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psnet.ahrq.gov/issue/setting-priorities-patient-safety-ethics-accountability-and-public-engagement
September 29, 2017 - Commentary
Setting priorities for patient safety: ethics, accountability, and public engagement.
Citation Text:
Pronovost P, Faden RR. Setting priorities for patient safety: ethics, accountability, and public engagement. JAMA. 2009;302(8):890-1. doi:10.1001/jama.2009.1177.
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psnet.ahrq.gov/issue/current-and-emerging-infectious-risks-blood-transfusions
June 09, 2021 - Study
Current and emerging infectious risks of blood transfusions.
Citation Text:
Busch MP, Kleinman SH, Nemo GJ. Current and emerging infectious risks of blood transfusions. JAMA. 2003;289(8):959-62.
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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/diagnostic-error-untapped-potential-improving-patient-safety
March 02, 2016 - Commentary
Diagnostic error: untapped potential for improving patient safety?
Citation Text:
Groszkruger D. Diagnostic error: untapped potential for improving patient safety? J Healthc Risk Manag. 2014;34(1):38-43. doi:10.1002/jhrm.21149.
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psnet.ahrq.gov/issue/intrahospital-transport-radiology-department-risk-adverse-events-nursing-surveillance
September 04, 2013 - Commentary
Intrahospital transport to the radiology department: risk for adverse events, nursing surveillance, utilization of a MET and practice implications.
Citation Text:
Ott LK, Hoffman LA, Hravnak M. Intrahospital Transport to the Radiology Department: Risk for Adverse Events, Nur…
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psnet.ahrq.gov/issue/published-literature-handoffs-hospitals-deficiencies-identified-extensive-review
March 07, 2012 - Review
The published literature on handoffs in hospitals: deficiencies identified in an extensive review.
Citation Text:
Cohen MD, Hilligoss B. The published literature on handoffs in hospitals: deficiencies identified in an extensive review. Qual Saf Health Care. 2010;19(6):493-7. doi…
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psnet.ahrq.gov/issue/perinatal-clinical-decision-support-system-documentation-tool-patient-safety
December 12, 2014 - Commentary
Perinatal clinical decision support system: a documentation tool for patient safety.
Citation Text:
Provost C, Gray M. Perinatal clinical decision support system: a documentation tool for patient safety. Nurs Womens Health. 2007;11(4):407-10.
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psnet.ahrq.gov/issue/unpredictable-drug-shortages-ethical-framework-short-term-rationing-hospitals
May 09, 2014 - Commentary
Unpredictable drug shortages: an ethical framework for short-term rationing in hospitals.
Citation Text:
Rosoff PM. Unpredictable drug shortages: an ethical framework for short-term rationing in hospitals. Am J Bioeth. 2012;12(1):1-9. doi:10.1080/15265161.2011.634483.
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psnet.ahrq.gov/issue/near-miss-event-analysis-enhances-barcode-medication-administration-process
February 13, 2013 - Newspaper/Magazine Article
Near-miss event analysis enhances the barcode medication administration process.
Citation Text:
Near-miss event analysis enhances the barcode medication administration process. Magee MC; Miller K; Patzek D; Madera C; Michalek C; Shetterly M.
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psnet.ahrq.gov/issue/variability-pharmacy-interpretations-physician-prescriptions
September 25, 2008 - Study
Variability in pharmacy interpretations of physician prescriptions.
Citation Text:
Wolf MS, Shekelle PG, Choudhry NK, et al. Variability in pharmacy interpretations of physician prescriptions. Med Care. 2009;47(3):370-373. doi:10.1097/MLR.0b013e31818af91a.
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psnet.ahrq.gov/issue/implementation-patient-safety-initiatives-us-hospitals
December 12, 2014 - Commentary
Implementation of patient safety initiatives in US hospitals.
Citation Text:
McFadden KL, Stock GN, Gowen CR. Implementation of patient safety initiatives in US hospitals. Int J Oper Prod Manag. 2006;26(3):326-347. doi:10.1108/01443570610651052.
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psnet.ahrq.gov/issue/2004-john-m-eisenberg-patient-safety-and-quality-awards
January 05, 2017 - Special or Theme Issue
The 2004 John M. Eisenberg Patient Safety and Quality Awards.
Citation Text:
The 2004 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Saf. 2004;30(12):653-680.
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psnet.ahrq.gov/issue/when-errors-occur
March 12, 2011 - Newspaper/Magazine Article
When errors occur.
Citation Text:
Wetzel TG. When errors occur, 'I'm sorry' is a big step, but just the first. Hospitals & health networks. 2010;84(10):41-2, 44, 2.
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psnet.ahrq.gov/issue/overlooked-condition
October 03, 2018 - Newspaper/Magazine Article
An overlooked condition.
Citation Text:
Nicholas L. An overlooked condition. For diabetics, the hospital can be a dangerous place. Modern healthcare. 2005;35(46):24.
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psnet.ahrq.gov/issue/record-avoiding-pitfalls-going-electronic
October 25, 2017 - Commentary
Off the record — avoiding the pitfalls of going electronic.
Citation Text:
Hartzband P, Groopman J. Off the record--avoiding the pitfalls of going electronic. N Engl J Med. 2008;358(16):1656-8. doi:10.1056/NEJMp0802221.
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psnet.ahrq.gov/issue/safe-haven-nurses-report-medication-errors-clarian-and-spectrum-health-systems-prove-it
September 24, 2010 - Commentary
A safe haven for nurses to report medication errors? Clarian and Spectrum Health Systems prove it is possible!
Citation Text:
Paparella S. A Safe Haven for Nurses to Report Medication Errors? Clarian and Spectrum Health Systems Prove It Is Possible!. J Emerg Nurs. 2005;31(4)…
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psnet.ahrq.gov/issue/deconstructing-intraoperative-communication-failures
July 25, 2012 - Study
Deconstructing intraoperative communication failures.
Citation Text:
Hu Y-Y, Arriaga AF, Peyre S, et al. Deconstructing intraoperative communication failures. J Surg Res. 2012;177(1):37-42. doi:10.1016/j.jss.2012.04.029.
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psnet.ahrq.gov/issue/reducing-errors-emergency-surgery
January 31, 2018 - Review
Reducing errors in emergency surgery.
Citation Text:
Watters DAK, Truskett PG. Reducing errors in emergency surgery. ANZ J Surg. 2013;83(6):434-437. doi:10.1111/ans.12194.
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effectivehealthcare.ahrq.gov/sites/default/files/ebc-webinar-slides.pdf
June 01, 2014 - the
diagram
pointing
to
the
right,
containing
the
phrase:
Marketing/Promotion … Dissemin-‐
aAon
Early
2013
Marketing/Promotion
Source:
www.effectivehealthcare.ahrq.gov
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psnet.ahrq.gov/node/49568/psn-pdf
September 01, 2008 - policies and practices;
Lack of access to international board-certified lactation consultants (IBCLCs);
Promotion … Pediatricians' practices and attitudes regarding breastfeeding
promotion.