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  1. Office-based anesthesia. | PSNet

    psnet.ahrq.gov/issue/office-based-anesthesia
    August 01, 2012 - Review Office-based anesthesia. Citation Text: Kurrek MM, Twersky RS. Office-based anesthesia. Can J Anaesth. 2010;57(3):256-72. doi:10.1007/s12630-009-9238-z. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  2. Patient safety rounds: description of an inexpensive but important strategy to improve the safety culture. | PSNet

    psnet.ahrq.gov/issue/patient-safety-rounds-description-inexpensive-important-strategy-improve-safety-culture
    December 15, 2008 - Commentary Patient safety rounds: description of an inexpensive but important strategy to improve the safety culture. Citation Text: Campbell D, Thompson M. Patient safety rounds: description of an inexpensive but important strategy to improve the safety culture. Am J Med Qual. 2007;22…

  3. Factors influencing patient safety during postoperative handover. | PSNet

    psnet.ahrq.gov/issue/factors-influencing-patient-safety-during-postoperative-handover
    March 03, 2021 - Review Factors influencing patient safety during postoperative handover. Citation Text: Factors influencing patient safety during postoperative handover. Rose M, Newman SD. AANA J. 2016;84:329-338. Copy Citation Save Save to your library Print Download P…

  4. Utility of an online medication-error-reporting system. | PSNet

    psnet.ahrq.gov/issue/utility-online-medication-error-reporting-system
    September 30, 2020 - Study Utility of an online medication-error-reporting system. Citation Text: Savage SW, Schneider PJ, Pedersen CA. Utility of an online medication-error-reporting system. Am J Health Syst Pharm. 2005;62(21):2265-70. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

  5. The emotional fallout from the culture of blame and shame. | PSNet

    psnet.ahrq.gov/issue/emotional-fallout-culture-blame-and-shame
    October 28, 2020 - Commentary The emotional fallout from the culture of blame and shame. Citation Text: Ferguson CC. The emotional fallout from the culture of blame and shame. JAMA Pediatr. 2017;171(12):1141. doi:10.1001/jamapediatrics.2017.2691. Copy Citation Format: DOI Google Scholar PubMe…

  6. Ten ERs in Colorado tried to curtail opioids and did better than expected. | PSNet

    psnet.ahrq.gov/issue/ten-ers-colorado-tried-curtail-opioids-and-did-better-expected
    December 04, 2016 - Newspaper/Magazine Article Ten ERs in Colorado tried to curtail opioids and did better than expected. Citation Text: Ten ERs in Colorado tried to curtail opioids and did better than expected. Daley J. Colorado Public Radio. February 23, 2018. Copy Citation Save Sa…

  7. 2012 ISMP International Medication Safety Self Assessment for Oncology. | PSNet

    psnet.ahrq.gov/issue/2012-ismp-international-medication-safety-self-assessment-oncology
    January 26, 2023 - Press Release/Announcement 2012 ISMP International Medication Safety Self Assessment for Oncology. Citation Text: 2012 ISMP International Medication Safety Self Assessment for Oncology. Institute for Safe Medication Practices and Institute for Safe Medication Practices Canada. Copy…

  8. Time for prefilled syringes - everywhere. | PSNet

    psnet.ahrq.gov/issue/time-prefilled-syringes-everywhere
    July 13, 2010 - Commentary Time for prefilled syringes - everywhere. Citation Text: Whitaker DK, Lomas JP. Time for prefilled syringes – everywhere. Anaesthesia. 2024;79(2):119-122. doi:10.1111/anae.16181. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote…

  9. Preventing complications of central venous catheterization. | PSNet

    psnet.ahrq.gov/issue/preventing-complications-central-venous-catheterization
    September 02, 2015 - Review Preventing complications of central venous catheterization. Citation Text: McGee DC, Gould MK. Preventing complications of central venous catheterization. N Engl J Med. 2003;348(12):1123-33. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote …

  10. Sent home to die. | PSNet

    psnet.ahrq.gov/issue/sent-home-die
    April 22, 2020 - Newspaper/Magazine Article Sent home to die. Citation Text: Waldman A, Kaplan J. Sent home to die. ProPublica. 2020. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save S…

