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psnet.ahrq.gov/issue/quality-and-patient-safety
December 24, 2008 - Multi-use Website
Quality and Patient Safety.
Citation Text:
Quality and Patient Safety. Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/issue/second-opinion-consult-computer
June 03, 2020 - Newspaper/Magazine Article
For second opinion, consult a computer?
Citation Text:
For second opinion, consult a computer? Hafner K.
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psnet.ahrq.gov/issue/special-issue-patient-safety
August 22, 2007 - Special or Theme Issue
Special Issue: Patient Safety.
Citation Text:
Special Issue: Patient Safety. Ergonomics. 2006;49(5-6):439-630.
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psnet.ahrq.gov/issue/simulation-surgical-training-and-practice
February 15, 2012 - Special or Theme Issue
Simulation in Surgical Training and Practice.
Citation Text:
Simulation in Surgical Training and Practice. Brown KM, Paige JT, eds. Surg Clin North Am. 2015;95:695-918.
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psnet.ahrq.gov/node/40203/psn-pdf
February 09, 2011 - Changes in safety attitude and relationship to decreased
postoperative morbidity and mortality following
implementation of a checklist-based surgical safety
intervention.
February 9, 2011
Haynes AB, Weiser TG, Berry WR, et al. Changes in safety attitude and relationship to decreased
postoperative morbidity and mo…
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psnet.ahrq.gov/node/40186/psn-pdf
April 21, 2011 - The impact of eHealth on the quality and safety of health
care: a systematic overview.
April 21, 2011
Black AD, Car J, Pagliari C, et al. The impact of eHealth on the quality and safety of health care: a
systematic overview. PLoS Med. 2011;8(1):e1000387. doi:10.1371/journal.pmed.1000387.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/issue/hospitals-may-be-worst-place-stay-when-youre-sick
December 19, 2007 - Newspaper/Magazine Article
Hospitals may be the worst place to stay when you're sick.
Citation Text:
Hospitals may be the worst place to stay when you're sick. Greider K.
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psnet.ahrq.gov/node/836876/psn-pdf
May 16, 2022 - Identifying Safety Events in the Prehospital Setting
May 16, 2022
Crowe RP, Mossburg SE, Dowell P. Identifying Safety Events in the Prehospital Setting. PSNet [internet].
2022.
https://psnet.ahrq.gov/perspective/identifying-safety-events-prehospital-setting
Introduction
Measuring and monitoring patient safety in …
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psnet.ahrq.gov/curated-library/rapid-response-systems
September 15, 2024 - Breadcrumb
Home
The PSNet Collection
Curated Libraries
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Rapid Response Systems
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Created By: AHRQ
Date Created: January 24, 20…
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psnet.ahrq.gov/node/33598/psn-pdf
June 15, 2024 - Falls
June 15, 2024
Falls. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/falls
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 2024.
Background
Falls are a common …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.37_slideshow.ppt
November 01, 2003 - Spotlight Case [MONTH] 2003
Spotlight Case November 2003
The Missing Suction Tip
Source and Credits
This presentation is based on the Nov. 2003
AHRQ WebM&M Spotlight Case in Surgery
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Eric J. Thomas, MD,…
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psnet.ahrq.gov/node/33802/psn-pdf
February 01, 2016 - Relationships Between Physician Professional
Satisfaction and Patient Safety
February 1, 2016
Friedberg MW. Relationships Between Physician Professional Satisfaction and Patient Safety. PSNet
[internet]. 2016.
https://psnet.ahrq.gov/perspective/relationships-between-physician-professional-satisfaction-and-patient-…
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psnet.ahrq.gov/node/49394/psn-pdf
April 01, 2003 - Premature or Overdue?
April 1, 2003
Thomas J, Hannah M. Premature or Overdue? PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/premature-or-overdue
The Case
A 32-year-old woman, gravida 3, para 1, presented for prenatal care at 24 weeks. Her past medical history
was unremarkable, and results of her prenatal …
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psnet.ahrq.gov/primer/electronic-health-records
March 15, 2025 - Electronic Health Records
Citation Text:
Electronic Health Records. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…
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psnet.ahrq.gov/node/60167/psn-pdf
April 12, 2024 - Discharge Planning and Transitions of Care
March 25, 2020
Bajorek SA, McElroy V. Discharge Planning and Transitions of Care. PSNet [internet]. 2020.
https://psnet.ahrq.gov/primer/discharge-planning-and-transitions-care
Background
Transitions of care refer to the movement of patients between different healthcare se…
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psnet.ahrq.gov/node/853080/psn-pdf
August 30, 2023 - Virtual Nursing: Improving Patient Care and Meeting
Workforce Challenges
August 30, 2023
Sanford K, Schuelke S, Lee M, et al. Virtual Nursing: Improving Patient Care and Meeting Workforce
Challenges. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workf…
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psnet.ahrq.gov/node/49586/psn-pdf
May 01, 2009 - Vial Mistakes Involving Heparin
May 1, 2009
Vanderveen T. Vial Mistakes Involving Heparin. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin
The Case
A 65-year-old man was admitted to the hospital for an elective left carotid endarterectomy. During the
procedure, the surgeon re…
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psnet.ahrq.gov/node/849598/psn-pdf
May 31, 2023 - Remote Response Team and Customized Alert Settings
Help Improve Management of Sepsis
May 31, 2023
https://psnet.ahrq.gov/innovation/remote-response-team-and-customized-alert-settings-help-improve-
management-sepsis
Summary
Seeking a sustainable process to enhance their hospitals’ response to sepsis, a multidiscip…
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psnet.ahrq.gov/node/50843/psn-pdf
January 29, 2020 - Incomplete Orders for Hypertonic Saline to Treat
Hyponatremia
January 29, 2020
Wiegley N, Morfín JA. Incomplete Orders for Hypertonic Saline to Treat Hyponatremia. PSNet [internet].
2020.
https://psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia
The Case
A 54-year-old man was brought t…
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psnet.ahrq.gov/node/49465/psn-pdf
December 22, 2021 - Electronic Err
October 1, 2004
Tang PC. Electronic Err. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/electronic-err
The Case
A 75-year-old woman with coronary artery disease presented to the emergency department (ED) with chest
pain that that had not responded to three sublingual nitroglycerin tablets at…