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psnet.ahrq.gov/issue/5-cataract-surgeries-5-people-blinded-what-went-wrong
June 08, 2011 - Newspaper/Magazine Article
5 cataract surgeries, 5 people blinded: what went wrong?
Citation Text:
5 cataract surgeries, 5 people blinded: what went wrong? Kowalczyk L. Boston Globe. August 14, 2016.
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psnet.ahrq.gov/issue/removing-insult-injury-disclosing-adverse-events
November 07, 2012 - Audiovisual
Removing Insult from Injury: Disclosing Adverse Events.
Citation Text:
Removing Insult from Injury: Disclosing Adverse Events. Johns Hopkins Bloomberg School of Public Health
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psnet.ahrq.gov/issue/national-diabetes-inpatient-audit-2017
January 27, 2016 - Book/Report
National Diabetes Inpatient Audit -- Harms.
Citation Text:
National Diabetes Inpatient Audit -- Harms. Leeds, UK: Health and Social Care Information Centre.
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psnet.ahrq.gov/issue/comments-common-formats-event-reporting-hospital-version-03-beta
September 06, 2011 - Measurement Tool/Indicator
Common Formats for Event Reporting.
Citation Text:
Common Formats for Event Reporting. National Quality Forum.
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psnet.ahrq.gov/issue/preventing-maternal-death
April 26, 2023 - Sentinel Event Alerts
Preventing maternal death.
Citation Text:
Preventing maternal death. Sentinel Event Alert. 2010;44(44):1-4.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/patient-safety-and-quality-initiatives-intensive-care-unit
February 25, 2009 - Study
Patient-safety and quality initiatives in the intensive-care unit.
Citation Text:
Patient-safety and quality initiatives in the intensive-care unit. Winters B; Dorman T.
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psnet.ahrq.gov/issue/national-coordinating-council-medication-error-reporting-and-prevention
April 15, 2015 - Multi-use Website
National Coordinating Council for Medication Error Reporting and Prevention.
Citation Text:
National Coordinating Council for Medication Error Reporting and Prevention. National Coordinating Council for Medication Error Reporting and Prevention.
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psnet.ahrq.gov/issue/interference-between-ct-and-electronic-medical-devices
May 04, 2015 - Government Resource
Interference between CT and Electronic Medical Devices.
Citation Text:
Interference between CT and Electronic Medical Devices. Center for Devices and Radiological Health; CDER; Food and Drug Administration; FDA.
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psnet.ahrq.gov/issue/initiative-reduce-unnecessary-radiation-exposure-medical-imaging
January 17, 2017 - Government Resource
Initiative to Reduce Unnecessary Radiation Exposure from Medical Imaging.
Citation Text:
Initiative to Reduce Unnecessary Radiation Exposure from Medical Imaging. Center for Devices and Radiological Health; CDRH; US Food and Drug Administration; FDA.
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psnet.ahrq.gov/issue/technical-patient-safety-solutions-medicines-reconciliation-admission-adults-hospital
October 27, 2021 - Organizational Policy/Guidelines
Technical patient safety solutions for medicines reconciliation on admission of adults to hospital.
Citation Text:
Technical patient safety solutions for medicines reconciliation on admission of adults to hospital. Manchester, UK: National Institute…
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psnet.ahrq.gov/issue/council-recommendation-patient-safety-including-prevention-and-control-healthcare-associated
August 04, 2021 - Government Resource
Council recommendation on patient safety, including the prevention and control of healthcare associated infections.
Citation Text:
Council recommendation on patient safety, including the prevention and control of healthcare associated infections. Council of the Euro…
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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/node/49777/psn-pdf
December 01, 2016 - Determination of suicide risk involves assessing suicidal ideation, intent, planning, and access to
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psnet.ahrq.gov/web-mm/reflexive-diagnosis-primary-care
April 01, 2008 - December 1, 2017
WebM&M Cases
A framework for assessing
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psnet.ahrq.gov/web-mm/dangerous-shift
July 24, 2013 - By delaying the transfer until after shift change, the receiving nurse can focus on assessing and stabilizing
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psnet.ahrq.gov/node/841566/psn-pdf
December 14, 2022 - certification; regional medical offices; quality measurement, many of the value-based programs that we use
for assessing
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psnet.ahrq.gov/perspective/conversation-andrew-gettinger-md
September 01, 2017 - Assessing the Safety of Electronic Health Records: What Have We Learned? … concern is generally in the best position to address poor performance.( 26 )
Conclusion
In summary, assessing
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psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
February 26, 2025 - They are also directly assessing HRO principles and linking them to higher patient safety and workforce … extent to which a team or unit in a hospital is preoccupied with failure, for example, is important to assessing
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psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
February 26, 2025 - extent to which a team or unit in a hospital is preoccupied with failure, for example, is important to assessing … They are also directly assessing HRO principles and linking them to higher patient safety and workforce
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psnet.ahrq.gov/perspective/health-equity-and-maternal-health
October 06, 2021 - However, when assessing maternal safety, it is also essential to also take a whole-person view. … from the patient’s entry point into the hospital and then through all of the steps of the process and assessing