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  1. psnet.ahrq.gov/issue/concept-analysis-wrong-site-surgery
    June 11, 2014 - Review Concept analysis: wrong-site surgery. Citation Text: Watson DS. Concept analysis: wrong-site surgery. AORN J. 2015;101(6):650-6. doi:10.1016/j.aorn.2015.03.012. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…
  2. www.ahrq.gov/talkingquality/plan/manage.html
    November 01, 2018 - How Will You Manage a Health Care Quality Reporting Project? Managing a quality reporting project requires forethought, patience, and creativity. While detailed advice on how to manage this kind of effort is beyond the scope of TalkingQuality, this page offers some basic guidance to help you keep your project…
  3. psnet.ahrq.gov/issue/monitoring-patient-safety-health-care-building-case-surrogate-measures
    June 23, 2009 - Commentary Monitoring patient safety in health care: building the case for surrogate measures. Citation Text: Gaynes RP, Platt R. Monitoring patient safety in health care: building the case for surrogate measures. Jt Comm J Qual Patient Saf. 2006;32(2):95-101. Copy Citation Forma…
  4. psnet.ahrq.gov/issue/pediatric-drug-labeling-improving-safety-and-efficacy-pediatric-therapies
    January 24, 2024 - Study Pediatric drug labeling: improving the safety and efficacy of pediatric therapies. Citation Text: Roberts R, Rodriguez W, Murphy D, et al. Pediatric Drug Labeling. JAMA. 2003;290(7). doi:10.1001/jama.290.7.905. Copy Citation Format: DOI Google Scholar BibTeX EndNote…
  5. psnet.ahrq.gov/issue/my-life-was-upended-35-years-cancer-diagnosis-doctor-just-told-me-i-was-misdiagnosed
    April 11, 2018 - Newspaper/Magazine Article My life was upended for 35 years by a cancer diagnosis. A doctor just told me I was misdiagnosed. Citation Text: My life was upended for 35 years by a cancer diagnosis. A doctor just told me I was misdiagnosed. Henigson J. Washington Post. March 26, 2021. …
  6. psnet.ahrq.gov/issue/top-penn-state-health-surgeon-warned-leaders-about-transplant-problems-months-shutdown-then
    July 18, 2018 - Newspaper/Magazine Article Top Penn State Health surgeon warned leaders about transplant problems months before shutdown. Then he was let go. Citation Text: Top Penn State Health surgeon warned leaders about transplant problems months before shutdown. Then he was let go. Massey W, Keith …
  7. psnet.ahrq.gov/issue/surgical-simulation-systematic-review
    June 15, 2011 - Review Surgical simulation: a systematic review. Citation Text: Sutherland LM, Middleton PF, Anthony A, et al. Surgical simulation: a systematic review. Ann Surg. 2006;243(3):291-300. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …
  8. psnet.ahrq.gov/issue/performance-improvement-plan-increase-nurse-adherence-use-medication-safety-software
    March 13, 2024 - Commentary A performance improvement plan to increase nurse adherence to use of medication safety software. Citation Text: Gavriloff C. A Performance Improvement Plan to Increase Nurse Adherence to Use of Medication Safety Software. J Pediatr Nurs. 2011;27(4). doi:10.1016/j.pedn.2011.0…
  9. psnet.ahrq.gov/issue/neuroscience-critical-care-role-advanced-practice-nurse-patient-safety
    September 21, 2009 - Commentary Neuroscience critical care: the role of the advanced practice nurse in patient safety. Citation Text: Phillips J. Neuroscience critical care: the role of the advanced practice nurse in patient safety. AACN Clin Issues. 2005;16(4):581-592. Copy Citation Format: …
  10. psnet.ahrq.gov/issue/ambiguities-chronic-illness-management-and-challenges-medical-error-paradigm
    July 02, 2014 - Study Ambiguities of chronic illness management and challenges to the medical error paradigm. Citation Text: Lutfey KE, Freese J. Ambiguities of chronic illness management and challenges to the medical error paradigm. Soc Sci Med. 2007;64(2):314-25. Copy Citation Format: …
  11. www.ahrq.gov/hai/tools/surgery/modules/sustainability/spreading-slides.html
    December 01, 2017 - Sustaining and Spreading Surgical Safety Improvements: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Sustainability Sustaining and Spreading Surgical Safety Improvements Slide 2: Learning Objectives After this session, you will be able to– Define sus…
  12. psnet.ahrq.gov/issue/prevention-medical-accidents-caused-defective-surgical-instruments
    July 31, 2019 - Study Prevention of medical accidents caused by defective surgical instruments. Citation Text: Yasuhara H, Fukatsu K, Komatsu T, et al. Prevention of medical accidents caused by defective surgical instruments. Surgery. 2012;151(2):153-61. doi:10.1016/j.surg.2011.06.029. Copy Citation…
  13. psnet.ahrq.gov/issue/systems-approach-patient-centered-care
    November 21, 2021 - Commentary A systems approach to patient-centered care. Citation Text: Bergeson SC, Dean JD. A systems approach to patient-centered care. JAMA. 2006;296(23):2848-51. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…
  14. psnet.ahrq.gov/issue/when-public-health-goes-wrong-toward-new-concept-public-health-error
    September 02, 2020 - Commentary When public health goes wrong: toward a new concept of public health error. Citation Text: Bavli I. When public health goes wrong: toward a new concept of public health error. J Law Med Ethics. 2023;51(2):385-402. doi:10.1017/jme.2023.67. Copy Citation Format: DO…
  15. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load1.html
    May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy Introduction to Diagnostic Errors Previous Page Next Page Table of Contents Cognitive Load Theory and Its Impact on Diagnostic Accuracy Introduction to Diagnostic Errors Fundamental Concepts for Understanding Cognitive Load Interplay …
  16. psnet.ahrq.gov/issue/one-intensive-care-nurserys-experience-enhancing-patient-safety
    June 21, 2006 - Commentary One intensive care nursery's experience with enhancing patient safety. Citation Text: Alton M, Mericle J, Brandon D. One intensive care nursery's experience with enhancing patient safety. Adv Neonatal Care. 2006;6(3):112-9. Copy Citation Format: Google Scholar …
  17. psnet.ahrq.gov/issue/medication-errors-immunisation
    December 02, 2020 - Commentary Medication errors: immunisation.  Citation Text: Bird S. Medication errors: immunisation. Aust Fam Physician. 2006;35(9):735-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citati…
  18. psnet.ahrq.gov/issue/addiction-disease-isolation-so-pandemic-puts-recovery-risk
    May 05, 2021 - Newspaper/Magazine Article Addiction is ‘A disease of isolation’ — so pandemic puts recovery at risk. Citation Text: Addiction is ‘A disease of isolation’ — so pandemic puts recovery at risk. Bebinger M. Kaiser Health News. March 30, 2020. Copy Citation Save Sav…
  19. psnet.ahrq.gov/issue/do-you-hear-what-i-hear-communication-practices-about-medications-between-physicians-and
    August 02, 2016 - Study Do you hear what I hear? Communication practices about medications between physicians and clients with chronic illness in Canada. Citation Text: Do you hear what I hear? Communication practices about medications between physicians and clients with chronic illness in Canada. Sears…
  20. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-4x6-UTI.pdf
    June 01, 2021 - Suspected Urinary Tract Infection (UTI) in Long-Term Care Residents 0%0% Suspected Urinary Tract Infection (UTI) in Long-Term Care Residents Signs & Symptoms of a UTI For Residents Without a Urinary Catheter � Dysuria OR � Fever (>100°F or >2°F above …