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psnet.ahrq.gov/node/33823/psn-pdf
January 01, 2017 - But,
importantly, workers face risks as well.(1,2) Although debate continues regarding whether worker
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psnet.ahrq.gov/node/49487/psn-pdf
August 21, 2005 - In addition to educational efforts, our experience continues to suggest, and the literature affirms (
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psnet.ahrq.gov/node/49391/psn-pdf
February 01, 2003 - As with most medical care, the best practice continues to rely on a
careful history and physical examination
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psnet.ahrq.gov/node/49796/psn-pdf
June 01, 2017 - In tension pneumothorax,
air continues to leak into the pleural space until the pleural pressure rises
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psnet.ahrq.gov/node/49629/psn-pdf
June 01, 2011 - Communication & Safety: The Joint Commission's Efforts
Communication failure continues to be one of
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psnet.ahrq.gov/node/33705/psn-pdf
January 01, 2011 - The relationship
between risk management and patient safety continues to evolve.
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psnet.ahrq.gov/node/49704/psn-pdf
March 01, 2014 - Generally, once the bilirubin peaks and begins to decline on its own, it continues to decline unless
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psnet.ahrq.gov/perspective/weekend-effect
April 01, 2008 - However, controversy continues regarding the reasons why the weekend effect might occur.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.317_slideshow.ppt
March 01, 2014 - www.ncbi.nlm.nih.gov/pubmed/17971689.
19
Professional Accountability Pyramid (4)
If the professional continues
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.182_slideshow.ppt
September 01, 2008 - who is continuing to worsen, empiric steroids 80-100 mg/day intravenously is appropriate while workup continues
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psnet.ahrq.gov/issue/decreasing-errors-pediatric-continuous-intravenous-infusions
January 06, 2017 - Study
Decreasing errors in pediatric continuous intravenous infusions.
Citation Text:
Lehmann CU, Kim G, Gujral R, et al. Decreasing errors in pediatric continuous intravenous infusions. Pediatr Crit Care Med. 2006;7(3):225-30.
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psnet.ahrq.gov/issue/gaps-continuity-care-and-progress-patient-safety
January 16, 2017 - Commentary
Classic
Gaps in the continuity of care and progress on patient safety.
Citation Text:
Cook RI, Render M, Woods DD. Gaps in the continuity of care and progress on patient safety. BMJ. 2000;320(7237):791-4.
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psnet.ahrq.gov/issue/drug-shortages-continue-compromise-patient-care
February 24, 2016 - Newspaper/Magazine Article
Drug shortages continue to compromise patient care.
Citation Text:
Drug shortages continue to compromise patient care. ISMP Medication Safety Alert! Acute Care Edition. January 11, 2018;23:1-4.
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…
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psnet.ahrq.gov/node/848125/psn-pdf
April 26, 2023 - systems-based approach to safety
initiatives, AHRQ created patient safety learning labs in 2014 and continues
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psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices
June 15, 2024 - considerable efforts in improving the handoff process, the exchange of information among providers continues
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psnet.ahrq.gov/issue/continuous-improvement-patient-safety-case-change-nhs
December 20, 2023 - Book/Report
Continuous Improvement of Patient Safety: The Case for Change in the NHS.
Citation Text:
Continuous Improvement of Patient Safety: The Case for Change in the NHS. Illingworth J. London, UK: The Health Foundation; 2015. ISBN: 9781906461706.
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psnet.ahrq.gov/training-education
October 01, 2025 - Training and Education Overview
PSNet offers an unparalleled set of resources for patient safety training and education. In this section, you will have the opportunity to read WebM&M (Morbidity & Mortality) Spotlight Cases and complete the interactive learning modules for continuing medical education (CME), maintenan…
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psnet.ahrq.gov/Webmm/submit-case-info
August 10, 2025 - Selection Criteria and Honorarium Information
How it works
Health care professionals may submit de-identified cases that highlight medical errors or other patient
safety/quality
issues. Note that you can choose to submit cases either …
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psnet.ahrq.gov/issue/fentanyl-patch-can-be-deadly-children
January 13, 2021 - Fact Sheet/FAQs
Accidental exposures to fentanyl patches continue to be deadly to children.
Citation Text:
Accidental exposures to fentanyl patches continue to be deadly to children. Rockville, MD: US Food and Drug Administration; 2021.
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psnet.ahrq.gov/issue/industry-automates-adverse-events-continue-haunt-caregivers
February 08, 2023 - Newspaper/Magazine Article
As industry automates, adverse events continue to haunt caregivers.
Citation Text:
Wetzel TG. As industry automates, adverse events haunt caregivers. Health data management. 2011;19(2):86, 88, 90 passim.
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