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psnet.ahrq.gov/issue/quality-and-safety-education-nurses-0
June 01, 2016 - Course Material/Curriculum
Quality and Safety Education for Nurses.
Citation Text:
Quality and Safety Education for Nurses. University of North Carolina at Chapel Hill School of Nursing.
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psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
October 01, 2008 - So defining the safety issues is fine and reasonable. It raises the visibility.
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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/49399/psn-pdf
May 01, 2003 - Ectopic or Not?
May 1, 2003
Givens VM, Lipscomb GH. Ectopic or Not? PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/ectopic-or-not
The Case
The patient is a 24-year-old woman, gravida 4, para 1, ectopic 1, at 6 weeks from her last menstrual period.
She presents to the emergency department with a 3-day histo…
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psnet.ahrq.gov/web-mm/missing-trauma
March 03, 2011 - Missing Trauma
Citation Text:
Jurkovich GJ. Missing Trauma. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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psnet.ahrq.gov/perspective/team-training-classroom-training-vs-high-fidelity-simulation
January 12, 2011 - Team Training: Classroom Training vs. High-Fidelity Simulation
Stephen D. Pratt, MD and Benjamin P. Sachs, MB | March 1, 2006
View more articles from the same authors.
Citation Text:
Pratt SD, PSachs B. Team Training: Classroom Training vs. High-Fidelity Simulatio…
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psnet.ahrq.gov/node/33691/psn-pdf
December 01, 2009 - How to Identify and Manage Problem Behaviors
December 1, 2009
Rosenstein AH, O'Daniel M. How to Identify and Manage Problem Behaviors. PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
Perspective
The 1999 Institute of Medicine report highlighted the need for heal…
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psnet.ahrq.gov/web-mm/supervision-and-entrustment-clinical-training-protecting-patients-protecting-trainees
February 22, 2017 - SPOTLIGHT CASE
Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees
Citation Text:
Cate O ten-. Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu…
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psnet.ahrq.gov/node/50841/psn-pdf
January 29, 2020 - “This is the wrong patient's blood!”: Evaluating a Near-
Miss Wrong Transfusion Event
January 29, 2020
Barnhard S. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-…
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psnet.ahrq.gov/node/866618/psn-pdf
December 31, 2024 - A Fatal Twist in Pseudohyperkalemia
December 31, 2024
Devera JL, Barnes DK, Lewis WR. A Fatal Twist in Pseudohyperkalemia. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Council
for C…
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psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
September 30, 2020 - SPOTLIGHT CASE
Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy
Citation Text:
Lopez C, Tache V. Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy. PSNet [internet]. Rockville (MD): Agency for Healt…
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psnet.ahrq.gov/issue/inattentional-blindness-what-captures-your-attention
May 07, 2018 - Newspaper/Magazine Article
Inattentional blindness: what captures your attention?
Citation Text:
Inattentional blindness: what captures your attention? ISMP Medication Safety Alert! Acute Care Edition. February 26, 2009;14:1-3.
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psnet.ahrq.gov/issue/consumer-guide-adverse-health-events
June 04, 2024 - Book/Report
Consumer Guide to Adverse Health Events.
Citation Text:
Consumer Guide to Adverse Health Events. St Paul, MN: Minnesota Department of Health; 2015.
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psnet.ahrq.gov/issue/patients-toolkit-diagnosis
November 08, 2017 - Toolkit
Patient's Toolkit for Diagnosis.
Citation Text:
Patient's Toolkit for Diagnosis. SIDM Patient Engagement Committee. Evanston, IL: Society to Improve Diagnosis in Medicine; October 2018.
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psnet.ahrq.gov/issue/teledx-how-telemedicine-working-and-not-working-support-diagnosis
November 08, 2017 - Meeting/Conference Proceedings
TeleDx: How is Telemedicine Working - and not Working - to Support Diagnosis?
Citation Text:
TeleDx: How is Telemedicine Working - and not Working - to Support Diagnosis? Society to Improve Diagnosis in Medicine. June 3, 2021.
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psnet.ahrq.gov/issue/solving-puzzle-improving-safety-outcomes
September 07, 2022 - Commentary
Solving the puzzle: improving safety outcomes.
Citation Text:
Solving the puzzle: improving safety outcomes. Whitehouse D. Br J Healthc Manage. 2013;19(9):446-448.
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psnet.ahrq.gov/issue/5-million-lives-campaign
January 08, 2020 - Press Release/Announcement
5 Million Lives Campaign.
Citation Text:
5 Million Lives Campaign. Institute for Healthcare Improvement; IHI
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psnet.ahrq.gov/issue/project-boost-mentored-implementation-program
February 18, 2011 - Multi-use Website
Advancing Successful Care Transitions to Improve Outcomes.
Citation Text:
Advancing Successful Care Transitions to Improve Outcomes. Society of Hospital Medicine
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psnet.ahrq.gov/issue/master-science-medical-and-healthcare-simulation
November 01, 2023 - Course Material/Curriculum
Master of Science in Medical and Healthcare Simulation.
Citation Text:
Master of Science in Medical and Healthcare Simulation. Drexel University College of Medicine.
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psnet.ahrq.gov/improvement-tools
February 26, 2025 - Improvement Resources Overview
Patient Safety Innovations highlight important innovations that can lead to improvements in patient safety, while Toolkits provide the practical applications of PSNet research and concepts for front line providers to use in their day to day work. Together these support the implementatio…