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psnet.ahrq.gov/issue/bleeding-and-pain-pregnant-woman-louisiana-couldnt-get-answers
January 18, 2023 - Newspaper/Magazine Article
Bleeding and in pain, a pregnant woman in Louisiana couldn’t get answers.
Citation Text:
Bleeding and in pain, a pregnant woman in Louisiana couldn’t get answers. Westwood R. Kaiser Health News. January 12, 2023.
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psnet.ahrq.gov/issue/hsib-maternity-investigation-programme-year-review-202122-summary-highlights-themes-and
September 14, 2022 - Book/Report
HSIB Maternity Investigation Programme Year in Review 2021/22. Summary of Highlights, Themes and Future Work.
Citation Text:
HSIB Maternity Investigation Programme Year in Review 2021/22. Summary of Highlights, Themes and Future Work. Farnborough, UK: Healthcare Safety Invest…
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psnet.ahrq.gov/issue/burnout-and-resilience-and-quality-and-safety-programs-obstetrics-and-gynecology
May 29, 2019 - Special or Theme Issue
Burnout and Resilience and Quality and Safety Programs in Obstetrics and Gynecology.
Citation Text:
Burnout and Resilience and Quality and Safety Programs in Obstetrics and Gynecology. Main EK, Fowler JM, Gabbe SG, eds. Clin Obstet Gynecol. 2019;62:vii-xii,403-626.…
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psnet.ahrq.gov/issue/deep-dive-racial-and-ethnic-disparities-health-and-healthcare
March 10, 2021 - Book/Report
Deep Dive: Racial and Ethnic Disparities in Health and Healthcare.
Citation Text:
Deep Dive: Racial and Ethnic Disparities in Health and Healthcare. Plymouth Meeting, PA: ECRI and the Institute for Safe Medication Practices; 2022.
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psnet.ahrq.gov/node/836811/psn-pdf
April 07, 2022 - Implementing a watcher program to improve timeliness of
recognition of deterioration in hospitalized children
April 7, 2022
Evans S, Green A, Roberson A, et al. Implementing a watcher program to improve timeliness of
recognition of deterioration in hospitalized children. J Pediatr Nurs. 2021;61:151-6.
https:/…
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psnet.ahrq.gov/web-mm/importance-following-safe-practices-infant-feeding-and-handling-expressed-breast-milk
January 31, 2024 - Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk
Citation Text:
Shauer M, Perez DG, Chagolla B. Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quali…
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psnet.ahrq.gov/issue/cdc-grand-rounds-preventing-unsafe-injection-practices-us-health-care-system
February 27, 2019 - Government Resource
CDC Grand Rounds: preventing unsafe injection practices in the U.S. health-care system.
Citation Text:
Prevention C for DC and. CDC grand rounds: preventing unsafe injection practices in the U.S. health-care system. MMWR Morb Mortal Wkly Rep. 2013;62(21):423-5.
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psnet.ahrq.gov/issue/inadvertent-misadministration-meningococcal-conjugate-vaccine-united-states-june-august-2005
February 27, 2019 - Government Resource
Inadvertent misadministration of meningococcal conjugate vaccine—United States, June–August 2005.
Citation Text:
Prevention C for DC and. Inadvertent misadministration of meningococcal conjugate vaccine--United States, June-August 2005. MMWR Morb Mortal Wkly Rep. 20…
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psnet.ahrq.gov/issue/impact-intensive-care-unit-discharge-time-patient-outcome
December 14, 2022 - Study
Impact of intensive care unit discharge time on patient outcome.
Citation Text:
Priestap FA, Martin CM. Impact of intensive care unit discharge time on patient outcome. Crit Care Med. 2006;34(12):2946-2951.
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psnet.ahrq.gov/node/49621/psn-pdf
March 01, 2011 - Volume Too Low: In and Out
March 1, 2011
Miller MR. Volume Too Low: In and Out . PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/volume-too-low-and-out
Case Objectives
Appreciate that because of multiple factors, children are at high risk for medical errors.
