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psnet.ahrq.gov/issue/retained-foreign-bodies-after-surgery
November 23, 2011 - Study
Retained foreign bodies after surgery.
Citation Text:
Lincourt AE, Harrell A, Cristiano J, et al. Retained Foreign Bodies After Surgery. Journal of Surgical Research. 2007;138(2). doi:10.1016/j.jss.2006.08.001.
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psnet.ahrq.gov/issue/effect-surgical-safety-checklists-pediatric-surgical-complications-ontario
December 07, 2016 - Study
Effect of surgical safety checklists on pediatric surgical complications in Ontario.
Citation Text:
O'Leary JD, Wijeysundera DN, Crawford MW. Effect of surgical safety checklists on pediatric surgical complications in Ontario. CMAJ. 2016;188(9):E191-E198. doi:10.1503/cmaj.151333.
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psnet.ahrq.gov/issue/matching-nurse-skill-patient-acuity-intensive-care-units-risk-management-mandate
April 24, 2018 - Commentary
Matching nurse skill with patient acuity in the intensive care units: a risk management mandate.
Citation Text:
Rischbieth A. Matching nurse skill with patient acuity in the intensive care units: a risk management mandate. J Nurs Manag. 2006;14(5):397-404.
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psnet.ahrq.gov/issue/identification-inpatient-dnr-status-safety-hazard-begging-standardization
January 19, 2012 - Study
Identification of inpatient DNR status: a safety hazard begging for standardization.
Citation Text:
Sehgal NL, Wachter RM. Identification of inpatient DNR status: A safety hazard begging for standardization. J Hosp Med. 2007;2(6):366-371. doi:10.1002/jhm.283.
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psnet.ahrq.gov/issue/dangers-ignoring-beers-criteria-prescribing-cascade
October 10, 2018 - Commentary
The dangers of ignoring the Beers criteria—the prescribing cascade.
Citation Text:
DeRhodes KH. The Dangers of Ignoring the Beers Criteria-The Prescribing Cascade. JAMA Intern Med. 2019;179(7):863-864. doi:10.1001/jamainternmed.2019.1288.
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psnet.ahrq.gov/issue/ahrqs-hospital-survey-patient-safety-culture-psychometric-analyses
February 18, 2011 - Study
AHRQ's Hospital Survey on Patient Safety Culture: psychometric analyses.
Citation Text:
Blegen MA, Gearhart S, O'Brien R, et al. AHRQ's hospital survey on patient safety culture: psychometric analyses. J Patient Saf. 2009;5(3):139-44. doi:10.1097/PTS.0b013e3181b53f6e.
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psnet.ahrq.gov/issue/human-factors-engineering-conceptual-framework-nursing-workload-and-patient-safety-intensive
March 11, 2020 - Review
A human factors engineering conceptual framework of nursing workload and patient safety in intensive care units.
Citation Text:
Carayon P, Gurses AP. A human factors engineering conceptual framework of nursing workload and patient safety in intensive care units. Intensive Crit C…
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psnet.ahrq.gov/issue/bringing-change-shift-report-bedside-patient-and-family-centered-approach
August 18, 2021 - Commentary
Bringing change-of-shift report to the bedside: a patient- and family-centered approach.
Citation Text:
Griffin T. Bringing change-of-shift report to the bedside: a patient- and family-centered approach. J Perinat Neonatal Nurs. 2010;24(4):348-355. doi:10.1097/JPN.0b013e3181f8…
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psnet.ahrq.gov/issue/medication-error-prevention-clinical-pharmacists-two-childrens-hospitals
October 15, 2014 - Study
Classic
Medication error prevention by clinical pharmacists in two children's hospitals.
Citation Text:
Medication error prevention by clinical pharmacists in two children's hospitals. Folli HL; Poole RL; Benitz WE; Russo JC
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psnet.ahrq.gov/issue/towards-organization-memory-exploring-organizational-generation-adverse-events-health-care
February 22, 2010 - Commentary
Towards an organization with a memory: exploring the organizational generation of adverse events in health care.
