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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/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/second-trial
November 08, 2017 - Multi-use Website
The SECOND Trial
Citation Text:
The SECOND Trial Northwestern University Feinberg School of Medicine
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psnet.ahrq.gov/issue/robert-l-wears-patient-safety-leadership-award
November 08, 2017 - Award Announcement
Robert L. Wears Patient Safety Leadership Award.
Citation Text:
Robert L. Wears Patient Safety Leadership Award. Regional Center at Jacksonville University, University of Florida College of Medicine – Jacksonville, FL.
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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/driving-learning-and-improvement-after-rca2-event-reviews
April 06, 2022 - Meeting/Conference Proceedings
Driving Learning and Improvement After RCA2 Event Reviews.
Citation Text:
Driving Learning and Improvement After RCA2 Event Reviews. Collaborative for Accountability and Improvement. January 26, 2023.
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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…
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psnet.ahrq.gov/issue/lurking-danger-business-case-patient-safety
May 13, 2020 - Commentary
The lurking danger in the “business case” for patient safety
Citation Text:
The lurking danger in the “business case” for patient safety Millenson ML. Health Affairs Blog. December 2, 2019.
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psnet.ahrq.gov/issue/getting-your-best-health-care-real-world-stories-patient-empowerment
April 27, 2011 - Book/Report
Getting Your Best Health Care: Real-World Stories for Patient Empowerment.
Citation Text:
Getting Your Best Health Care: Real-World Stories for Patient Empowerment. Farbstein K. Rockville, MD: Access Intelligence, LLC; 2011. ISBN: 9781885461452.
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psnet.ahrq.gov/issue/patient-safety-culture-theory-methods-and-application
August 24, 2016 - Book/Report
Patient Safety Culture: Theory, Methods and Application.
Citation Text:
Patient Safety Culture: Theory, Methods and Application. Waterson P, ed. London, UK: Ashgate; 2014. ISBN: 9781409448143.
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psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-pharmacists-perspective
June 01, 2016 - The recent work of the Lucian Leape Institute in defining that has been very helpful.
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psnet.ahrq.gov/node/60066/psn-pdf
March 25, 2020 - https://psnet.ahrq.gov//#1
https://psnet.ahrq.gov//#22
https://psnet.ahrq.gov//#23
When boundaries defining
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psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
January 01, 2016 - Defining diagnosis as a process allows them to apply all the things they know about how to improve processes
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psnet.ahrq.gov/node/49789/psn-pdf
April 01, 2017 - Engaging Seriously Ill Older Patients in Advance Care
Planning
April 1, 2017
Heyland DK. Engaging Seriously Ill Older Patients in Advance Care Planning. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/engaging-seriously-ill-older-patients-advance-care-planning
Case Objectives
Define advance care planning an…
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psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering
August 21, 2007 - SPOTLIGHT CASE
Wandering Off the Floors: Safety and Security Risks of Patient Wandering
Citation Text:
Smith TA. Wandering Off the Floors: Safety and Security Risks of Patient Wandering. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Huma…
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psnet.ahrq.gov/web-mm/ectopic-or-not
March 27, 2024 - Ectopic or Not?
Citation Text:
Givens VM, Lipscomb GH. Ectopic or Not?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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psnet.ahrq.gov/node/49747/psn-pdf
December 01, 2015 - Harm From Alarm Fatigue
December 1, 2015
Pelter MM, Drew BJ. Harm From Alarm Fatigue. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/harm-alarm-fatigue
Case Objectives
Define alarm fatigue and describe potential errors that can occur due to alarm fatigue.
Identify federal and national agencies focusing on …
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psnet.ahrq.gov/issue/mrsa-infections
September 26, 2018 - Commentary
MRSA Infections.
Citation Text:
Zeller JL, Burke AE, Glass RM. JAMA patient page. MRSA infections. JAMA. 2007;298(15):1826.
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psnet.ahrq.gov/issue/ismp-medication-safety-self-assessment-high-alert-medications
June 07, 2017 - Measurement Tool/Indicator
ISMP Medication Safety Self Assessment for High-Alert Medications.
Citation Text:
ISMP Medication Safety Self Assessment for High-Alert Medications. Horsham, PA: Institute for Safe Medication Practices; 2017.
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