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psnet.ahrq.gov/issue/national-database-nursing-quality-indicatorstm-ndnqir
May 25, 2022 - Commentary
The National Database of Nursing Quality Indicators(TM) (NDNQI®).
Citation Text:
The National Database of Nursing Quality Indicators(TM) (NDNQI®). Montalvo I. Online J Iss Nurs. 2007;12(3):Manuscript 2.
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psnet.ahrq.gov/issue/reducing-surgical-errors-implementing-three-hinge-approach-success
December 08, 2021 - Commentary
Reducing surgical errors: implementing a three-hinge approach to success.
Citation Text:
Landers R. Reducing surgical errors: implementing a three-hinge approach to success. AORN J. 2015;101(6):657-65. doi:10.1016/j.aorn.2015.04.013.
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psnet.ahrq.gov/issue/challenge-competency-assessment-late-career-practitioner
July 15, 2020 - Commentary
The challenge of competency assessment of the late-career practitioner.
Citation Text:
Steffany M. The challenge of competency assessment of the late‐career practitioner. J Healthc Risk Manag. 2022;41(3):31-38. doi:10.1002/jhrm.21492.
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psnet.ahrq.gov/issue/how-reliable-your-hospital-qualitative-framework-analysing-reliability-levels
October 19, 2022 - Commentary
How reliable is your hospital? A qualitative framework for analysing reliability levels.
Citation Text:
Ikkersheim DE, Berg M. How reliable is your hospital? A qualitative framework for analysing reliability levels. BMJ Qual Saf. 2011;20(9):785-790.
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psnet.ahrq.gov/issue/ripped-apart-medical-misdiagnosis-and-malpractice
August 25, 2021 - Audiovisual Presentation
Ripped apart: medical misdiagnosis and malpractice.
Citation Text:
Ripped apart: medical misdiagnosis and malpractice. Kast S, Gerr M, Black D, et al. “On the Record.” WYPR. August 3, 2021
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psnet.ahrq.gov/issue/implementing-no-interruption-zones-perioperative-environment
June 09, 2021 - Commentary
Implementing No Interruption Zones in the perioperative environment.
Citation Text:
Wright I. Implementing No Interruption Zones in the Perioperative Environment. AORN J. 2016;104(6):536-540. doi:10.1016/j.aorn.2016.09.018.
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psnet.ahrq.gov/issue/prevention-medical-accidents-caused-defective-surgical-instruments
July 31, 2019 - Study
Prevention of medical accidents caused by defective surgical instruments.
Citation Text:
Yasuhara H, Fukatsu K, Komatsu T, et al. Prevention of medical accidents caused by defective surgical instruments. Surgery. 2012;151(2):153-61. doi:10.1016/j.surg.2011.06.029.
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psnet.ahrq.gov/node/73434/psn-pdf
June 30, 2021 - The Consequences of Miscommunication Regarding a
Possible Artifact
June 30, 2021
Gwal K. The Consequences of Miscommunication Regarding a Possible Artifact. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
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psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
May 11, 2019 - SPOTLIGHT CASE
The Consequences of Miscommunication Regarding a Possible Artifact
Citation Text:
Gwal K. The Consequences of Miscommunication Regarding a Possible Artifact. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…
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psnet.ahrq.gov/node/33816/psn-pdf
October 01, 2016 - what's happening
over time in our health care system or understand differences between organizations or regions
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psnet.ahrq.gov/issue/vanishing-nonforensic-autopsy
February 09, 2011 - Commentary
The vanishing nonforensic autopsy.
Citation Text:
Shojania KG, Burton EC. The vanishing nonforensic autopsy. N Engl J Med. 2008;358(9):873-5. doi:10.1056/NEJMp0707996.
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psnet.ahrq.gov/issue/litigation-related-inadequate-anaesthesia-analysis-claims-against-nhs-england-1995-2007
November 16, 2022 - Study
Litigation related to inadequate anaesthesia: an analysis of claims against the NHS in England 1995-2007.
Citation Text:
Mihai R, Scott SD, Cook TM. Litigation related to inadequate anaesthesia: an analysis of claims against the NHS in England 1995-2007. Anaesthesia. 2009;64(8):8…
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psnet.ahrq.gov/issue/lancet-commission-lessons-future-covid-19-pandemic
January 12, 2022 - Commentary
The Lancet Commission on lessons for the future from the COVID-19 pandemic.
Citation Text:
Sachs JD, Karim SSA, Aknin L, et al. The Lancet Commission on lessons for the future from the COVID-19 pandemic. Lancet. 2022;400(10359):1224-1280. doi:10.1016/s0140-6736(22)01585-9.
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psnet.ahrq.gov/issue/prevalence-and-predictability-low-yield-inpatient-laboratory-diagnostic-tests
November 13, 2024 - Journal Article
Prevalence and predictability of low-yield inpatient laboratory diagnostic tests.
Citation Text:
Xu S, Hom J, Balasubramanian S, et al. Prevalence and Predictability of Low-Yield Inpatient Laboratory Diagnostic Tests. JAMA Netw Open. 2019;2(9):e1910967. doi:10.1001/jamane…
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psnet.ahrq.gov/issue/how-improve-electronic-health-record-usability-and-patient-safety
February 08, 2017 - Fact Sheet/FAQs
How to Improve Electronic Health Record Usability and Patient Safety.
Citation Text:
How to Improve Electronic Health Record Usability and Patient Safety. Philadelphia, PA: Pew Charitable Trusts; September 6, 2016.
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psnet.ahrq.gov/issue/mri-safety-prepare-new-guidance
September 12, 2016 - Commentary
MRI safety: prepare for new guidance.
Citation Text:
MRI safety: prepare for new guidance. Gilk T. Appl Radiol. 2023;52(6):24-26.
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psnet.ahrq.gov/issue/webairs-anesthesia-incident-reporting-system
November 10, 2011 - Multi-use Website
WebAIRS Anesthesia Incident Reporting System.
Citation Text:
WebAIRS Anesthesia Incident Reporting System. Australian and New Zealand Tripartite Anaesthetic Data Committee.
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psnet.ahrq.gov/issue/rebecca-omalley-report
June 14, 2017 - Book/Report
The Rebecca O'Malley Report.
Citation Text:
The Rebecca O'Malley Report. Cork, Ireland: Health Information and Quality Authority; March 21, 2008.
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psnet.ahrq.gov/issue/perinatal-patient-safety-perspective-nurse-executives-round-table-discussion
August 13, 2010 - Commentary
Perinatal patient safety from the perspective of nurse executives: a round table discussion.
Citation Text:
Perinatal patient safety from the perspective of nurse executives: a round table discussion. Thorman KE; Capitulo KL; Dubow J; Hanold K; Noonan M; Wehmeyer J.
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psnet.ahrq.gov/issue/medical-liability-new-ideals-making-system-work-better-patients
May 18, 2011 - Congressional Testimony
Medical Liability: New Ideals for Making the System Work Better for Patients.
Citation Text:
Medical Liability: New Ideals for Making the System Work Better for Patients. Hearing before Senate Committee on Health Education Labor and Pensions (June 22, 2006).
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