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psnet.ahrq.gov/issue/adverse-drug-events-hospitalized-cardiac-patients
July 26, 2023 - Study
Adverse drug events in hospitalized cardiac patients.
Citation Text:
Fanikos J, Cina J, Baroletti S, et al. Adverse drug events in hospitalized cardiac patients. Am J Cardiol. 2007;100(9):1465-9.
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psnet.ahrq.gov/issue/no-bad-apples
May 15, 2019 - Newspaper/Magazine Article
No bad apples.
Citation Text:
Thrall TH. No bad apples. Hospitals & health networks. 2008;82(12):42-4, 1.
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psnet.ahrq.gov/issue/performing-inadvertent-procedure
October 16, 2019 - Commentary
Performing an inadvertent procedure.
Citation Text:
Gupta A, Jain S, Croft C. Performing an Inadvertent Procedure. JAMA. 2019;321(5):504-505. doi:10.1001/jama.2018.21438.
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psnet.ahrq.gov/issue/adverse-events-associated-sedatives-analgesics-and-other-drugs-provide-patient-comfort
March 11, 2011 - Review
Adverse events associated with sedatives, analgesics, and other drugs that provide patient comfort in the intensive care unit.
Citation Text:
Riker RR, Fraser GL. Adverse events associated with sedatives, analgesics, and other drugs that provide patient comfort in the intensiv…
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psnet.ahrq.gov/issue/10-rights-framework-patient-care-quality-and-safety
July 23, 2010 - Commentary
A 10-Rights framework for patient care quality and safety.
Citation Text:
Wakefield DS, Ward MM, Wakefield BJ. A 10-Rights framework for patient care quality and safety. Am J Med Qual. 2007;22(2):103-11.
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psnet.ahrq.gov/issue/how-perioperative-nurses-define-attribute-causes-and-react-intraoperative-nursing-errors
September 11, 2024 - Study
How perioperative nurses define, attribute causes of, and react to intraoperative nursing errors.
Citation Text:
Chard R. How perioperative nurses define, attribute causes of, and react to intraoperative nursing errors. AORN J. 2010;91(1):132-45. doi:10.1016/j.aorn.2009.06.028.
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psnet.ahrq.gov/issue/medical-and-surgical-comanagement-after-elective-hip-and-knee-arthroplasty-randomized
January 22, 2014 - Study
Medical and surgical comanagement after elective hip and knee arthroplasty: a randomized, controlled trial.
Citation Text:
Huddleston JM, Long KH, Naessens JM, et al. Medical and surgical comanagement after elective hip and knee arthroplasty: a randomized, controlled trial. Ann I…
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psnet.ahrq.gov/issue/level-iv-evidence-adverse-anecdote-and-clinical-practice
October 06, 2021 - Commentary
Level IV evidence—adverse anecdote and clinical practice.
Citation Text:
Stuebe AM. Level IV evidence--adverse anecdote and clinical practice. N Engl J Med. 2011;365(1):8-9. doi:10.1056/NEJMp1102632.
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psnet.ahrq.gov/issue/learning-adverse-events-and-near-misses
January 15, 2020 - Commentary
Learning from adverse events and near misses.
Citation Text:
Greenberg CC. Learning from adverse events and near misses. J Gastrointest Surg. 2009;13(1):3-5. doi:10.1007/s11605-008-0693-6.
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psnet.ahrq.gov/issue/path-safe-and-reliable-healthcare
August 20, 2018 - Commentary
The path to safe and reliable healthcare.
Citation Text:
Leonard MW, Frankel A. The path to safe and reliable healthcare. Patient Educ Couns. 2010;80(3). doi:10.1016/j.pec.2010.07.001.
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psnet.ahrq.gov/issue/how-series-errors-led-recurrent-hypoglycemia
April 23, 2014 - Commentary
How a series of errors led to recurrent hypoglycemia.
Citation Text:
Singh R. How a series of errors led to recurrent hypoglycemia. J Fam Pract. 2006;55(6):489-97.
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psnet.ahrq.gov/issue/cardiac-arrest-during-anesthesia
January 19, 2011 - Review
Cardiac arrest during anesthesia.
Citation Text:
Zuercher M, Ummenhofer W. Cardiac arrest during anesthesia. Curr Opin Crit Care. 2008;14(3):269-74. doi:10.1097/MCC.0b013e3282f948cd.
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psnet.ahrq.gov/issue/when-should-leader-apologize-and-when-not
October 07, 2020 - Commentary
When should a leader apologize—and when not?
Citation Text:
Kellerman B. When should a leader apologize and when not? Harv Bus Rev. 2006;84(4):72-81; 148.
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psnet.ahrq.gov/issue/radically-redesigning-patient-safety
November 13, 2024 - Newspaper/Magazine Article
Radically redesigning patient safety.
Citation Text:
Radick LE. Radically Redesigning Patient Safety. Healthcare executive. 2016;31(2):32-4, 36-40, 42.
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psnet.ahrq.gov/issue/10-patient-safety-tips-hospitals
December 09, 2009 - Fact Sheet/FAQs
Classic
10 Patient Safety Tips for Hospitals.
Citation Text:
10 Patient Safety Tips for Hospitals. Rockville, MD: Agency for Healthcare Research and Quality; December 2009. AHRQ Publication No. 10-M008.
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psnet.ahrq.gov/issue/ranking-rate-state-medical-boards-serious-disciplinary-actions-2019-2021
October 05, 2016 - Book/Report
Ranking of the Rate of State Medical Boards’ Serious Disciplinary Actions, 2019-2021.
Citation Text:
Ranking of the Rate of State Medical Boards’ Serious Disciplinary Actions, 2019-2021. Wolfe SW, Oshel RE. Washington, DC: Public Citizen; August 16, 2023.
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-what-you-need-know
December 17, 2014 - Commentary
Patient Safety and Quality Improvement Act of 2005: what you need to know.
Citation Text:
Rohrich RJ. Patient Safety and Quality Improvement Act of 2005: what you need to know. Plast Reconstr Surg. 2006;117(2):671-2.
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psnet.ahrq.gov/issue/pharmacy-nursing-intervention-improve-accuracy-and-completeness-medication-histories
May 29, 2014 - Commentary
Pharmacy–nursing intervention to improve accuracy and completeness of medication histories.
Citation Text:
Tessier EG, Henneman EA, Nathanson BH, et al. Pharmacy–nursing intervention to improve accuracy and completeness of medication histories. American Journal of Health-Sys…
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psnet.ahrq.gov/issue/telemedicine-ensuring-safe-equitable-person-centered-virtual-care
March 29, 2006 - Book/Report
Telemedicine: Ensuring Safe, Equitable, Person-Centered Virtual Care.
Citation Text:
Telemedicine: Ensuring Safe, Equitable, Person-Centered Virtual Care. Perry AF, Federico F, Huebner J. Boston, MA: Institute for Healthcare Improvement; 2021.
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psnet.ahrq.gov/issue/evaluation-electronic-dosing-calculator-reduce-pediatric-medication-errors
April 24, 2018 - Study
Evaluation of an electronic dosing calculator to reduce pediatric medication errors.
Citation Text:
Murray B, Streitz MJ, Hilliard M, et al. Evaluation of an Electronic Dosing Calculator to Reduce Pediatric Medication Errors. Clin Pediatr (Phila). 2019;58(4):413-416. doi:10.1177/00…