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psnet.ahrq.gov/node/33783/psn-pdf
April 01, 2015 - They had to agree to
have a team, which had to include a doctor, a nurse, and a hospital leader.
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psnet.ahrq.gov/issue/anaesthetic-adverse-incident-reports-australian-study-1231-outcomes
August 21, 2013 - Study
Anaesthetic adverse incident reports: an Australian study of 1,231 outcomes.
Citation Text:
Aders A, Aders H. Anaesthetic adverse incident reports: an Australian study of 1,231 outcomes. Anaesth Intensive Care. 2005;33(3):336-44.
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psnet.ahrq.gov/issue/effort-human-factors-performance-and-decision-making
August 31, 2022 - Commentary
Effort in human factors performance and decision making.
Citation Text:
Wickens CD. Effort in human factors performance and decision making. Hum Factors. 2014;56(8):1329-36.
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psnet.ahrq.gov/issue/promoting-patient-safety-one-companys-example
April 05, 2017 - Commentary
Promoting patient safety: one company's example.
Citation Text:
Babaie K. Promoting patient safety: one company's example. Case Manager. 2006;17(6):54-9.
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psnet.ahrq.gov/issue/risky-business-navigating-shifting-health-care-landscape
December 22, 2021 - Meeting/Conference Proceedings
Risky Business: Navigating a Shifting Health Care Landscape.
Citation Text:
Boston Children’s Hospital. April 15, 2021.
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psnet.ahrq.gov/issue/trauma-when-theres-no-time-count
April 20, 2016 - Commentary
Trauma: when there's no time to count.
Citation Text:
Murdock DB. Trauma: When There's No Time to Count. AORN J. 2008;87(2). doi:10.1016/j.aorn.2007.07.008.
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psnet.ahrq.gov/issue/systems-approach-error-prevention-medicine
February 15, 2017 - Commentary
A systems approach to error prevention in medicine.
Citation Text:
Wieman TJ, Wieman EA. A systems approach to error prevention in medicine. J Surg Oncol. 2004;88(3):115-21.
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psnet.ahrq.gov/issue/evaluation-healthcare-safety-climate-measurement-tool
August 08, 2018 - Study
Evaluation of a healthcare safety climate measurement tool.
Citation Text:
Turnberg W, Daniell W. Evaluation of a healthcare safety climate measurement tool. J Safety Res. 2008;39(6):563-8. doi:10.1016/j.jsr.2008.09.004.
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psnet.ahrq.gov/issue/are-long-physician-working-hours-harmful-patient-safety
June 24, 2020 - Review
Are long physician working hours harmful to patient safety?
Citation Text:
Ehara A. Pediatr Int. 2008;50:175-178.
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psnet.ahrq.gov/issue/safety-issues-and-concerns-neurological-patient-emergency-department
March 19, 2014 - Review
Safety issues and concerns for the neurological patient in the emergency department.
Citation Text:
Manno EM. Safety issues and concerns for the neurological patient in the emergency department. Neurocrit Care. 2008;9(2):259-64. doi:10.1007/s12028-008-9111-x.
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psnet.ahrq.gov/issue/addressing-structural-racism-pediatric-clinical-practice
November 16, 2022 - Commentary
Addressing structural racism in pediatric clinical practice.
Citation Text:
Laster M, Kozman D, Norris KC. Addressing structural racism in pediatric clinical practice. Pediatr Clin North Am. 2023;70(4):725-743. doi:10.1016/j.pcl.2023.03.010.
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psnet.ahrq.gov/issue/safety-culture-indian-hospitals-cultural-adaptation-safety-attitudes-questionnaire
July 29, 2020 - Study
Safety culture in Indian hospitals: a cultural adaptation of the Safety Attitudes Questionnaire.
Citation Text:
Patel S, Wu AW. Safety Culture in Indian Hospitals: A Cultural Adaptation of the Safety Attitudes Questionnaire. J Patient Saf. 2016;12(2):75-81. doi:10.1097/PTS.00000000…
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psnet.ahrq.gov/periodic-issue/periodic-issue-442
May 29, 2024 - May 29, 2024 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, reports, a…
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psnet.ahrq.gov/periodic-issue/periodic-issue-441
May 29, 2024 - May 22, 2024 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, reports, a…
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psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
July 01, 2004 - Hip Fractures in Older Patients: the Case for Geriatrics Comanagement
Citation Text:
Rogers S, Ward D. Hip Fractures in Older Patients: the Case for Geriatrics Comanagement. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/web-mm/are-we-pushing-graduate-nurses-too-fast
November 16, 2022 - Are We Pushing Graduate Nurses Too Fast?
Citation Text:
Spector ND. Are We Pushing Graduate Nurses Too Fast? . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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psnet.ahrq.gov/node/850678/psn-pdf
June 14, 2023 - Advance Alert Monitor Program: An Automated Early
Warning System for Adults At Risk for In-Hospital Clinical
Deterioration
June 14, 2023
https://psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults-
risk-hospital
Summary
To address a well-documented hospital adverse outco…
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psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication
January 24, 2018 - Primary Workaround, Secondary Complication
Citation Text:
Debono D, Levett-Jones T. Primary Workaround, Secondary Complication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/web-mm/written-signout-it-only-works-if-you-use-right-one
April 24, 2018 - Written Signout: It Only Works If You Use The Right One
Citation Text:
Lewis K, Rosenbluth G. Written Signout: It Only Works If You Use The Right One. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/web-mm/mid-summer-fog
September 29, 2017 - A Mid-Summer Fog
Citation Text:
Braddock CH. A Mid-Summer Fog. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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