaesthesia. 2012;67(7):784-792. doi:10.1111/j.1365-2044.2012.07154.x.
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/communication-material-guide.html
May 01, 2017 - Material Use Guide - Improving Communication and Teamwork in the Surgical Environment Module
Overview
Communication and Teamwork Defined
Slides 4-11
Improving Surgical Team Communication With Briefings *
Slides 12-17
Example Briefing * (2 min 14)
Improving Surgical…
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psnet.ahrq.gov/issue/prescription-error-process-defects-community-retail-pharmacy
October 19, 2022 - Study
Prescription for error: process defects in a community retail pharmacy.
Citation Text:
Witte D, Dundes L. Prescription for Error. J Patient Saf. 2008;3(4). doi:10.1097/pts.0b013e31815a613e.
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psnet.ahrq.gov/issue/medical-emergency-team-calls-need-communicate-resuscitation-plan
November 26, 2014 - Commentary
Medical emergency team calls: the need to communicate a resuscitation plan.
Citation Text:
MacPartlin M, Hillman KM. Medical emergency team calls: the need to communicate a resuscitation plan. Jt Comm J Qual Patient Saf. 2007;33(1):54-6, 1.
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psnet.ahrq.gov/issue/instrument-readiness-important-link-patient-safety
January 05, 2011 - Commentary
Instrument readiness: an important link to patient safety.
Citation Text:
McNamara SA. Instrument readiness: an important link to patient safety. AORN J. 2011;93(1):160-4. doi:10.1016/j.aorn.2010.09.027.
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psnet.ahrq.gov/issue/delivering-quality-health-services-global-imperative-universal-health-coverage
July 20, 2011 - Book/Report
Classic
Delivering Quality Health Services: A Global Imperative for Universal Health Coverage.
Citation Text:
Delivering Quality Health Services: A Global Imperative for Universal Health Coverage. Geneva, Switzerland: World Health Organization; July …
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psnet.ahrq.gov/issue/medical-error-leads-tragedy-how-do-we-inform-patient
April 08, 2018 - Commentary
A medical error leads to tragedy: how do we inform the patient?
Citation Text:
Baumrucker SJ. A medical error leads to tragedy: how do we inform the patient? Am J Hosp Palliat Care. 2006;23(5):417-21.
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psnet.ahrq.gov/issue/transdisciplinary-team-acting-evidence-through-analyses-moot-malpractice-cases
November 03, 2021 - Study
A transdisciplinary team acting on evidence through analyses of moot malpractice cases.
Citation Text:
Constantino RE. A transdisciplinary team acting on evidence through analyses of moot malpractice cases. Dimens Crit Care Nurs. 2007;26(4):150-5.
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