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psnet.ahrq.gov/perspective/overuse-patient-safety-problem
September 01, 2014 - Overuse as a Patient Safety Problem
Christopher Moriates, MD | September 1, 2014
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Moriates C. Overuse as a Patient Safety Problem. PSNet [internet]. Rockville (MD): Agency for Heal…
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psnet.ahrq.gov/perspective/are-residency-duty-hour-rules-improving-patient-safety
April 01, 2013 - 20 years of data suggest that those types of systems are effective in reducing medication errors and adverse … drug events, according to the most recent systematic reviews, a fairly small minority of hospitals nationwide
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psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-ambulatory-setting-study-closed-malpractice-claims
October 26, 2010 - Study
Classic
Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims.
Citation Text:
Gandhi TK, Kachalia A, Thomas EJ, et al. Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. An…
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psnet.ahrq.gov/issue/addressing-veteran-health-related-social-needs-how-joint-commission-standards-accelerated
November 24, 2021 - Commentary
Addressing veteran health-related social needs: how Joint Commission standards accelerated integration and expansion of tools and services in the Veterans Health Administration.
Citation Text:
List JM, Russell LE, Hausmann LRM, et al. Addressing veteran health-related social n…
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psnet.ahrq.gov/issue/development-instrument-measure-seniors-patient-safety-health-beliefs-seniors-empowerment-and
February 15, 2011 - Study
Development of an instrument to measure seniors' patient safety health beliefs: the Seniors Empowerment and Advocacy in Patient Safety (SEAPS) survey.
Citation Text:
Elder NC, Regan SL, Pallerla H, et al. Development of an instrument to measure seniors’ patient safety health beli…
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psnet.ahrq.gov/issue/towards-safer-healthcare-qualitative-insights-process-view-organisational-learning-failure
July 21, 2021 - Study
Towards safer healthcare: qualitative insights from a process view of organisational learning from failure.
Citation Text:
Monazam Tabrizi N, Masri F. Towards safer healthcare: qualitative insights from a process view of organisational learning from failure. BMJ Open. 2021;11(8):e0…
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psnet.ahrq.gov/issue/development-rapid-response-capabilities-large-covid-19-alternate-care-site-using-failure
September 16, 2020 - Commentary
Development of rapid response capabilities in a large COVID-19 alternate care site using Failure Modes and Effect Analysis with in situ simulation.
Citation Text:
Levy N, Zucco L, Ehrlichman RJ, et al. Development of rapid response capabilities in a large COVID-19 alternate ca…
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psnet.ahrq.gov/issue/patient-safety-recommendations-covid-19-epidemic-outbreak-lessons-italian-experience
February 15, 2023 - Book/Report
Patient Safety Recommendations for COVID-19 Epidemic Outbreak: 3.0
Citation Text:
Patient Safety Recommendations for COVID-19 Epidemic Outbreak: 3.0 La Regina M, Tanzini M, Venneri F, et al for the Italian Network for Health Safety. Dublin, Ireland: International Society for …
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psnet.ahrq.gov/issue/national-analysis-ed-presentations-early-pregnancy-and-complications-implications-post-roe
September 07, 2016 - Study
A national analysis of ED presentations for early pregnancy and complications: implications for post-Roe America.
Citation Text:
Goodwin G, Marra E, Ramdin C, et al. A national analysis of ED presentations for early pregnancy and complications: implications for post-Roe America. Am…
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psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
January 12, 2022 - Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic
January 12, 2022
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Citation Text:
Dickman R, Sharma P, Higgins D, et al. Patient Safety Events and…
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psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
August 01, 2006 - So we did some pilot studies, and then we set out to do a big study to see if we could find adverse drug … events, and then see if we could determine indeed whether there were systems failures... and then of
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psnet.ahrq.gov/web-mm/situational-awareness-and-patient-safety
May 01, 2012 - Situational Awareness and Patient Safety
Citation Text:
Farnan JE. Situational Awareness and Patient Safety. 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/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
March 27, 2024 - Such domains include adverse drug events, clinical decompensation, and diagnostic errors. … or caution against potential treatment-related complications, thus reducing diagnostic errors and adverse … drug events .
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psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence
March 27, 2024 - Such domains include adverse drug events, clinical decompensation, and diagnostic errors. … or caution against potential treatment-related complications, thus reducing diagnostic errors and adverse … drug events .
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psnet.ahrq.gov/web-mm/unhappy-patient-leaves-against-medical-advice
January 31, 2024 - The Unhappy Patient Leaves Against Medical Advice.
Citation Text:
Nichols A. The Unhappy Patient Leaves Against Medical Advice.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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psnet.ahrq.gov/web-mm/raise-bar
May 29, 2024 - Raise the Bar
Citation Text:
Stotts J, Lyndon A. Raise the Bar. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
October 01, 2004 - Computerized surveillance of adverse drug events in hospital patients. JAMA. 1991;266:2847-2851.
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psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer
June 24, 2020 - SPOTLIGHT CASE
Fatal Error in Neonate: Does "Just Culture" Provide an Answer?
Citation Text:
Dekker SWA. Fatal Error in Neonate: Does "Just Culture" Provide an Answer?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. …
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psnet.ahrq.gov/web-mm/wrong-blade-lack-familiarity-pediatric-emergency-equipment
June 01, 2018 - The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment
Citation Text:
Katznelson J. The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters
October 04, 2023 - The Hidden Danger of Unseen Intravenous Catheters
Citation Text:
Vadi MG, Malkin MR. The Hidden Danger of Unseen Intravenous Catheters. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
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