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psnet.ahrq.gov/issue/role-anesthesiologist-perioperative-patient-safety
November 20, 2015 - Review
The role of the anesthesiologist in perioperative patient safety.
Citation Text:
Wacker J, Staender S. The role of the anesthesiologist in perioperative patient safety. Curr Opin Anaesthesiol. 2014;27(6):649-656. doi:10.1097/ACO.0000000000000124.
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psnet.ahrq.gov/issue/culture-change-source-medical-school-tackles-patient-safety
April 12, 2023 - Commentary
Culture change at the source: a medical school tackles patient safety.
Citation Text:
Meiris DC, Clarke JL, Nash DB. Culture change at the source: a medical school tackles patient safety. Am J Med Qual. 2006;21(1):9-12.
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psnet.ahrq.gov/issue/checklist-recognize-limits-harness-its-power
September 07, 2016 - Commentary
The checklist: recognize limits, but harness its power.
Citation Text:
Alspach JAG. The Checklist: Recognize Limits, but Harness Its Power. Crit Care Nurse. 2017;37(5):12-18. doi:10.4037/ccn2017603.
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psnet.ahrq.gov/issue/alcohol-based-surgical-prep-solution-and-risk-fire-operating-room-case-report
February 02, 2022 - Commentary
Alcohol based surgical prep solution and the risk of fire in the operating room: a case report.
Citation Text:
Batra S, Gupta R. Alcohol based surgical prep solution and the risk of fire in the operating room: a case report. Patient Saf Surg. 2008;2(1):10. doi:10.1186/1754-9…
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psnet.ahrq.gov/issue/rapid-response-teams-whats-latest
December 12, 2012 - Commentary
Rapid response teams: what's the latest?
Citation Text:
Jackson SA. Rapid response teams: What's the latest? Nursing (Brux). 2017;47(12):34-41. doi:10.1097/01.NURSE.0000526885.10306.21.
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psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-useful-tool-risk-identification-and-injury-prevention
September 24, 2010 - Commentary
Failure mode and effects analysis: a useful tool for risk identification and injury prevention.
Citation Text:
Paparella S. Failure mode and effects analysis: a useful tool for risk identification and injury prevention. Journal of emergency nursing: JEN : official publicatio…
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psnet.ahrq.gov/issue/office-based-anesthesia-new-frontiers-better-outcomes-and-emphasis-safety
March 10, 2011 - Review
Office-based anesthesia: new frontiers, better outcomes, and emphasis on safety.
Citation Text:
Desai MS. Office-based anesthesia: new frontiers, better outcomes, and emphasis on safety. Curr Opin Anaesthesiol. 2008;21(6):699-703. doi:10.1097/ACO.0b013e328313e879.
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psnet.ahrq.gov/issue/best-practices-patient-safety-2nd-global-ministerial-summit-patient-safety
June 27, 2018 - Book/Report
Best Practices in Patient Safety: 2nd Global Ministerial Summit on Patient Safety.
Citation Text:
Best Practices in Patient Safety: 2nd Global Ministerial Summit on Patient Safety. Federal Ministry of Health and World Health Organization: Bonn, Germany; March 2017.
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psnet.ahrq.gov/issue/human-factors-complex-sociotechnical-systems
June 09, 2021 - Commentary
Human factors of complex sociotechnical systems.
Citation Text:
Carayon P. Human factors of complex sociotechnical systems. Appl Ergon. 2006;37(4):525-35.
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psnet.ahrq.gov/issue/cost-hospital-wide-activities-improve-patient-safety-and-infection-control-multi-centre-study
January 15, 2009 - Study
Cost of hospital-wide activities to improve patient safety and infection control: a multi-centre study in Japan.
Citation Text:
Fukuda H, Imanaka Y, Hayashida K. Cost of hospital-wide activities to improve patient safety and infection control: a multi-centre study in Japan. Healt…
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psnet.ahrq.gov/issue/acog-scope-safety-certification-outpatient-practice-excellence-womens-health
January 23, 2017 - Multi-use Website
ACOG SCOPE: Safety Certification in Outpatient Practice Excellence for Women's Health.
Citation Text:
Sclafani J, Levy BS, Lawrence H, et al. Building a Better Safety Net. doi:10.1097/aog.0b013e318260957c.
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psnet.ahrq.gov/issue/imagining-future-diagnostic-performance-feedback
September 01, 2021 - Commentary
Imagining the future of diagnostic performance feedback.
Citation Text:
Rosner BI, Zwaan L, Olson APJ. Imagining the future of diagnostic performance feedback. Diagnosis (Berl). 2023;10(1):31-37. doi:10.1515/dx-2022-0055.
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psnet.ahrq.gov/issue/roadmap-health-care-safety-massachusetts
June 15, 2016 - Book/Report
Roadmap to Health Care Safety for Massachusetts.
Citation Text:
Roadmap to Health Care Safety for Massachusetts. Massachusetts Healthcare Safety and Quality Consortium. Boston, MA: Betsy Lehman Center for Patient Safety; April 2023.
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psnet.ahrq.gov/issue/special-k-no-license-kill-accidental-ketamine-overdose-induction-general-anesthesia
March 17, 2021 - Commentary
Special K with no license to kill: accidental ketamine overdose on induction of general anesthesia.
Citation Text:
Warner LL, Smischney N. Accidental Ketamine Overdose on Induction of General Anesthesia. Am J Case Rep. 2018;19:10-12.
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psnet.ahrq.gov/issue/deaths-due-medical-error-jumbo-jets-or-just-small-propeller-planes
June 22, 2022 - Commentary
Deaths due to medical error: jumbo jets or just small propeller planes?
Citation Text:
Shojania KG. Deaths due to medical error: jumbo jets or just small propeller planes? BMJ Qual Saf. 2012;21(9). doi:10.1136/bmjqs-2012-001368.
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psnet.ahrq.gov/issue/new-patient-safety-organizations-lower-roadblocks-medical-error-reporting
May 20, 2009 - Commentary
New patient safety organizations lower roadblocks to medical error reporting.
Citation Text:
Clancy CM. New patient safety organizations lower roadblocks to medical error reporting. Am J Med Qual. 2008;23(4):318-21. doi:10.1177/1062860608319673.
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psnet.ahrq.gov/issue/theoretical-approaches-investigating-patient-safety
September 15, 2009 - Commentary
Theoretical approaches for investigating patient safety.
Citation Text:
Thomas MB, Houston S. Theoretical approaches for investigating patient safety. Clin Nurse Spec. 2005;19(3):129-134.
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psnet.ahrq.gov/issue/toolkit-preventing-clabsi-and-cauti-icus
December 24, 2008 - Toolkit
Toolkit for Preventing CLABSI and CAUTI in ICUs.
Citation Text:
Toolkit for Preventing CLABSI and CAUTI in ICUs. Rockville, MD: Agency for Healthcare Research and Quality; April 2022.
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psnet.ahrq.gov/issue/moving-towards-safety-ii-approach
May 18, 2022 - Commentary
Moving towards a Safety II approach.
Citation Text:
Woodward S. Moving towards a safety II approach. J Patient Saf Risk Manag. 2019;24(3):96-99. doi:10.1177/2516043519855264.
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psnet.ahrq.gov/issue/designing-and-delivering-whole-person-transitional-care-hospital-guide-reducing-medicaid
March 27, 2019 - Toolkit
Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions.
Citation Text:
Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. Boutwell A, Bourgoin A , Maxwell J, et al. Rockvill…