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psnet.ahrq.gov/node/46243/psn-pdf
June 05, 2019 - AHRQ Safety Program for Improving Surgical Care and
Recovery.
June 5, 2019
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/ahrq-safety-program-improving-surgical-care-and-recovery
Patients are vulnerable to harm after surgery. This program used methods from the Comprehensive Unit-
based S…
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psnet.ahrq.gov/node/47627/psn-pdf
January 16, 2019 - Safety of overlapping inpatient orthopaedic surgery: a
multicenter study.
January 16, 2019
Dy CJ, Osei DA, Maak TG, et al. Safety of Overlapping Inpatient Orthopaedic Surgery: A Multicenter Study.
J Bone Joint Surg Am. 2018;100(22):1902-1911. doi:10.2106/JBJS.17.01625.
https://psnet.ahrq.gov/issue/safety-overlappi…
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psnet.ahrq.gov/node/44782/psn-pdf
January 13, 2016 - The Swiss cheese model of adverse event
occurrence—closing the holes.
January 13, 2016
Stein JE, Heiss K. The Swiss cheese model of adverse event occurrence--Closing the holes. Semin Pediatr
Surg. 2015;24(6):278-82. doi:10.1053/j.sempedsurg.2015.08.003.
https://psnet.ahrq.gov/issue/swiss-cheese-model-adverse-event…
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psnet.ahrq.gov/node/44041/psn-pdf
April 01, 2015 - Potentially dangerous confusion between Bloxiverz
(neostigmine) injection and Vazculep (phenylephrine)
injection.
April 1, 2015
National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American
Society of Health-System Pharmacists. March 23, 2015
https://psnet.ahrq.gov/issue/pot…
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psnet.ahrq.gov/node/50867/psn-pdf
February 05, 2020 - Cognitive testing of older clinicians prior to
recredentialing.
February 5, 2020
Cooney L, Balcezak T. Cognitive Testing of Older Clinicians Prior to Recredentialing. JAMA.
2020;323(2):179-180. doi:10.1001/jama.2019.18665.
https://psnet.ahrq.gov/issue/cognitive-testing-older-clinicians-prior-recredentialing
In an…
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psnet.ahrq.gov/node/60004/psn-pdf
January 01, 2021 - Association of overlapping cardiac surgery with short-
term patient outcomes.
March 3, 2020
Glauser G, Goodrich S, McClintock SD, et al. Association of overlapping cardiac surgery with short-term
patient outcomes. J Thorac Cardiovasc Surg. 2021;162(1):155-164.e2. doi:10.1016/j.jtcvs.2019.11.136.
https://psnet.ahrq…
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psnet.ahrq.gov/node/47971/psn-pdf
June 14, 2019 - Evidence-based medicine: a cornerstone for clinical care
but not for quality improvement.
June 14, 2019
Mondoux S, Shojania KG. Evidence-based medicine: A cornerstone for clinical care but not for quality
improvement. J Eval Clin Pract. 2019;25(3):363-368. doi:10.1111/jep.13135.
https://psnet.ahrq.gov/issue/eviden…
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psnet.ahrq.gov/node/44540/psn-pdf
September 30, 2015 - The bare minimum: the reality of global anaesthesia and
patient safety.
September 30, 2015
McQueen K, Coonan T, Ottaway A, et al. The Bare Minimum: The Reality of Global Anaesthesia and
Patient Safety. World J Surg. 2015;39(9):2153-60. doi:10.1007/s00268-015-3101-x.
https://psnet.ahrq.gov/issue/bare-minimum-realit…
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psnet.ahrq.gov/node/45621/psn-pdf
November 09, 2016 - Impact of age on anaesthesiologists' competence: a
narrative review.