  11. Frequency and type of errors and near errors reported by critical care nurses. | PSNet

    psnet.ahrq.gov/issue/frequency-and-type-errors-and-near-errors-reported-critical-care-nurses
    June 21, 2006 - Study Frequency and type of errors and near errors reported by critical care nurses. Citation Text: Frequency and type of errors and near errors reported by critical care nurses. Balas MC; Scott LD; Rogers AE. Copy Citation Save Save to your library Pri…

  12. The absence of a drug–disease interaction alert leads to a child's death. | PSNet

    psnet.ahrq.gov/issue/absence-drug-disease-interaction-alert-leads-childs-death
    July 08, 2015 - Newspaper/Magazine Article The absence of a drug–disease interaction alert leads to a child's death. Citation Text: The absence of a drug–disease interaction alert leads to a child's death. ISMP Medication Safety Alert! Acute Care Edition. May 21, 2015;20:1-4. Copy Citation …

  13. A 62-year-old woman with skin cancer who experienced wrong-site surgery. | PSNet

    psnet.ahrq.gov/issue/62-year-old-woman-skin-cancer-who-experienced-wrong-site-surgery
    December 01, 2021 - Commentary Classic A 62-year-old woman with skin cancer who experienced wrong-site surgery. Citation Text: Gallagher TH. A 62-year-old woman with skin cancer who experienced wrong-site surgery: review of medical error. JAMA. 2009;302(6):669-77. doi:10.1001/jam…

  14. Audibility of patient clinical alarms to hospital nursing personnel. | PSNet

    psnet.ahrq.gov/issue/audibility-patient-clinical-alarms-hospital-nursing-personnel
    November 15, 2023 - Study Audibility of patient clinical alarms to hospital nursing personnel. Citation Text: Sobieraj J, Ortega C, West I, et al. Audibility of patient clinical alarms to hospital nursing personnel. Mil Med. 2006;171(4):306-10. Copy Citation Format: Google Scholar PubMed Bib…

  15. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/intro.html
    November 01, 2014 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Introduction This document provides an overview of the components of On-Time Pressure Ulcer Prevention, reports, and implementation materials used in preventing pressure ulcers in nursing homes. On-Time Pressure Ulcer Prevention has be…

  16. Probability error in diagnosis: the conjunction fallacy among beginning medical students. | PSNet

    psnet.ahrq.gov/issue/probability-error-diagnosis-conjunction-fallacy-among-beginning-medical-students
    June 21, 2017 - Study Probability error in diagnosis: the conjunction fallacy among beginning medical students. Citation Text: Rao G. Probability error in diagnosis: the conjunction fallacy among beginning medical students. Fam Med. 2009;41(4):262-5. Copy Citation Format: Google Scholar P…

  17. Emergency physicians and disclosure of medical errors. | PSNet

    psnet.ahrq.gov/issue/emergency-physicians-and-disclosure-medical-errors
    October 19, 2022 - Study Emergency physicians and disclosure of medical errors. Citation Text: Moskop JC, Geiderman JM, Hobgood CD, et al. Emergency physicians and disclosure of medical errors. Ann Emerg Med. 2006;48(5):523-31. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 X…

  18. Underwood Surgery Center: Slide Presentation (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/tinsleyslides.pdf
    September 01, 2015 - Underwood Surgery Center: Slide Presentation 50 50 Underwood Surgery Center Orlando, Florida Terry Tinsley R.N., B.A. Clinical Nurse Manager 51 51 Underwood Surgery Center (USC) • Physician owned multi-specialty surgery center • Performs endoscopic procedures, surgeries involving colon and rectal, …

  19. Sustainability Tool - Sustainability Module | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/tool.html
    June 01, 2017 - Sustainability Tool - Sustainability Module Background: This tool can be used to identify sustainability issues in planning and implementing your improvement efforts. How to use this tool: The Implementation Team leader (or individual designated by the leader) should complete this checklist. Us…

  20. Appendix C. Sample Search Strategies | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/reports/engage/appc.html
    March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Appendix C. Sample Search Strategies Previous Page Next Page Table of Contents Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive Summary Introductio…
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