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psnet.ahrq.gov/issue/sedation-and-patient-safety
August 28, 2024 - Commentary
Sedation and patient safety.
Citation Text:
Simmons D. Sedation and Patient Safety. Crit Care Nurs Clin North Am. 2007;17(3). doi:10.1016/j.ccell.2005.04.009.
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psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-corrective-action
November 27, 2018 - Book/Report
Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events.
Citation Text:
Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. Oakbroo…
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psnet.ahrq.gov/issue/department-defense-health-care-quality
February 11, 2025 - Book/Report
Department of Defense Health Care Quality.
Citation Text:
Department of Defense Health Care Quality. Washington DC: Office of the Assistant Secretary of Defense; Tricare Management Activity: 2011.
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psnet.ahrq.gov/issue/physician-resiliency-and-wellness-transforming-health-system
November 23, 2024 - Commentary
Physician resiliency and wellness for transforming a health system.
Citation Text:
Physician resiliency and wellness for transforming a health system. Armato CS, Jenike TE. NEJM Catalyst. May 2, 2018.
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psnet.ahrq.gov/issue/fault-trees-uncover-complex-causes
March 01, 2007 - Newspaper/Magazine Article
Fault trees uncover complex causes.
Citation Text:
Spath P. Fault trees uncover complex causes. Hospital peer review. 2007;32(4):49-52.
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psnet.ahrq.gov/issue/sorry-works-20-disclosure-apology-and-relationships-prevent-medical-malpractice-claims
November 30, 2007 - Book/Report
Sorry Works! 2.0: Disclosure, Apology, and Relationships Prevent Medical Malpractice Claims.
Citation Text:
Sorry Works! 2.0: Disclosure, Apology, and Relationships Prevent Medical Malpractice Claims. Wojcieszak D, Saxton JW, Finkelstein MM. Bloomington, IN: AuthorHouse; …
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psnet.ahrq.gov/issue/building-high-reliability-organization-one-systems-patient-safety-journey
November 23, 2005 - Commentary
Building a high-reliability organization: one system's patient safety journey.
Citation Text:
Building a high-reliability organization: one system's patient safety journey. J Healthc Manag. 2017;62.
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psnet.ahrq.gov/issue/teamstepps-patient-safety-tool-needs-be-implemented
February 14, 2024 - Commentary
TeamSTEPPS: the patient safety tool that needs to be implemented.
Citation Text:
Clapper TC, Kong M. TeamSTEPPS®: The Patient Safety Tool That Needs to Be Implemented. Clin Simul Nurs. 2011;8(8). doi:10.1016/j.ecns.2011.03.002.
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psnet.ahrq.gov/issue/error-reporting-preventive-force
June 11, 2014 - Commentary
Error reporting as a preventive force.
Citation Text:
Simpson RL. Error reporting as a preventive force. Nurs Manage. 2005;36(6):21-24, 56.
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psnet.ahrq.gov/issue/art-apology-when-and-how-seek-forgiveness
May 17, 2023 - Commentary
The art of apology: when and how to seek forgiveness.
Citation Text:
The art of apology: when and how to seek forgiveness. Roberts RG. Fam Pract Manag. 2007;14(7):44-49.
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psnet.ahrq.gov/issue/non-operating-room-anesthesia-challenges
November 28, 2018 - Newspaper/Magazine Article
Non–operating room anesthesia challenges.
Citation Text:
Non–operating room anesthesia challenges. Smith MJ. Anesthesiology News. June 6, 2023.
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psnet.ahrq.gov/issue/medication-errors
August 21, 2018 - Commentary
Medication errors.
Citation Text:
Medication errors. Hartigan-Go K. Int J Risk Safety Med. 2006;18(3):181-186.
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psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
March 09, 2022 - SPOTLIGHT CASE
Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis
Citation Text:
Castillo JA, Price R, Kim KD. Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis. PSNet [internet]. …
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psnet.ahrq.gov/perspective/workplace-safety-health-care
January 01, 2017 - Managing the Work
After completing their analyses and implementing some improvements, Job Safety Behavioral
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psnet.ahrq.gov/perspective/conversation-paul-h-oneill-mpa
January 01, 2017 - Managing the Work
After completing their analyses and implementing some improvements, Job Safety Behavioral
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psnet.ahrq.gov/node/48053/psn-pdf
July 17, 2019 - Review of medication errors that are new or likely to
occur more frequently with electronic medication
management systems.
July 17, 2019
Van de Vreede M, McGrath A, de Clifford J. Review of medication errors that are new or likely to occur
more frequently with electronic medication management systems. Aust Health …
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psnet.ahrq.gov/node/45474/psn-pdf
October 29, 2017 - Evaluation of electronic health record implementation on
pharmacist interventions related to oral chemotherapy
management.
October 29, 2017
Finn A, Bondarenka C, Edwards K, et al. Evaluation of electronic health record implementation on
pharmacist interventions related to oral chemotherapy management. J Oncol Phar…
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psnet.ahrq.gov/node/47698/psn-pdf
April 03, 2019 - Bringing perioperative emergency manuals to your
institution: a "How To" from concept to implementation in
10 steps.
April 3, 2019
Agarwala A, McRichards K, Rao V, et al. Bringing Perioperative Emergency Manuals to Your Institution: A
"How To" from Concept to Implementation in 10 Steps. Jt Comm J Qual Patient Saf.…
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psnet.ahrq.gov/node/838922/psn-pdf
October 26, 2022 - Effect of pharmacist email alerts on concurrent
prescribing of opioids and benzodiazepines by
prescribers and primary care managers: a randomized
clinical trial.
October 26, 2022
Sacarny A, Safran E, Steffel M, et al. Effect of pharmacist email alerts on concurrent prescribing of opioids
and benzodiazepines by pr…
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psnet.ahrq.gov/node/47869/psn-pdf
April 17, 2019 - Minimizing Opioid Prescribing in Surgery (MOPiS)
initiative: an analysis of implementation barriers.
April 17, 2019
Coughlin JM, Shallcross ML, Schäfer WLA, et al. Minimizing Opioid Prescribing in Surgery (MOPiS)
Initiative: An Analysis of Implementation Barriers. J Surg Res. 2019;239:309-319.
doi:10.1016/j.jss.20…