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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/toolkit-improving-perinatal-safety
May 01, 2017 - Toolkit
Toolkit for Improving Perinatal Safety.
Citation Text:
Toolkit for Improving Perinatal Safety. Rockville, MD: Agency for Healthcare Research and Quality. June 2017.
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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/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/diagnostic-safety-supplemental-item-set-medical-office-sops
December 24, 2008 - Multi-use Website
Diagnostic Safety Supplemental Item Set for Medical Office SOPS.
Citation Text:
Diagnostic Safety Supplemental Item Set for Medical Office SOPS. Agency for Healthcare Research and Quality.
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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/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/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/human-costs-training-doctors
December 17, 2014 - Newspaper/Magazine Article
Human costs of training doctors.
Citation Text:
Human costs of training doctors. Dunklin R; Goetinck Ambrose S; Egerton B.
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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/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/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/human-factors-pediatric-anesthesia-incidents
June 06, 2018 - Study
Human factors in pediatric anesthesia incidents.
Citation Text:
Human factors in pediatric anesthesia incidents. Marcus R.
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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/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/doctor-administered-fatal-dose-calcium-baby-inquest-told
March 06, 2005 - Newspaper/Magazine Article
Doctor administered fatal dose of calcium to baby, inquest told.
Citation Text:
Doctor administered fatal dose of calcium to baby, inquest told. Morris S.
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psnet.ahrq.gov/node/41778/psn-pdf
January 18, 2013 - An observational study of the frequency, severity, and
etiology of failures in postoperative care after major
elective general surgery.
January 18, 2013
Symons NRA, Almoudaris AM, Nagpal K, et al. An observational study of the frequency, severity, and
etiology of failures in postoperative care after major elective…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-conclusion.html
May 01, 2017 - Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide
Conclusion
Previous Page
Table of Contents
Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide
Overview
The Comprehensive Unit-based Safety Program (CUSP)
Measurement…
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psnet.ahrq.gov/node/35724/psn-pdf
May 26, 2010 - A prospective study of patient safety in the operating
room.
May 26, 2010
Christian CK, Gustafson ML, Roth EM, et al. A prospective study of patient safety in the operating room.
Surgery. 2006;139(2):159-173.
https://psnet.ahrq.gov/issue/prospective-study-patient-safety-operating-room
This study used a multidisci…
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psnet.ahrq.gov/node/37349/psn-pdf
January 06, 2012 - Disruptions in surgical flow and their relationship to
surgical errors: an exploratory investigation.
January 6, 2012
Wiegmann DA, Elbardissi AW, Dearani JA, et al. Disruptions in surgical flow and their relationship to
surgical errors: an exploratory investigation. Surgery. 2007;142(5):658-65.
https://psnet.ahrq.…