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psnet.ahrq.gov/node/33766/psn-pdf
May 01, 2014 - Are there any areas where the nuances of what you're
trying to do in hand hygiene make it problematic
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psnet.ahrq.gov/node/49666/psn-pdf
October 01, 2012 - although the
geographic distribution of this spider should exclude this possibility in non-endemic areas
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psnet.ahrq.gov/node/33843/psn-pdf
October 01, 2017 - JS: This may be one of the areas where this transition to shift work may actually improve performance
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psnet.ahrq.gov/curated-library/value-and-patient-safety
October 30, 2019 - Progress has been achieved in several areas of patient safety, but the cost-effectiveness of successful
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psnet.ahrq.gov/perspective/conversation-ashish-k-jha-md-mph
May 01, 2013 - RW : We've now gained some experience in three areas: one is not paying for certain kinds of errors or
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psnet.ahrq.gov/perspective/conversation-didier-pittet-md-ms
May 01, 2014 - Are there any areas where the nuances of what you're trying to do in hand hygiene make it problematic
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psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safety-neonatal-intensive-care-unit
October 30, 2019 - We're mostly caring for well people, and that's really different from other areas of medicine.
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psnet.ahrq.gov/primer/high-reliability
January 29, 2020 - High Reliability
Citation Text:
High Reliability. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Downl…
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psnet.ahrq.gov/perspective/conversation-remle-p-crowe-phd
May 16, 2022 - Some areas are probably common to other settings too, like medication errors, particularly with children … as trigger tools, could facilitate proactive strategies to track, trend, and improve performance in areas
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psnet.ahrq.gov/node/33754/psn-pdf
September 01, 2013 - https://psnet.ahrq.gov/perspective/conversation-sidney-dekker-ma-msc-phd
though, health care has areas
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psnet.ahrq.gov/issue/good-medical-care-can-suffer-late-day
December 16, 2020 - Newspaper/Magazine Article
Good medical care can suffer late in the day.
Citation Text:
Gordon M. Good medical care can suffer late in the day. National Public Radio. 2020.
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psnet.ahrq.gov/issue/medication-safety-moving-illusion-reality
July 29, 2020 - Commentary
Medication safety: moving from illusion to reality.
Citation Text:
Classen D. Medication safety. JAMA. 2003;289(9):1154-1156. doi:10.1001/jama.289.9.1154.
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psnet.ahrq.gov/issue/implementation-and-outcomes-rapid-response-team
January 09, 2019 - Commentary
Implementation and outcomes of a rapid response team.
Citation Text:
McFarlan SJ, Hensley S. Implementation and outcomes of a rapid response team. J Nurs Care Qual. 2007;22(4):307-13, quiz 14-5.
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psnet.ahrq.gov/issue/systems-approach-reduce-errors-surgery
August 10, 2016 - Commentary
Systems approach to reduce errors in surgery.
Citation Text:
Dankelman J, Grimbergen CA. Systems approach to reduce errors in surgery. Surg Endosc. 2005;19(8):1017-21.
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psnet.ahrq.gov/issue/playing-it-safe-simulated-team-training-or
July 22, 2020 - Commentary
Playing it safe: simulated team training in the OR.
Citation Text:
Anderson M, Leflore J. Playing it safe: simulated team training in the OR. AORN J. 2008;87(4):772-9. doi:10.1016/j.aorn.2007.12.027.
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psnet.ahrq.gov/periodic-issue/periodic-issue-436
April 10, 2024 - April 17, 2024 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports,…
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psnet.ahrq.gov/periodic-issue/periodic-issue-437
April 10, 2024 - April 24, 2024 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports,…
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psnet.ahrq.gov/web-mm/hiding-plain-sight
April 24, 2019 - Hiding in Plain Sight
Citation Text:
Weinberg JM. Hiding in Plain Sight. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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psnet.ahrq.gov/web-mm/lapse-antibiotics-leads-sepsis
November 21, 2021 - Lapse in Antibiotics Leads to Sepsis
Citation Text:
Levy MM. Lapse in Antibiotics Leads to Sepsis. 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/web-mm/forgotten-med
July 01, 2006 - The Forgotten Med
Citation Text:
Cucina R. The Forgotten Med. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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