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psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc
July 19, 2023 - hypercoagulability, stasis, and endothelial injury–which occurs when the PICC line is placed. 7 , 11 The overall incidence … indwelling intravascular device. 13 PICC lines were initially believed to be associated with a lower incidence
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psnet.ahrq.gov/web-mm/beeline-spine
March 01, 2014 - For example, a large review of a broad array of potential tests found that the incidence of abnormalities … Recommendations for Laboratory Testing before Elective Surgery* Test Incidence of Abnormalities
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psnet.ahrq.gov/issue/medical-errors-dentistry
September 18, 2013 - Newspaper/Magazine Article
Medical errors in dentistry.
Citation Text:
Medical errors in dentistry. Nagelberg R. RDH. September 2015;35:79-85.
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psnet.ahrq.gov/issue/enhancing-surgical-systems
April 12, 2017 - Special or Theme Issue
Enhancing Surgical Systems.
Citation Text:
Enhancing Surgical Systems. Healey AN, Catchpole K, Yule S, eds. Cogn Tech Work. 2008;10(4):249-333.
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psnet.ahrq.gov/issue/maternity-pre-arrival-instructions-999-call-handlers
February 16, 2022 - Book/Report
Maternity Pre-arrival Instructions by 999 Call Handlers.
Citation Text:
Maternity Pre-arrival Instructions by 999 Call Handlers. Farnborough, UK: Healthcare Safety Investigation Branch; February 2022.
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psnet.ahrq.gov/issue/too-exhausted-act-safely
June 28, 2016 - Newspaper/Magazine Article
Too exhausted to act safely?
Citation Text:
Too exhausted to act safely? Spath P. Hosp Peer Rev. 2006;31(4):56-59.
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psnet.ahrq.gov/issue/beyond-error-qualitative-study-human-factors-serious-adverse-events
December 18, 2024 - Study
Beyond error: a qualitative study of human factors in serious adverse events.
Citation Text:
Mujuru C, Peisah C. Beyond error: a qualitative study of human factors in serious adverse events. J Healthc Risk Manag. 2024;44(2):7-13. doi:10.1002/jhrm.21583.
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psnet.ahrq.gov/issue/teamwork-healthcare
August 08, 2007 - Special or Theme Issue
Teamwork in Healthcare.
Citation Text:
Teamwork in Healthcare. Fam Syst Health. 2015;33(3):175-269.
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psnet.ahrq.gov/issue/wristband-color-standardization
October 25, 2013 - Toolkit
Wristband Color Standardization.
Citation Text:
Wristband Color Standardization. Greenwood Village, CO: Colorado Hospital Association; 2007.
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psnet.ahrq.gov/issue/safer-sign-out
April 22, 2020 - Tools/Toolkit
Safer Sign Out.
Citation Text:
Safer Sign Out. Emergency Medicine Patient Safety Foundation.
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psnet.ahrq.gov/issue/perfecting-detection-understanding-source-harm
May 27, 2020 - Book/Report
Safer Together Annual Report.
Citation Text:
Safer Together Annual Report. Child Health Patient Safety Organization. Washington, DC: Children's Hospital Association.
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psnet.ahrq.gov/issue/safety-leadership-managing-paradox
November 02, 2011 - Commentary
Safety leadership: managing the paradox.
Citation Text:
Safety leadership: managing the paradox. Carrillo RA. Professional Safety. July 2005;31-34.
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psnet.ahrq.gov/issue/disclosure-medical-errors-involving-gametes-and-embryos
April 22, 2020 - Commentary
Disclosure of medical errors involving gametes and embryos.
Citation Text:
Disclosure of medical errors involving gametes and embryos. Ethics Committee of the American Society for Reproductive Medicine. Fertil Steril. 2016;106:59-63.
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psnet.ahrq.gov/issue/man-falls-surgical-table-st-josephs-hospital-sued
May 13, 2020 - Newspaper/Magazine Article
Man falls off surgical table; St. Joseph's Hospital sued.
Citation Text:
Man falls off surgical table; St. Joseph's Hospital sued. Smith ML; Wolfe WA.
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psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-newsletter
August 14, 2019 - Newsletter/Journal
Anesthesia Patient Safety Foundation Newsletter.
Citation Text:
Anesthesia Patient Safety Foundation Newsletter. Greenberg S, Banayan J, eds. Rochester, MN; Anesthesia Patient Safety Foundation.
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psnet.ahrq.gov/issue/reducing-errors-health-care-translating-research-practice
October 23, 2019 - Fact Sheet/FAQs
Reducing Errors in Health Care: Translating Research Into Practice.
Citation Text:
Reducing Errors in Health Care: Translating Research Into Practice. Rockville, MD: Agency of Healthcare Research and Quality; AHRQ Publication No. 00-PO58.
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psnet.ahrq.gov/issue/conversations-withlucian-leape-md
March 13, 2024 - Audiovisual
Conversations with...Lucian Leape, MD.
Citation Text:
Conversations with...Lucian Leape, MD. Lundberg G. MedPage Today. July 5, 2013.
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psnet.ahrq.gov/issue/how-doctor-confronts-medical-error
September 20, 2023 - Audiovisual Presentation
How a Doctor Confronts Medical Error.
Citation Text:
How a Doctor Confronts Medical Error. People’s Pharmacy. Show 1209. April 28, 2020.
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psnet.ahrq.gov/issue/care-concerns-and-deficiencies-facility-leaders-and-staffs-responses-following-medical
January 16, 2025 - Book/Report
Care Concerns and Deficiencies in Facility Leaders’ and Staff’s Responses Following a Medical Emergency at the Carl T. Hayden VA Medical Center in Phoenix, Arizona.
Citation Text:
Care Concerns And Deficiencies In Facility Leaders’ And Staff’s Responses Following A Medical Em…
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psnet.ahrq.gov/issue/near-injury-alters-procedures-virginia-mason
September 21, 2005 - Newspaper/Magazine Article
"Near injury" alters procedures at Virginia Mason.
Citation Text:
"Near injury" alters procedures at Virginia Mason. Ostrom CM. Seattle Times. May 21, 2005.
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