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psnet.ahrq.gov/issue/ebola-case-raises-concern-about-everyday-hospital-safety
June 21, 2017 - Newspaper/Magazine Article
Ebola case raises concern about everyday hospital safety.
Citation Text:
Ebola case raises concern about everyday hospital safety. Rodricks D. Baltimore Sun. October 14, 2014.
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psnet.ahrq.gov/issue/implementing-aorn-recommended-practices-laser-safety
July 16, 2018 - Commentary
Implementing AORN recommended practices for laser safety.
Citation Text:
Castelluccio D, Nurses A of OR. Implementing AORN Recommended Practices for Laser Safety. AORN J. 2012;95(5):612-24; quiz 625-7. doi:10.1016/j.aorn.2012.03.001.
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psnet.ahrq.gov/issue/impact-professionalism-safe-surgical-care
January 23, 2017 - Commentary
The impact of professionalism on safe surgical care.
Citation Text:
Whittemore A, Surgery NES for V. The impact of professionalism on safe surgical care. J Vasc Surg. 2007;45(2):415-9.
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psnet.ahrq.gov/issue/new-patient-safety-officer-lifeline-patients-life-jacket-ceos
September 12, 2012 - Commentary
The new patient safety officer: a lifeline for patients, a life jacket for CEOs.
Citation Text:
Denham CR. The New Patient Safety Officer. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e318036bae9.
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psnet.ahrq.gov/issue/ismp-gap-analysis-tool-gat-safe-iv-push-medication-practices
June 13, 2018 - Toolkit
ISMP Gap Analysis Tool (GAT) for Safe IV Push Medication Practices.
Citation Text:
ISMP Gap Analysis Tool (GAT) for Safe IV Push Medication Practices. Horsham, PA: Institute for Safe Medication Practices; 2018.
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psnet.ahrq.gov/issue/enacting-washington-state-patient-safety-act-requiring-hospital-staffing-plans-nursing
May 04, 2015 - Legislation/Case Law
Enacting the Washington state patient safety act requiring hospital staffing plans for nursing services and establishing recordkeeping and reporting requirements.
Citation Text:
Enacting the Washington state patient safety act requiring hospital staffing plans for n…
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psnet.ahrq.gov/node/49847/psn-pdf
November 01, 2018 - Written Signout: It Only Works If You Use The Right One
November 1, 2018
Lewis K, Rosenbluth G. Written Signout: It Only Works If You Use The Right One. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/written-signout-it-only-works-if-you-use-right-one
The Case
A 75-year-old man was hospitalized due to a stro…
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psnet.ahrq.gov/node/74022/psn-pdf
March 01, 2021 - The Role of Community Pharmacists in Patient Safety
October 25, 2021
Luchen GG, Hall KK, Hough KR. The Role of Community Pharmacists in Patient Safety . PSNet [internet].
2021.
https://psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety
What is a community pharmacy?
Community pharmacies are somet…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.245_slideshow.ppt
July 01, 2011 - Spotlight Case July 2008
Spotlight Case
Watch the Warfarin!
1
2
Source and Credits
This presentation is based on the July 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Raman Khanna, MD, and Margaret Fang, MD, MPH; University of California, Sa…
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psnet.ahrq.gov/web-mm/slippery-slide-life
January 21, 2017 - Resources From the Same Author(s)
Implementing delivery room checklists and communication standards
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psnet.ahrq.gov/node/49765/psn-pdf
August 21, 2016 - Guidelines for standards of care for patients with acute respiratory failure on mechanical ventilatory
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psnet.ahrq.gov/node/45694/psn-pdf
June 15, 2017 - Management of trauma patients is
complex, and checklists may facilitate adherence to known standards
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psnet.ahrq.gov/node/46781/psn-pdf
August 20, 2018 - most of the
clinician-generated safety approaches would be considered ineffective by high reliability standards
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psnet.ahrq.gov/node/39314/psn-pdf
December 21, 2014 - studies focusing on identifying truly preventable harm and developing accurate, reliable
measurement standards
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psnet.ahrq.gov/web-mm/wrong-channel
February 01, 2003 - testing) have become standard device development processes supported by biomedical device national standards … AdvaMed, a device industry group, has partnered with the FDA to create human factors design standards … Your Role (“Homework”) FDA regulations, industry standards, and HFE methods will never be sufficient … American National Standards Institute, Association for the Advancement of Medical Instrumentation.
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psnet.ahrq.gov/node/45083/psn-pdf
July 18, 2016 - The commentary advocates for tasking an official
agency with defining measurement standards and benchmarks
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psnet.ahrq.gov/issue/laboratory-medicine-handoff-gaps-experienced-primary-care-practices-report-shared-networks
September 01, 2012 - This survey-based study of primary care providers revealed a lack of standardization for the tracking … 2012
Artificial intelligence versus clinicians: systematic review of design, reporting standards
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psnet.ahrq.gov/node/42067/psn-pdf
March 18, 2013 - definition of medication errors can affect measured error rates, and medication error measurement
standards
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psnet.ahrq.gov/issue/icu-attending-handoff-practices-results-national-survey-academic-intensivists
February 06, 2019 - So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization … 2013
The Accreditation Council for Graduate Medical Education resident duty hour new standards
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psnet.ahrq.gov/issue/validation-second-victim-experience-and-support-tool-revised-neonatal-intensive-care-unit
September 24, 2017 - May 19, 2021
Standardization of pediatric noncardiac operating room to intensive care … to enhance compliance of pro re nata medication orders with Joint Commission medication management standards