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psnet.ahrq.gov/issue/candor-webinar-series
June 01, 2023 - Webinar
CANDOR Webinar Series.
Citation Text:
CANDOR Webinar Series. Patient Safety Movement Foundation. 2021.
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psnet.ahrq.gov/issue/challenges-ahead-technology-training-report-training-initiative-committee-technology
August 09, 2017 - Newspaper/Magazine Article
Challenges ahead in technology training: a report on the training initiative of the Committee on Technology.
Citation Text:
Challenges ahead in technology training: a report on the training initiative of the Committee on Technology. Olympio MA; Reinke B; Ab…
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psnet.ahrq.gov/issue/mris-strong-magnets-cited-accidents
June 08, 2010 - Newspaper/Magazine Article
M.R.I.'s strong magnets cited in accidents.
Citation Text:
M.R.I.'s strong magnets cited in accidents. McNeil DG, Jr.
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psnet.ahrq.gov/issue/misadventures-health-care-inside-stories
July 06, 2011 - Book/Report
Misadventures in Health Care: Inside Stories.
Citation Text:
Misadventures in Health Care: Inside Stories. Bogner MS, ed. New York, NY: Psychology Press; 2013. ISBN: 9780805833775.
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psnet.ahrq.gov/issue/mri-safety-10-years-later
December 10, 2014 - Newspaper/Magazine Article
MRI safety 10 years later.
Citation Text:
MRI safety 10 years later. Gilk T, Latino RJ. Patient Saf Qual Healthc. November/December 2011;8:22-23,26-29.
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psnet.ahrq.gov/issue/administering-saline-flush-site-unseen-can-lead-wrong-route-error
June 10, 2018 - Newspaper/Magazine Article
Administering a saline flush "site unseen" can lead to a wrong route error.
Citation Text:
Administering a saline flush "site unseen" can lead to a wrong route error. ISMP Medication Safety Alert! Acute care edition. May 16, 2013;18:1-3.
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psnet.ahrq.gov/issue/icn-position-statement-patient-safety
March 09, 2022 - Organizational Policy/Guidelines
ICN Position Statement: Patient Safety.
Citation Text:
ICN Position Statement: Patient Safety. Geneva, Switzerland; International Council of Nurses: 2023.
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psnet.ahrq.gov/issue/inquiry-reporters-death-finds-multiple-failures-care
March 30, 2016 - Newspaper/Magazine Article
Inquiry into reporter's death finds multiple failures in care.
Citation Text:
Inquiry into reporter's death finds multiple failures in care. Stout D. New York Times. June 17, 2006.
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psnet.ahrq.gov/issue/classifying-laboratory-incident-reports-identify-problems-jeopardize-patient-safety
May 13, 2020 - Study
Classifying laboratory incident reports to identify problems that jeopardize patient safety.
Citation Text:
Classifying laboratory incident reports to identify problems that jeopardize patient safety. Astion ML; Shojania KG; Hamill TR; Kim S; Ng VL.
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psnet.ahrq.gov/issue/improving-diagnosis-radiology-progress-and-proposals
August 26, 2020 - Special or Theme Issue
Improving Diagnosis in Radiology—Progress and Proposals.
Citation Text:
Improving Diagnosis in Radiology—Progress and Proposals. Bruno MA, Johnson K, Argy N, Graber ML, eds. Diagnosis. 2017;4(3):111-191.
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psnet.ahrq.gov/issue/disease-management-mid-decade-evolution-toward-patient-safety
January 28, 2010 - Commentary
Disease management: a mid-decade evolution toward patient safety.
Citation Text:
Disease management: a mid-decade evolution toward patient safety. Heckinger E; Chappell H; Downes D; Fitzner K.
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psnet.ahrq.gov/issue/protect-against-drug-errors-ask-questions
December 09, 2015 - Newspaper/Magazine Article
To protect against drug errors, ask questions.
Citation Text:
To protect against drug errors, ask questions. Brody JE.
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psnet.ahrq.gov/issue/breaking-silence-switch-increasing-transparency-about-trainee-participation-surgery
February 02, 2022 - Commentary
Breaking the silence of the switch—increasing transparency about trainee participation in surgery.
Citation Text:
McAlister C. Breaking the Silence of the Switch--Increasing Transparency about Trainee Participation in Surgery. N Engl J Med. 2015;372(26):2477-9. doi:10.1056/NEJ…
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psnet.ahrq.gov/issue/patient-medical-and-legal-perspectives-unsafe-care
July 20, 2021 - Webinar
Patient, Medical, and Legal Perspectives of Unsafe Care.
Citation Text:
Patient, Medical, and Legal Perspectives of Unsafe Care. Patient Safety Movement. October 29, 2021.
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psnet.ahrq.gov/issue/developing-resilience-combat-nurse-burnout
May 01, 2019 - Newspaper/Magazine Article
Developing resilience to combat nurse burnout.
Citation Text:
Developing resilience to combat nurse burnout. Quick Safety. July 15, 2019;(50):1-4.
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psnet.ahrq.gov/issue/why-its-so-easy-doctors-misdiagnose-kids
December 09, 2015 - Newspaper/Magazine Article
Why it's so easy for doctors to misdiagnose kids.
Citation Text:
Why it's so easy for doctors to misdiagnose kids. Epstein, H. The Atlantic. November 17, 2015.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.176_slideshow.ppt
May 01, 2008 - Spotlight Case [MONTH] 2003
Spotlight Case May 2008
Diagnosing HIV: It Doesn’t Take a Brain Surgeon
Source and Credits
This presentation is based on the May 2008
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Roger Chou, MD, Oregon Health &…
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psnet.ahrq.gov/node/49762/psn-pdf
June 01, 2016 - The Case of Mistaken Intubation
June 1, 2016
Silveira MJ. The Case of Mistaken Intubation. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/case-mistaken-intubation
Case Objectives
Appreciate that most older adults and many younger chronically ill patients have discussed or
documented their preferences for l…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.269_slideshow.ppt
June 01, 2012 - Spotlight Case July 2008
Spotlight Case
Transfer Troubles
1
2
Source and Credits
This presentation is based on the June 2012
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Isla M. Hains, PhD; Centre for Health Systems and Safety Research, Australia…
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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 …