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psnet.ahrq.gov/issue/communication-factors-follow-abnormal-mammograms
March 02, 2011 - Study
Communication factors in the follow-up of abnormal mammograms.
Citation Text:
Poon EG, Haas JS, Puopolo AL, et al. Communication factors in the follow-up of abnormal mammograms. J Gen Intern Care. 2004;19(4):316-323. doi:10.1111/j.1525-1497.2004.30357.x.
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psnet.ahrq.gov/issue/surgical-checklists-detailed-review-their-emergence-development-and-relevance-neurosurgical
September 29, 2017 - Review
Surgical checklists: a detailed review of their emergence, development, and relevance to neurosurgical practice.
Citation Text:
McConnell DJ, Fargen KM, Mocco J. Surgical checklists: A detailed review of their emergence, development, and relevance to neurosurgical practice. Surg…
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psnet.ahrq.gov/issue/staff-warned-about-lack-psychiatric-care-va-clinic-they-couldnt-prevent-tragedy
December 12, 2018 - Newspaper/Magazine Article
Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy.
Citation Text:
Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy. McGrory K, Bedi N. ProPublica, January 6, 2024.
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psnet.ahrq.gov/issue/implementing-and-validating-comprehensive-unit-based-safety-program
July 14, 2010 - Study
Implementing and validating a comprehensive unit-based safety program.
Citation Text:
Implementing and validating a comprehensive unit-based safety program. Pronovost P, Weast B, Rosenstein B, et al. J Patient Saf. 2005;1(1):33-40.
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psnet.ahrq.gov/issue/patient-safety-beyond-hospital
August 24, 2011 - Commentary
Patient safety beyond the hospital.
Citation Text:
Gandhi TK, Lee TH. Patient safety beyond the hospital. N Engl J Med. 2010;363(11):1001-3. doi:10.1056/NEJMp1003294.
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psnet.ahrq.gov/issue/sepsis-recognizing-next-event
July 13, 2010 - Commentary
Sepsis: recognizing the next event.
Citation Text:
Kilburn FL, Bailey P, Price D. Sepsis: recognizing the next event. Nursing (Brux). 2013;43(10):14-6. doi:10.1097/01.NURSE.0000434320.25397.53.
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psnet.ahrq.gov/issue/us-nursing-homes-where-covid-19-killed-scores-even-reports-maggots-and-rape-dont-dock-five
December 22, 2021 - Newspaper/Magazine Article
In U.S. nursing homes, where Covid-19 killed scores, even reports of maggots and rape don’t dock five-star ratings.
Citation Text:
In U.S. nursing homes, where Covid-19 killed scores, even reports of maggots and rape don’t dock five-star ratings. Silver-Greenbe…
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psnet.ahrq.gov/issue/improving-emergency-department-discharge-process
April 23, 2014 - Book/Report
Improving the Emergency Department Discharge Process.
Citation Text:
Improving the Emergency Department Discharge Process. Boonyasai RT, Ijagbemi OM, Pham JC, et al. Rockville, MD: Agency for Healthcare Research and Quality; December 2014. AHRQ Publication No. 14(15)-0067-EF.…
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psnet.ahrq.gov/issue/promoting-safety-and-quality-through-human-resource-practices-executive-summary
September 14, 2011 - Book/Report
Promoting Safety and Quality Through Human Resource Practices: Executive Summary.
Citation Text:
Promoting Safety and Quality Through Human Resource Practices: Executive Summary. McAlearney AS, Song P, Garman A, McHugh M, Caputo N. Rockville, MD: Agency for Healthcare Researc…
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psnet.ahrq.gov/issue/taking-national-action-prevent-and-eliminate-healthcare-associated-infections
May 06, 2015 - Special or Theme Issue
Taking National Action to Prevent and Eliminate Healthcare-Associated Infections.
Citation Text:
Taking National Action to Prevent and Eliminate Healthcare-Associated Infections. Kahn KL, Battles JB, eds. Med Care. 2014;52:i-ii,s1-s100.
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psnet.ahrq.gov/issue/npsd-data-spotlight-patterns-fall-interventions
September 13, 2023 - Book/Report
NPSD Data Spotlight: Patterns of Fall Interventions.
Citation Text:
NPSD Data Spotlight: Patterns of Fall Interventions. Rockville, MD: Agency for Healthcare Research and Quality; September 2023. AHRQ Publication no. 23-0055.
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psnet.ahrq.gov/issue/keeping-nursing-home-residents-and-staff-safe-era-covid-19
November 11, 2020 - Meeting/Conference Proceedings
Keeping Nursing Home Residents and Staff Safe in the Era of COVID-19.
Citation Text:
Keeping Nursing Home Residents and Staff Safe in the Era of COVID-19. National Academy of Medicine. April-June 2020.
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psnet.ahrq.gov/issue/patient-safety-emergency-department
July 13, 2016 - Commentary
Patient safety in the emergency department.
Citation Text:
Farmer B. Patient Safety in the Emergency Department. Emerg Med (N Y). 2016;48(9). doi:10.12788/emed.2016.0052.
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psnet.ahrq.gov/issue/towards-model-surgeons-leadership-operating-room
July 01, 2020 - Review
Towards a model of surgeons' leadership in the operating room.
Citation Text:
Parker SH, Yule S, Flin R, et al. Towards a model of surgeons' leadership in the operating room. BMJ Qual Saf. 2011;20(7):570-9. doi:10.1136/bmjqs.2010.040295.
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psnet.ahrq.gov/issue/improving-patient-safety-ambulatory-surgery-centers-resource-list-users-ahrq-ambulatory
May 11, 2016 - Book/Report
Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture.
Citation Text:
Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Su…
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psnet.ahrq.gov/issue/near-miss-audit-obstetrics
March 06, 2024 - Review
Near miss audit in obstetrics.
Citation Text:
Penney G, Brace V. Near miss audit in obstetrics. Curr Opin Obstet Gynecol. 2007;19(2):145-150.
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psnet.ahrq.gov/issue/causes-consequences-detection-and-prevention-identification-errors-laboratory-diagnostics
July 05, 2017 - Review
Causes, consequences, detection, and prevention of identification errors in laboratory diagnostics.
Citation Text:
Lippi G, Blanckaert N, Bonini P, et al. Causes, consequences, detection, and prevention of identification errors in laboratory diagnostics. Clin Chem Lab Med. 2009;…
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psnet.ahrq.gov/issue/dermatology-faces-reckoning-lack-darker-skin-textbooks-and-journals-harms-care-patients-color
February 14, 2024 - Newspaper/Magazine Article
Dermatology faces a reckoning: lack of darker skin in textbooks and journals harms care for patients of color.
Citation Text:
Dermatology faces a reckoning: lack of darker skin in textbooks and journals harms care for patients of color. McFarling UL. Stat.…
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psnet.ahrq.gov/issue/report-safe-use-pick-lists-ambulatory-care-settings
June 29, 2016 - Government Resource
Report on the Safe Use of Pick Lists in Ambulatory Care Settings.
Citation Text:
Report on the Safe Use of Pick Lists in Ambulatory Care Settings. Rizk S, Oguntebi G, Graber ML, Johnston D. Research Triangle Park, NC: RTI International; 2016.
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psnet.ahrq.gov/issue/errors-originating-hospital-and-health-system-outpatient-pharmacies
December 19, 2016 - Newspaper/Magazine Article
Errors originating in hospital and health-system outpatient pharmacies.
Citation Text:
Errors originating in hospital and health-system outpatient pharmacies. Straka M, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. June 2017;14:55-63.
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