Describe the importance of weight-based dosing of…
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psnet.ahrq.gov/issue/information-gaps-newborn-care-and-their-potential-harm
September 14, 2022 - Study
Information gaps in newborn care and their potential for harm.
Citation Text:
Kumar P, Biswas A, Iyengar H, et al. Information gaps in newborn care and their potential for harm. Jt Comm J Qual Patient Saf. 2015;41(5):228-233.
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psnet.ahrq.gov/issue/first-do-no-harm-report-independent-medicines-and-medical-devices-safety-review
December 09, 2020 - Book/Report
First Do No Harm. The Report of the Independent Medicines and Medical Devices Safety Review.
Citation Text:
First Do No Harm. The Report of the Independent Medicines and Medical Devices Safety Review. Cumberlege J. London, England, Crown Copyright. July 8, 2020.
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psnet.ahrq.gov/issue/doctors-must-stop-tuning-out-black-women-it-happened-me-pregnant-ob-gyn
June 24, 2020 - Newspaper/Magazine Article
Doctors must stop tuning out Black women. It happened to me, as a pregnant OB-GYN.
Citation Text:
Doctors must stop tuning out Black women. It happened to me, as a pregnant OB-GYN. Gillispie-Bell V. USA Today. April 14, 2023.
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psnet.ahrq.gov/issue/how-should-clinicians-minimize-bias-when-responding-suspicions-about-child-abuse
February 09, 2022 - Commentary
How should clinicians minimize bias when responding to suspicions about child abuse?
Citation Text:
Letson M, Crichton KG. How should clinicians minimize bias when responding to suspicions about child abuse? AMA J Ethics. 2023;25(2):E93-99. doi:10.1001/amajethics.2023.93.
Co…
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psnet.ahrq.gov/issue/factors-affecting-delivery-safe-care-midwifery-units
November 11, 2020 - Book/Report
Factors Affecting the Delivery of Safe Care in Midwifery Units.
Citation Text:
Factors Affecting the Delivery of Safe Care in Midwifery Units. Maternity and Newborn Safety Investigations Programme. Newcastle Upon Tyne, UK: Care Quality Commission; May 2024.
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psnet.ahrq.gov/issue/acute-hepatitis-c-virus-infections-attributed-unsafe-injection-practices-endoscopy-clinic
February 27, 2019 - Government Resource
Acute Hepatitis C virus infections attributed to unsafe injection practices at an endoscopy clinic—Nevada, 2007.
Citation Text:
Prevention C for DC and. Acute hepatitis C virus infections attributed to unsafe injection practices at an endoscopy clinic--Nevada, 2007.…
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psnet.ahrq.gov/issue/vital-signs-overdoses-prescription-opioid-pain-relievers-united-states-1999-2008
February 27, 2019 - Study
Vital signs: overdoses of prescription opioid pain relievers- United States, 1999-2008.
Citation Text:
Prevention C for DC and. Vital signs: overdoses of prescription opioid pain relievers---United States, 1999--2008. MMWR Morb Mortal Wkly Rep. 2011;60(43):1487-92.
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psnet.ahrq.gov/periodic-issue/periodic-issue-316
November 30, 2021 - November 3, 2021 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, report…
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psnet.ahrq.gov/issue/hospitals-two-states-denied-abortion-miscarrying-patient-investigators-say-they-broke-federal
September 20, 2023 - Newspaper/Magazine Article
Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law.
Citation Text:
Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law. Surana K. Pro Publica. M…
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psnet.ahrq.gov/issue/why-do-so-many-black-women-die-pregnancy-one-reason-doctors-dont-take-them-seriously
June 07, 2023 - Newspaper/Magazine Article
Why do so many Black women die in pregnancy? One reason: doctors don't take them seriously.
Citation Text:
Why do so many Black women die in pregnancy? One reason: doctors don't take them seriously. Stafford K. AP News. May 23, 2023.
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