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psnet.ahrq.gov/issue/national-report-findings-2016-issue-brief-no-2-patient-safety
November 18, 2020 - Book/Report
National Report of Findings 2016: Issue Brief No. 2: Patient Safety.
Citation Text:
National Report of Findings 2016: Issue Brief No. 2: Patient Safety. Clinical Learning Environment Review. Chicago, IL: Accreditation Council for Graduate Medical Education; 2016.
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psnet.ahrq.gov/issue/designing-decision-support-insulin-ordering-computerized-provider-order-entry-system
March 09, 2011 - Study
Designing decision support for insulin ordering in a computerized provider order entry system.
Citation Text:
Wright L, Feldott CC, Hargrove FR. Designing Decision Support for Insulin Ordering in a Computerized Provider Order Entry System. Hosp Pharm. 2010;42(2). doi:10.1310/hpj4…
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psnet.ahrq.gov/issue/patient-safety-systems-design-and-ergonomics
February 03, 2021 - Study
Patient safety, systems design and ergonomics.
Citation Text:
Buckle P, Clarkson PJ, Coleman R, et al. Patient safety, systems design and ergonomics. Appl Ergon. 2006;37(4):491-500. doi:10.1016/j.apergo.2006.04.016.
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psnet.ahrq.gov/issue/patient-safety-beyond-hospital
August 24, 2011 - Commentary
Patient safety beyond the hospital.
Citation Text:
Gandhi TK, Lee TH. Patient safety beyond the hospital. N Engl J Med. 2010;363(11):1001-3. doi:10.1056/NEJMp1003294.
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psnet.ahrq.gov/issue/dangerous-wrong-route-errors-tranexamic-acid
February 18, 2014 - Press Release/Announcement
Dangerous wrong-route errors with tranexamic acid.
Citation Text:
Dangerous wrong-route errors with tranexamic acid. National Alert Network for Serious Medication Errors. Bethesda, MD: American Society of Health-System Pharmacists and Institute for Safe Medicat…
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psnet.ahrq.gov/issue/using-ismp-medication-safety-self-assessment-improve-medication-use-processes
January 05, 2017 - Study
Using the ISMP Medication Safety Self-Assessment to improve medication use processes.
Citation Text:
Lesar TS, Mattis A, Anderson E, et al. Using the ISMP Medication Safety Self-Assessment to improve medication use processes. Jt Comm J Qual Saf. 2003;29(5):211-26.
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psnet.ahrq.gov/issue/quality-and-economic-impact-disruptive-behaviors-clinical-outcomes-patient-care
February 03, 2010 - Commentary
The quality and economic impact of disruptive behaviors on clinical outcomes of patient care.
Citation Text:
Rosenstein AH. The quality and economic impact of disruptive behaviors on clinical outcomes of patient care. Am J Med Qual. 2011;26(5):372-9. doi:10.1177/106286061140…
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psnet.ahrq.gov/issue/interruptions-healthcare-theoretical-views
September 24, 2016 - Review
Interruptions in healthcare: theoretical views.
Citation Text:
Grundgeiger T, Sanderson P. Interruptions in healthcare: theoretical views. Int J Med Inform. 2009;78(5):293-307. doi:10.1016/j.ijmedinf.2008.10.001.
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psnet.ahrq.gov/issue/josies-story-patient-safety-curriculum
July 24, 2019 - Toolkit
Josie's Story: A Patient Safety Curriculum.
Citation Text:
Josie's Story: A Patient Safety Curriculum. Kaprielian VS, Sullivan DT, eds. Chapel Hill, NC: Josie King Foundation; Duke University School of Medicine; 2013.
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psnet.ahrq.gov/issue/covid-19-bears-down-doctors-confront-difficult-choices-elective-surgeries
March 31, 2010 - Newspaper/Magazine Article
As COVID-19 bears down, doctors confront difficult choices on elective surgeries.
