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psnet.ahrq.gov/issue/mistreatment-health-care-among-women-appalachia
October 04, 2023 - Study
Mistreatment in health care among women in Appalachia.
Citation Text:
Alspaugh A, Swan LET, Auerbach SL, et al. Mistreatment in health care among women in Appalachia. Cult Health Sex. 2023;25(12):1690-1706. doi:10.1080/13691058.2023.2176547.
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psnet.ahrq.gov/issue/structuring-feedback-and-debriefing-achieve-mastery-learning-goals
September 02, 2020 - Study
Structuring feedback and debriefing to achieve mastery learning goals.
Citation Text:
Eppich W, Hunt EA, Duval-Arnould JM, et al. Structuring feedback and debriefing to achieve mastery learning goals. Acad Med. 2015;90(11):1501-8. doi:10.1097/ACM.0000000000000934.
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psnet.ahrq.gov/issue/comparison-medication-safety-systems-critical-access-hospitals-combined-analysis-two-studies
September 28, 2016 - Study
Comparison of medication safety systems in critical access hospitals: combined analysis of two studies.
Citation Text:
Cochran GL, Barrett RS, Horn SD. Comparison of medication safety systems in critical access hospitals: Combined analysis of two studies. Am J Health Syst Pharm. 20…
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psnet.ahrq.gov/issue/usability-and-accessibility-publicly-available-patient-safety-databases
May 12, 2021 - Study
Usability and accessibility of publicly available patient safety databases.
Citation Text:
Sheehan JG, Howe JL, Fong A, et al. Usability and accessibility of publicly available patient safety databases. J Patient Saf. 2022;18(6):565-569. doi:10.1097/pts.0000000000001018.
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psnet.ahrq.gov/issue/integrating-patient-safety-and-clinical-pharmacy-services-care-high-risk-ambulatory
April 08, 2020 - Study
Integrating patient safety and clinical pharmacy services into the care of a high-risk, ambulatory population: a collaborative approach.
Citation Text:
Robbins CM, Stillwell T, Johnson D, et al. Integrating Patient Safety and Clinical Pharmacy Services Into the Care of a High-Ris…
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psnet.ahrq.gov/issue/normal-accidents-living-high-risk-technologies
March 06, 2005 - Book/Report
Classic
Normal Accidents: Living with High-Risk Technologies.
Citation Text:
Normal Accidents: Living with High-Risk Technologies. Perrow C. Princeton NJ: Princeton University Press; 1999.
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psnet.ahrq.gov/issue/errors-and-omissions-hospital-prescriptions-survey-prescription-writing-hospital
April 13, 2022 - Study
Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital.
Citation Text:
Calligaris L, Panzera A, Arnoldo L, et al. Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital. BMC Clin Pharmacol. 2009;9:9. d…
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psnet.ahrq.gov/issue/multidisciplinary-approach-inpatient-medication-reconciliation-academic-setting
January 05, 2017 - Study
Multidisciplinary approach to inpatient medication reconciliation in an academic setting.
Citation Text:
Varkey P, Cunningham J, O'Meara J, et al. Multidisciplinary approach to inpatient medication reconciliation in an academic setting. Am J Health Syst Pharm. 2007;64(8):850-4.
…
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psnet.ahrq.gov/issue/identification-families-pediatric-adverse-events-and-near-misses-overlooked-health-care
November 23, 2016 - Study
Identification by families of pediatric adverse events and near misses overlooked by health care providers.
Citation Text:
Daniels JP, Hunc K, Cochrane D, et al. Identification by families of pediatric adverse events and near misses overlooked by health care providers. CMAJ. 2012…
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psnet.ahrq.gov/issue/inappropriate-medication-use-elderly-results-quality-improvement-project-99-primary-care
January 18, 2013 - Study
Inappropriate medication use in the elderly: results from a quality improvement project in 99 primary care practices.
Citation Text:
Wessell AM, Nietert PJ, Jenkins RG, et al. Inappropriate medication use in the elderly: Results from a quality improvement project in 99 primary ca…
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psnet.ahrq.gov/issue/surgical-team-training-northwestern-memorial-hospital-experience
March 03, 2011 - Study
Surgical team training: the Northwestern Memorial Hospital experience.
Citation Text:
Halverson AL, Andersson JL, Anderson K, et al. Surgical team training: the Northwestern Memorial Hospital experience. Arch Surg. 2009;144(2):107-12. doi:10.1001/archsurg.2008.545.
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psnet.ahrq.gov/issue/safe-implementation-standard-concentration-infusions-paediatric-intensive-care
June 17, 2014 - Study
Safe implementation of standard concentration infusions in paediatric intensive care.
Citation Text:
Arenas-López S, Stanley IM, Tunstell P, et al. Safe implementation of standard concentration infusions in paediatric intensive care. Journal of Pharmacy and Pharmacology. 2016;69(5)…
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psnet.ahrq.gov/issue/guideline-opioid-therapy-and-chronic-noncancer-pain
June 17, 2014 - Review
Guideline for opioid therapy and chronic noncancer pain.
Citation Text:
Busse JW, Craigie S, Juurlink DN, et al. Guideline for opioid therapy and chronic noncancer pain. CMAJ. 2017;189(18):E659-E666. doi:10.1503/cmaj.170363.
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psnet.ahrq.gov/issue/eleven-basic-procedurespractices-dental-patient-safety
March 27, 2013 - Commentary
Eleven basic procedures/practices for dental patient safety.
Citation Text:
Perea-Pérez B, Labajo-González E, Acosta-Gío AE, et al. Eleven basic procedures/practices for dental patient safety. J Patient Saf. 2020;16(1). doi:10.1097/pts.0000000000000234.
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psnet.ahrq.gov/issue/current-surgical-instrument-labeling-techniques-may-increase-risk-unintentionally-retained
February 08, 2012 - Commentary
Current surgical instrument labeling techniques may increase the risk of unintentionally retained foreign objects: a hypothesis.
Citation Text:
Ipaktchi K, Kolnik A, Messina M, et al. Current surgical instrument labeling techniques may increase the risk of unintentionally ret…
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psnet.ahrq.gov/node/33654/psn-pdf
August 01, 2007 - father of three, admitted with pancreatitis, who developed a central line infection and
wound up in a nursing … home with a tracheotomy.
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psnet.ahrq.gov/node/72834/psn-pdf
March 10, 2021 - Approach to Improving Patient Safety: Communication
March 10, 2021
Schnipper JL, Fitall E, Hall KK, et al. Approach to Improving Patient Safety: Communication . PSNet
[internet]. 2021.
https://psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication
Introduction
Each one of the countless necessa…
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psnet.ahrq.gov/node/49568/psn-pdf
September 01, 2008 - Failure to Latch
September 1, 2008
Rodriguez M, Mannel R, Frye DR. Failure to Latch. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/failure-latch
The Case
The patient is a full-term, 8.5-pound, healthy infant whose parents were strongly committed to
breastfeeding exclusively for 6 months. However, early br…
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psnet.ahrq.gov/web-mm/dont-push
March 02, 2011 - Don't Push
Citation Text:
Meltzer HY. Don't Push. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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psnet.ahrq.gov/web-mm/fire-hole-or-fire
August 03, 2017 - Fire in the Hole!—An OR Fire
Citation Text:
Mehta SP, Domino KM. Fire in the Hole!—An OR Fire. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…