November 9, 2016
Giacalone M, Zaouter C, Mion S, et al. Impact of age on anaesthesiologists' competence: A narrative
review. Eur J Anaesthesiol. 2016;33(11):787-793.
https://psnet.ahrq.gov/issue/impact-age-anaesthesiologists-competence-narrative-…
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psnet.ahrq.gov/node/60567/psn-pdf
June 03, 2020 - Keeping Nursing Home Residents and Staff Safe in the
Era of COVID-19.
June 3, 2020
National Academy of Medicine. April-June 2020.
https://psnet.ahrq.gov/issue/keeping-nursing-home-residents-and-staff-safe-era-covid-19
Nursing homes are care environments that are particularly challenged by the COVID-19 pandemic. Th…
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psnet.ahrq.gov/node/44014/psn-pdf
March 20, 2019 - Patient Centered Medical Home Resource Center: Quality
and Safety.
March 20, 2019
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/patient-centered-medical-home-resource-center-quality-and-safety
The Patient Centered Medical Home (PCMH) concept reorganizes primary care services to ensure th…
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psnet.ahrq.gov/node/47048/psn-pdf
April 22, 2023 - National Prescription Drug Take Back Day.
April 16, 2023
Drug Enforcement Administration. April 22, 2023.
https://psnet.ahrq.gov/issue/national-prescription-drug-take-back-day
Removing unused medications from the home can help prevent accidental exposure to unneeded
medications and limit their availability for mis…
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psnet.ahrq.gov/node/866651/psn-pdf
September 04, 2024 - Diagnostic Stewardship as a Model to Improve the Quality
and Safety of Diagnosis.
September 4, 2024
Diagnostic Stewardship As A Model To Improve The Quality And Safety Of Diagnosis. Rockville, MD:
Agency for Healthcare Research and Quality; May 2024. AHRQ report no. 24-0010-6-EF
https://psnet.ahrq.gov/issue/diagno…
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psnet.ahrq.gov/node/34770/psn-pdf
April 17, 2017 - Clinical Risk Management. Enhancing Patient Safety. 2nd
ed.
April 17, 2017
Vincent CA, ed. London, UK: BMJ Books; 2001. ISBN: 9780727913920.
https://psnet.ahrq.gov/issue/clinical-risk-management-enhancing-patient-safety-2nd-ed
Vincent has updated his text on risk management, infusing it with concepts directly rela…
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psnet.ahrq.gov/node/46540/psn-pdf
August 08, 2018 - Preventing adverse events in cataract surgery:
recommendations from a Massachusetts expert panel.
August 8, 2018
Nanji KC, Roberto SA, Morley MG, et al. Preventing Adverse Events in Cataract Surgery:
Recommendations From a Massachusetts Expert Panel. Anesth Analg. 2018;126(5):1537-1547.
doi:10.1213/ANE.00000000000…
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psnet.ahrq.gov/node/38387/psn-pdf
February 04, 2009 - Obstetrician-gynecologists' opinions about patient safety:
costs and liability remain problems; are mandated reports
a solution?
February 4, 2009
Stumpf PG, Anderson B, Lawrence H, et al. Obstetrician-gynecologists' opinions about patient safety: costs
and liability remain problems; are mandated reports a solution…
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psnet.ahrq.gov/web-mm/troubling-amine
September 01, 2003 - A Troubling Amine
Citation Text:
Flynn EA. A Troubling Amine. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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psnet.ahrq.gov/web-mm/outbreak
January 29, 2015 - Outbreak
Citation Text:
Rothman R, Stapleton S. Outbreak. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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psnet.ahrq.gov/perspective/safety-retail-pharmacy
May 11, 2016 - Safety in the Retail Pharmacy
Michelle A. Chui, PharmD, PhD | October 1, 2018
View more articles from the same authors.
Citation Text:
Chui MA. Safety in the Retail Pharmacy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departme…
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psnet.ahrq.gov/web-mm/untimely-end-despite-end-life-care-planning
February 01, 2012 - An Untimely End Despite End-of-Life Care Planning
Citation Text:
Elia G, Barbour S, Anderson WG. An Untimely End Despite End-of-Life Care Planning. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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