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psnet.ahrq.gov/issue/special-section-human-factors-and-ergonomics-operating-room-contributions-advance-surgical
September 01, 2018 - Special or Theme Issue
Special Section on Human Factors and Ergonomics in the Operating Room: Contributions That Advance Surgical Practice.
Citation Text:
Special Section on Human Factors and Ergonomics in the Operating Room: Contributions That Advance Surgical Practice. Hallbeck MS, Paq…
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psnet.ahrq.gov/issue/advances-patient-safety-research-implementation
December 24, 2008 - Government Resource
Classic
Advances in Patient Safety: From Research to Implementation.
Citation Text:
Advances in Patient Safety: From Research to Implementation. Henriksen K, Battles JB, Marks ES, et al, eds. Rockville, MD: Agency for Healthcare Research and …
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psnet.ahrq.gov/issue/partnership-patients-call-action-leaders
November 10, 2015 - Commentary
The partnership with patients: a call to action for leaders.
Citation Text:
Denham CR. The partnership with patients: a call to action for leaders. J Patient Saf. 2011;7(3):113-121. doi:10.1097/PTS.0b013e31822d6f2a.
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psnet.ahrq.gov/issue/human-factors-and-medical-devices
July 31, 2012 - Multi-use Website
Human Factors and Medical Devices.
Citation Text:
Human Factors and Medical Devices. Center for Devices and Radiological Health, US Food and Drug Administration.
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psnet.ahrq.gov/issue/pc-standards-maternal-safety
September 06, 2017 - Newspaper/Magazine Article
PC standards for maternal safety.
Citation Text:
PC standards for maternal safety. The Joint Commission. R3 Report. August 21, 2019;24:1-6.
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psnet.ahrq.gov/issue/science-and-patient-safety
July 19, 2019 - Commentary
Science and patient safety.
Citation Text:
Vincent CA. Science and patient safety. CMAJ. 2013;185(2):110-1. doi:10.1503/cmaj.120792.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/community-pharmacy-survey-patient-safety-culture
October 23, 2019 - Measurement Tool/Indicator
Community Pharmacy Survey on Patient Safety Culture.
Citation Text:
Community Pharmacy Survey on Patient Safety Culture. Rockville, MD: Agency for Healthcare Research and Quality; July 2018.
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psnet.ahrq.gov/issue/wrong-site-surgery
March 13, 2013 - Commentary
Wrong site surgery.
Citation Text:
Fraser SG, Adams W. Wrong site surgery. Br J Ophthalmol. 2006;90(7):814-6.
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psnet.ahrq.gov/sites/default/files/2023-04/failure_to_ensure_patient_safety_leads_to_patient_falls_in_nursing_homes.pdf
January 01, 2023 - • Assessing residents for their risk of falls based on their fall history, medications,
cognition
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psnet.ahrq.gov/node/846126/psn-pdf
March 09, 2023 - They assist the surgeon with
procedural medications by assessing each surgeon’s preference card for
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psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room
May 16, 2022 - They assist the surgeon with procedural medications by assessing each surgeon’s preference card for the
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psnet.ahrq.gov/node/867804/psn-pdf
February 26, 2025 - Are We Safer Today?
February 26, 2025
Bates DW, Lee M, Mossburg SE. Are We Safer Today? PSNet [internet]. 2025.
https://psnet.ahrq.gov/perspective/are-we-safer-today
In the 1999 report, To Err Is Human: Building a Safer Health System, the Institute of Medicine (now the
National Academy of Medicine) drew on two lar…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.200_slideshow.ppt
May 01, 2009 - Spotlight Case July 2008
Spotlight Case
Delirium or Dementia?
Source and Credits
This presentation is based on the May 2009
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: James L. Rudolph, MD, SM
Editor, AHRQ WebM&M: Robert Wachter, MD
Sp…
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psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
December 01, 2009 - behavior is identified, it must then be reported to an individual or committee with responsibility for assessing
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psnet.ahrq.gov/perspective/conversation-withgerald-b-hickson-md
December 01, 2009 - behavior is identified, it must then be reported to an individual or committee with responsibility for assessing
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psnet.ahrq.gov/perspective/conversation-james-augustine-md
July 28, 2021 - ems-protocols-all-paramedics-should-follow-7c1zyNEC6v1SjDQM/#:~:text=The%20purpose%20of%20EMS%20protocols,assessing
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psnet.ahrq.gov/node/33859/psn-pdf
June 01, 2018 - In the long run, there's
no question in my mind that appropriately training and assessing practitioners
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psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
August 14, 2024 - Assessing residents for their risk of falls based on their fall history, medications, cognition, function
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psnet.ahrq.gov/node/49445/psn-pdf
May 01, 2004 - No Blood, Please
May 1, 2004
Liang BA. No Blood, Please. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/no-blood-please
The Case
A young woman, about 30 years of age, was injured in an automobile collision. She was brought to the
emergency department (ED) via ambulance, where she was found to be suffering …
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psnet.ahrq.gov/node/49759/psn-pdf
May 01, 2016 - Falling Through the Crack (in the Bedrails)
May 1, 2016
Dykes PC, Vacca V, Leung WY. Falling Through the Crack (in the Bedrails). PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/falling-through-crack-bedrails
Case Objectives
Review the epidemiology of patient falls and associated injuries in the hospital set…