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psnet.ahrq.gov/node/33579/psn-pdf
September 15, 2024 - Systems Approach
September 15, 2024
Systems Approach. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/systems-approach
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in …
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psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
March 15, 2025 - Strategies and Approaches for Investigating Patient Safety Events
Citation Text:
Shaikh U. Strategies and Approaches for Investigating Patient Safety Events. 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/node/33599/psn-pdf
August 30, 2023 - Subsequently, NASEM implemented several workshops that brought experts together to focus on different
aspects
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psnet.ahrq.gov/primer/personal-health-literacy
October 31, 2023 - Subsequently, NASEM implemented several workshops that brought experts together to focus on different aspects
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psnet.ahrq.gov/perspective/conversation-cindy-brach
December 27, 2019 - It specifically addresses some aspects of cultural and linguistic competence.
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psnet.ahrq.gov/web-mm/40-k
January 12, 2011 - Recommendations to correct error-prone aspects of prescription writing. September 4, 1996. 9.
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psnet.ahrq.gov/web-mm/mid-summer-fog
September 29, 2017 - processes and outcomes of patient care in the month of July will suffer, as a result of so many critical aspects
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.329_slideshow.ppt
August 01, 2014 - Clinical and epidemiological aspects of invasive Streptococcus pyogenes infections in Denmark during
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psnet.ahrq.gov/web-mm/double-dosing-rules
February 03, 2010 - Educate patients about all aspects of their drug therapy, including the drug name (generic and trade)
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psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error
April 01, 2015 - to reduce the impact of medication errors on patient safety.( 4 ) This case identifies two important aspects
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psnet.ahrq.gov/web-mm/dropped-lung
February 06, 2012 - hands-on workshops.( 9 ) In implementing these new standards, it will be crucial to focus on the cognitive aspects
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psnet.ahrq.gov/perspective/unintended-consequences-florida-medical-liability-legislation
February 01, 2003 - July 19, 2010
Learning from others: legal aspects of sharing patient safety data using
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psnet.ahrq.gov/node/49565/psn-pdf
July 01, 2008 - Wrong Route for Nutrients
July 1, 2008
Scott-Cawiezell JR. Wrong Route for Nutrients. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/wrong-route-nutrients
The Case
An 82-year-old man living in a skilled nursing facility (SNF) had not been eating or drinking well for about 6
months. He had lost weight and d…
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psnet.ahrq.gov/web-mm/preventable-transfer-hospital
March 31, 2022 - was appropriate, given the patient’s pattern of behaviors and consistent refusal to comply with many aspects
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psnet.ahrq.gov/web-mm/misdiagnosis-pelvic-mass-versus-pregnancy
November 25, 2020 - The radiologist did not repeat pertinent aspects of the ultrasound exam himself.
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psnet.ahrq.gov/node/847934/psn-pdf
April 26, 2023 - 2/
https://www.sts.org/quality-safety/performance-measures
Ambulatory Care
In recent years, many aspects
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psnet.ahrq.gov/node/33605/psn-pdf
March 12, 2021 - Safety
advancements require a comprehensive, systems-oriented approach that considers all aspects of
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psnet.ahrq.gov/node/860050/psn-pdf
January 04, 2024 - Controversial aspects of imaging in child abuse: a second
roundtable discussion from the ESPR child
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psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety
September 15, 2024 - effective supervision; the collective skills and competence of these new care teams, which so many aspects
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psnet.ahrq.gov/web-mm/mothers-milk-whose-mother
November 15, 2023 - This phenomenon is the "natural result of two fundamental aspects of the human condition: limited mental