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psnet.ahrq.gov/issue/implementation-protocol-reduce-occurrence-retained-sponges-after-vaginal-delivery
May 18, 2022 - Commentary
Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery.
Citation Text:
Lutgendorf MA, Schindler LL, Hill JB, et al. Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Mil Med. 2011;176(6):702-704.…
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psnet.ahrq.gov/issue/effect-short-term-pretrial-practice-surgical-proficiency-simulated-environments-randomized
January 20, 2010 - Study
Effect of short-term pretrial practice on surgical proficiency in simulated environments: a randomized trial of the "preoperative warm-up" effect.
Citation Text:
Kahol K, Satava RM, Ferrara JJ, et al. Effect of Short-Term Pretrial Practice on Surgical Proficiency in Simulated Env…
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psnet.ahrq.gov/issue/cost-pneumonia-after-acute-stroke
August 04, 2021 - Study
The cost of pneumonia after acute stroke.
Citation Text:
Katzan IL, Dawson NV, Thomas CL, et al. The cost of pneumonia after acute stroke. Neurology. 2007;68(22). doi:10.1212/01.wnl.0000263187.08969.45.
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psnet.ahrq.gov/issue/health-care-associated-invasive-mrsa-infections-2005-2008
February 17, 2011 - Study
Health care-associated invasive MRSA infections, 2005-2008.
Citation Text:
Kallen AJ, Mu Y, Bulens S, et al. Health care-associated invasive MRSA infections, 2005-2008. JAMA. 2010;304(6):641-8. doi:10.1001/jama.2010.1115.
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psnet.ahrq.gov/issue/why-patients-need-leaders-introducing-ward-safety-checklist
October 28, 2020 - Commentary
Why patients need leaders: introducing a ward safety checklist.
Citation Text:
Amin Y, Grewcock D, Andrews S, et al. Why patients need leaders: introducing a ward safety checklist. J R Soc Med. 2012;105(9):377-83. doi:10.1258/jrsm.2012.120098.
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psnet.ahrq.gov/issue/disclosure-medical-errors-ethical-considerations-development-facility-policy-and
August 30, 2017 - Commentary
Disclosure of medical errors: ethical considerations for the development of a facility policy and organizational culture change.
Citation Text:
Henry LL. Disclosure of medical errors: ethical considerations for the development of a facility policy and organizational culture ch…
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psnet.ahrq.gov/issue/innovative-application-bayesian-disease-mapping-methods-patient-safety-research-canadian
October 19, 2022 - Study
An innovative application of Bayesian disease mapping methods to patient safety research: a Canadian adverse medical event study.
Citation Text:
MacNab YC, Kmetic A, Gustafson P, et al. An innovative application of Bayesian disease mapping methods to patient safety research: a Ca…
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psnet.ahrq.gov/issue/improving-patient-safety-developing-countries-moving-towards-integrated-approach
December 02, 2020 - Review
Improving patient safety in developing countries—moving towards an integrated approach.
Citation Text:
Elmontsri M, Banarsee R, Majeed A. Improving patient safety in developing countries - moving towards an integrated approach. JRSM Open. 2018;9(11):2054270418786112. doi:10.1177/2…
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psnet.ahrq.gov/issue/patient-safety-strategies-are-we-same-team
September 24, 2014 - Commentary
Patient safety strategies: are we on the same team?
Citation Text:
Moffatt-Bruce SD, Funai EF, Nash M, et al. Patient safety strategies: are we on the same team? Obstet Gynecol. 2012;120(4):743-5.
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psnet.ahrq.gov/issue/medication-errors-family-practice-hospitals-and-after-discharge-hospital-ethical-analysis
September 23, 2020 - Commentary
Medication errors in family practice, in hospitals and after discharge from the hospital: an ethical analysis.
