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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/how-perioperative-nurses-define-attribute-causes-and-react-intraoperative-nursing-errors
September 11, 2024 - Study
How perioperative nurses define, attribute causes of, and react to intraoperative nursing errors.
Citation Text:
Chard R. How perioperative nurses define, attribute causes of, and react to intraoperative nursing errors. AORN J. 2010;91(1):132-45. doi:10.1016/j.aorn.2009.06.028.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0430_04-22-2011.pdf
January 01, 2011 - Effective Health Care
Topic Number: 0359
Document Completion Date: 11-21-11
1
Results of Topic Selection Process & Next Steps
Urinary retention will go forward for refinement as a systematic review. The scope of this topic,
including populations, interventions, comparators, and outcomes, wi…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/infectioncontrol.pdf
October 14, 2008 - Infection Control and Prevention
Infection Control and Prevention
A. Providing a sanitary environment
• All treatment-related areas, equipment and surfaces are kept free of blood, mold, and accumulation of dirt, dust
and other potentially infectious materials.
o Treatment-related areas include any area…
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effectivehealthcare.ahrq.gov/sites/default/files/gorman.pdf
January 01, 2009 - Gorman_Asynchronous
Slide 1: Response to: Wiki-‐enabled
Communication…
Mark Gorman
Director
oÆ Survivorship Policy
National Coalition
for Cancer Survivorship
Silver Spring,
MD
Slide 2: About NCCS
• Founded
in
1986
• Mission: Advocate for Quali…
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psnet.ahrq.gov/issue/canadian-incident-analysis-framework
December 04, 2016 - Book/Report
Canadian Incident Analysis Framework.
Citation Text:
Canadian Incident Analysis Framework. Incident Analysis Collaborating Parties. Edmonton, AB: Canadian Patient Safety Institute; 2012. ISBN: 9781926541440.
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psnet.ahrq.gov/issue/multifaceted-approach-improve-patient-safety-prevent-medical-errors-and-resolve-professional
June 12, 2008 - Commentary
A multifaceted approach to improve patient safety, prevent medical errors and resolve the professional liability crisis.
Citation Text:
Weinstein L. A multifacited approach to improve patient safety, prevent medical errors and resolve the professional liability crisis. Am J …
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psnet.ahrq.gov/issue/prescription-drug-monitoring-programs-evidence-based-practices-optimize-prescriber-use
September 19, 2018 - Book/Report
Prescription Drug Monitoring Programs: Evidence-based Practices to Optimize Prescriber Use.
Citation Text:
Prescription Drug Monitoring Programs: Evidence-based Practices to Optimize Prescriber Use. Philadelphia, PA: Pew Charitable Trusts and Institute for Behavioral Health, …
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psnet.ahrq.gov/issue/business-case-patient-safety
September 28, 2010 - Review
The business case for patient safety.
Citation Text:
Hwang RW, Herndon JH. The business case for patient safety. Clin Orthop Relat Res. 2007;457:21-34.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/issue/surgical-never-events-how-common-are-adverse-occurrences
November 16, 2022 - Commentary
Surgical 'never events': how common are adverse occurrences?
Citation Text:
West JC. Surgical ‘never events’: How common are adverse occurrences? Journal of Healthcare Risk Management. 2009;26(1). doi:10.1002/jhrm.5600260105.
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psnet.ahrq.gov/issue/poor-medication-history-plus-slow-symptom-onset-delays-diagnosis
October 12, 2022 - Commentary
Poor medication history plus slow symptom onset delays a diagnosis.
Citation Text:
Poor medication history plus slow symptom onset delays a diagnosis. Wilkin T, Hale LS, Claiborne RA. JAAPA. October 2009;22:39-41.
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psnet.ahrq.gov/issue/communicative-competence-international-nurses-and-patient-safety-and-quality-care
March 24, 2019 - Commentary
Communicative competence of international nurses and patient safety and quality of care.
Citation Text:
Xu Y. Communicative Competence of International Nurses and Patient Safety and Quality of Care. Home Health Care Manag Pract. 2008;20(5). doi:10.1177/1084822308316162.
Co…
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psnet.ahrq.gov/issue/gossypiboma-tales-lost-sponges-and-lessons-learned
March 24, 2021 - Study
Gossypiboma: tales of lost sponges and lessons learned.
Citation Text:
McIntyre LK. Gossypiboma. Archives of Surgery. 2010;145(8). doi:10.1001/archsurg.2010.152.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/published-literature-handoffs-hospitals-deficiencies-identified-extensive-review
March 07, 2012 - Review
The published literature on handoffs in hospitals: deficiencies identified in an extensive review.
Citation Text:
Cohen MD, Hilligoss B. The published literature on handoffs in hospitals: deficiencies identified in an extensive review. Qual Saf Health Care. 2010;19(6):493-7. doi…
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psnet.ahrq.gov/issue/effectiveness-computerized-system-intravenous-heparin-administration-using-information
February 27, 2009 - Study
Effectiveness of a computerized system for intravenous heparin administration: using information technology to improve patient care and patient safety.
Citation Text:
Oyen LJ, Nishimura RA, Ou NN, et al. Effectiveness of a computerized system for intravenous heparin administration…
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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/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/what-causes-near-misses-and-how-are-they-mitigated
April 16, 2008 - Study
What causes near-misses and how are they mitigated?
Citation Text:
Speroni KG, Fisher J, Dennis M, et al. What causes near-misses and how are they mitigated? Nursing (Brux). 2013;43(4):19-24. doi:10.1097/01.NURSE.0000427995.92553.ef.
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psnet.ahrq.gov/issue/time-get-pigs-back-human-factors-aspects-mismatch-between-device-and-real-world-knowledge
June 09, 2011 - Commentary
Time to get off this pig's back?: the human factors aspects of the mismatch between device and real-world knowledge in the health care environment.
Citation Text:
Nunnally M, Bitan Y. Time to Get Off this Pig's Back? J Patient Saf. 2008;2(3). doi:10.1097/01.jps.0000233827.90…
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psnet.ahrq.gov/issue/applying-toyota-production-system-using-patient-safety-alert-system-reduce-error
June 21, 2015 - Commentary
Applying the Toyota Production System: using a patient safety alert system to reduce error.
Citation Text:
Furman C, Caplan RA. Applying the Toyota Production System: using a patient safety alert system to reduce error. Jt Comm J Qual Patient Saf. 2007;33(7):376-386.
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