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psnet.ahrq.gov/issue/effect-hospital-organizational-characteristics-postoperative-complications
December 18, 2017 - Study
The effect of hospital organizational characteristics on postoperative complications.
Citation Text:
Knight M. The effect of hospital organizational characteristics on postoperative complications. J Patient Saf. 2013;9(4):198-202. doi:10.1097/PTS.0b013e3182995e5b.
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psnet.ahrq.gov/issue/performance-improvement-plan-increase-nurse-adherence-use-medication-safety-software
March 13, 2024 - Commentary
A performance improvement plan to increase nurse adherence to use of medication safety software.
Citation Text:
Gavriloff C. A Performance Improvement Plan to Increase Nurse Adherence to Use of Medication Safety Software. J Pediatr Nurs. 2011;27(4). doi:10.1016/j.pedn.2011.0…
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psnet.ahrq.gov/issue/accidents-claiming-and-regional-subcultures-are-medical-errors-and-malpractice-lawsuits
October 16, 2024 - Study
Accidents, claiming, and regional subcultures: are medical errors and malpractice lawsuits related to social capital?
Citation Text:
Williams J. Accidents, claiming, and regional subcultures: Are medical errors and malpractice lawsuits related to social capital? J Safety Res. 200…
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psnet.ahrq.gov/issue/helsinki-declaration-patient-safety-anaesthesiology
December 19, 2014 - Commentary
The Helsinki Declaration on Patient Safety in Anaesthesiology.
Citation Text:
Mellin-Olsen J, Staender S, Whitaker DK, et al. The Helsinki Declaration on Patient Safety in Anaesthesiology. Eur J Anaesthesiol. 2010;27(7):592-597. doi:10.1097/EJA.0b013e32833b1adf.
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psnet.ahrq.gov/issue/special-section-iea-health-care-2021
August 02, 2010 - Special or Theme Issue
Special Section: IEA Health Care 2021.
Citation Text:
Special Section: IEA Health Care 2021. Hum Factors. 2024;66(3):633-769.
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psnet.ahrq.gov/issue/non-luer-connectors-are-we-nearly-there-yet
March 01, 2023 - Commentary
Non-Luer connectors: are we nearly there yet?
Citation Text:
Cook TM. Non-Luer connectors: are we nearly there yet? Anaesthesia. 2012;67(7):784-792. doi:10.1111/j.1365-2044.2012.07154.x.
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psnet.ahrq.gov/issue/record-avoiding-pitfalls-going-electronic
October 25, 2017 - Commentary
Off the record — avoiding the pitfalls of going electronic.
Citation Text:
Hartzband P, Groopman J. Off the record--avoiding the pitfalls of going electronic. N Engl J Med. 2008;358(16):1656-8. doi:10.1056/NEJMp0802221.
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psnet.ahrq.gov/issue/need-systems-integration-health-care
July 01, 2017 - Commentary
The need for systems integration in health care.
Citation Text:
Mathews SC, Pronovost P. The need for systems integration in health care. JAMA. 2011;305(9):934-5. doi:10.1001/jama.2011.237.
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psnet.ahrq.gov/issue/prescription-error-process-defects-community-retail-pharmacy
October 19, 2022 - Study
Prescription for error: process defects in a community retail pharmacy.
Citation Text:
Witte D, Dundes L. Prescription for Error. J Patient Saf. 2008;3(4). doi:10.1097/pts.0b013e31815a613e.
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psnet.ahrq.gov/issue/counting-matters-lessons-root-cause-analysis-retained-surgical-item
January 02, 2017 - Commentary
Counting matters: lessons from the root cause analysis of a retained surgical item.
Citation Text:
Agrawal A. Counting matters: lessons from the root cause analysis of a retained surgical item. Jt Comm J Qual Patient Saf. 2012;38(12):566-574.
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psnet.ahrq.gov/issue/can-we-use-incident-reports-detect-hospital-adverse-events
March 06, 2005 - Study
Can we use incident reports to detect hospital adverse events?
Citation Text:
Can we use incident reports to detect hospital adverse events? Blais R; Bruno D; Bartlett G; Tamblyn R.
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psnet.ahrq.gov/issue/edgeware-insights-complexity-science-health-care-leaders
June 23, 2021 - Book/Report
Edgeware: Insights from Complexity Science for Health Care Leaders. Second ed.
Citation Text:
Edgeware: Insights from Complexity Science for Health Care Leaders. Second ed. Zimmerman B, Lindberg C, Plsek P. Irving, TX: VHA Incorporated; 2008. ISBN: 9780966782806
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-4x6-UTI.pdf
June 01, 2021 - Suspected Urinary Tract Infection (UTI) in Long-Term Care Residents
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Suspected Urinary Tract Infection (UTI) in
Long-Term Care Residents
Signs & Symptoms of a UTI
For Residents Without
a Urinary Catheter
� Dysuria
OR
� Fever (>100°F or >2°F above
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psnet.ahrq.gov/issue/role-anesthesiologist-perioperative-patient-safety
November 20, 2015 - Review
The role of the anesthesiologist in perioperative patient safety.
Citation Text:
Wacker J, Staender S. The role of the anesthesiologist in perioperative patient safety. Curr Opin Anaesthesiol. 2014;27(6):649-656. doi:10.1097/ACO.0000000000000124.
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psnet.ahrq.gov/issue/aftermath-adverse-event-supporting-health-care-professionals-meet-patient-expectations
May 29, 2013 - Review
Aftermath of an adverse event: supporting health care professionals to meet patient expectations through open disclosure.
Citation Text:
Manser T, Staender S. Aftermath of an adverse event: supporting health care professionals to meet patient expectations through open disclosure…
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh28.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibit 28. Count of missing values (with percentage)
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Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh68-70.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibits 68 to 70
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Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
Chapter 1. Administration
Chapter …
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh65-67.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibits 65 to 67
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Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
Chapter 1. Administration
Chapter …
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psnet.ahrq.gov/issue/checklist-recognize-limits-harness-its-power
September 07, 2016 - Commentary
The checklist: recognize limits, but harness its power.
Citation Text:
Alspach JAG. The Checklist: Recognize Limits, but Harness Its Power. Crit Care Nurse. 2017;37(5):12-18. doi:10.4037/ccn2017603.
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-slides.html
June 01, 2017 - Management Practices for Sustainability Module 3: Problem Solving and Escalation
Slide 1: Management Practices for Sustainability Module 3: Problem Solving and Escalation
Management Practices for Sustainability
Module 3: Problem Solving and Escalation
Slide 2: A Frontline Management System To Promote Sa…