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psnet.ahrq.gov/issue/longer-work-experience-and-age-associated-safety-attitudes-operating-room-nurses-online-cross
July 28, 2013 - Study 
 
 
 
 
 
 
 
 
 
 Longer work experience and age associated with safety attitudes in operating room nurses: an online cross-sectional study. 
 
 
 
 
 Citation Text: 
 Nyberg A, Olofsson B, Fagerdahl A, et al. Longer work experience and age associated with safety attitudes in operating room nurses: an online cr… 
                                     
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psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
January 06, 2018 - Review 
 
 
 
 
 
 
 
 
 
 Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review.  
 
 
 
 
 Citation Text: 
 Sullivan N, Schoelles KM. Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):410-416. doi:10.7326/0003-… 
                                     
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psnet.ahrq.gov/issue/nurse-staffing-and-inpatient-hospital-mortality
June 22, 2022 - Study 
 
 
 
 
 
 
 
 
 
            Classic
           
 
 Nurse staffing and inpatient hospital mortality.   
 
 
 
 
 Citation Text: 
 Needleman J, Buerhaus P, Pankratz S, et al. Nurse staffing and inpatient hospital mortality. New Engl J Med. 2011;364(11):1037-1045. doi:10.1056/NEJMsa1001025. 
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 Fo… 
                                     
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psnet.ahrq.gov/issue/designing-distractions-human-factors-approach-decreasing-interruptions-centralised-medication
July 27, 2018 - Study 
 
 
 
 
 
 
 
 
 
 Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. 
 
 
 
 
 Citation Text: 
 Colligan L, Guerlain S, Steck SE, et al. Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication… 
                                     
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psnet.ahrq.gov/issue/factors-causing-variation-world-health-organization-surgical-safety-checklist-effectiveness
January 12, 2022 - Review 
 
 
 
 
 
 
 
 
 
 Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid scoping review. 
 
 
 
 
 Citation Text: 
 Wani MM, Gilbert JHV, Mohammed CA, et al. Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid sc… 
                                     
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psnet.ahrq.gov/issue/information-exchange-among-physicians-caring-same-patient-community
March 28, 2011 - Study 
 
 
 
 
 
 
 
 
 
            Classic
           
 
 Information exchange among physicians caring for the same patient in the community.   
 
 
 
 
 Citation Text: 
 van Walraven C, Taljaard M, Bell CM, et al. Information exchange among physicians caring for the same patient in the community. CMAJ. 2008;179(10):… 
                                     
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psnet.ahrq.gov/issue/sources-nurse-sensitive-inpatient-safety-improvement
July 07, 2021 - Study 
 
 
 
 
 
 
 
 
 
 Sources of nurse-sensitive inpatient safety improvement. 
 
 
 
 
 Citation Text: 
 Dynan L, Smith RB. Sources of nurse‐sensitive inpatient safety improvement. Health Serv Res. 2022;57(6):1235-1246. doi:10.1111/1475-6773.13979. 
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 Format: 
 
 
 
 DOI Google Scholar BibTeX EndN… 
                                     
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psnet.ahrq.gov/issue/expanding-role-antimicrobial-stewardship-programs-hospitals-united-states-lessons-learned
March 04, 2015 - Study 
 
 
 
 
 
 
 
 
 
 The expanding role of antimicrobial stewardship programs in hospitals in the United States: lessons learned from a multisite qualitative study. 
 
 
 
 
 Citation Text: 
 Kapadia SN, Abramson EL, Carter EJ, et al. The Expanding Role of Antimicrobial Stewardship Programs in Hospitals in the Uni… 
                                     
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psnet.ahrq.gov/issue/expand-evidence-base-about-harms-tests-and-treatments
May 19, 2021 - Commentary 
 
 
 
 
 
 
 
 
 
 To expand the evidence base about harms from tests and treatments. 
 
 
 
 
 Citation Text: 
 Korenstein D, Harris RP, Elshaug AG, et al. To expand the evidence base about harms from tests and treatments. J Gen Intern Med. 2021;36(7):2105-2110. doi:10.1007/s11606-021-06597-9. 
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psnet.ahrq.gov/issue/positive-approaches-safety-learning-what-we-do-well
September 15, 2021 - Commentary 
 
 
 
 
 
 
 
 
 
 Positive approaches to safety: learning from what we do well. 
 
