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psnet.ahrq.gov/issue/preventing-adverse-events-cataract-surgery-recommendations-massachusetts-expert-panel
July 16, 2019 - Study
Preventing adverse events in cataract surgery: recommendations from a Massachusetts expert panel.
Citation Text:
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-…
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psnet.ahrq.gov/issue/failed-spinal-anaesthesia-mechanisms-management-and-prevention
August 04, 2021 - Review
Failed spinal anaesthesia: mechanisms, management, and prevention.
Citation Text:
Fettes PDW, Jansson J-R, Wildsmith JAW. Failed spinal anaesthesia: mechanisms, management, and prevention. Br J Anaesth. 2009;102(6):739-48. doi:10.1093/bja/aep096.
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psnet.ahrq.gov/issue/evaluation-medication-errors-pediatric-surgical-service-experience
March 02, 2011 - Study
An evaluation of medication errors—the pediatric surgical service experience.
Citation Text:
Engum SA, Breckler FD. An evaluation of medication errors-the pediatric surgical service experience. J Pediatr Surg. 2008;43(2):348-52. doi:10.1016/j.jpedsurg.2007.10.042.
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psnet.ahrq.gov/issue/medical-emergency-team-and-rapid-response-system-finding-treating-and-preventing-hypoglycemia
September 23, 2020 - Commentary
The medical emergency team and rapid response system: finding, treating, and preventing hypoglycemia.
Citation Text:
DiNardo M, Noschese M, Korytkowski M, et al. The medical emergency team and rapid response system: finding, treating, and preventing hypoglycemia. Jt Comm J Qua…
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psnet.ahrq.gov/issue/obstetrics-and-gynecologic-hospitalists-and-their-focus-impact-safety-and-quality-metrics
July 19, 2023 - Commentary
Obstetrics and gynecologic hospitalists and their focus: impact on safety and quality metrics.
Citation Text:
Gonzalez AK, Butler JR. Obstetrics and gynecologic hospitalists and their focus: impact on safety and quality metrics. Obstet Gynecol Clin North Am. 2024;51(3):453-461…
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psnet.ahrq.gov/issue/voluntary-review-quality-care-peer-review-patient-safety
February 04, 2009 - Commentary
Voluntary review of quality of care peer review for patient safety.
Citation Text:
Stumpf PG. Voluntary review of quality of care peer review for patient safety. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):557-64.
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psnet.ahrq.gov/issue/training-quality-and-safety-current-landscape
July 03, 2016 - Commentary
Training in quality and safety: the current landscape.
Citation Text:
Karasick AS, Nash DB. Training in quality and safety: the current landscape. Am J Med Qual. 2015;30(6):526-38. doi:10.1177/1062860614544194.
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psnet.ahrq.gov/issue/pursuit-perfection-hospitals-take-heightened-actions-reduce-adverse-events
November 18, 2020 - Newspaper/Magazine Article
The pursuit of perfection: hospitals take heightened actions to reduce adverse events.
Citation Text:
May EL. The pursuit of perfection: hospitals take heightened actions to reduce adverse events. Healthcare executive. 2012;27(2):26-8, 30-3.
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psnet.ahrq.gov/issue/factors-affecting-incident-reporting-registered-nurses-relationship-perceptions-environment
January 19, 2011 - Study
Factors affecting incident reporting by registered nurses: the relationship of perceptions of the environment for reporting errors, knowledge of the Nursing Practice Act, and demographics on intent to report errors.
Citation Text:
Throckmorton T, Etchegaray J. Factors affecting i…
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psnet.ahrq.gov/issue/applying-lean-methods-improve-quality-and-safety-surgical-sterile-instrument-processing
September 16, 2015 - Study
Applying Lean methods to improve quality and safety in surgical sterile instrument processing.
