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psnet.ahrq.gov/issue/guideline-prevention-retained-surgical-items
April 26, 2023 - Commentary
Guideline for prevention of retained surgical items.
Citation Text:
Putnam K. Guideline for prevention of retained surgical items. AORN J. 2015;102(6):P11-P13.
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psnet.ahrq.gov/issue/frustrated-your-ehr-dont-blame-your-vendor-safety-shared-responsibility
May 13, 2015 - Commentary
Frustrated with your EHR? Don't blame your vendor—safety is a shared responsibility.
Citation Text:
Frustrated with your EHR? Don't blame your vendor—safety is a shared responsibility. Singh H, Sittig DF. NEJM Catalyst. December 7, 2017.
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psnet.ahrq.gov/issue/aging-gracefully-patient-safety-advocates-call-ongoing-skills-assessments-older-physicians
June 07, 2023 - Commentary
Aging gracefully? Patient safety advocates call for ongoing skills assessments for older physicians.
Citation Text:
McKenna M. Aging gracefully?: patient safety advocates call for ongoing skills assessments for older physicians. Ann Emerg Med. 2011;58(3):A15-A17.
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psnet.ahrq.gov/issue/wrong-site-surgery-1
September 02, 2020 - Commentary
Wrong-site surgery.
Citation Text:
Engelhardt KE, Barnard C, Bilimoria KY. Wrong-Site Surgery. JAMA. 2017;318(20):2033-2034. doi:10.1001/jama.2017.17177.
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psnet.ahrq.gov/issue/counterheroism-common-knowledge-and-ergonomics-concepts-aviation-could-improve-patient-safety
November 03, 2015 - Commentary
Counterheroism, common knowledge, and ergonomics: concepts from aviation that could improve patient safety.
Citation Text:
Lewis GH, Vaithianathan R, Hockey PM, et al. Counterheroism, common knowledge, and ergonomics: concepts from aviation that could improve patient safety. M…
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psnet.ahrq.gov/issue/healthgrades-quality-study-third-annual-patient-safety-american-hospitals-study
September 12, 2012 - Book/Report
HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study.
Citation Text:
HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study. Denver, CO: HealthGrades; 2006.
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psnet.ahrq.gov/issue/teamwork-and-team-training-icu-where-do-similarities-aviation-end
March 28, 2012 - Commentary
Teamwork and team training in the ICU: where do the similarities with aviation end?
Citation Text:
Reader TW, Cuthbertson BH. Teamwork and team training in the ICU: Where do the similarities with aviation end? Crit Care. 2011;15(6). doi:10.1186/cc10353.
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psnet.ahrq.gov/issue/industrial-and-systems-engineering-and-health-care-critical-areas-research-final-report
November 17, 2010 - Book/Report
Industrial and Systems Engineering and Health Care: Critical Areas of Research: Final Report.
Citation Text:
Industrial and Systems Engineering and Health Care: Critical Areas of Research: Final Report. Valdez RS, Ramly E, Brennan PF. Rockville, MD: Agency for Healthcare Rese…
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psnet.ahrq.gov/issue/iatrogenic-harm-cost-equation-and-new-technology
January 24, 2024 - Commentary
The iatrogenic-harm cost equation and new technology.
Citation Text:
Webster CS. The iatrogenic-harm cost equation and new technology. Anaesthesia. 2005;60(9). doi:10.1111/j.1365-2044.2005.04331.x.
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psnet.ahrq.gov/issue/potential-role-pharmacogenomics-reducing-adverse-drug-reactions-systematic-review
August 04, 2021 - Review
Potential role of pharmacogenomics in reducing adverse drug reactions: a systematic review.
Citation Text:
Phillips KA, Veenstra DL, Oren E, et al. Potential role of pharmacogenomics in reducing adverse drug reactions: a systematic review. JAMA. 2001;286(18):2270-9.
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psnet.ahrq.gov/issue/non-english-speakers-drug-label-instructions-can-be-lost-translation
September 12, 2016 - Newspaper/Magazine Article
For non-English speakers, drug label instructions can be lost in translation.
Citation Text:
Mitka M. For non-english speakers, drug label instructions can be lost in translation. JAMA. 2007;297(23):2575-7.
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psnet.ahrq.gov/issue/evidence-under-judgment-can-we-oversee-our-own-decision-making
May 21, 2019 - Commentary
Evidence under judgment: can we oversee our own decision making?
Citation Text:
Zilberberg MD. Evidence Under Judgment. Arch Intern Med. 2011;171(16). doi:10.1001/archinternmed.2011.355.
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psnet.ahrq.gov/issue/patients-went-hospital-care-after-testing-positive-there-covid-some-never-came-out
January 26, 2022 - Newspaper/Magazine Article
Patients went into the hospital for care. After testing positive there for Covid, some never came out.
Citation Text:
Patients went into the hospital for care. After testing positive there for Covid, some never came out. Jewett C. Kaiser Health News. November 4…
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psnet.ahrq.gov/issue/next-generation-doctors-may-be-learning-bad-habits-teaching-hospitals-many-safety-violations
June 28, 2023 - Newspaper/Magazine Article
The next generation of doctors may be learning bad habits at teaching hospitals with many safety violations.
Citation Text:
The next generation of doctors may be learning bad habits at teaching hospitals with many safety violations. Blau M. STAT. April 20, 2018…
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psnet.ahrq.gov/issue/chemotherapy-dose-limits-set-users-computer-order-entry-system
August 13, 2008 - Study
Chemotherapy dose limits set by users of a computer order entry system.
Citation Text:
Chemotherapy dose limits set by users of a computer order entry system. DuBeshter B; Griggs J; Angel C; Loughner J.
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psnet.ahrq.gov/issue/patient-safety-it-just-another-bandwagon
June 12, 2013 - Commentary
Patient safety: is it just another bandwagon?
Citation Text:
Storch JL. Patient safety: is it just another bandwagon? Nurs Leadersh (Tor Ont). 2005;18(2):39-55.
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psnet.ahrq.gov/issue/safety-ii-and-resilience-way-ahead-patient-safety-anaesthesiology
October 08, 2016 - Review
Safety-II and resilience: the way ahead in patient safety in anaesthesiology.
Citation Text:
Staender S. Safety-II and resilience: the way ahead in patient safety in anaesthesiology. Curr Opin Anaesthesiol. 2015;28(6):735-9. doi:10.1097/ACO.0000000000000252.
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www.ahrq.gov/nhguide/toolkits/help-clinicians-choose-the-right-antibiotic/toolkit2-concise-antibiogram-toolkit.html
October 01, 2016 - Toolkit 2. Using Nursing Home Antibiograms To Choose the Right Antibiotic (Concise Antibiogram Toolkit)
Toolkit Effectiveness
When an antibiogram was implemented in nursing homes, results suggested that it had an effect on antibiotic prescribing. For example, Ciprofloxacin was prescribed 15% of the time versu…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/zxXWqacXvfKPyQB9LCrZjX
August 01, 2008 - See the Figure for a summary of this recommendation
and suggestions for clinical practice. … Suggestions for Practice
Given the uncertainties and controversy surrounding
prostate cancer screening … Suggestions for practice
Balance of harm
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Grade Definition Suggestions for Practice
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hcup-us.ahrq.gov/datainnovations/clinicaldata/Labs-to-be-Collected-FINAL.jsp
September 01, 2012 - If you have comments, suggestions, and/or questions, please contact hcup@ahrq.gov.