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psnet.ahrq.gov/issue/creating-culture-safety-opioid-prescribing-handbook-healthcare-executives
May 01, 2023 - Toolkit
Creating a Culture of Safety for Opioid Prescribing: A Handbook for Healthcare Executives.
Citation Text:
Centers for Disease Control and Prevention (CDC); 2021. Creating a Culture of Safety for Opioid Prescribing: A Handbook for Healthcare Executives.
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psnet.ahrq.gov/issue/future-patient-and-family-engagement-quality-and-patient-safety
February 24, 2025 - Special or Theme Issue
The Future of Patient and Family Engagement in Quality and Patient Safety.
Citation Text:
The Future of Patient and Family Engagement in Quality and Patient Safety. Front Health Serv. 2024.
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psnet.ahrq.gov/web-mm/pregnant-danger
January 12, 2011 - Pregnant With Danger
Citation Text:
Pearlman MD, Desmond JS. Pregnant With Danger. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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psnet.ahrq.gov/node/74713/psn-pdf
January 26, 2022 - Patient Safety Events Involving Opioid Dose Stacking
January 26, 2022
Porras H, Lammers C. Patient Safety Events Involving Opioid Dose Stacking. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
Disclosure of Relevant Financial Relationships: As a provider ac…
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psnet.ahrq.gov/node/840174/psn-pdf
August 28, 2024 - Missed CANDOR Implementation Opportunities.
November 16, 2022
Schweitzer L. Missed CANDOR Implementation Opportunities. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
The Case
A 58-year-old man with a history of type 2 diabetes mellitus, hypertension, morbid obesit…
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psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
November 11, 2020 - Missed CANDOR Implementation Opportunities.
Citation Text:
Schweitzer L. Missed CANDOR Implementation Opportunities.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy
March 18, 2020 - When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy
Citation Text:
Do T, Scott FJ. When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024…
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psnet.ahrq.gov/issue/ensuring-correct-surgery
May 24, 2017 - Government Resource
Ensuring Correct Surgery.
Citation Text:
Ensuring Correct Surgery. National Center for Patient Safety; NCPS
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psnet.ahrq.gov/issue/drug-healthcare-and-patient-safety
June 06, 2012 - Newsletter/Journal
Drug, Healthcare and Patient Safety.
Citation Text:
Drug, Healthcare and Patient Safety. Aparasu R, ed. Princeton, NJ: Dove Press. ISSN: 1179-1365.
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psnet.ahrq.gov/issue/consumers-advancing-patient-safety
January 20, 2016 - Multi-use Website
Consumers Advancing Patient Safety.
Citation Text:
Consumers Advancing Patient Safety. 321 N Clark Street, Suite 500, Chicago, IL 60654. 312-445-6477
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psnet.ahrq.gov/issue/aorn-guidance-statement-do-not-use-abbreviations-acronyms-dosage-designations-and-symbols
November 26, 2024 - Commentary
AORN guidance statement: "do-not-use" abbreviations, acronyms, dosage designations, and symbols.
Citation Text:
AORN Guidance Statement: "do-not-use" abbreviations, acronyms, dosage designations, and symbols. AORN J. 2006;84(3):489-92.
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psnet.ahrq.gov/issue/aorn-position-statement-criminalization-human-errors-perioperative-setting
May 01, 2022 - Organizational Policy/Guidelines
AORN Position Statement on Criminalization of Human Errors in the Perioperative Setting.
Citation Text:
AORN Position Statement on Criminalization of Human Errors in the Perioperative Setting. AORN J. 2018;108(1):64-65. doi:10.1002/aorn.12292.
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psnet.ahrq.gov/node/840173/psn-pdf
November 16, 2022 - Catching those who fall through the cracks: integrating a
follow-up process for emergency department patients
with incidental radiologic findings.
November 16, 2022
Barrett TW, Garland NM, Freeman CL, et al. Ann Emerg Med. 2022;80(3):235-242.
https://psnet.ahrq.gov/innovation/catching-those-who-fall-thr…
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psnet.ahrq.gov/issue/diagnostic-errors
March 21, 2024 - Review
Diagnostic errors.
Citation Text:
Diagnostic errors. Raffel K, Ranji S. UpToDate. February 8, 2024.
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psnet.ahrq.gov/issue/national-center-human-factors-engineering-healthcare
January 15, 2020 - Multi-use Website
The National Center for Human Factors Engineering in Healthcare.
Citation Text:
The National Center for Human Factors Engineering in Healthcare. MedStar Health.
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psnet.ahrq.gov/issue/risk-factors-associated-incorrect-surgical-counts
October 20, 2010 - Study
Risk factors associated with incorrect surgical counts.
Citation Text:
Rowlands A. Risk factors associated with incorrect surgical counts. AORN J. 2012;96(3):272-84. doi:10.1016/j.aorn.2012.06.012.
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psnet.ahrq.gov/issue/critical-thinking
August 22, 2007 - Special or Theme Issue
Critical Thinking.
Citation Text:
Critical Thinking. Theor Issues Ergon Sci. 2011;12:204-272.
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psnet.ahrq.gov/issue/when-doctors-make-mistakes-1
May 01, 2013 - Newspaper/Magazine Article
When doctors make mistakes.
Citation Text:
When doctors make mistakes. Chen PW.
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psnet.ahrq.gov/issue/how-make-surgery-safer
August 17, 2016 - Newspaper/Magazine Article
How to make surgery safer.
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February 25, 2015
View more articles from the same authors.
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psnet.ahrq.gov/issue/anesthesia-awareness-registry
May 24, 2015 - Multi-use Website
Anesthesia Awareness Registry.
Citation Text:
Anesthesia Awareness Registry. American Society of Anesthesiologists, University of Washington.
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