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psnet.ahrq.gov/node/33590/psn-pdf
September 15, 2024 - Leadership Role in Improving Safety
September 15, 2024
Leadership Role in Improving Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/leadership-role-improving-safety
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and p…
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psnet.ahrq.gov/primer/communication-between-clinicians
September 15, 2024 - Communication Between Clinicians
Citation Text:
Communication Between Clinicians. 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 tag…
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psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
July 01, 2017 - Following Blood Collection and Transfusion Annual Summary”. 14 All blood transfusion- and donation-related deaths
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psnet.ahrq.gov/web-mm/lot-pain-medications
September 23, 2020 - intervention: limiting opioid prescribing as a means of reducing opioid analgesic misuse, and overdose deaths
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psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
August 01, 2014 - in outpatient settings in the United States, resulting in 4829 serious permanent injuries and 2587 deaths … every clinic started a clinician-based patient safety group that reviewed error reports, unexpected deaths
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psnet.ahrq.gov/perspective/conversation-urmimala-sarkar-md-mph
August 22, 2014 - in outpatient settings in the United States, resulting in 4829 serious permanent injuries and 2587 deaths … every clinic started a clinician-based patient safety group that reviewed error reports, unexpected deaths
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psnet.ahrq.gov/perspective/conversation-dave-debronkart
June 01, 2014 - In Conversation With… Dave deBronkart
June 1, 2014
Also Read an Essay
Citation Text:
In Conversation With… Dave deBronkart. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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psnet.ahrq.gov/node/867986/psn-pdf
March 24, 2025 - In Conversation with Edwin Boudreaux about Suicide
Prevention
March 24, 2025
Boudreaux E, Gale B, Mossburg SE. In Conversation with Edwin Boudreaux about Suicide Prevention.
PSNet [internet]. 2025.
https://psnet.ahrq.gov/perspective/conversation-edwin-boudreaux-about-suicide-prevention
Editor’s note: Edwin Boudre…
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psnet.ahrq.gov/perspective/conversation-hardeep-singh-md-mph
January 01, 2014 - Another study reported that 8% of deaths at a Level 1 trauma center were definitely or potentially preventable … , with inaccurate diagnosis one of the most common contributing factors to the deaths.
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psnet.ahrq.gov/web-mm/dangerous-dialysis
June 12, 2024 - January 18, 2013
Preventing pregnancy-related mental health deaths: insights from 14
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psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions
November 13, 2024 - Medicine's report on medical mistakes, To Err is Human, described surprising numbers of projected deaths
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psnet.ahrq.gov/web-mm/good-catch-operating-room
August 27, 2017 - Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative deaths
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psnet.ahrq.gov/perspective/conversation-withtroyen-brennan-md-jd-mph
December 21, 2022 - study in the late 1980s, could you have envisioned that the 44,000 to 98,000 figure [estimate of annual deaths
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psnet.ahrq.gov/web-mm/clostridium-difficile-relapse-secondary-medication-access-issue
October 01, 2015 - is the most common hospital-acquired infection and accounts for 250,000 cases, approximately 14,000 deaths
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psnet.ahrq.gov/node/49705/psn-pdf
January 01, 2020 - medicine are quite prevalent, with an overall incidence ranging from 10%–20%, resulting in
40,000–80,000 deaths
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psnet.ahrq.gov/web-mm/ounce-prevention
February 17, 2011 - (PE) is far more serious, with an overall 30-day mortality of approximately 10%.( 2 ) Most early PE deaths
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psnet.ahrq.gov/node/33663/psn-pdf
September 15, 2008 - Berwick challenged
hospitals to join IHI in a campaign to save 100,000 lives from needless deaths.
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psnet.ahrq.gov/perspective/conversation-withdiane-rydrych-ma
February 26, 2025 - the public and media were going to react to having individual hospitals named and having a number of deaths
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psnet.ahrq.gov/sites/default/files/2023-03/challenging_case_of_multiple_suicide_attempts_in_a_complex_patient_with_psychiatric_comorbidities.pdf
January 01, 2023 - Epidemiologic assessment of benzodiazepine exposure among suicide deaths in Colorado, 2015-2017.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.25_slideshow.ppt
July 01, 2003 - PowerPoint Presentation
Spotlight Case July 2003
Code Status Confusion
webmm.ahrq.gov
Source and Credits
This presentation is based on the July 2003
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Bernard Lo, MD, Univers…