Citation Text:
As COVID-19 bears down, doctors confront difficult choices on elective surgeries. Alesse L, Dukakis A, Tatum S, Mosk M. ABC News. March 20, 2020.
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psnet.ahrq.gov/issue/when-diagnostic-testing-leads-harm-new-outcomes-based-approach-laboratory-medicine
September 12, 2018 - Commentary
When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine.
Citation Text:
Epner PL, Gans JE, Graber ML. When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine. BMJ Qual Saf. 2013;22 Suppl 2:ii6-ii10. d…
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psnet.ahrq.gov/issue/airway-carts-systems-based-approach-airway-safety
July 21, 2010 - Study
Airway carts: a systems-based approach to airway safety.
Citation Text:
Kane BG, Bond WF, Worrilow CC, et al. Airway Carts. J Patient Saf. 2008;2(3). doi:10.1097/01.jps.0000242995.09037.07.
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psnet.ahrq.gov/issue/ahrq-safety-program-methicillin-resistant-staphylococcus-aureus-prevention-request-proposal
June 16, 2021 - Press Release/Announcement
AHRQ Safety Program for Methicillin-Resistant Staphylococcus Aureus Prevention. Request for Proposal Comment.
Citation Text:
AHRQ Safety Program for Methicillin-Resistant Staphylococcus Aureus Prevention. Request for Proposal Comment. Agency for Healthcare Rese…
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psnet.ahrq.gov/issue/what-constitutes-effective-team-communication-after-error
September 23, 2020 - Commentary
What constitutes effective team communication after an error?
Citation Text:
Hart WM, Doerr P, Qian Y, et al. What constitutes effective team communication after an error? AMA J Ethics. 2020;22(4):E298-E304. doi:10.1001/amajethics.2020.298.
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psnet.ahrq.gov/issue/eau-policy-live-surgery-events
December 29, 2014 - Review
EAU policy on live surgery events.
Citation Text:
Artibani W, Ficarra V, Challacombe BJ, et al. EAU policy on live surgery events. Eur Urol. 2014;66(1):87-97. doi:10.1016/j.eururo.2014.01.028.
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psnet.ahrq.gov/issue/management-patient-latex-allergy
June 21, 2017 - Commentary
Management of a patient with a latex allergy.
Citation Text:
Minami CA, Barnard C, Bilimoria KY. Management of a Patient With a Latex Allergy. JAMA. 2017;317(3):309-310. doi:10.1001/jama.2016.20034.
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psnet.ahrq.gov/issue/customer-focused-incident-monitoring-anaesthesia
April 24, 2018 - Study
Customer focused incident monitoring in anaesthesia.
Citation Text:
Khan FA, Khimani S. Customer focused incident monitoring in anaesthesia. Anaesthesia. 2007;62(6):586-90.
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psnet.ahrq.gov/issue/inside-preventable-deaths-happened-within-prominent-transplant-center
May 02, 2018 - Newspaper/Magazine Article
Inside the preventable deaths that happened within a prominent transplant center.
Citation Text:
Inside the preventable deaths that happened within a prominent transplant center. Blau M. ProPublica. June 14, 2023.
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psnet.ahrq.gov/issue/endometriosis-affects-1-out-10-women-me-yet-it-often-takes-decade-get-diagnosed
May 05, 2021 - Newspaper/Magazine Article
Endometriosis affects 1 out of 10 women like me. Yet it often takes a decade to get diagnosed.
Citation Text:
Endometriosis affects 1 out of 10 women like me. Yet it often takes a decade to get diagnosed. Peikoff L. NBC News. March 31, 2021.
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psnet.ahrq.gov/issue/missed-injuries-trauma-patients-literature-review
April 01, 2009 - Review
Missed injuries in trauma patients: a literature review.
Citation Text:
Pfeifer R, Pape H-C. Missed injuries in trauma patients: A literature review. Patient Saf Surg. 2008;2:20. doi:10.1186/1754-9493-2-20.
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