Citation Text:
Smith D, Toft B. Towards an organization with a memory: exploring the organizational generation of adverse events in health care. Health Serv Manag…
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psnet.ahrq.gov/issue/supporting-patient-safety-and-clinical-pharmacy-services-collaborative
February 08, 2023 - Commentary
Supporting the Patient Safety and Clinical Pharmacy Services Collaborative.
Citation Text:
Mitchell JR. Supporting the patient safety and clinical pharmacy services collaborative. Am J Health Syst Pharm. 2012;69(14):1246-50. doi:10.2146/ajhp110558.
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psnet.ahrq.gov/issue/characteristics-paid-malpractice-claims-settled-and-out-court-usa-retrospective-analysis
July 03, 2014 - Study
Characteristics of paid malpractice claims settled in and out of court in the USA: a retrospective analysis.
Citation Text:
Rubin JB, Bishop TF. Characteristics of paid malpractice claims settled in and out of court in the USA: a retrospective analysis. BMJ Open. 2013;3(6). doi:10…
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psnet.ahrq.gov/issue/tangible-handoff-team-approach-advancing-structured-communication-labor-and-delivery
June 12, 2013 - Commentary
The tangible handoff: a team approach for advancing structured communication in labor and delivery.
Citation Text:
Block M, Ehrenworth JF, Cuce VM, et al. The tangible handoff: a team approach for advancing structured communication in labor and delivery. Jt Comm J Qual Patient…
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psnet.ahrq.gov/issue/injection-practices-among-clinicians-united-states-health-care-settings
January 06, 2017 - Study
Injection practices among clinicians in United States health care settings.
Citation Text:
Pugliese G, Gosnell C, Bartley JM, et al. Injection practices among clinicians in United States health care settings. Am J Infect Control. 2010;38(10):789-798. doi:10.1016/j.ajic.2010.09.00…
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psnet.ahrq.gov/issue/exploring-causes-adverse-events-hospitals-and-potential-prevention-strategies
February 20, 2013 - Study
Exploring the causes of adverse events in hospitals and potential prevention strategies.
Citation Text:
Smits M, Zegers M, Groenewegen PP, et al. Exploring the causes of adverse events in hospitals and potential prevention strategies. BMJ Qual Saf. 2010;19(5). doi:10.1136/qshc.20…
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psnet.ahrq.gov/issue/economics-health-care-quality-and-medical-errors
August 19, 2020 - Commentary
The economics of health care quality and medical errors.
Citation Text:
Andel C, Davidow SL, Hollander M, et al. The economics of health care quality and medical errors. J Health Care Finance. 2012;39(1):39-50.
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psnet.ahrq.gov/issue/mastering-improvement-science-skills-new-era-quality-and-safety-veterans-affairs-national
December 12, 2012 - Commentary
Mastering improvement science skills in the new era of quality and safety: the Veterans Affairs National Quality Scholars Program.
Citation Text:
Estrada CA, Dolansky MA, Singh MK, et al. Mastering improvement science skills in the new era of quality and safety: the Veterans…
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psnet.ahrq.gov/issue/using-simulation-address-hierarchy-issues-during-medical-crises
June 15, 2012 - Commentary
Using simulation to address hierarchy issues during medical crises.
Citation Text:
Calhoun AW, Boone MC, Miller KH, et al. Case and commentary: using simulation to address hierarchy issues during medical crises. Simul Healthc. 2013;8(1):13-9. doi:10.1097/SIH.0b013e318280b202…
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psnet.ahrq.gov/issue/veterans-health-care-veterans-health-administration-processes-responding-reported-adverse
August 15, 2012 - Book/Report
Veterans Health Care: Veterans Health Administration Processes for Responding to Reported Adverse Events.
Citation Text:
Veterans Health Care: Veterans Health Administration Processes for Responding to Reported Adverse Events. Washington, DC: United States Government Acco…
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psnet.ahrq.gov/issue/patient-safety-office-based-setting
August 20, 2018 - Commentary
Patient safety in the office-based setting.
Citation Text:
Horton B, Reece EM, Broughton G, et al. Patient safety in the office-based setting. Plast Reconstr Surg. 2006;117(4):61e-80e.
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