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psnet.ahrq.gov/issue/international-advocacy-education-and-safety
August 04, 2021 - Review
International advocacy for education and safety.
Citation Text:
McQueen KA, Malviya S, Gathuya ZN, et al. International advocacy for education and safety. Paediatr Anaesth. 2012;22(10):962-8. doi:10.1111/pan.12008.
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psnet.ahrq.gov/issue/improving-patient-safety-and-uniformity-care-standardized-regimen-use-oxytocin
May 01, 2013 - Commentary
Improving patient safety and uniformity of care by a standardized regimen for the use of oxytocin.
Citation Text:
Hayes EJ, Weinstein L. Improving patient safety and uniformity of care by a standardized regimen for the use of oxytocin. Am J Obstet Gynecol. 2008;198(6):622.e1…
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psnet.ahrq.gov/issue/new-legal-protections-reporting-patient-errors-under-patient-safety-and-quality-improvement
November 16, 2022 - Review
New legal protections for reporting patient errors under the Patient Safety and Quality Improvement Act: a review of the medical literature and analysis.
Citation Text:
Howard J, Levy F, Mareiniss DP, et al. New legal protections for reporting patient errors under the Patient Sa…
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psnet.ahrq.gov/issue/residual-anaesthesia-drugs-intravenous-lines-silent-threat
July 13, 2010 - Commentary
Residual anaesthesia drugs in intravenous lines—a silent threat?
Citation Text:
Bowman S, Raghavan K, Walker IA. Residual anaesthesia drugs in intravenous lines--a silent threat? Anaesthesia. 2013;68(6):557-61. doi:10.1111/anae.12287.
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psnet.ahrq.gov/issue/time-sign-signout
March 11, 2011 - Commentary
Time to sign off on signout.
Citation Text:
Stein DM, Stetson PD. Commentary: time to sign off on signout. Acad Med. 2011;86(7):804-6. doi:10.1097/ACM.0b013e31821d8409.
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psnet.ahrq.gov/issue/fostering-transparency-outcomes-quality-safety-and-costs
January 29, 2015 - Commentary
Fostering transparency in outcomes, quality, safety, and costs.
Citation Text:
Austin M, McGlynn EA, Pronovost P. Fostering Transparency in Outcomes, Quality, Safety, and Costs. JAMA. 2016;316(16):1661-1662. doi:10.1001/jama.2016.14039.
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psnet.ahrq.gov/issue/quality-and-safety-educators-academy-fulfilling-unmet-need-faculty-development
January 15, 2020 - Commentary
The Quality and Safety Educators Academy: fulfilling an unmet need for faculty development.
Citation Text:
Myers JS, Tess A, Glasheen JJ, et al. The Quality and Safety Educators Academy: fulfilling an unmet need for faculty development. Am J Med Qual. 2014;29(1):5-12. doi:10…
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psnet.ahrq.gov/issue/advancing-patient-safety-through-clinical-application-framework-focused-communication
December 02, 2020 - Review
Advancing patient safety through the clinical application of a framework focused on communication.
Citation Text:
Manojlovich M, Hofer TP, Krein SL. Advancing Patient Safety Through the Clinical Application of a Framework Focused on Communication. J Patient Saf. 2021;17(8):e732-e7…
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psnet.ahrq.gov/issue/post-discharge-medication-reviews-patients-heart-failure-pilot-study
May 21, 2009 - Study
Post-discharge medication reviews for patients with heart failure: a pilot study.
Citation Text:
Ponniah A, Shakib S, Doecke CJ, et al. Post-discharge medication reviews for patients with heart failure: a pilot study. Pharm World Sci. 2008;30(6):810-5. doi:10.1007/s11096-008-92…
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psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-system-innovation-veterans-health-administration
September 03, 2015 - Commentary
John M. Eisenberg Patient Safety Awards. System innovation: Veterans Health Administration National Center for Patient Safety.
Citation Text:
Heget JR, Bagian JP, Lee CZ, et al. John M. Eisenberg Patient Safety Awards. System innovation: Veterans Health Administration National…
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psnet.ahrq.gov/issue/disclosure-adverse-events-and-errors-surgical-care-challenges-and-strategies-improvement
December 01, 2021 - Review
Disclosure of adverse events and errors in surgical care: challenges and strategies for improvement.
Citation Text:
Lipira LE, Gallagher TH. Disclosure of adverse events and errors in surgical care: challenges and strategies for improvement. World J Surg. 2014;38(7):1614-21. doi:1…
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psnet.ahrq.gov/issue/framework-operationalizing-risk-practical-approach-patient-safety
October 13, 2018 - Commentary
A framework for operationalizing risk: a practical approach to patient safety.
Citation Text:
Mathews SC, Sutcliffe K, Garrett MR, et al. A framework for operationalizing risk: A practical approach to patient safety. J Healthc Risk Manag. 2018;38(1):38-46. doi:10.1002/jhrm.21…
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psnet.ahrq.gov/issue/improving-patient-safety-understanding-past-experiences-day-surgery-and-pacu
September 28, 2017 - Study
Improving patient safety by understanding past experiences in day surgery and PACU.
Citation Text:
Ross J, Ranum D. Improving patient safety by understanding past experiences in day surgery and PACU. J Perianesth Nurs. 2009;24(3):144-51. doi:10.1016/j.jopan.2009.03.001.
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psnet.ahrq.gov/issue/drug-shortages-fdas-ability-respond-should-be-strengthened
April 15, 2009 - Congressional Testimony
Drug Shortages: FDA's Ability to Respond Should Be Strengthened.
Citation Text:
Drug Shortages: FDA's Ability to Respond Should Be Strengthened. Testimony before the Committee on Health, Education, Labor, and Pensions, US Senate. US Government Accountability Offic…
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psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-leadership-needed-hhs-prioritize-prevention
October 15, 2008 - Book/Report
Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on these Infections.
Citation Text:
Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices a…
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psnet.ahrq.gov/issue/implementing-high-quality-primary-care-rebuilding-foundation-health-care
September 07, 2021 - Book/Report
Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care.
Citation Text:
Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care. National Academies of Sciences, Engineering, and Medicine 2021. Washington, DC: The National Acad…
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psnet.ahrq.gov/issue/evaluating-safety-and-competency-bedside
November 16, 2022 - Commentary
Evaluating safety and competency at the bedside.
Citation Text:
Kaplan T, Pilcher J. Evaluating safety and competency at the bedside. J Nurses Staff Dev. 2011;27(4):187-90. doi:10.1097/NND.0b013e3182236634.
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psnet.ahrq.gov/issue/cluster-randomized-clinical-trial-improve-prescribing-patterns-ambulatory-pediatrics
April 04, 2011 - Study
A cluster randomized clinical trial to improve prescribing patterns in ambulatory pediatrics.
Citation Text:
Davis RL, Wright J, Chalmers F, et al. A cluster randomized clinical trial to improve prescribing patterns in ambulatory pediatrics. PLoS Clin Trials. 2007;2(5):e25.
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psnet.ahrq.gov/issue/improved-outcomes-fewer-cesarean-deliveries-and-reduced-litigation-results-new-paradigm
November 27, 2012 - Commentary
Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient safety.
Citation Text:
Clark SL, Belfort MA, Byrum SL, et al. Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient s…
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psnet.ahrq.gov/issue/learning-tragedy-julia-berg-story
October 28, 2020 - Commentary
Learning from tragedy: the Julia Berg story.
Citation Text:
Graber ML, Berg D, Jerde W, et al. Learning from tragedy: the Julia Berg story. Diagnosis (Berl). 2018;5(4):257-266. doi:10.1515/dx-2018-0067.
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