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psnet.ahrq.gov/node/74200/psn-pdf
January 01, 2022 - Association of surgeon-patient sex concordance with
postoperative outcomes.
December 22, 2021
Wallis CJD, Jerath A, Coburn N, et al. Association of surgeon-patient sex concordance with postoperative
outcomes. JAMA Surg. 2022;157(2):146-156. doi:10.1001/jamasurg.2021.6339.
https://psnet.ahrq.gov/issue/association-s…
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psnet.ahrq.gov/node/33880/psn-pdf
May 01, 2019 - Safety in the Prehospital Emergency Medical Services
Setting
May 1, 2019
Patterson DP, Yealy DM. Safety in the Prehospital Emergency Medical Services Setting. PSNet [internet].
2019.
https://psnet.ahrq.gov/perspective/safety-prehospital-emergency-medical-services-setting
Perspective
Emergency medical services (E…
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psnet.ahrq.gov/node/49761/psn-pdf
May 01, 2016 - The Fluidity of Diagnostic "Wet Reads"
May 1, 2016
Lee CS, Hess CP. The Fluidity of Diagnostic "Wet Reads". PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/fluidity-diagnostic-wet-reads
The Case
A 64-year-old man with heavy tobacco use presented to the emergency department (ED) with chest pain.
His electroc…
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psnet.ahrq.gov/web-mm/rapid-mis-strep
February 01, 2004 - Rapid Mis-St(r)ep
Citation Text:
Kaplan EL. Rapid Mis-St(r)ep. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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…
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psnet.ahrq.gov/node/50843/psn-pdf
January 29, 2020 - Incomplete Orders for Hypertonic Saline to Treat
Hyponatremia
January 29, 2020
Wiegley N, Morfín JA. Incomplete Orders for Hypertonic Saline to Treat Hyponatremia. PSNet [internet].
2020.
https://psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia
The Case
A 54-year-old man was brought t…
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psnet.ahrq.gov/perspective/safety-culture-ems
May 26, 2021 - Hall, MD, MS
Managing Director, IMPAQ Health
IMPAQ International
Columbia, MD
Kate R.
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psnet.ahrq.gov/issue/ethical-challenges-child-abuse-what-harm-misdiagnosis
September 01, 2021 - Commentary
Ethical challenges in child abuse: what is the harm of a misdiagnosis?
Citation Text:
Brown SD. Ethical challenges in child abuse: what is the harm of a misdiagnosis? Pediatr Radiol. 2021;51(6):1070-1075. doi:10.1007/s00247-020-04845-4.
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psnet.ahrq.gov/issue/comparing-usability-and-reliability-generic-and-domain-specific-medical-error-taxonomy
June 29, 2011 - Study
Comparing the usability and reliability of a generic and a domain-specific medical error taxonomy.
Citation Text:
Taib IA, McIntosh AS, Caponecchia C, et al. Comparing the usability and reliability of a generic and a domain-specific medical error taxonomy. Saf Sci. 2012;50(9):1801…
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psnet.ahrq.gov/issue/cpoe-it-dont-come-easy
May 27, 2009 - Newspaper/Magazine Article
CPOE: it don't come easy.
Citation Text:
Anderson HJ. CPOE: it don't come easy. Health Data Manag. 2009;17(1):18-20, 22, 24 passim.
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psnet.ahrq.gov/issue/quality-care-cranial-implant-surgeries-james-haley-va-medical-center-tampa-florida
June 13, 2012 - Government Resource
Quality of Care in Cranial Implant Surgeries at James A. Haley VA Medical Center, Tampa, Florida.
Citation Text:
Quality of Care in Cranial Implant Surgeries at James A. Haley VA Medical Center, Tampa, Florida. Washington, DC: VA Office of Inspector General; April 1…
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psnet.ahrq.gov/issue/evaluation-inpatient-computerized-medication-reconciliation-system
February 15, 2011 - Study
Evaluation of an inpatient computerized medication reconciliation system.