Citation Text:
Blackmore C, Bishop R, Luker S, et al. Applying lean methods to improve quality and safety in surgical sterile instrument processing. Jt Comm J Qual Patient Saf. 2013;39(…
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psnet.ahrq.gov/issue/why-it-so-hard-reduce-harm-medicines
April 28, 2021 - Commentary
Why is it so hard to reduce harm from medicines?
Citation Text:
Rochford A. Why is it so hard to reduce harm from medicines? Future Healthc J. 2024;11(4):100205. doi:10.1016/j.fhj.2024.100205.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote…
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psnet.ahrq.gov/issue/national-emergency-department-safety-study-study-rationale-and-design
June 16, 2009 - Commentary
The National Emergency Department Safety Study: study rationale and design.
Citation Text:
Sullivan AF, Camargo CA, Cleary PD, et al. The National Emergency Department Safety Study: Study Rationale and Design. Acad Emerg Med. 2007;14(12):1182-1189. doi:10.1197/j.aem.2007.07.…
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psnet.ahrq.gov/issue/advocate-health-care-systemwide-approach-quality-and-safety
July 19, 2023 - Commentary
Advocate Health Care: a systemwide approach to quality and safety.
Citation Text:
Willeumier D. Advocate health care: a systemwide approach to quality and safety. Jt Comm J Qual Patient Saf. 2004;30(10):559-566.
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psnet.ahrq.gov/issue/six-things-every-plastic-surgeon-needs-know-about-teamwork-training-and-checklists
September 07, 2016 - Image/Poster
Six things every plastic surgeon needs to know about teamwork training and checklists.
Citation Text:
Harden SW. Six things every plastic surgeon needs to know about teamwork training and checklists. Aesthet Surg J. 2013;33(3):443-8. doi:10.1177/1090820X13477417.
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psnet.ahrq.gov/issue/age-related-covid-19-vaccine-mix-ups
June 13, 2018 - Press Release/Announcement
Age-related COVID-19 vaccine mix-ups.
Citation Text:
Age-related COVID-19 vaccine mix-ups. National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American Society of Health-System Pharmacists. December 6, 2021.
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www.ahrq.gov/hai/tools/mrsa-prevention/surgery/key-strategies.html
April 01, 2025 - MRSA Prevention Toolkit: Targeting SSI
The Four Key Strategies of MRSA Prevention: Targeting SSI
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Table of Contents
MRSA Prevention Toolkit: Targeting SSI
The Four Key Strategies of MRSA Prevention: Targeting SSI
MRSA and SSI Prevention Phases
The Evidence for MRSA Decol…
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digital.ahrq.gov/health-care-theme/human-factors
January 01, 2023 - Human Factors
Artificial Intelligence and Human Factors in Healthcare Quality & Safety
Description
Using a conference model, this study convenes a multidisciplinary group of experts to explore the integration of human factors engineering approaches in the implementation of art…
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psnet.ahrq.gov/issue/thinking-threes-changing-surgical-patient-safety-practices-complex-modern-operating-room
April 28, 2021 - Commentary
Thinking in three's: changing surgical patient safety practices in the complex modern operating room.
Citation Text:
Gibbs VC. Thinking in three's: changing surgical patient safety practices in the complex modern operating room. World J Gastroenterol. 2012;18(46):6712-9. doi:…
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psnet.ahrq.gov/issue/teaching-patient-safety-global-health-lessons-duke-global-health-patient-safety-fellowship
October 08, 2013 - Commentary
Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship.
Citation Text:
Johnston BE, Lou-Meda R, Mendez S, et al. Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship. BMJ Glob H…
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psnet.ahrq.gov/issue/adverse-events-hospitals-patients-point-view
December 29, 2014 - Review
Adverse events in hospitals: the patient's point of view.
Citation Text:
Guijarro M, Andrés JMA, Mira JJ, et al. Adverse events in hospitals: the patient's point of view. Qual Saf Health Care. 2010;19(2):144-7. doi:10.1136/qshc.2007.025585.
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