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psnet.ahrq.gov/perspective/conversation-hardeep-singh-md-mph
January 01, 2014 - And some of my ventures into IT-type safety issues were built nicely on our previous sociotechnical approaches
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psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph-0
March 24, 2025 - In Conversation with…Albert Wu, MD, MPH
May 1, 2011
Citation Text:
In Conversation with…Albert Wu, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
March 01, 2009 - May I Have Another?—Medication Error
Citation Text:
Wolf MS. May I Have Another?—Medication Error. 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/node/840174/psn-pdf
August 28, 2024 - Missed CANDOR Implementation Opportunities.
November 16, 2022
Schweitzer L. Missed CANDOR Implementation Opportunities. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
The Case
A 58-year-old man with a history of type 2 diabetes mellitus, hypertension, morbid obesit…
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psnet.ahrq.gov/node/49579/psn-pdf
March 21, 2009 - All in the History
March 21, 2009
Fee C. All in the History. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/all-history
Case Objectives
Describe the Emergency Medical Treatment and Active Labor Act (EMTALA) and understand that it
does not apply to transfers to emergency departments from non-acute care faci…
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psnet.ahrq.gov/web-mm/tough-call-addressing-errors-previous-providers
July 17, 2024 - SPOTLIGHT CASE
Tough Call: Addressing Errors From Previous Providers
Citation Text:
Martinez W, Hickson GB. Tough Call: Addressing Errors From Previous Providers. 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/node/33766/psn-pdf
May 01, 2014 - In Conversation With… Didier Pittet, MD, MS
May 1, 2014
In Conversation With… Didier Pittet, MD, MS. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/conversation-didier-pittet-md-ms
Editor's note: Didier Pittet, MD, MS, is Professor of Medicine and Director of the Infection Control
Programme and WHO Co…
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psnet.ahrq.gov/node/49588/psn-pdf
August 01, 2009 - This commentary has expressed both proactive and just-in-time approaches to making patients safe.
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psnet.ahrq.gov/web-mm/customer-always-right
January 22, 2014 - The effect of physician solicitation approaches on ability to identify patient concerns.
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psnet.ahrq.gov/node/33809/psn-pdf
June 01, 2016 - Some of our early approaches we thought, "This is a good idea.
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psnet.ahrq.gov/node/837324/psn-pdf
July 08, 2022 - a state-wide set of partner organizations (as inclusive as possible) all invested in the goals
and approaches … Part of determining interventions is to survey hospitals and help them to
determine which approaches
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psnet.ahrq.gov/issue/disclosure-medical-errors-involving-gametes-and-embryos
April 22, 2020 - Commentary
Disclosure of medical errors involving gametes and embryos.
Citation Text:
Disclosure of medical errors involving gametes and embryos. Ethics Committee of the American Society for Reproductive Medicine. Fertil Steril. 2016;106:59-63.
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psnet.ahrq.gov/issue/acog-committee-opinion-327-do-not-use-abbreviations
February 15, 2006 - Journal Article
ACOG Committee Opinion #327: "Do not use" abbreviations.
Citation Text:
ACOG Committee Opinion #327: "Do not use" abbreviations. ACOG Committee on Quality Improvement and Patient Safety; ACOG.
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psnet.ahrq.gov/issue/national-patient-safety-foundation
November 23, 2016 - Multi-use Website
National Patient Safety Foundation.
Citation Text:
National Patient Safety Foundation. National Patient Safety Foundation.
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psnet.ahrq.gov/issue/swiss-cheese-model
March 27, 2005 - Image/Poster
Swiss Cheese Model.
Citation Text:
Swiss Cheese Model. Adapted from: Reason JT. Managing the Risks of Organizational Accidents. Aldershot, Hants, England: Ashgate: 1997.
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psnet.ahrq.gov/issue/healthcare-safety-nursing-personnel-organizational-guide-achieving-results
February 11, 2015 - Book/Report
Healthcare Safety for Nursing Personnel: An Organizational Guide to Achieving Results.
Citation Text:
Healthcare Safety for Nursing Personnel: An Organizational Guide to Achieving Results. Tweedy JT. Boca Raton, FL: CRC Press; 2014. ISBN: 9781482230277.
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psnet.ahrq.gov/issue/patient-safety-essentials-toolkit
January 08, 2020 - Toolkit
Patient Safety Essentials Toolkit.
Citation Text:
Patient Safety Essentials Toolkit. Boston, MA: Institute for Healthcare Improvement; 2019.
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psnet.ahrq.gov/issue/manchester-patient-safety-framework-mapsaf
October 27, 2021 - Toolkit
Manchester Patient Safety Framework (MaPSaF).
Citation Text:
Manchester Patient Safety Framework (MaPSaF). Manchester, UK: University of Manchester; 2006.
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psnet.ahrq.gov/issue/health-professions-education
August 30, 2023 - Special or Theme Issue
Health Professions Education.
Citation Text:
Health Professions Education. Dhaliwal G, Olson APJ, Singhal G, eds. Diagnosis (Berl). 2019;6(2):75-185.
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psnet.ahrq.gov/issue/patient-safety-incident-response-framework
October 20, 2021 - Toolkit
Patient Safety Incident Response Framework.
Citation Text:
Patient Safety Incident Response Framework. London, England: NHS England; August 2022.
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