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psnet.ahrq.gov/issue/quality-and-safety-surgical-care
August 26, 2011 - Commentary
Quality and safety in surgical care.
Citation Text:
Polk HC, Birkmeyer JD, Hunt D, et al. Quality and safety in surgical care. Ann Surg. 2006;243(4):439-48.
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psnet.ahrq.gov/issue/how-collective-design-triumphed-over-competition-fight-against-hais
February 05, 2019 - Book/Report
How Collective Design Triumphed Over Competition in the Fight Against HAIs.
Citation Text:
How Collective Design Triumphed Over Competition in the Fight Against HAIs. Wilson T. St Louis, MO; Facilities Guidelines Institute; 2020.
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psnet.ahrq.gov/issue/renewal-surgical-quality-and-safety-initiatives-multispecialty-challenge
March 03, 2011 - Commentary
Renewal of surgical quality and safety initiatives: a multispecialty challenge.
Citation Text:
Polk HC. Renewal of surgical quality and safety initiatives: a multispecialty challenge. Mayo Clin Proc. 2006;81(3):345-52.
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psnet.ahrq.gov/issue/implementing-pediatric-surgical-safety-checklist-or-and-beyond
March 09, 2016 - Commentary
Implementing a pediatric surgical safety checklist in the OR and beyond.
Citation Text:
Norton EK, Rangel SJ. Implementing a Pediatric Surgical Safety Checklist in the OR and Beyond. AORN J. 2010;92(1). doi:10.1016/j.aorn.2009.11.069.
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psnet.ahrq.gov/issue/2005-quest-quality-prize
June 17, 2014 - Award Recipient
2005 Quest for Quality Prize.
Citation Text:
Association AH, Pharmacists AS of H-S, Networks H and H. Medication Safety Issue Brief. Bar Code implementation strategies. Hosp Health Netw. 2005;79(7):65-66.
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psnet.ahrq.gov/issue/clarifying-adverse-drug-events-clinicians-guide-terminology-documentation-and-reporting
February 03, 2011 - Study
Clarifying adverse drug events: a clinician's guide to terminology, documentation, and reporting.
Citation Text:
Nebeker JR, Barach P, Samore MH. Clarifying adverse drug events: a clinician's guide to terminology, documentation, and reporting. Ann Intern Med. 2004;140(10):795-801…
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psnet.ahrq.gov/issue/breaking-mould-patient-safety
June 20, 2011 - Commentary
Breaking the mould in patient safety.
Citation Text:
Degos L, Amalberti R, Bacou J, et al. Breaking the mould in patient safety. BMJ. 2009;338:b2585. doi:10.1136/bmj.b2585.
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psnet.ahrq.gov/issue/plan-quality-improve-patient-safety-point-care
February 01, 2017 - Review
Plan for quality to improve patient safety at the point of care.
Citation Text:
Ehrmeyer SS. Plan for Quality to Improve Patient Safety at the Point of Care. Ann Saudi Med. 2011;31(4). doi:10.4103/0256-4947.83203.
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psnet.ahrq.gov/issue/weighing-medication-safety
September 24, 2010 - Commentary
Weighing in on medication safety.
Citation Text:
Paparella S. Weighing in on medication safety. J Emerg Nurs. 2009;35(6):553-555. doi:10.1016/j.jen.2009.07.003.
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psnet.ahrq.gov/issue/serious-threat-patient-safety-unintended-misuse-fentanyl-patches
September 24, 2010 - Commentary
A serious threat to patient safety: the unintended misuse of FentaNYL patches.
Citation Text:
Paparella S. A serious threat to patient safety: the unintended misuse of FentaNYL patches. J Emerg Nurs. 2013;39(3):245-247. doi:10.1016/j.jen.2013.01.007.
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psnet.ahrq.gov/issue/pandemic-imperiled-non-english-speakers-more-others
January 15, 2020 - Newspaper/Magazine Article
Pandemic imperiled non-English speakers more than others.
Citation Text:
Pandemic imperiled non-English speakers more than others. Bebinger M. WBUR and Kaiser Health News. April 27, 2021.
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psnet.ahrq.gov/issue/high-performance-teams-and-physician-leader-overview
December 14, 2016 - Commentary
High-performance teams and the physician leader: an overview.
Citation Text:
Majmudar A, Jain AK, Chaudry J, et al. High-performance teams and the physician leader: an overview. J Surg Educ. 2010;67(4):205-9. doi:10.1016/j.jsurg.2010.06.002.
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psnet.ahrq.gov/issue/quality-cancer-diagnosis
April 08, 2008 - Review
Quality in cancer diagnosis.
Citation Text:
Raab SS, Grzybicki DM. Quality in cancer diagnosis. CA Cancer J Clin. 2010;60(3):139-165. doi:10.3322/caac.20068.
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psnet.ahrq.gov/issue/perioperative-pharmacology-framework-perioperative-medication-safety
December 19, 2012 - Commentary
Perioperative pharmacology: a framework for perioperative medication safety.
Citation Text:
Hicks RW, Wanzer LJ, Goeckner BL. Perioperative Pharmacology: A Framework for Perioperative Medication Safety. AORN J. 2010;93(1):136-145. doi:10.1016/j.aorn.2010.08.020.
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psnet.ahrq.gov/issue/leaving-discontinued-fentanyl-infusion-attached-patient-leads-tragic-error
February 10, 2021 - Newspaper/Magazine Article
Leaving a discontinued FentaNYL infusion attached to the patient leads to a tragic error
Citation Text:
Leaving a discontinued FentaNYL infusion attached to the patient leads to a tragic error ISMP Medication Safety Alert! Acute care edition. 2021;26(13);1-2.
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psnet.ahrq.gov/issue/family-centered-rounds
April 24, 2018 - Commentary
Family-centered rounds.
Citation Text:
Mittal V. Family-centered rounds. Pediatr Clin North Am. 2014;61(4):663-70. doi:10.1016/j.pcl.2014.04.003.
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psnet.ahrq.gov/issue/are-you-listeningare-you-really-listening
December 04, 2016 - Commentary
Are you listening...Are you really listening?
Citation Text:
Denham CR, Dingman J, Foley M, et al. Are You Listening…Are You Really Listening? J Patient Saf. 2008;4(3):148-161. doi:10.1097/pts.0b013e318184db52.
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psnet.ahrq.gov/issue/fear-falling-how-hospitals-do-even-more-harm-keeping-patients-bed
October 26, 2011 - Newspaper/Magazine Article
‘Fear of falling’: how hospitals do even more harm by keeping patients in bed.
Citation Text:
‘Fear of falling’: how hospitals do even more harm by keeping patients in bed. Bailey M. Kaiser Health News. October 17, 2019.
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psnet.ahrq.gov/issue/lessons-learned-about-human-fallibility-system-design-and-justice-aftermath-fatal-medication
August 17, 2022 - Webinar
Lessons Learned about Human Fallibility, System Design, and Justice in the Aftermath of a Fatal Medication Error.
Citation Text:
Lessons Learned about Human Fallibility, System Design, and Justice in the Aftermath of a Fatal Medication Error. Institute for Safe Medication Practic…
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psnet.ahrq.gov/issue/updates-hospital-survey-patient-safety-culture
October 23, 2019 - Webinar
Introducing the New SOPS Hospital Survey 2.0.
Citation Text:
Introducing the New SOPS Hospital Survey 2.0. Agency for Healthcare Research and Quality. October 30, 2019.
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