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psnet.ahrq.gov/node/49435/psn-pdf
February 01, 2004 - It is often less fruitful to focus on assigning causality or
"root cause" than to better define all
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psnet.ahrq.gov/node/38237/psn-pdf
October 05, 2021 - The Safety Competencies Framework.
October 5, 2021
Ottawa, ON: Canadian Patient Safety Institute; 2020.
https://psnet.ahrq.gov/issue/safety-competencies-framework
This initative defines competency domains for safe health care and outlines educational practices to
achieve them. The 2nd edition of the Patient Safety…
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psnet.ahrq.gov/issue/assessing-adverse-events-after-chiropractic-care-chiropractic-teaching-clinic-active
December 23, 2020 - Study
Assessing adverse events after chiropractic care at a chiropractic teaching clinic: an active-surveillance pilot study.
Citation Text:
Pohlman KA, Funabashi M, Ndetan H, et al. Assessing adverse events after chiropractic care at a chiropractic teaching clinic: an active-surveillanc…
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psnet.ahrq.gov/issue/prevalence-triggers-and-patient-harm-identified-global-trigger-tool-specialized-palliative
June 14, 2023 - Study
Prevalence of triggers and patient harm identified by Global Trigger Tool in specialized palliative care.
Citation Text:
Fredheim OMS, Klingenberg E, Lindahl AK. Prevalence of triggers and patient harm identified by Global Trigger Tool in specialized palliative care. J Palliat Med.…
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psnet.ahrq.gov/node/866846/psn-pdf
September 24, 2024 - meetings throughout the hospital system.2 They also
implemented dashboards to track harms and sought to define
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psnet.ahrq.gov/innovation/geisingers-outpatient-addiction-medicine-specialty-program-uses-data-driven-decision
October 30, 2024 - spread of infectious disease via intravenous injection
The objective of this acuity scale is to define
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psnet.ahrq.gov/periodic-issue/periodic-issue-473
March 25, 2025 - ethnographic study, conducted at one Dutch neurology/neurosurgery ward, found that nurses struggle to define
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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/node/865489/psn-pdf
April 03, 2024 - Safety is the preservation of value.
April 3, 2024
Vandeskog B. Safety is the preservation of value. J Safety Res. 2024;89:105-115.
doi:10.1016/j.jsr.2024.02.004.
https://psnet.ahrq.gov/issue/safety-preservation-value
Safety is at the heart of safety science, and yet “safety” lacks a consensus definition among saf…
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psnet.ahrq.gov/issue/incidence-and-predictors-opioid-prescription-discharge-after-traumatic-injury
July 02, 2019 - Study
Classic
Incidence and predictors of opioid prescription at discharge after traumatic injury.
Citation Text:
Chaudhary MA, Schoenfeld AJ, Harlow AF, et al. Incidence and Predictors of Opioid Prescription at Discharge After Traumatic Injury. JAMA Surg. 2017;…
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psnet.ahrq.gov/issue/when-medical-care-leads-harm-difficulty-finding-words-teachable-moment
September 23, 2017 - Commentary
When medical care leads to harm—difficulty finding words: a teachable moment.
Citation Text:
Chamberlain E, DiVeronica M, Segura R. When medical care leads to harm- difficulty finding words: a teachable moment. JAMA Intern Med. 2015;175(8):1271-1272. doi:10.1001/jamainternmed.…
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psnet.ahrq.gov/issue/diagnostic-errors-and-diagnostic-calibration
April 04, 2018 - Commentary
Diagnostic errors and diagnostic calibration.
Citation Text:
Cifu AS. Diagnostic Errors and Diagnostic Calibration. JAMA. 2017;318(10):905-906. doi:10.1001/jama.2017.11030.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnot…
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psnet.ahrq.gov/node/865411/psn-pdf
March 27, 2024 - Regarding Recognition, birthing facilities
should manage the third stage of labor, define early recognition
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psnet.ahrq.gov/node/49664/psn-pdf
January 01, 2013 - Handoffs are multifaceted, complex, dynamic, and sometimes challenging to define and measure.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.461_slideshow.ppt
November 01, 2018 - should be able to:
Appreciate how supervision is critical to both patient safety and trainee safety
Define
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psnet.ahrq.gov/node/856638/psn-pdf
November 29, 2023 - Safety Management Systems - an Introduction for
Healthcare.
November 29, 2023
Dorset, UK: Health Services Safety Investigations Body; October 2023.
https://psnet.ahrq.gov/issue/safety-management-systems-introduction-healthcare
Safety management systems (SMS) are employed in many high-risk industries, yet are…
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psnet.ahrq.gov/web-mm/x-ray-flip
August 10, 2019 - It is often less fruitful to focus on assigning causality or "root cause" than to better define all the
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psnet.ahrq.gov/primer/telehealth-and-patient-safety
July 27, 2022 - their caregivers to communicate medication regimens and care plans, and Ongoing research to better define
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psnet.ahrq.gov/node/61102/psn-pdf
November 04, 2020 - Negligence and AI's human users.
November 4, 2020
Selbst AD. Boston U Law Rev. 2020;100:1315-1376.
https://psnet.ahrq.gov/issue/negligence-and-ais-human-users
Artificial intelligence (AI) is apt to expand clinical, personal, and legal boundaries. This discussion examines
complexities associated with defining negli…
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psnet.ahrq.gov/issue/relationships-within-inpatient-physician-housestaff-teams-and-their-association-hospitalized
December 18, 2013 - Study
Relationships within inpatient physician housestaff teams and their association with hospitalized patient outcomes.
Citation Text:
McAllister C, Leykum LK, Lanham H, et al. Relationships within inpatient physician housestaff teams and their association with hospitalized patient out…