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psnet.ahrq.gov/node/45222/psn-pdf
June 08, 2016 - A program to prevent catheter-associated urinary tract
infection in acute care.
June 8, 2016
Saint S, Greene T, Krein SL, et al. A Program to Prevent Catheter-Associated Urinary Tract Infection in
Acute Care. New Engl J Med. 2016;374(22):2111-2119. doi:10.1056/NEJMoa1504906.
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psnet.ahrq.gov/issue/patient-safety-curriculum-2nd-edition
July 12, 2017 - Course Material/Curriculum
IHI Open School Patient Safety Curriculum
Citation Text:
IHI Open School Patient Safety Curriculum Institute for Healthcare Improvement.
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psnet.ahrq.gov/issue/cognitive-factors-health-care
November 19, 2014 - Special or Theme Issue
Cognitive Factors in Health Care.
Citation Text:
Cognitive Factors in Health Care. Rogers WA, ed. J Exp Psychol Appl. 2011;17(3):191-302.
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psnet.ahrq.gov/issue/developing-tool-assessing-competency-root-cause-analysis
May 01, 2014 - Study
Developing a tool for assessing competency in root cause analysis.
Citation Text:
Gupta P, Varkey P. Developing a tool for assessing competency in root cause analysis. Jt Comm J Qual Patient Saf. 2009;35(1):36-42.
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psnet.ahrq.gov/issue/individual-and-team-based-medical-error-disclosure-dialectical-tensions-among-health-care
September 27, 2017 - Study
Individual and team-based medical error disclosure: dialectical tensions among health care providers.
Citation Text:
Jones M, Scarduzio J, Mathews E, et al. Individual and Team-Based Medical Error Disclosure: Dialectical Tensions Among Health Care Providers. Qual Health Res. 2019;2…
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psnet.ahrq.gov/issue/identifying-cross-contaminants-and-specimen-mix-ups-surgical-pathology
July 22, 2020 - Review
Identifying cross contaminants and specimen mix-ups in surgical pathology.
Citation Text:
Hunt JL. Identifying cross contaminants and specimen mix-ups in surgical pathology. Adv Anat Pathol. 2008;15(4):211-7. doi:10.1097/PAP.0b013e31817bf596.
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psnet.ahrq.gov/issue/rural-hospital-patient-safety-systems-implementation-two-states
February 03, 2011 - Study
Rural hospital patient safety systems implementation in two states.
Citation Text:
Longo DR, Hewett JE, Ge B, et al. Rural Hospital Patient Safety Systems Implementation in Two States. The Journal of Rural Health. 2007;23(3). doi:10.1111/j.1748-0361.2007.00090.x.
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psnet.ahrq.gov/issue/patient-safety-when-are-we-too-old-operate
October 19, 2022 - Commentary
On patient safety: when are we too old to operate?
Citation Text:
Lee MJ. On Patient Safety: When Are We Too Old to Operate? Clin Orthop Relat Res. 2016;474(4):895-8. doi:10.1007/s11999-016-4722-6.
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psnet.ahrq.gov/issue/using-multidisciplinary-rounds-improve-patient-safety-through-venous-thromboembolism
April 20, 2016 - Study
Using multidisciplinary rounds to improve patient safety through venous thromboembolism prevention awareness.
Citation Text:
Karasin B, Maund C. Using Multidisciplinary Rounds to Improve Patient Safety Through Venous Thromboembolism Prevention Awareness. Jt Comm J Qual Patient Saf.…
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psnet.ahrq.gov/issue/misdiagnosis-analysis-based-case-record-review-proposals-aimed-improve-diagnostic-processes
November 12, 2014 - Study
Misdiagnosis: analysis based on case record review with proposals aimed to improve diagnostic processes.
Citation Text:
Neale G, Hogan H, Sevdalis N. Misdiagnosis: analysis based on case record review with proposals aimed to improve diagnostic processes. Clin Med (Lond). 2011;11(…
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psnet.ahrq.gov/issue/role-practice-guidelines-and-evidence-based-medicine-perioperative-patient-safety
June 26, 2024 - Review
The role of practice guidelines and evidence-based medicine in perioperative patient safety.
