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psnet.ahrq.gov/node/40387/psn-pdf
March 08, 2015 - Medication reconciliation only as good as the IT allows.
March 8, 2015
Page D. Medication reconciliation only as good as the IT allows. Hospitals & health networks.
2011;85(3):48, 50.
https://psnet.ahrq.gov/issue/medication-reconciliation-only-good-it-allows
This piece describes the medication reconciliation proce…
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psnet.ahrq.gov/node/39226/psn-pdf
January 28, 2010 - Briefings, checklists, geese, and surgical safety.
January 28, 2010
Karl R. Briefings, checklists, geese, and surgical safety. Ann Surg Oncol. 2010;17(1):8-11.
doi:10.1245/s10434-009-0794-9.
https://psnet.ahrq.gov/issue/briefings-checklists-geese-and-surgical-safety
This commentary discusses safety techniques of h…
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psnet.ahrq.gov/node/35169/psn-pdf
July 13, 2005 - Lay use of lasers fueling complications.
July 13, 2005
Gagnon L. Dermatology Times. June 1, 2005.
https://psnet.ahrq.gov/issue/lay-use-lasers-fueling-complications
This article reports on inappropriate laser use by non-physicians for dermatological procedures. A study
presented at the American Society for Laser Me…
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psnet.ahrq.gov/node/35735/psn-pdf
October 11, 2016 - Standardizing a Patient Safety Taxonomy.
October 11, 2016
Washington, DC: National Quality Forum; 2006.
https://psnet.ahrq.gov/issue/standardizing-patient-safety-taxonomy
In this report, the National Quality Forum presents four consensus standards that support the application
of the Joint Commission on Accreditati…
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psnet.ahrq.gov/node/36253/psn-pdf
November 28, 2018 - Medication Reconciliation Handbook, 2nd edition.
November 28, 2018
American Society of Health-System Pharmacists, Joint Commission on Accreditation of Healthcare
Organizations. Oakbrook Terrace IL; Joint Commission Resources: 2009. ISBN 9781599403090.
https://psnet.ahrq.gov/issue/medication-reconciliation-handbook-…
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psnet.ahrq.gov/node/37284/psn-pdf
December 30, 2014 - Medication tracers: a systems approach to medication
safety.
December 30, 2014
Hendrick EC, Montanya KR, Griffith NL. Medication Tracers: A Systems Approach to Medication Safety.
Hosp Pharm. 2010;42(10):916-920. doi:10.1310/hpj4210-916.
https://psnet.ahrq.gov/issue/medication-tracers-systems-approach-medication-sa…
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psnet.ahrq.gov/perspective/conversation-joel-willis-do-pa-ma-mphil-and-neal-sikka-md
May 14, 2020 - In Conversation With... Joel Willis, DO, PA, MA, MPhiL and Neal Sikka, MD
May 14, 2020
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Citation Text:
In Conversation With.. Joel Willis, DO, PA, MA, MPhiL and Neal Sikka, MD. PSNet [internet]. 2020.In Conversation With... Joel Willis, DO, PA,…
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psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md
September 01, 2006 - In Conversation with...James P. Bagian, MD
September 1, 2006
Also Read an Essay
Also Read an Essay
Citation Text:
In Conversation with..James P. Bagian, MD. PSNet [internet]. 2006.In Conversation with...James P. Bagian, MD. PSNet [internet]. Rockville (MD): Ag…
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psnet.ahrq.gov/perspective/patient-safety-concerns-and-lgbtq-population
February 01, 2023 - Patient Safety Concerns and the LGBTQ+ Population
Connor Wesley, RN, BSN,Cindy Manaoat Van, MHSA,Sarah E. Mossburg, RN, PhD
| February 1, 2023
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Citation Text:
Wesley C, Van CM, Mossburg S. Pa…
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psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
August 01, 2018 - How Does Health Care Simulation Affect Patient Care?
Joseph O. Lopreiato, MD, MPH | August 1, 2018
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Citation Text:
Lopreiato JO. How Does Health Care Simulation Affect Patient Care?. PSNet [inter…
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psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
February 26, 2025 - In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis
Jessica Behrhorst, MPH, CPPS, CPHRM, CPHQ; Bryan Gale, MA; Cindy Manaoat Van, MHSA, CPPS | February 26, 2025
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psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
March 09, 2022 - SPOTLIGHT CASE
Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis
Citation Text:
Castillo JA, Price R, Kim KD. Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis. PSNet [internet]. …
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psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health
March 28, 2023 - Maternal Safety and Perinatal Mental Health
Christie Allen, MSN, RNC-NIC, CPHQ, C-ONQS, Cindy Manaoat Van, MHSA, Sarah E. Mossburg, RN, PhD
| March 29, 2023
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Allen C, Van CM, …
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psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
May 14, 2020 - Telehealth and Patient Safety During the COVID-19 Response
May 14, 2020
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Citation Text:
Sikka N, Willis JS, Fitall E, et al. Telehealth and Patient Safety During the COVID-19 Response. PSNet [i…
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psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workforce-challenges
August 30, 2023 - Virtual Nursing: Improving Patient Care and Meeting Workforce Challenges
Kathleen Sanford DBA, RN, FAAN, FACHE; Sue Schuelke PhD, RN-BC, CNE, CCRN-K; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD
| August 30, 2023
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psnet.ahrq.gov/perspective/conversation-kathleen-sanford-and-sue-schuelke-about-virtual-nursing
August 30, 2023 - In Conversation with... Kathleen Sanford and Sue Schuelke about Virtual Nursing
Kathleen Sanford DBA, RN, FAAN, FACHE; Sue Schuelke PhD, RN-BC, CNE, CCRN-K; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD
| August 30, 2023
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psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned
September 01, 2017 - Assessing the Safety of Electronic Health Records: What Have We Learned?
Dean F. Sittig, PhD, and Hardeep Singh, MD, MPH | September 1, 2017
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Citation Text:
Sittig DF, Singh H. Assessing the Safe…
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psnet.ahrq.gov/perspective/evolution-root-cause-analysis
February 26, 2025 - The Evolution of Root Cause Analysis
Jessica Behrhorst, MPH, CPPS, CPHRM, CPHQ; Bryan Gale, MA; Cindy Manaoat Van, MHSA, CPPS | February 26, 2025
Also Read the Conversation
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Citation Text:
Behrhorst J, Gale B, Van CM. Th…
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psnet.ahrq.gov/perspective/ems-patient-safety-field
July 28, 2021 - EMS Patient Safety in the Field
July 28, 2021
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Citation Text:
Augustine JJ, Fitall E, Hall KK, et al. EMS Patient Safety in the Field. PSNet [internet]. Rockville (MD): Agency for Healthcare Re…
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psnet.ahrq.gov/node/867429/psn-pdf
December 18, 2024 - Management of CSF Leaks After Elective Spine Surgery:
Routine Laminectomy Leads to Fatal Discitis and Sepsis
December 18, 2024
Castillo JA, Price R, Kim KD. Management of CSF Leaks After Elective Spine Surgery: Routine
Laminectomy Leads to Fatal Discitis and Sepsis. PSNet [internet]. 2024.
https://psnet.ahrq.gov/w…