Citation Text:
Turchin A, Hamann C, Schnipper JL, et al. Evaluation of an inpatient computerized medication reconciliation system. J Am Med Inform Assoc. 2008;15(4):449-52. doi:10.1197/jamia.M2561.
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psnet.ahrq.gov/issue/improved-obstetric-safety-through-programmatic-collaboration
September 23, 2020 - Commentary
Improved obstetric safety through programmatic collaboration.
Citation Text:
Goffman D, Brodman M, Friedman AJ, et al. Improved obstetric safety through programmatic collaboration. J Healthc Risk Manag. 2014;33(3):14-22. doi:10.1002/jhrm.21131.
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psnet.ahrq.gov/issue/improving-patient-safety-understanding-past-experiences-day-surgery-and-pacu
September 28, 2017 - Study
Improving patient safety by understanding past experiences in day surgery and PACU.
Citation Text:
Ross J, Ranum D. Improving patient safety by understanding past experiences in day surgery and PACU. J Perianesth Nurs. 2009;24(3):144-51. doi:10.1016/j.jopan.2009.03.001.
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psnet.ahrq.gov/issue/coaching-improve-quality-communication-during-briefings-and-debriefings
March 02, 2022 - Study
Coaching to improve the quality of communication during briefings and debriefings.
Citation Text:
Kleiner C, Link T, Maynard T, et al. Coaching to improve the quality of communication during briefings and debriefings. AORN J. 2014;100(4):358-68. doi:10.1016/j.aorn.2014.03.012.
Co…
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psnet.ahrq.gov/issue/what-about-doctors-impact-medical-errors
January 14, 2015 - Commentary
What about doctors? The impact of medical errors.
Citation Text:
Elwahab SA, Doherty E. What about doctors? The impact of medical errors. Surgeon. 2014;12(6):297-300. doi:10.1016/j.surge.2014.06.004.
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psnet.ahrq.gov/issue/critical-phase-distractions-anaesthesia-and-sterile-cockpit-concept
April 24, 2018 - Study
Critical phase distractions in anaesthesia and the sterile cockpit concept.
Citation Text:
Broom MA, Capek AL, Carachi P, et al. Critical phase distractions in anaesthesia and the sterile cockpit concept. Anaesthesia. 2011;66(3):175-179. doi:10.1111/j.1365-2044.2011.06623.x.
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psnet.ahrq.gov/issue/taking-closer-look-medication-errors-involve-oxytocin
July 18, 2018 - Newspaper/Magazine Article
Taking a closer look at medication errors that involve oxytocin.
Citation Text:
Taking a closer look at medication errors that involve oxytocin. ISMP Medication Safety Alert! Acute care edition. June 1, 2023; 28(11):1-6.
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psnet.ahrq.gov/issue/measures-and-measurement-high-performance-work-systems-health-care-settings-propositions
December 21, 2017 - Commentary
Measures and measurement of high-performance work systems in health care settings: propositions for improvement.
Citation Text:
Etchegaray J, St John C, Thomas EJ. Measures and measurement of high-performance work systems in health care settings: Propositions for improvement…
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psnet.ahrq.gov/issue/case-second-victim-support-program-pediatrics-successes-and-challenges-implementation
October 26, 2016 - Study
Case: a second victim support program in pediatrics: successes and challenges to implementation.
Citation Text:
Dukhanin V, Edrees HH, Connors CA, et al. Case: A Second Victim Support Program in Pediatrics: Successes and Challenges to Implementation. J Pediatr Nurs. 2018;41:54-59. …
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psnet.ahrq.gov/issue/tablet-splitting-common-yet-not-so-innocent-practice
August 31, 2022 - Study
Tablet-splitting: a common yet not so innocent practice.
Citation Text:
Verrue C, Mehuys E, Boussery K, et al. Tablet-splitting: a common yet not so innocent practice. J Adv Nurs. 2011;67(1):26-32. doi:10.1111/j.1365-2648.2010.05477.x.
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