 
 
 
 Citation Text: 
 Plunkett A, Plunkett E. Positive approaches to safety: learning from what we do well. Paediatr Anaesth. 2022;32(11):1223-1229. doi:10.1111/pan.14509. 
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 Format: 
 
 
 
 DOI Google Sch… 
                                     
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psnet.ahrq.gov/issue/common-general-surgical-never-events-analysis-nhs-england-never-event-data
April 14, 2021 - Study 
 
 
 
 
 
 
 
 
 
 Common general surgical never events: analysis of NHS England never event data. 
 
 
 
 
 Citation Text: 
 Omar I, Singhal R, Wilson M, et al. Common general surgical never events: analysis of NHS England never event data. Int J Qual Health Care. 2021;33(1):mzab045. doi:10.1093/intqhc/mzab045.… 
                                     
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psnet.ahrq.gov/issue/mature-rapid-response-system-and-potentially-avoidable-cardiopulmonary-arrests-hospital
July 20, 2022 - Study 
 
 
 
 
 
 
 
 
 
 Mature rapid response system and potentially avoidable cardiopulmonary arrests in hospital.   
 
 
 
 
 Citation Text: 
 Galhotra S, DeVita MA, Simmons RL, et al. Mature rapid response system and potentially avoidable cardiopulmonary arrests in hospital. Qual Saf Health Care. 2007;16(4):260-26… 
                                     
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psnet.ahrq.gov/issue/frequency-and-nature-communication-and-handoff-failures-medical-malpractice-claims
June 22, 2022 - Study 
 
 
 
 
 
 
 
 
 
 Frequency and nature of communication and handoff failures in medical malpractice claims. 
 
 
 
 
 Citation Text: 
 Humphrey KE, Sundberg M, Milliren CE, et al. Frequency and nature of communication and handoff failures in medical malpractice claims. J Patient Saf. 2022;18(2):130-137. doi:10.… 
                                     
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psnet.ahrq.gov/issue/virtual-breakthrough-series-collaborative-missed-test-results-stepped-wedge-cluster
May 12, 2021 - Study 
 
 
 
 
 
 
 
 
 
 A virtual breakthrough series collaborative for missed test results: a stepped-wedge cluster-randomized clinical trial. 
 
 
 
 
 Citation Text: 
 Zubkoff L, Zimolzak AJ, Meyer AND, et al. A virtual breakthrough series collaborative for missed test results: a stepped-wedge cluster-randomized c… 
                                     
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psnet.ahrq.gov/web-mm/check-bags
January 03, 2017 - Check the Bags 
 
 
 
 
 Citation Text: 
 Caldwell M, Dracup KA. Check the Bags. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. 
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 Format: 
 
 
 
 Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId … 
                                     
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.84_slideshow.ppt
December 01, 2004 - Spotlight Case [MONTH] 2003
Spotlight Case December 2004
Discharge Fumbles
Source and Credits
	This presentation is based on the Dec. 2004 
AHRQ WebM&M Spotlight Case in Hospital Medicine 
	See the full article at http://webmm.ahrq.gov  
	CME credit is available through the Web site
	Commentary by: Alan Forster, M… 
                                     
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psnet.ahrq.gov/node/49860/psn-pdf
April 01, 2019 - Hip Fractures in Older Patients: the Case for Geriatrics
Comanagement
April 1, 2019
Rogers S, Ward D. Hip Fractures in Older Patients: the Case for Geriatrics Comanagement. PSNet
[internet]. 2019.
https://psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
The Case
An 82-year-old man … 
                                     
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psnet.ahrq.gov/web-mm/mark-my-tooth
June 01, 2014 - Mark My Tooth 
 
 
 
 
 Citation Text: 
 Smith RA. Mark My Tooth. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. 
 Copy Citation 
 
 Format: 
 
 
 
 Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS 
 
 
 
 
 D… 
                                     
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.320_slideshow.ppt
January 01, 2020 - PowerPoint Presentation
Spotlight
A ʺReflexiveʺ Diagnosis in Primary Care
1
This presentation is based on the April 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov  
CME credit is available
Commentary by: John Betjemann, MD, and S. Andrew Josephson, MD, University of California, San… 
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/49791/psn-pdf
April 01, 2017 - Wrong-side Bedside Paravertebral Block: Preventing the
Preventable
April 1, 2017
Barrington MJ, Uda Y. Wrong-side Bedside Paravertebral Block: Preventing the Preventable. PSNet
[internet]. 2017.
https://psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable
The Case
An 84-year-old wo…