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psnet.ahrq.gov/node/845351/psn-pdf
March 01, 2023 - Access to Clinical Information at the Bedside.
March 1, 2023
Farnborough, UK: Healthcare Safety Investigation Branch; February 2023.
https://psnet.ahrq.gov/issue/access-clinical-information-bedside
Patient misidentification in emergent situations can reduce the appropriateness of care delivery and safety.
This rep…
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psnet.ahrq.gov/innovation/enhancing-support-patients-social-needs-reduce-hospital-readmissions-and-improve-health
February 26, 2025 - Enhancing Support for Patients’ Social Needs to Reduce Hospital Readmissions and Improve Health Outcomes
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March 29, 2023
Innovation
Co…
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psnet.ahrq.gov/node/837732/psn-pdf
July 27, 2022 - Undiagnosed and rare diseases in critical care: the role of
diagnostic access.
July 27, 2022
Bordini BJ. Undiagnosed and rare diseases in critical care: the role of diagnostic access. Crit Care Clin.
2022;38(2):159-171. doi:10.1016/j.ccc.2021.12.002.
https://psnet.ahrq.gov/issue/undiagnosed-and-rare-diseases-criti…
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psnet.ahrq.gov/primer/covid-19-and-dentistry-challenges-and-opportunities-providing-safe-care
February 24, 2022 - COVID-19 and Dentistry: Challenges and Opportunities for Providing Safe Care
Citation Text:
Kalenderian E, Spallek H, Franklin A, et al. COVID-19 and Dentistry: Challenges and Opportunities for Providing Safe Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department o…
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psnet.ahrq.gov/node/60296/psn-pdf
May 06, 2020 - Ensuring access to medications in the US during the
COVID-19 pandemic.
May 6, 2020
Alexander GC, Qato DM. Ensuring access to medications in the US during the COVID-19 pandemic.
JAMA. 2020;324(1):31-32. doi:10.1001/jama.2020.6016.
https://psnet.ahrq.gov/issue/ensuring-access-medications-us-during-covid-19-pandemic
…
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psnet.ahrq.gov/web-mm/dont-use-port-insert-picc
December 22, 2018 - Don't Use That Port: Insert a PICC
Citation Text:
Ilan R. Don't Use That Port: Insert a PICC. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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psnet.ahrq.gov/node/838197/psn-pdf
September 28, 2022 - Be Picky about your PICCs—Fragmented Care and Poor
Communication at Discharge Leads to a PICC without a
Plan.
September 28, 2022
Marti CS, Reese SK, Brown-McManus M. Be Picky about your PICCs—Fragmented Care and Poor
Communication at Discharge Leads to a PICC without a Plan. PSNet [internet]. 2022.
https://psnet.…
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psnet.ahrq.gov/node/49716/psn-pdf
August 21, 2014 - Benefits vs. Risks of Intraosseous Vascular Access
August 21, 2014
Fowler RL, Lippmann MJ. Benefits vs. Risks of Intraosseous Vascular Access. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/benefits-vs-risks-intraosseous-vascular-access
The Case
A 72-year-old woman with a history of asthma, congestive heart…
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psnet.ahrq.gov/node/72817/psn-pdf
March 10, 2021 - Assessment of patients' ability to review electronic health
record information to identify potential errors: cross-
sectional web-based survey.
March 10, 2021
Freise L, Neves AL, Flott K, et al. Assessment of patients' ability to review electronic health record
information to identify potential errors: cross-secti…
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psnet.ahrq.gov/node/60790/psn-pdf
February 23, 2022 - COVID-19 and Dentistry: Challenges and Opportunities
for Providing Safe Care
February 23, 2022
Kalenderian E, Spallek H, Franklin A, et al. COVID-19 and Dentistry: Challenges and Opportunities for
Providing Safe Care. PSNet [internet]. 2022.
https://psnet.ahrq.gov/primer/covid-19-and-dentistry-challenges-and-oppor…
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psnet.ahrq.gov/Webmm/submit-case-info
April 05, 2025 - Selection Criteria and Honorarium Information
How it works
Health care professionals may submit de-identified cases that highlight medical errors or other patient
safety/quality
issues. Note that you can choose to submit cases either …
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psnet.ahrq.gov/node/866992/psn-pdf
May 29, 2024 - Harm Reduction Strategies to Improve Safety for People
Who Use Substances
October 30, 2024
Salisbury-Afshar E, Gale B, Mossburg S. Harm Reduction Strategies to Improve Safety for People Who
Use Substances . PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/harm-reduction-strategies-improve-safety-people-w…
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psnet.ahrq.gov/node/860720/psn-pdf
January 17, 2024 - Do patients who read visit notes on the patient portal
have a higher rate of "loop closure" on diagnostic tests
and referrals in primary care? A retrospective cohort
study.
January 17, 2024
Bell SK, Amat MJ, Anderson TS, et al. Do patients who read visit notes on the patient portal have a higher
rate of “loop clo…
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psnet.ahrq.gov/issue/network-collaboration-implementing-technology-improve-medication-dispensing-and
December 15, 2010 - Study
A network collaboration implementing technology to improve medication dispensing and administration in critical access hospitals.
Citation Text:
Wakefield DS, Ward MM, Loes JL, et al. A network collaboration implementing technology to improve medication dispensing and administrati…
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psnet.ahrq.gov/node/852274/psn-pdf
August 09, 2023 - Associations between self-reported healthcare disruption
due to COVID-19 and avoidable hospital admission:
evidence from seven linked longitudinal studies for
England.
August 9, 2023
Green MA, McKee M, Hamilton OKL, et al. Associations between self-reported healthcare disruption due to
covid-19 and avoidable hosp…
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psnet.ahrq.gov/node/43548/psn-pdf
October 01, 2014 - Patients' online access to their electronic health records
and linked online services: a systematic interpretative
review.
October 1, 2014
de Lusignan S, Mold F, Sheikh A, et al. Patients' online access to their electronic health records and linked
online services: a systematic interpretative review. BMJ Open. 201…
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psnet.ahrq.gov/node/866216/psn-pdf
July 10, 2024 - Health Plan Patient Safety Initiatives
July 10, 2024
Helwig A, Sousane Z, Mossburg S. Health Plan Patient Safety Initiatives. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
When we think of improving patient safety, we often think of strategies that can be implemen…
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psnet.ahrq.gov/web-mm/picking-cause-stroke
August 07, 2024 - Picking Up the Cause of the Stroke
Citation Text:
Chopra V. Picking Up the Cause of the Stroke. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/issue/comparison-medication-safety-systems-critical-access-hospitals-combined-analysis-two-studies
September 28, 2016 - Study
Comparison of medication safety systems in critical access hospitals: combined analysis of two studies.
Citation Text:
Cochran GL, Barrett RS, Horn SD. Comparison of medication safety systems in critical access hospitals: Combined analysis of two studies. Am J Health Syst Pharm. 20…
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psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
February 28, 2024 - In Conversation With… Vineet Chopra, MD, MSc
October 30, 2019
Citation Text:
In Conversation With… Vineet Chopra, MD, MSc. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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