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psnet.ahrq.gov/issue/when-bone-flap-hits-floor
March 12, 2025 - Study
When the bone flap hits the floor.
Citation Text:
Jankowitz BT, Kondziolka DS. When the bone flap hits the floor. Neurosurgery. 2006;59(3):585-90; discussion 585-90.
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psnet.ahrq.gov/issue/interview-audrey-nelson-interviewed-steven-berman
January 19, 2022 - Commentary
An interview with Audrey Nelson. Interviewed by Steven Berman.
Citation Text:
Nelson AL. An interview with Audrey Nelson. Interviewed by Steven Berman. Jt Comm J Qual Patient Saf. 2005;31(12):665-670.
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psnet.ahrq.gov/issue/classification-antecedents-towards-safety-use-health-information-technology-systematic-review
October 12, 2022 - Review
Classification of antecedents towards safety use of health information technology: a systematic review.
Citation Text:
Salahuddin L, Ismail Z. Classification of antecedents towards safety use of health information technology: A systematic review. Int J Med Inform. 2015;84(11):877-…
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psnet.ahrq.gov/issue/will-saying-im-sorry-prevent-malpractice-lawsuit
October 23, 2018 - Commentary
Will saying "I'm sorry" prevent a malpractice lawsuit?
Citation Text:
Berlin L. Will Saying "I'm Sorry" Prevent a Malpractice Lawsuit? AJR Am J Roentgenol. 2006;187(1):10-5.
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psnet.ahrq.gov/issue/using-simulation-improve-systems-0
July 22, 2020 - Review
Using simulation to improve systems.
Citation Text:
Kearney JA, Deutsch ES. Using Simulation to Improve Systems. Otolaryngol Clin North Am. 2017;50(5):1015-1028. doi:10.1016/j.otc.2017.05.011.
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psnet.ahrq.gov/issue/impact-statewide-reporting-system-medication-error-reduction
December 16, 2011 - Study
Impact of a statewide reporting system on medication error reduction.
Citation Text:
Impact of a statewide reporting system on medication error reduction. Rask K; Hawley J; Davis A; Naylor D; Thorpe K.
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psnet.ahrq.gov/issue/white-blood-cell-left-shift-neonate-case-mistaken-identity
March 30, 2022 - Commentary
White blood cell left shift in a neonate: a case of mistaken identity.
Citation Text:
White blood cell left shift in a neonate: a case of mistaken identity. Mohamed IS; Wynn RJ; Cominsky K; Reynolds AM; Ryan RM; Kumar VH; Lakshminrusimha S.
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psnet.ahrq.gov/issue/focusing-health-care-safety
January 16, 2008 - Special or Theme Issue
Focusing on Health Care Safety.
Citation Text:
Focusing on Health Care Safety. IEEE Transactions on Systems, Man, and Cybernetics, Part A: Systems and Humans. 2004;34(601):689-778.
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psnet.ahrq.gov/issue/quality-indicators-detect-pre-analytical-errors-laboratory-testing
December 21, 2016 - Commentary
Quality indicators to detect pre-analytical errors in laboratory testing.
Citation Text:
Plebani M. Quality indicators to detect pre-analytical errors in laboratory testing. Clin Biochem Rev. 2012;33(3):85-8.
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psnet.ahrq.gov/issue/comprehensive-grassroots-model-statewide-safety-improvement
February 25, 2009 - Commentary
A comprehensive grassroots model for statewide safety improvement.
Citation Text:
Joshi MS, Kazandjian VA, Martin P, et al. A comprehensive grassroots model for statewide safety improvement. Jt Comm J Qual Patient Saf. 2005;31(12):671-677.
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psnet.ahrq.gov/issue/tolerating-uncertainty-next-medical-revolution
April 24, 2018 - Commentary
Tolerating uncertainty—the next medical revolution?
Citation Text:
Simpkin AL, Schwartzstein RM. Tolerating Uncertainty - The Next Medical Revolution? New Engl J Med. 2016;375(18):1713-1715.
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psnet.ahrq.gov/issue/technological-methods-used-prevent-errors-arent-infallible
January 05, 2017 - Newspaper/Magazine Article
Technological methods used to prevent errors aren't infallible.
Citation Text:
Santell JP. Technological methods used to prevent errors aren't infallible. Mater Manag Health Care. 2006;15(12):26-30.
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psnet.ahrq.gov/issue/surgical-count-practice-variability-and-potential-retained-surgical-items
October 20, 2010 - Commentary
Surgical count practice variability and the potential for retained surgical items.
Citation Text:
Edel EM. Surgical count practice variability and the potential for retained surgical items. AORN J. 2012;95(2):228-38. doi:10.1016/j.aorn.2011.02.014.
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psnet.ahrq.gov/issue/10-derm-mistakes-you-dont-want-make
March 26, 2008 - Commentary
10 derm mistakes you don't want to make.
Citation Text:
Fox GN. 10 derm mistakes you don't want to make. J Fam Pract. 2008;57(3):162-9.
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psnet.ahrq.gov/issue/your-patient-ready-go-home
November 08, 2023 - Newspaper/Magazine Article
Is your patient ready to go home?
Citation Text:
Hoenig LJ. Is your patient ready to go home? Medical economics. 2006;83(11):45-6.
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psnet.ahrq.gov/issue/selecting-quality-and-resource-use-measures-decision-guide-community-quality-collaboratives
November 17, 2010 - Government Resource
Selecting Quality and Resource Use Measures: A Decision Guide for Community Quality Collaboratives.
Citation Text:
Selecting Quality and Resource Use Measures: A Decision Guide for Community Quality Collaboratives. Romano PS, Hussey P, Ritley D. Rockville, MD:…
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psnet.ahrq.gov/issue/patient-and-family-advisory-councils-massachusetts-experience
December 19, 2012 - Newspaper/Magazine Article
Patient and family advisory councils. The Massachusetts experience.
Citation Text:
Patient and family advisory councils. The Massachusetts experience. Wachenheim D. Patient Saf Qual Healthc. December 8, 2015.
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psnet.ahrq.gov/issue/developing-principle-based-approach-safe-medication-practices
March 29, 2023 - Commentary
Developing a principle-based approach to safe medication practices.
Citation Text:
Developing a principle-based approach to safe medication practices. Hallaran A, McNabb A, Anderson J. J Nurs Reg. 2015;6:43-47.
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psnet.ahrq.gov/issue/10-ways-guarantee-lawsuit
February 10, 2021 - Newspaper/Magazine Article
10 ways to guarantee a lawsuit.
Citation Text:
Rice B. 10 ways to guarantee a lawsuit. Medical economics. 2005;82(13):66-9.
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psnet.ahrq.gov/issue/new-2012-national-patient-safety-goal-catheter-associated-urinary-tract-infection-cauti
February 28, 2018 - Organizational Policy/Guidelines
New 2012 National Patient Safety Goal - catheter-associated urinary tract infection (CAUTI).
Citation Text:
New 2012 National Patient Safety Goal - catheter-associated urinary tract infection (CAUTI). Joint Commission.
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