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psnet.ahrq.gov/node/843150/psn-pdf
December 05, 2022 - Advancing Effective Communication, Cultural Competence, and Patient- and
Family-Centered Care for the
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psnet.ahrq.gov/node/33726/psn-pdf
March 01, 2012 - In Conversation With… Richard C. Boothman, JD
March 1, 2012
In Conversation With… Richard C. Boothman, JD. PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/conversation-richard-c-boothman-jd
Editor's note: Rick Boothman, an attorney, is the chief risk officer for the University of Michigan Health
System…
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psnet.ahrq.gov/innovation/university-michigan-emergency-critical-care-center-ec3-provides-timely-intensive-care
October 30, 2024 - The University of Michigan Emergency Critical Care Center (EC3) Provides Timely Intensive Care to Critically Ill Patients in the Emergency Department
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psnet.ahrq.gov/node/857061/psn-pdf
November 27, 2023 - In Conversation with... Joan Stanley about The Role of
Undergraduate Nursing Education in Patient Safety
November 27, 2023
Stanley J. In Conversation with.. Joan Stanley about The Role of Undergraduate Nursing Education in
Patient Safety . PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/conversation-joa…
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psnet.ahrq.gov/web-mm/antiseizure-medication-disorder
April 01, 2006 - SPOTLIGHT CASE
Antiseizure Medication Disorder
Citation Text:
Alldredge BK. Antiseizure Medication Disorder. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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psnet.ahrq.gov/issue/standardizing-hospital-discharge-planning-mayo-clinic
October 19, 2022 - Study
Standardizing hospital discharge planning at the Mayo Clinic.
Citation Text:
Holland DE, Hemann MA. Standardizing hospital discharge planning at the Mayo Clinic. Jt Comm J Qual Patient Saf. 2011;37(1):29-36.
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psnet.ahrq.gov/issue/patient-safety-education-what-was-what-and-what-will-be
April 10, 2019 - Commentary
Patient safety education: what was, what is, and what will be?
Citation Text:
Klamen D, Sanserino K, Skolnik PJ. Patient Safety Education: What Was, What Is, and What Will Be? Teach Learn Med. 2013;25(sup1). doi:10.1080/10401334.2013.842906.
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psnet.ahrq.gov/issue/broken-trust-making-patient-safety-more-just-promise
October 07, 2020 - Book/Report
Broken Trust: Making Patient Safety More than Just a Promise.
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Broken Trust: Making Patient Safety More than Just a Promise. Manchester, UK: Parliamentary and Health Service Ombudsman; June 2023. ISBN: 9781528642446.
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psnet.ahrq.gov/issue/medical-error-second-victim-0
February 17, 2017 - Commentary
Medical error: the second victim.
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McCay L, Wu AW. Medical error: the second victim. Br J Hosp Med (Lond). 2012;73(10):C146-148.
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psnet.ahrq.gov/issue/millions-people-used-tainted-breathing-machines-fda-failed-use-its-power-protect-them
June 28, 2023 - Newspaper/Magazine Article
Millions of people used tainted breathing machines. The FDA failed to use its power to protect them.
Citation Text:
Millions of people used tainted breathing machines. The FDA failed to use its power to protect them. Cenziper D, Sallah MD, Korsh M. ProPublica. …
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psnet.ahrq.gov/issue/transitioning-newborns-nicu-home-resource-toolkit
August 01, 2012 - Government Resource
Transitioning Newborns From NICU to Home: A Resource Toolkit.
Citation Text:
Transitioning Newborns From NICU to Home: A Resource Toolkit. Rockville, MD: Agency for Healthcare Research and Quality; December 2013. AHRQ Publication No. 12(14)-0054-EF.
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psnet.ahrq.gov/issue/insulin-pumps-have-most-reported-problems-fda-database
October 03, 2018 - Newspaper/Magazine Article
Insulin pumps have most reported problems in FDA database.
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Insulin pumps have most reported problems in FDA database. Mohr H, Weiss M. Associated Press. November 27, 2018.
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psnet.ahrq.gov/issue/case-study-webinar-series-clinician-burnout-ohio-state-university
September 28, 2022 - Webinar
Case Study Webinar Series on Clinician Burnout: The Ohio State University
Citation Text:
Case Study Webinar Series on Clinician Burnout: The Ohio State University NAM Action Collaborative on Clinician Well-Being and Resilience. Case Study Webinar Series on Clinician Burnout: The …
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psnet.ahrq.gov/issue/evidence-use-clinical-reasoning-checklists-diagnostic-error-reduction
October 06, 2021 - Book/Report
Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction.
Citation Text:
Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction. Zwaan L, Staal J. Rockville, MD: Agency for Healthcare Research and Quality; September 2020. A…
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psnet.ahrq.gov/issue/diagnostic-centers-excellence-partnerships-improve-diagnostic-safety-and-quality-r18
March 08, 2023 - Grant Announcement
Diagnostic Centers of Excellence: Partnerships to Improve Diagnostic Safety and Quality (R18).
Citation Text:
Diagnostic Centers of Excellence: Partnerships to Improve Diagnostic Safety and Quality (R18). Rockville, MD: Agency for Healthcare Research and Quality; April…
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psnet.ahrq.gov/issue/doctors-make-mistakes-new-documentary-explores-what-happens-when-they-do-and-how-fix-it
November 20, 2019 - Newspaper/Magazine Article
Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it.
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Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. Park A. Time Magazine. January 24, 2019.
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psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safety-final-report
September 06, 2011 - Book/Report
Classic
Improving Diagnostic Quality and Safety Final Report.
Citation Text:
Improving Diagnostic Quality and Safety Final Report. Washington, DC: National Quality Forum. September 19, 2017.
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psnet.ahrq.gov/issue/understanding-and-improving-diagnostic-safety-ambulatory-care
August 17, 2022 - Grant Announcement
Understanding and Improving Diagnostic Safety in Ambulatory Care.
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Understanding and Improving Diagnostic Safety in Ambulatory Care. Rockville, MD: Agency for Healthcare Quality and Research; August 22, 2023.
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psnet.ahrq.gov/issue/system-failure-versus-personal-accountability-case-clean-hands
February 16, 2011 - Commentary
System failure versus personal accountability--the case for clean hands.
Citation Text:
Goldmann DA. System failure versus personal accountability--the case for clean hands. N Engl J Med. 2006;355(2):121-3.
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psnet.ahrq.gov/issue/cultivate-discussions-psychologically-safe-workplace-part-1-and-part-ii
August 11, 2021 - Special or Theme Issue
Cultivate discussions in a psychologically safe workplace: part 1 and part II.
Citation Text:
Cultivate discussions in a psychologically safe workplace: part 1 and part II. ISMP Medication Safety Alert! Acute Care. July 11, 2024;29;(14):1-3; July 25, 2024;29(15):1-…