Citation Text:
Crosby E. Review article: the role of practice guidelines and evidence-based medicine in perioperative patient safety. Can J Anaesth. 2013;60(2):143-51. doi:10.1007/s12630…
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psnet.ahrq.gov/issue/nuclear-power-industry-alternative-analogy-safety-anaesthesia-and-novel-approach
February 13, 2019 - Commentary
The nuclear power industry as an alternative analogy for safety in anaesthesia and a novel approach for the conceptualisation of safety goals.
Citation Text:
Webster CS. The nuclear power industry as an alternative analogy for safety in anaesthesia and a novel approach for t…
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psnet.ahrq.gov/issue/improving-oversight-graduate-medical-education-enterprise-one-institutions-strategies-and
September 21, 2009 - Study
Improving oversight of the graduate medical education enterprise: one institution's strategies and tools.
Citation Text:
Afrin LB, Arana GW, Medio FJ, et al. Improving Oversight of the Graduate Medical Education Enterprise: One Institution???s Strategies and Tools. Academic Medic…
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psnet.ahrq.gov/issue/standardized-patient-identification-and-specimen-labeling-retrospective-analysis-improving
October 19, 2022 - Study
Standardized patient identification and specimen labeling: a retrospective analysis on improving patient safety.
Citation Text:
Kim JK, Dotson B, Thomas S, et al. Standardized patient identification and specimen labeling: a retrospective analysis on improving patient safety. J Am…
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psnet.ahrq.gov/issue/development-infusion-pump-safety-score
January 06, 2017 - Commentary
Development of an "infusion pump safety score".
Citation Text:
Carlson R, Johnson B, Ensign RH. Development of an "infusion pump safety score". Am J Health Syst Pharm. 2015;72(10):777-9. doi:10.2146/ajhp140421.
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psnet.ahrq.gov/issue/reducing-medication-errors-and-improving-systems-reliability-using-electronic-medication
January 09, 2013 - Study
Reducing medication errors and improving systems reliability using an electronic medication reconciliation system.
Citation Text:
Agrawal A, Wu WY. Reducing Medication Errors and Improving Systems Reliability Using an Electronic Medication Reconciliation System. The Joint Commissio…
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psnet.ahrq.gov/issue/healthcare-systems-ergonomics-and-patient-safety-triennial-conference
February 10, 2015 - Meeting/Conference
Healthcare Systems Ergonomics and Patient Safety Triennial Conference.
Citation Text:
Healthcare Systems Ergonomics and Patient Safety Triennial Conference. Delft University of Technology. Faculty Industrial Design Engineering. Delft, The Netherlands, November 2-4, 202…
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psnet.ahrq.gov/issue/six-things-every-plastic-surgeon-needs-know-about-teamwork-training-and-checklists
September 07, 2016 - Image/Poster
Six things every plastic surgeon needs to know about teamwork training and checklists.
Citation Text:
Harden SW. Six things every plastic surgeon needs to know about teamwork training and checklists. Aesthet Surg J. 2013;33(3):443-8. doi:10.1177/1090820X13477417.
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psnet.ahrq.gov/issue/evaluation-interprofessional-team-training-program-improve-use-patient-safety-strategies
May 18, 2022 - Study
Evaluation of an interprofessional team training program to improve the use of patient safety strategies among healthcare professions students.
Citation Text:
Evaluation of an interprofessional team training program to improve the use of patient safety strategies among healthcare p…
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psnet.ahrq.gov/issue/munson-medical-center-embedding-culture-safety-and-qi-organization
March 20, 2024 - Commentary
Munson Medical Center: embedding a culture of safety and QI into the organization.
Citation Text:
Haslinger T. Munson Medical Center: embedding a culture of safety and QI into the organization. Jt Comm J Qual Patient Saf. 2008;34(11):665-70.
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