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psnet.ahrq.gov/issue/new-enteral-connectors-raising-awareness
August 28, 2024 - Commentary
New enteral connectors: raising awareness.
Citation Text:
Guenter P. New Enteral Connectors. Nutrition in Clinical Practice. 2014;29(5). doi:10.1177/0884533614543330.
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psnet.ahrq.gov/issue/language-barriers-prescriptions-patients-limited-english-proficiency-survey-pharmacies
September 23, 2020 - Study
Language barriers to prescriptions for patients with limited English proficiency: a survey of pharmacies.
Citation Text:
Bradshaw M, Tomany-Korman S, Flores G. Language barriers to prescriptions for patients with limited English proficiency: a survey of pharmacies. Pediatrics. 20…
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psnet.ahrq.gov/issue/top-10-patient-safety-issues-what-more-can-we-do
May 08, 2013 - Commentary
Top 10 patient safety issues: what more can we do?
Citation Text:
Steelman VM, Graling PR. Top 10 patient safety issues: what more can we do? AORN J. 2013;97(6):679-98, quiz 699-701. doi:10.1016/j.aorn.2013.04.012.
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psnet.ahrq.gov/issue/guideline-prevention-unintentionally-retained-surgical-items
August 01, 2018 - Commentary
Guideline for Prevention of Unintentionally Retained Surgical Items.
Citation Text:
Croke L. Guideline for prevention of unintentionally retained surgical items. AORN J. 2021;114(6):4-6. doi:10.1002/aorn.13579.
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psnet.ahrq.gov/issue/commonly-used-easily-confused-lets-eliminate-hyper-and-hypo
April 18, 2018 - Commentary
Commonly used, easily confused: let's eliminate hyper and hypo.
Citation Text:
Frankel A, Vecchio P. Commonly used, easily confused: let's eliminate hyper and hypo. BMJ. 2010;341:c5867. doi:10.1136/bmj.c5867.
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psnet.ahrq.gov/issue/new-research-highlights-role-patient-safety-culture-and-safer-care
May 20, 2009 - Commentary
New research highlights the role of patient safety culture and safer care.
Citation Text:
Clancy CM. New research highlights the role of patient safety culture and safer care. J Nurs Care Qual. 2011;26(3):193-6. doi:10.1097/NCQ.0b013e31821d0520.
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psnet.ahrq.gov/issue/learning-best
February 22, 2023 - Newspaper/Magazine Article
Learning from the best.
Citation Text:
Grantham D. Learning from the best. Behavioral healthcare. 2010;30(4):22-4.
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psnet.ahrq.gov/issue/how-safe-my-intensive-care-unit-methods-monitoring-and-measurement
February 01, 2013 - Review
How safe is my intensive care unit? Methods for monitoring and measurement.
Citation Text:
Berenholtz SM, Pustavoitau A, Schwartz SJ, et al. How safe is my intensive care unit? Methods for monitoring and measurement. Curr Opin Crit Care. 2007;13(6):703-8.
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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/covid-19-delaying-routine-care-chronic-disease-startups-brace-slew-complications
May 02, 2018 - Newspaper/Magazine Article
With Covid-19 delaying routine care, chronic disease startups brace for a slew of complications.
Citation Text:
With Covid-19 delaying routine care, chronic disease startups brace for a slew of complications. Brodwin E. STAT. April 14, 2020.
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psnet.ahrq.gov/issue/human-factors-and-error-prevention-emergency-medicine
October 03, 2011 - Commentary
Human factors and error prevention in emergency medicine.
Citation Text:
Bleetman A, Sanusi S, Dale T, et al. Human factors and error prevention in emergency medicine. Emerg Med J. 2012;29(5):389-93. doi:10.1136/emj.2010.107698.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-o.docx
June 02, 2025 - Appendix O. CAUTI Event Report Template
When a catheter-associated urinary tract infection (CAUTI) occurs on your unit, teams can use this tool, adapted from a report developed by the North Carolina Quality Center, to identify root causes.
Patient
Medical Record Number
Admit Date
Diagnosis
Did the patien…
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psnet.ahrq.gov/issue/patient-safety-and-diagnostic-error-tips-your-next-shift
January 15, 2009 - Commentary
Patient safety and diagnostic error: tips for your next shift.
Citation Text:
Sinclair D, Croskerry P. Patient safety and diagnostic error: tips for your next shift. Can Fam Physician. 2010;56(1):28-30.
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psnet.ahrq.gov/issue/organizational-silence-and-hidden-threats-patient-safety
September 27, 2010 - Commentary
Organizational silence and hidden threats to patient safety.
Citation Text:
Henriksen K, Dayton E. Organizational Silence and Hidden Threats to Patient Safety. Health Serv Res. 2006;41(4p2). doi:10.1111/j.1475-6773.2006.00564.x.
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psnet.ahrq.gov/issue/monitoring-patient-safety-health-care-building-case-surrogate-measures
June 23, 2009 - Commentary
Monitoring patient safety in health care: building the case for surrogate measures.
Citation Text:
Gaynes RP, Platt R. Monitoring patient safety in health care: building the case for surrogate measures. Jt Comm J Qual Patient Saf. 2006;32(2):95-101.
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psnet.ahrq.gov/issue/dangerous-deception-hiding-evidence-adverse-drug-events
November 09, 2022 - Commentary
Dangerous deception--hiding the evidence of adverse drug events.
Citation Text:
Avorn J. Dangerous deception--hiding the evidence of adverse drug effects. N Engl J Med. 2006;355(21):2169-71.
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psnet.ahrq.gov/issue/acog-committee-opinion-730-fatigue-and-patient-safety
July 26, 2017 - Commentary
ACOG Committee Opinion #730: fatigue and patient safety.
Citation Text:
ACOG Committee Opinion #730: fatigue and patient safety. ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2018;131(2):e78-e81.
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psnet.ahrq.gov/issue/risk-models-improve-safety-dispensing-high-alert-medications-community-pharmacies
December 02, 2020 - Study
Risk models to improve safety of dispensing high-alert medications in community pharmacies.
Citation Text:
Cohen MR, Smetzer JL, Westphal JE, et al. Risk models to improve safety of dispensing high-alert medications in community pharmacies. J Am Pharm Assoc (2003). 2012;52(5):584-6…
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psnet.ahrq.gov/issue/effect-computerisation-quality-and-safety-chemotherapy-prescription
December 29, 2014 - Study
Effect of computerisation on the quality and safety of chemotherapy prescription.
Citation Text:
Voeffray M, Pannatier A, Stupp R, et al. Effect of computerisation on the quality and safety of chemotherapy prescription. Qual Saf Health Care. 2006;15(6):418-21.
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www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module4-speaker-notes.html
February 01, 2023 - Preventing CAUTI in the ICU Setting
Module 4: Summary and Next Steps Facilitator Notes
Slide 1
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Slide 2
Say:
You’ve now seen three modules on how to stop catheter-associated urinary tract infections, or CAUTI, in your intensive care unit, or ICU. In Module 1, you learned th…