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psnet.ahrq.gov/issue/industry-automates-adverse-events-continue-haunt-caregivers
February 08, 2023 - Newspaper/Magazine Article
As industry automates, adverse events continue to haunt caregivers.
Citation Text:
Wetzel TG. As industry automates, adverse events haunt caregivers. Health data management. 2011;19(2):86, 88, 90 passim.
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psnet.ahrq.gov/issue/conspicuous-its-absence-diagnostic-expert-testing-under-uncertainty
February 28, 2024 - Commentary
Conspicuous by its absence: diagnostic expert testing under uncertainty.
Citation Text:
Dai T, Singh S. Conspicuous by Its absence: diagnostic expert testing under uncertainty. Market Sci. 2020;39(3):540-563. doi:10.1287/mksc.2019.1201.
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psnet.ahrq.gov/issue/why-do-hundreds-us-women-die-annually-childbirth
June 14, 2019 - Commentary
Why do hundreds of US women die annually in childbirth?
Citation Text:
Slomski A. Why Do Hundreds of US Women Die Annually in Childbirth? JAMA. 2019;321(13):1239-1241. doi:10.1001/jama.2019.0714.
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psnet.ahrq.gov/issue/adverse-drug-events-incidence-and-risk-reduction-across-care-continuum
April 12, 2019 - Image/Poster
ADVERSE drug events: incidence and risk reduction across the care continuum.
Citation Text:
Wanderer JP, Rathmell JP. ADVERSE Drug Events: Incidence & risk reduction across the care continuum. Anesthesiology. 2016;124(1):A23. doi:10.1097/01.anes.0000473722.20007.03.
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psnet.ahrq.gov/issue/guideline-implementation-team-communication
October 15, 2014 - Commentary
Guideline implementation: team communication.
Citation Text:
Link T. Guideline Implementation: Team Communication: 1.8 www.aornjournal.org/content/cme. AORN J. 2018;108(2):165-177. doi:10.1002/aorn.12300.
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psnet.ahrq.gov/issue/suboptimal-prescribing-elderly-outpatients-potentially-harmful-drug-drug-and-drug-disease
July 29, 2020 - Study
Suboptimal prescribing in elderly outpatients: potentially harmful drug-drug and drug-disease combinations.
Citation Text:
Zhan C, Correa-de-Araujo R, Bierman AS, et al. Suboptimal prescribing in elderly outpatients: potentially harmful drug-drug and drug-disease combinations. J A…
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psnet.ahrq.gov/perspective/becoming-patient-safety-organization
July 01, 2011 - Information can be reported by different areas in the hospital, and shed light on where events are occurring
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psnet.ahrq.gov/perspective/conversation-andrew-gettinger-md
September 01, 2017 - In Conversation With… Andrew Gettinger, MD
September 1, 2017
Also Read an Essay
Citation Text:
In Conversation With… Andrew Gettinger, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…
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psnet.ahrq.gov/perspective/conversation-hardeep-singh-md-mph
January 01, 2014 - In Conversation With… Hardeep Singh, MD, MPH
December 1, 2013
Also Read an Essay
Also Read an Essay
Citation Text:
In Conversation With… Hardeep Singh, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Heal…
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psnet.ahrq.gov/issue/those-found-responsible-have-been-sacked-some-observations-usefulness-error
September 28, 2010 - Commentary
“Those found responsible have been sacked”: some observations on the usefulness of error.
Citation Text:
Cook RI, Nemeth CP. “Those found responsible have been sacked”: some observations on the usefulness of error. Cogn Tech Work. 2010;12(2):87-93. doi:10.1007/s10111-010-0149-…
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psnet.ahrq.gov/issue/residents-reflections-quality-improvement-temporal-stability-and-associations-preventability
September 20, 2011 - Study
Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events.
Citation Text:
Wittich CM, Reed DA, Drefahl MM, et al. Residents' reflections on quality improvement: temporal stability and associations with preventab…
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psnet.ahrq.gov/issue/are-med-school-grads-prepared-practice-medicine
April 04, 2012 - Newspaper/Magazine Article
Are med school grads prepared to practice medicine?
Citation Text:
Angus S, Vu R, Halvorsen AJ, et al. What skills should new internal medicine interns have in july? A national survey of internal medicine residency program directors. Academic medicine : journal…
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psnet.ahrq.gov/issue/consequences-running-more-operating-theatres-anaesthetists-staff-them-stochastic-simulation
October 19, 2022 - Study
Consequences of running more operating theatres than anaesthetists to staff them: a stochastic simulation study.
Citation Text:
Paoletti X, Marty J. Consequences of running more operating theatres than anaesthetists to staff them: a stochastic simulation study. Br J Anaesth. 2007…
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psnet.ahrq.gov/issue/review-alternatives-root-cause-analysis-developing-robust-system-incident-report-analysis
November 14, 2018 - Review
Review of alternatives to root cause analysis: developing a robust system for incident report analysis.
Citation Text:
Hagley G, Mills PD, Watts B, et al. Review of alternatives to root cause analysis: developing a robust system for incident report analysis. BMJ Open Qual. 2019;8(…
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psnet.ahrq.gov/issue/accidental-iatrogenic-pneumothorax-hospitalized-patients
April 03, 2005 - Study
Accidental iatrogenic pneumothorax in hospitalized patients.
Citation Text:
Zhan C, Smith M, Stryer D. Accidental iatrogenic pneumothorax in hospitalized patients. Med Care. 2006;44(2):182-186.
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psnet.ahrq.gov/issue/surgical-count-process-prevention-retained-surgical-items-integrative-review
March 09, 2022 - Review
Surgical count process for prevention of retained surgical items: an integrative review.
Citation Text:
Freitas PS, Silveira RC de CP, Clark AM, et al. Surgical count process for prevention of retained surgical items: an integrative review. J Clin Nurs. 2016;25(13-14):1835-47. doi…
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psnet.ahrq.gov/issue/ambulance-stretcher-adverse-events
March 23, 2011 - Study
Ambulance stretcher adverse events.
Citation Text:
Wang HE, Weaver MD, Abo BN, et al. Ambulance stretcher adverse events. Qual Saf Health Care. 2009;18(3):213-216. doi:10.1136/qshc.2007.024562.
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psnet.ahrq.gov/issue/improving-patient-safety-and-optimizing-nursing-teamwork-using-crew-resource-management
March 13, 2013 - Study
Improving patient safety and optimizing nursing teamwork using crew resource management techniques.
Citation Text:
West P, Sculli GL, Fore AM, et al. Improving patient safety and optimizing nursing teamwork using crew resource management techniques. J Nurs Adm. 2012;42(1):15-20. do…
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psnet.ahrq.gov/issue/preventing-central-line-associated-bloodstream-infections-intensive-care-unit-application
March 10, 2010 - Commentary
Preventing central line–associated bloodstream infections in the intensive care unit: application of high-reliability principles.
Citation Text:
McCraw B, Crutcher T, Polancich S, et al. Preventing Central Line-Associated Bloodstream Infections in the Intensive Care Unit: Appl…
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psnet.ahrq.gov/issue/frequency-diagnostic-errors-radiologic-reports-depends-patients-age
March 09, 2022 - Study
The frequency of diagnostic errors in radiologic reports depends on the patient's age.
Citation Text:
Diaz S, Ekberg O. The frequency of diagnostic errors in radiologic reports depends on the patient's age. Acta Radiol. 2010;51(8):934-8. doi:10.3109/02841851.2010.503192.
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