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psnet.ahrq.gov/node/38486/psn-pdf
March 18, 2009 - Medical errors in orthopaedics. Results of an AAOS
member survey.
March 18, 2009
Wong DA, Herndon JH, Canale T, et al. Medical errors in orthopaedics. Results of an AAOS member
survey. J Bone Joint Surg Am. 2009;91(3):547-57. doi:10.2106/JBJS.G.01439.
https://psnet.ahrq.gov/issue/medical-errors-orthopaedics-result…
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psnet.ahrq.gov/node/38582/psn-pdf
May 22, 2023 - Serious Reportable Events in Massachusetts.
May 22, 2023
Fillo KT, Saunders K. Bureau of Health Care Safety and Quality, Department of Public Health. Boston, MA:
Commonwealth of Massachusetts; 2023.
https://psnet.ahrq.gov/issue/serious-reportable-events-massachusetts
This reoccurring report compiles patient safety…
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psnet.ahrq.gov/node/865429/psn-pdf
April 24, 2024 - Missed Connection: A Case of Inadequate ECG Oversight
in Cardiac Surgery
April 24, 2024
Bohringer C, Fierro M, Venugopal S. Missed Connection: A Case of Inadequate ECG Oversight in Cardiac
Surgery. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery…
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psnet.ahrq.gov/issue/decontamination-surgical-instruments
September 21, 2022 - Book/Report
Decontamination of Surgical Instruments.
Citation Text:
Decontamination of Surgical Instruments. Farnborough, UK; Healthcare Safety Investigation Branch; May 26, 2022.
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psnet.ahrq.gov/issue/national-web-conference-improving-health-it-safety-through-use-natural-language-processing
May 01, 2017 - Webinar
A National Web Conference on Improving Health IT Safety Through the Use of Natural Language Processing to Improve Accuracy of EHR Documentation.
Citation Text:
A National Web Conference on Improving Health IT Safety Through the Use of Natural Language Processing to Improve Accura…
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psnet.ahrq.gov/issue/avoiding-unconscious-bias-guide-surgeons
May 29, 2019 - Book/Report
Avoiding Unconscious Bias: a Guide for Surgeons.
Citation Text:
Avoiding Unconscious Bias: a Guide for Surgeons. London, UK: Royal College of Surgeons of England; 2016.
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psnet.ahrq.gov/issue/how-hepatitis-probe-led-clinic-old-fashioned-legwork-yielded-clues-came-together
September 01, 2011 - Newspaper/Magazine Article
How hepatitis probe led to clinic: old-fashioned legwork yielded clues that came together.
Citation Text:
How hepatitis probe led to clinic: old-fashioned legwork yielded clues that came together. Allen M. Las Vegas Sun. March 2, 2008.
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psnet.ahrq.gov/issue/patients-partners-toolkit-implementing-national-patient-safety-goal-13
April 24, 2007 - Toolkit
Patients as Partners: Toolkit for Implementing National Patient Safety Goal 13.
Citation Text:
Patients as Partners: Toolkit for Implementing National Patient Safety Goal 13. Pillow M. Oakbrook Terrace, IL: Joint Commission Resources; 2007. ISBN 9781599401614.
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psnet.ahrq.gov/issue/surgeon-so-bad-it-was-criminal
October 24, 2018 - Newspaper/Magazine Article
A surgeon so bad it was criminal.
Citation Text:
A surgeon so bad it was criminal. Beil L. ProPublica. October 2, 2018.
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psnet.ahrq.gov/issue/surgical-innovation-new-techniques-and-technologies-guide-good-practice
April 10, 2019 - Book/Report
Surgical Innovation, New Techniques and Technologies: A Guide to Good Practice.
Citation Text:
Surgical Innovation, New Techniques and Technologies: A Guide to Good Practice. London, UK: Royal College of Surgeons of England; 2019.
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psnet.ahrq.gov/issue/enhancing-surgical-performance-primer-non-technical-skills
January 10, 2018 - Book/Report
Enhancing Surgical Performance: A Primer in Non-technical Skills.
Citation Text:
Enhancing Surgical Performance: A Primer in Non-technical Skills. Flin R, Youngson GG, Yule S. Boca Raton, FL: CRC Press; 2015. ISBN: 9781482246322.
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psnet.ahrq.gov/issue/making-care-safer
December 18, 2008 - Book/Report
Making Care Safer.
Citation Text:
Making Care Safer. Agency for Healthcare Research and Quality. Priorities in Focus. March 2016.
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psnet.ahrq.gov/issue/health-care-facility-design-safety-risk-assessment-toolkit
May 01, 2017 - Toolkit
Health Care Facility Design Safety Risk Assessment Toolkit.
Citation Text:
Health Care Facility Design Safety Risk Assessment Toolkit. Rockville, MD: Agency for Healthcare Research and Quality; 2017.
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psnet.ahrq.gov/issue/what-doctor-may-miss-reaching-mri-first
May 22, 2013 - Newspaper/Magazine Article
What a doctor may miss by reaching for the MRI first.
Citation Text:
What a doctor may miss by reaching for the MRI first. Boodman SG, Kaiser Health News. Washington Post. May 19, 2014.
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psnet.ahrq.gov/issue/dtap-tdap-mix-ups-now-affecting-hundreds-patients
June 10, 2018 - Newspaper/Magazine Article
DTaP–Tdap mix-ups now affecting hundreds of patients.
Citation Text:
DTaP–Tdap mix-ups now affecting hundreds of patients. ISMP Medication Safety Alert! Acute Care Edition. July 1, 2010;15:1-2.
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psnet.ahrq.gov/issue/retained-surgical-sponge-gossypiboma-and-other-retained-surgical-items-prevention-and
March 17, 2023 - Review
Retained surgical sponge (gossypiboma) and other retained surgical items: prevention and management.
Citation Text:
Retained surgical sponge (gossypiboma) and other retained surgical items: prevention and management. Copeland AW. UpToDate. April 10, 2023.
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psnet.ahrq.gov/issue/pain-alleviation-toolkit
April 22, 2020 - Toolkit
Pain Alleviation Toolkit.
Citation Text:
Pain Alleviation Toolkit. American Society of Anesthesiologists, American Academy of Orthopaedic Surgeons. March 12, 2020.
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psnet.ahrq.gov/issue/hospital-acquired-infections-pennsylvania-0
July 27, 2005 - Book/Report
Hospital-acquired Infections in Pennsylvania.
Citation Text:
Hospital-acquired Infections in Pennsylvania. PHC4 Research Briefs. 2006(9):1-4.
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psnet.ahrq.gov/issue/surgical-checklists-unused-10-hospitals-cms-data-shows
October 01, 2014 - Newspaper/Magazine Article
Surgical checklists unused in 10% of hospitals, CMS data shows.
Citation Text:
Surgical checklists unused in 10% of hospitals, CMS data shows. Clark C. HealthLeaders Media. July 24, 2014.
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psnet.ahrq.gov/issue/enhancing-surgical-systems
April 12, 2017 - Special or Theme Issue
Enhancing Surgical Systems.
Citation Text:
Enhancing Surgical Systems. Healey AN, Catchpole K, Yule S, eds. Cogn Tech Work. 2008;10(4):249-333.
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