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psnet.ahrq.gov/issue/first-protect-patient-harm-applying-adult-learning-principles-patient-safety
June 09, 2011 - Newspaper/Magazine Article
First, protect the patient from harm: applying adult learning principles to patient safety.
Citation Text:
First, protect the patient from harm: applying adult learning principles to patient safety. Duffy B.
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psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-health-care-proactive-risk-reduction-third-edition
May 18, 2016 - Book/Report
Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction, Third Edition.
Citation Text:
Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction, Third Edition. Oakbrook Terrace, IL: Joint Commission Resources; 2010. ISBN: 9781599404066.
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psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-ambulatory-care
December 24, 2008 - Tools/Toolkit
Toolkit To Improve Antibiotic Use in Ambulatory Care.
Citation Text:
Toolkit To Improve Antibiotic Use in Ambulatory Care. Rockville, MD: Agency for Healthcare Research and Quality; October 2022.
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psnet.ahrq.gov/issue/patient-safety-organization-pso-program
December 24, 2008 - Multi-use Website
Classic
Patient Safety Organization (PSO) Program.
Citation Text:
Patient Safety Organization (PSO) Program. Agency for Healthcare Research and Quality
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psnet.ahrq.gov/issue/patient-safety-21
October 14, 2020 - Multi-use Website
Patient Safety
Citation Text:
Patient Safety Organisation for Economic Co-operation and Development.
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psnet.ahrq.gov/node/33584/psn-pdf
March 15, 2025 - Communication Between Clinicians
March 15, 2025
Communication Between Clinicians. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/communication-between-clinicians
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in…
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psnet.ahrq.gov/perspective/conversation-james-augustine-md
July 28, 2021 - responders got to the scene as quickly and safely as possible; that the highest level of personnel assessed
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psnet.ahrq.gov/node/74120/psn-pdf
November 30, 2021 - Health literacy affects patient’s care choices and subsequent outcomes; it should be assessed in all
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psnet.ahrq.gov/web-mm/failure-adhere-dietary-restrictions-leading-complications-and-poor-follow
September 27, 2023 - This patient was assessed in the ED by a social worker from Psychiatric Emergency Services, but it is
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psnet.ahrq.gov/web-mm/navigating-chaos-fatal-iatrogenic-liver-injury-patient-admitted-leg-fractures
November 27, 2019 - Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures
Citation Text:
Loseth C. Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and …
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psnet.ahrq.gov/web-mm/death-pca
January 06, 2017 - Death by PCA
Citation Text:
Hicks RW. Death by PCA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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psnet.ahrq.gov/node/49834/psn-pdf
July 01, 2018 - "The Ultrasound Looked Fine": Point-of-Care Ultrasound
and Patient Safety
July 1, 2018
Lewiss RE. "The Ultrasound Looked Fine": Point-of-Care Ultrasound and Patient Safety. PSNet [internet].
2018.
https://psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
Case Objectives
Unders…
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psnet.ahrq.gov/perspective/annual-perspective-psychological-safety-healthcare-staff
November 16, 2022 - Annual Perspective
Annual Perspective: Psychological Safety of Healthcare Staff
March 31, 2022
View more articles from the same authors.
Citation Text:
Kingston MB, Dowell P, Mossburg SE, et al. Annual Perspective: Psychological Safety of Healthcare Staff. P…
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psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
January 29, 2021 - Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation.
Citation Text:
Bohringer C, Godoy L. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation.. PSNet [internet]. Rockville (MD): Ag…
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psnet.ahrq.gov/web-mm/consequences-medical-overuse
May 05, 2021 - that laboratory tests are sometimes ordered as part of the triage process before the patient is even assessed
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psnet.ahrq.gov/node/851099/psn-pdf
June 28, 2023 - patient’s nurse identified the misconnection, returned the vancomycin
drip to the peripheral IV line, assessed
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psnet.ahrq.gov/node/838197/psn-pdf
September 28, 2022 - at
least every seven days for transparent dressings.8,15 Additionally, the insertion site should be assessed
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psnet.ahrq.gov/node/72835/psn-pdf
March 10, 2021 - KH: For an organization, is that the way it’s assessed—whether or not the engagement is effective or
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psnet.ahrq.gov/node/33827/psn-pdf
February 01, 2017 - While the quality of teamwork is not directly assessed in new payment models (although it
is undoubtedly … related to many of the outcomes that are assessed), that may well change.
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psnet.ahrq.gov/issue/why-patient-summaries-electronic-health-records-do-not-provide-cognitive-support-necessary
January 18, 2013 - January 18, 2013
The effect of hospital electronic health record adoption on nurse-assessed