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psnet.ahrq.gov/issue/airway-carts-systems-based-approach-airway-safety
July 21, 2010 - Study
Airway carts: a systems-based approach to airway safety.
Citation Text:
Kane BG, Bond WF, Worrilow CC, et al. Airway Carts. J Patient Saf. 2008;2(3). doi:10.1097/01.jps.0000242995.09037.07.
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psnet.ahrq.gov/issue/handoff-communication-tools
May 25, 2022 - Government Resource
Handoff Communication Tools.
Citation Text:
Handoff Communication Tools. Landrigan CP, Lyons A, Gannon P, et al. FIRST Do No Harm. December 2012;1-8.
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psnet.ahrq.gov/issue/whose-responsibility-it-address-bullying-health-care
February 22, 2023 - Commentary
Whose responsibility is it to address bullying in health care?
Citation Text:
Whose responsibility is it to address bullying in health care? AMA J Ethics. 2022;23(12):E931-936. doi:10.1001/amajethics.2021.931.
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psnet.ahrq.gov/issue/how-insight-contributes-diagnostic-excellence
June 08, 2022 - Commentary
How insight contributes to diagnostic excellence.
Citation Text:
Shimizu T, Graber ML. How insight contributes to diagnostic excellence. Diagnosis (Berl). 2022;9(3):311-315. doi:10.1515/dx-2022-0007.
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psnet.ahrq.gov/issue/saving-lives-hospitals-have-signed-six-part-plan-avoid-multitude-unnecessary-deaths
January 19, 2022 - Newspaper/Magazine Article
Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths.
Citation Text:
Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths. Comarow A. US News & World Report. Jul…
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psnet.ahrq.gov/issue/power-safety-state-reporting-provides-lessons-reducing-harm-improving-care
March 23, 2012 - Book/Report
The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care.
Citation Text:
The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care. Washington DC: National Quality Forum; 2010.
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psnet.ahrq.gov/issue/medical-emergency-team-implementation-experiences-mentor-hospital
November 21, 2016 - Commentary
Medical emergency team implementation: experiences of a mentor hospital.
Citation Text:
Jamieson E, Ferrell C, Rutledge DN. Medical emergency team implementation: experiences of a mentor hospital. Medsurg Nurs. 2008;17(5):312-6, 323.
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psnet.ahrq.gov/issue/fixing-broken-bones-and-broken-homes-domestic-violence-patient-safety-issue
September 03, 2011 - Study
Fixing broken bones and broken homes: domestic violence as a patient safety issue.
Citation Text:
Cohn F, Rudman WJ. Fixing broken bones and broken homes: domestic violence as a patient safety issue. Jt Comm J Qual Saf. 2004;30(11):636-646.
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psnet.ahrq.gov/issue/addressing-opioid-epidemic-there-role-physician-education
February 22, 2023 - Book/Report
Addressing the Opioid Epidemic: Is There a Role for Physician Education?
Citation Text:
Addressing the Opioid Epidemic: Is There a Role for Physician Education? Schnell M, Currie J. Cambridge, MA: National Bureau of Economic Research; August 2017. Working Paper No. 23645.
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psnet.ahrq.gov/issue/other-opioid-crisis-hospital-shortages-lead-patient-pain-medical-errors
April 08, 2020 - Newspaper/Magazine Article
The other opioid crisis: hospital shortages lead to patient pain, medical errors.
Citation Text:
The other opioid crisis: hospital shortages lead to patient pain, medical errors. Bartolone P. Kaiser Health News. March 16, 2018.
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psnet.ahrq.gov/issue/implementing-pediatric-surgical-safety-checklist-or-and-beyond
March 09, 2016 - Commentary
Implementing a pediatric surgical safety checklist in the OR and beyond.
Citation Text:
Norton EK, Rangel SJ. Implementing a Pediatric Surgical Safety Checklist in the OR and Beyond. AORN J. 2010;92(1). doi:10.1016/j.aorn.2009.11.069.
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psnet.ahrq.gov/issue/impact-successful-speaking-program-health-care-worker-hand-hygiene-behavior
February 11, 2015 - Commentary
Impact of a successful speaking up program on health-care worker hand hygiene behavior.
Citation Text:
Impact of a successful speaking up program on health-care worker hand hygiene behavior. Linam MW; Honeycutt MD; Gilliam CH; Wisdom CM; Deshpande JK.
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psnet.ahrq.gov/issue/science-and-economics-improving-clinical-communication
November 18, 2015 - Commentary
The science and economics of improving clinical communication.
Citation Text:
O'Byrne WT, Weavind L, Selby J. The science and economics of improving clinical communication. Anesthesiol Clin. 2008;26(4):729-44, vii. doi:10.1016/j.anclin.2008.07.010.
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psnet.ahrq.gov/issue/patient-handoffs
June 17, 2014 - Newspaper/Magazine Article
Patient handoffs.
Citation Text:
Runy LA. Patient handoffs. Hospitals & health networks. 2008;82(5):7 p following 40, 2.
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psnet.ahrq.gov/issue/identifying-medication-errors-surgical-prescription-charts
April 17, 2024 - Study
Identifying medication errors in surgical prescription charts.
Citation Text:
Simons J. Identifying medication errors in surgical prescription charts. Paediatr Nurs. 2010;22(5):20-4.
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psnet.ahrq.gov/issue/medmarx-data-report-chartbook-medication-error-findings-perioperative-settings-1998-2005
August 24, 2015 - Book/Report
Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative Settings from 1998-2005.
Citation Text:
Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative Settings from 1998-2005. Hicks RW, Becker SC, Cousins DD. Rock…
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psnet.ahrq.gov/issue/temporarily-holding-medication-orders-safely-order-prevent-patient-harm
March 14, 2023 - Newspaper/Magazine Article
Temporarily holding medication orders safely in order to prevent patient harm.
Citation Text:
Temporarily holding medication orders safely in order to prevent patient harm. ISMP Medication Safety Alert! Acute care edition. October 19, 2023;28(21):1-4.
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psnet.ahrq.gov/issue/vaught-says-some-system-practices-contributed-fatal-mistake
September 29, 2021 - Newspaper/Magazine Article
RaDonda Vaught says some system practices contributed to fatal mistake.
Citation Text:
RaDonda Vaught says some system practices contributed to fatal mistake. Clark C. MedPage Today. March 14, 2024.
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psnet.ahrq.gov/issue/ashamed-admit-it-owning-medical-error
April 03, 2019 - Commentary
Ashamed to admit it: owning up to medical error.
Citation Text:
Ofri D. Ashamed to admit it: owning up to medical error. Health Aff (Millwood). 2010;29(8):1549-51. doi:10.1377/hlthaff.2009.0946.
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psnet.ahrq.gov/issue/lessons-denver-medication-errorcriminal-negligence-case-look-beyond-blaming-individuals
June 16, 2019 - Study
Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals.
Citation Text:
Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals. Smetzer JL, Cohen MR. Hosp Pharm. 1998;33(6):640-642,645-646,654-65…