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psnet.ahrq.gov/issue/excess-mortality-caused-medical-injury
June 29, 2011 - Study
Excess mortality caused by medical injury.
Citation Text:
Meurer LN, Yang H, Guse CE, et al. Excess mortality caused by medical injury. Ann Fam Med. 2006;4(5):410-6.
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psnet.ahrq.gov/issue/sbar-shared-mental-model-improving-communication-between-clinicians
January 02, 2017 - Study
SBAR: a shared mental model for improving communication between clinicians.
Citation Text:
Haig KM, Sutton S, Whittington J. SBAR: a shared mental model for improving communication between clinicians. Jt Comm J Qual Patient Saf. 2006;32(3):167-75.
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psnet.ahrq.gov/issue/ambulatory-medication-errors-and-adverse-events-involved-medicine-related-malpractice-cases
November 18, 2016 - Study
Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021.
Citation Text:
Boisvert S, Nelson M, Ross J. Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021. J Patient…
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psnet.ahrq.gov/node/49452/psn-pdf
July 01, 2004 - One notable
exception comes from the infection control literature.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.368_slideshow.ppt
February 01, 2016 - Other Benefits to RALP
RALP may also be associated with fewer complications including:
DVTs
Wound infections … general, RAS shares the same risks as open and traditional laparoscopic surgery
Including potential for infection
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.272_slideshow.ppt
July 01, 2012 - Use of simulation-based education to reduce catheter-related bloodstream infections. … Cost savings from reduced catheter-related bloodstream infection after simulation-based education for
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psnet.ahrq.gov/node/845473/psn-pdf
March 15, 2023 - Remote patient monitoring identifies the need for triage in
patients with acute COVID-19 infection.
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psnet.ahrq.gov/node/49393/psn-pdf
April 01, 2003 - Which End Is Which?
April 1, 2003
Campbell AR. Which End Is Which? PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/which-end-which
The Case
A 39-year-old woman with chronic peri-anal fistulas and infected anal sinuses underwent laparoscopic
diverting colostomy to divert her fecal stream and allow the perine…
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psnet.ahrq.gov/web-mm/too-hot-comfort
May 19, 2015 - Although a systematic review ( 3 ) found that infection rates were lower and oxygen tension higher in … Use of a noncontact radiant heat bandage and Staphylococcus aureus dermal infections in an ovine model
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psnet.ahrq.gov/node/33650/psn-pdf
May 01, 2007 - nearly 10,000 people known to have experienced adverse reactions to drugs, and hospital-
acquired infections … range of initiatives targeted at critical safety
issues such as medication error and surgical site infection
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psnet.ahrq.gov/node/49759/psn-pdf
May 01, 2016 - was found to have ascites on examination, and the team decided to perform paracentesis to rule out
infection … Unlike other adverse events in the acute care setting (e.g., line infections) that are prevented by … Eliminating catheter-related bloodstream infections in
the intensive care unit.
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psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare
March 27, 2024 - shown to significantly improve a number of patient outcomes, including lower rates of surgical site infections … highly, employees’ perceptions of safety culture and psychological safety improve, such as a study of infection … ratings of leadership were also shown to be negatively correlated to burnout, such as in a study among infection
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psnet.ahrq.gov/node/867497/psn-pdf
February 26, 2025 - They frequently close
the chest before the completion of counts because of
infection concerns. … sharps or small miscellaneous items may embolize, migrate within tissues, lead to thrombosis,
site infection
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psnet.ahrq.gov/perspective/conversation-j-bryan-sexton-phd-ma
February 26, 2025 - what we need to do is instead of focusing on readmission rates, instead of focusing on bloodstream infection … In the replication we showed it wasn't the 66% reduction of bloodstream infections, it was 81.5%, which … I got this project done and our bloodstream infection rates are down, they're at zero, they've been at
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psnet.ahrq.gov/perspective/response-getting-root-matter-june-2005
June 01, 2005 - April 14, 2021
Clostridium Difficile infection in the United States: a national study
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psnet.ahrq.gov/issue/global-drug-shortages-due-covid-19-impact-patient-care-and-mitigation-strategies
November 04, 2020 - Commentary
Global drug shortages due to COVID-19: impact on patient care and mitigation strategies.
Citation Text:
Badreldin HA, Atallah B. Global drug shortages due to COVID-19: Impact on patient care and mitigation strategies. Res Social Adm Pharm. 2020;17(1):1946-1949. doi:10.1016/j.s…
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psnet.ahrq.gov/issue/potentially-inappropriate-medications-large-cohort-patients-geriatric-units-association
April 21, 2021 - Study
Potentially inappropriate medications in a large cohort of patients in geriatric units: association with clinical and functional characteristics.
Citation Text:
Fromm MF, Maas R, Tümena T, et al. Potentially inappropriate medications in a large cohort of patients in geriatric u…
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psnet.ahrq.gov/issue/retrospective-analysis-medication-incidents-reported-using-line-reporting-system
April 01, 2015 - Study
Retrospective analysis of medication incidents reported using an on-line reporting system.
Citation Text:
Ashcroft DM, Cooke J. Retrospective analysis of medication incidents reported using an on-line reporting system. Pharmacy World & Science. 2006;28(6). doi:10.1007/s11096-006-…
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psnet.ahrq.gov/issue/if-only-failed-missed-and-absent-error-recovery-opportunities-medication-errors
July 15, 2009 - Study
If only...: failed, missed and absent error recovery opportunities in medication errors.
Citation Text:
Habraken MMP, van der Schaaf TW. If only..: failed, missed and absent error recovery opportunities in medication errors. Qual Saf Health Care. 2010;19(1):37-41. doi:10.1136/qsh…
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psnet.ahrq.gov/issue/antibiotic-shortages-pediatrics
September 13, 2017 - Commentary
Antibiotic shortages in pediatrics.
Citation Text:
Banerjee R, Thurm CW, Fox ER, et al. Antibiotic Shortages in Pediatrics. Pediatrics. 2018;142(5). doi:10.1542/peds.2018-0858.
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