Citation Text:
Clark PA. Medication errors in family practice, in hospitals and after discharge from the hospital: an ethical analysis. J Law Med Ethics. 2004;32(2)…
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psnet.ahrq.gov/issue/chronic-kidney-disease-adversely-influences-patient-safety
July 29, 2020 - Study
Chronic kidney disease adversely influences patient safety.
Citation Text:
Seliger SL, Zhan M, Hsu VD, et al. Chronic kidney disease adversely influences patient safety. J Am Soc Nephrol. 2008;19(12):2414-9. doi:10.1681/ASN.2008010022.
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psnet.ahrq.gov/issue/piece-my-mind-copy-and-paste
July 01, 2012 - Commentary
Classic
A piece of my mind. Copy-and-paste.
Citation Text:
Hirschtick RE. A piece of my mind. Copy-and-paste. JAMA. 2006;295(20):2335-6.
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psnet.ahrq.gov/issue/what-happens-when-things-go-wrong
April 24, 2018 - Commentary
What happens when things go wrong?
Citation Text:
Brandom BW, Callahan P, Micalizzi DA. What happens when things go wrong? Paediatr Anaesth. 2011;21(7):730-6. doi:10.1111/j.1460-9592.2010.03513.x.
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psnet.ahrq.gov/issue/another-surgeons-error-must-you-tell-patient
October 02, 2013 - Commentary
Another surgeon's error: must you tell the patient?
Citation Text:
Moffatt-Bruce SD, Denlinger CE, Sade RM. Another surgeon's error: must you tell the patient? Ann Thorac Surg. 2014;98(2):396-401. doi:10.1016/j.athoracsur.2014.04.073.
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psnet.ahrq.gov/issue/predicting-and-preventing-adverse-drug-reactions-very-old
April 16, 2018 - Study
Predicting and preventing adverse drug reactions in the very old.
Citation Text:
Merle L, Laroche M-L, Dantoine T, et al. Predicting and preventing adverse drug reactions in the very old. Drugs Aging. 2005;22(5):375-92.
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psnet.ahrq.gov/issue/medication-related-patient-safety-incidents-critical-care-review-reports-uk-national-patient
December 02, 2009 - Study
Medication-related patient safety incidents in critical care: a review of reports to the UK National Patient Safety Agency.
Citation Text:
Thomas AN, Panchagnula U. Medication-related patient safety incidents in critical care: a review of reports to the UK National Patient Safety…
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psnet.ahrq.gov/issue/potentially-inappropriate-medications-and-adverse-drug-effects-elders-ed
December 23, 2020 - Study
Potentially inappropriate medications and adverse drug effects in elders in the ED.
Citation Text:
Nixdorff N, Hustey FM, Brady AK, et al. Potentially inappropriate medications and adverse drug effects in elders in the ED. Am J Emerg Med. 2008;26(6):697-700. doi:10.1016/j.ajem.20…
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psnet.ahrq.gov/issue/high-costs-weak-compliance-new-york-state-hospital-adverse-event-reporting-and-tracking
July 22, 2020 - Book/Report
The High Costs of Weak Compliance With the New York State Hospital Adverse Event Reporting and Tracking System.
Citation Text:
The High Costs of Weak Compliance With the New York State Hospital Adverse Event Reporting and Tracking System. Thompson WC Jr. New York, NY: Off…
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psnet.ahrq.gov/issue/medication-reconciliation-acute-care-ensuring-accurate-drug-regimen-admission-and-discharge
October 28, 2020 - Commentary
Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge.
Citation Text:
Rodehaver C, Fearing D. Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. Jt Comm J Qual Patient Saf. 2005…
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psnet.ahrq.gov/issue/mid-staffs-scandal-10-years-inquiry-chair-worries-nhs-staff-too-scared-speak
December 18, 2019 - Newspaper/Magazine Article
Mid Staffs scandal: 10 years on, inquiry chair worries NHS staff too scared to speak up.
Citation Text:
Mid Staffs scandal: 10 years on, inquiry chair worries NHS staff too scared to speak up. Lintern S. The Independent. January 15, 2020.
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