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psnet.ahrq.gov/issue/heartbroken
January 17, 2024 - Newspaper/Magazine Article
Heartbroken.
Citation Text:
Heartbroken. McGrory K, Bedi N. Tampa Bay Times. November 28, 2018.
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psnet.ahrq.gov/issue/development-patient-safety-web-based-education-curriculum-physicians-nurses-and-patients
March 29, 2023 - Commentary
Development of a patient safety web-based education curriculum for physicians, nurses, and patients.
Citation Text:
Development of a patient safety web-based education curriculum for physicians, nurses, and patients. Hendee WR, Keating-Christensen C, Loh YH. J Patient Saf.…
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www.ahrq.gov/evidencenow/model/profiles/burke.html
March 01, 2021 - A One-Stop Shop for Health Care in Suburban North Carolina
"We're kind of like a mini hospital," explains Ms. May Thao, patient care coordinator at Burke Primary Care, a comprehensive family practice that offers a wide range of health care services at the foothills of the Blue Ridge Mountains in Morgantown, Nor…
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psnet.ahrq.gov/issue/patient-safety-break-silence
October 19, 2022 - Commentary
Patient safety: break the silence.
Citation Text:
Johnson HL, Kimsey D. Patient safety: break the silence. AORN J. 2012;95(5):591-601. doi:10.1016/j.aorn.2012.03.002.
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psnet.ahrq.gov/issue/high-cost-retained-surgical-items
February 22, 2023 - Newspaper/Magazine Article
The high cost of retained surgical items.
Citation Text:
The high cost of retained surgical items. Moorehead LD. Outpatient Surgery. April 5, 2023.
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psnet.ahrq.gov/issue/perioperative-handoffs
October 04, 2017 - Special or Theme Issue
Perioperative Handoffs.
Citation Text:
Perioperative Handoffs. Abraham J, Rosen M, Greilich PE eds. Jt Comm J Qual Patient Saf. 2023;49(8):341-434.
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psnet.ahrq.gov/issue/normalization-deviance-what-are-perioperative-risks
July 15, 2020 - Commentary
The normalization of deviance: what are the perioperative risks?
Citation Text:
McNamara SA. The normalization of deviance: what are the perioperative risks? AORN J. 2011;93(6):796-801. doi:10.1016/j.aorn.2011.02.009.
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psnet.ahrq.gov/issue/medical-error-and-moral-luck
October 02, 2024 - Commentary
Medical error and moral luck.
Citation Text:
Allhoff F. Medical Error and Moral Luck. Kennedy Inst Ethics J. 2019;29(3):187-203. doi:10.1353/ken.2019.0022.
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psnet.ahrq.gov/issue/err-human-quality-and-safety-issues-spine-care
August 04, 2021 - Commentary
To err is human: quality and safety issues in spine care.
Citation Text:
Wong DA, Watters WC. To err is human: quality and safety issues in spine care. Spine (Phila Pa 1976). 2007;32(11 Suppl):S2-8.
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www.ahrq.gov/news/newsroom/case-studies/ktcquips32.html
October 01, 2014 - North Dakota Critical Access Hospitals Use AHRQ TeamSTEPPS® to Improve Patient Safety
Search All Impact Case Studies
January 2010
The University of Nebraska Medical Center customized the Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS®) curriculum for use in critical access h…
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psnet.ahrq.gov/issue/competent-surgeon-individual-accountability-era-systems-failure
May 30, 2014 - Commentary
The competent surgeon: individual accountability in the era of "systems" failure.
Citation Text:
Whittemore A. The competent surgeon: individual accountability in the era of "systems" failure. Ann Surg. 2009;250(3):357-62. doi:10.1097/SLA.0b013e3181b28c93.
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psnet.ahrq.gov/issue/necessity-good-surgical-history-detection-gossypiboma
September 07, 2016 - Commentary
Necessity of a good surgical history: detection of a gossypiboma.
Citation Text:
Coleman JA, Wolfgang CL. Necessity of a Good Surgical History: Detection of a Gossypiboma. The Journal for Nurse Practitioners. 2013;9(5). doi:10.1016/j.nurpra.2013.02.021.
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psnet.ahrq.gov/issue/apsf-endorsed-statement-revising-recommendations-patient-monitoring-during-anesthesia
July 25, 2018 - Organizational Policy/Guidelines
APSF endorsed statement on revising recommendations for patient monitoring during anesthesia.
Citation Text:
APSF endorsed statement on revising recommendations for patient monitoring during anesthesia. The APSF Committee on Technology. APSF Newsletter.&n…
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psnet.ahrq.gov/issue/employee-discipline-solution-patient-safety
September 15, 2011 - Commentary
Is employee discipline the solution for patient safety?
Citation Text:
Mace KA. Is employee discipline the solution for patient safety? Nurs Manag. 2005;36(12):57-59.
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psnet.ahrq.gov/issue/pathologists-patients-and-diagnostic-errors-part-1-and-part-2
August 08, 2012 - Newspaper/Magazine Article
Pathologists, patients and diagnostic errors—part 1 and part 2.
Citation Text:
Pathologists, patients and diagnostic errors—part 1 and part 2. Miller N.
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psnet.ahrq.gov/issue/avoid-punitive-approach-your-safety-event-reporting
October 23, 2019 - Newspaper/Magazine Article
Avoid punitive approach to your safety event reporting,
Citation Text:
Avoid punitive approach to your safety event reporting, Cheney C. HealthLeaders. September 4, 2020.
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psnet.ahrq.gov/issue/during-flight-emergencies-sometimes-airlines-medical-kits-fall-short
January 25, 2023 - Newspaper/Magazine Article
During in-flight emergencies, sometimes airlines’ medical kits fall short.
Citation Text:
During in-flight emergencies, sometimes airlines’ medical kits fall short. Ramachandran V. Kaiser Health News. January 6, 2023.
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psnet.ahrq.gov/issue/anesthesia-outside-or-cause-patient-safety-concerns
May 25, 2022 - Newspaper/Magazine Article
Anesthesia outside of the OR: cause for patient safety concerns?
Citation Text:
Anesthesia outside of the OR: cause for patient safety concerns? DePeau-Wilson M. MedPage Today. January 13, 2023.
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psnet.ahrq.gov/issue/bleeding-and-pain-pregnant-woman-louisiana-couldnt-get-answers
January 18, 2023 - Newspaper/Magazine Article
Bleeding and in pain, a pregnant woman in Louisiana couldn’t get answers.
Citation Text:
Bleeding and in pain, a pregnant woman in Louisiana couldn’t get answers. Westwood R. Kaiser Health News. January 12, 2023.
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meps.ahrq.gov/about_meps/index_policymaker.jsp
Medical Expenditure Panel Survey Policymaker Information
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