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psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
March 19, 2019 - Available at: https://www.amcp.org/about/managed-care-pharmacy-101/concepts-managed-care-pharmacy/medication-errors
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psnet.ahrq.gov/print/pdf/node/838351
July 01, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Diagnostic Safety Improvement
Curated Library
Foundations
Improving Diagnosis in Health Care.
Committee on Diagnostic Error in Health Care, National Academies of Science, Engineering, and
Medicine. Washington, DC: National Academies Press; …
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psnet.ahrq.gov/curated-library/diagnostic-safety-improvement
April 17, 2025 - Breadcrumb
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Diagnostic Safety Improvement
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Created By: Lorri Zipperer, Cybrarian, AHRQ PSNe…
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psnet.ahrq.gov/primer/leadership-role-improving-safety
September 15, 2024 - Leadership Role in Improving Safety
Citation Text:
Leadership Role in Improving Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/node/33587/psn-pdf
June 15, 2024 - Missed Nursing Care
June 15, 2024
Missed Nursing Care. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/missed-nursing-care
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…
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psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
April 08, 2019 - SPOTLIGHT CASE
The Risks of Absent Interoperability: Medication-Induced Hemolysis in a Patient With a Known Allergy
Citation Text:
Reider J. The Risks of Absent Interoperability: Medication-Induced Hemolysis in a Patient With a Known Allergy. PSNet [internet]. Rockville (MD): Agency for Healthcar…
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psnet.ahrq.gov/node/854973/psn-pdf
October 31, 2023 - Digital Health Literacy
October 31, 2023
Seidel E, Cortes T, Chong C. Digital Health Literacy. PSNet [internet]. 2023.
https://psnet.ahrq.gov/primer/digital-health-literacy
Background
As more people search for health information online, it is critical that they can obtain accurate health
information and access he…
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psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
September 25, 2024 - Failure to Rescue as a Surgical Quality Indicator: Current Concepts and Future Directions for Improving
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psnet.ahrq.gov/curated-library/maternal-safety
January 31, 2024 - This review provides background on high-reliability organizations and discusses how these concepts are
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psnet.ahrq.gov/web-mm/adolescent-diabetes-routine-visit
November 18, 2016 - November 30, 2016
Nurses' perceived skills and attitudes about updated safety concepts
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psnet.ahrq.gov/web-mm/thin-air
March 01, 2006 - However, employing human factors engineering concepts to this case would be more productive.
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psnet.ahrq.gov/perspective/safety-culture-ems
May 26, 2021 - Including the concepts of Just Culture in EMS education can develop the foundation for the future EMS
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psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
October 28, 2020 - Innovative patient safety curriculum using iPad game (PASSED) improved patient safety concepts
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psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety
March 01, 2017 - Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety
Sara J. Singer, MBA, PhD | March 1, 2017
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Singer SJ. Our Maturing Understanding of Safety C…
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psnet.ahrq.gov/primer/never-events
June 15, 2024 - Never Events
Citation Text:
Never Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/perspective/conversation-remle-p-crowe-phd
May 16, 2022 - At national conferences there's a lot of great speakers who talk about these concepts, there's a lot
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psnet.ahrq.gov/perspective/identifying-safety-events-prehospital-setting
May 16, 2022 - At national conferences there's a lot of great speakers who talk about these concepts, there's a lot
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psnet.ahrq.gov/primer/high-reliability
January 29, 2020 - High Reliability
Citation Text:
High Reliability. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/web-mm/do-not-disturb
February 03, 2011 - Professionalism and evolving concepts of quality. J Gen Intern Med. 2007;22:137-139.
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psnet.ahrq.gov/web-mm/crushing-chest-pain-missed-opportunity
February 01, 2007 - December 20, 2023
Identifying trigger concepts to screen emergency department visits