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psnet.ahrq.gov/issue/reused-devices-surgerys-deadly-suspects
January 04, 2006 - Newspaper/Magazine Article
Reused devices, surgery's deadly suspects.
Citation Text:
Reused devices, surgery's deadly suspects. Klein A. Washington Post. December 30, 2005
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psnet.ahrq.gov/issue/hospital-takes-page-toyota
April 03, 2005 - Newspaper/Magazine Article
Hospital takes a page from Toyota.
Citation Text:
Hospital takes a page from Toyota. Connolly C.
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psnet.ahrq.gov/issue/improving-diagnosis-medicine-change-package
May 06, 2015 - Toolkit
Improving Diagnosis in Medicine Change Package.
Citation Text:
Improving Diagnosis in Medicine Change Package. Chicago, IL: Health Research & Educational Trust; 2018.
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psnet.ahrq.gov/issue/quality-and-safety-medicine
February 15, 2023 - Special or Theme Issue
Quality and Safety in Medicine.
Citation Text:
Quality and Safety in Medicine. Nash DB, Goldfarb NI, Patow C, eds. Acad Med. 2009;84:1641-1846.
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psnet.ahrq.gov/issue/breaking-silence-switch-increasing-transparency-about-trainee-participation-surgery
February 02, 2022 - Commentary
Breaking the silence of the switch—increasing transparency about trainee participation in surgery.
Citation Text:
McAlister C. Breaking the Silence of the Switch--Increasing Transparency about Trainee Participation in Surgery. N Engl J Med. 2015;372(26):2477-9. doi:10.1056/NEJ…
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psnet.ahrq.gov/issue/hospital-error-oversight-called-lax-state-takes-too-long-investigate-mistakes-patient
May 04, 2015 - Newspaper/Magazine Article
Hospital-error oversight called lax: state takes too long to investigate mistakes, patient advocates say.
Citation Text:
Hospital-error oversight called lax: state takes too long to investigate mistakes, patient advocates say. Galloway A. Seattle Post-Intel…
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psnet.ahrq.gov/issue/transforming-hospitals-designing-safety-and-quality
May 01, 2015 - Audiovisual
Transforming Hospitals: Designing for Safety and Quality.
Citation Text:
Transforming Hospitals: Designing for Safety and Quality. Rockville, MD: Agency for Healthcare Research and Quality; December 2014.
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psnet.ahrq.gov/issue/two-pandemics-same-story-potentially-dangerous-overuse-antibiotics-and-road-medical-hell
March 11, 2020 - Newspaper/Magazine Article
Two pandemics, same story: the potentially dangerous overuse of antibiotics and 'the road to medical hell'.
Citation Text:
Two pandemics, same story: the potentially dangerous overuse of antibiotics and 'the road to medical hell'. Fauber J, Chen D. Milwaukee Jo…
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psnet.ahrq.gov/issue/vanderbilt-center-patient-and-professional-advocacy
March 02, 2022 - Multi-use Website
Vanderbilt Center for Patient and Professional Advocacy.
Citation Text:
Vanderbilt Center for Patient and Professional Advocacy. 2135 Blakemore Ave, Nashville, TN 37212. Phone: (615) 343-4500
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psnet.ahrq.gov/issue/dying-waitlist
September 04, 2019 - Newspaper/Magazine Article
Dying on the waitlist.
Citation Text:
Dying on the waitlist. Armstrong D. Allen M. ProPublica. February 18, 2021.
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psnet.ahrq.gov/issue/obstetric-quality-and-safety
February 25, 2009 - Special or Theme Issue
Obstetric Quality and Safety.
Citation Text:
Obstetric Quality and Safety. J Healthc Qual. 2009;31:3-52.
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psnet.ahrq.gov/issue/patient-safety-initiative-hospital-executive-and-physician-leadership-strategies
November 27, 2018 - Toolkit
Patient Safety Initiative: Hospital Executive and Physician Leadership Strategies.
Citation Text:
Patient Safety Initiative: Hospital Executive and Physician Leadership Strategies. Oakbrook, IL: Joint Commission Resources; January 2014.
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psnet.ahrq.gov/issue/global-patient-safety-law-policy-and-practice
August 01, 2012 - Book/Report
Global Patient Safety: Law, Policy and Practice.
Citation Text:
Global Patient Safety: Law, Policy and Practice. Tingle J, O'Neill C, Shimwell M. New York, NY: Routledge; 2019. ISBN: 9781138052789.
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psnet.ahrq.gov/primer/root-cause-analysis
March 30, 2022 - April 10, 2024
Patient Safety Primers
Inpatient Transitions
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psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
August 01, 2009 - Improving patient handoffs and transitions through adaptation and implementation of I-PASS across multiple … Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions
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psnet.ahrq.gov/node/866578/psn-pdf
August 28, 2024 - Factors such
as weight-based dosing, a hectic and distracting environment, and frequent transitions … #7
https://psnet.ahrq.gov//#7
using dual EHRs is a critical first step in preventing errors during transitions
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psnet.ahrq.gov/node/33680/psn-pdf
March 22, 2009 - DS: The connections are most apparent when you think about ambulatory care and transitions in care, … overlapping Venn diagrams between health literacy and patient safety
in the contexts of ambulatory care and transitions
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psnet.ahrq.gov/node/837748/psn-pdf
August 05, 2022 - Failure to reconcile medications across transitions of care (TOC) is an important source of
potential … perform medication reconciliation at critical points
during hospitalization, including admission, transitions
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psnet.ahrq.gov/perspective/patient-safety-ambulatory-care-setting
April 27, 2022 - the implementation of evidence-based processes to improve patient safety, especially those involving transitions … Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions
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psnet.ahrq.gov/web-mm/dont-wait-collect-accurate-weight-case-subtherapeutic-insulin-therapy
July 01, 2008 - Factors such as weight-based dosing, a hectic and distracting environment, and frequent transitions of … understanding of the challenges posed by using dual EHRs is a critical first step in preventing errors during transitions