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psnet.ahrq.gov/classics
August 01, 2023 - Classics and Emerging Classics
To help our readers navigate the tremendous breadth of the PSNet Collection, AHRQ PSNet editors and advisors have given the designation of “Classic” to review articles, empirical studies, government and stakeholder reports, commentaries, and books of lasting importance to the patient sa…
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psnet.ahrq.gov/issue/fatigue-among-clinicians-and-safety-patients
November 15, 2018 - Study
Classic
Fatigue among clinicians and the safety of patients.
Citation Text:
Gaba DM, Howard SK. Patient safety: fatigue among clinicians and the safety of patients. New Engl J Med. 2002;347(16):1249-1255.
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psnet.ahrq.gov/issue/predictors-likelihood-speaking-about-safety-concerns-labour-and-delivery
October 19, 2022 - Study
Predictors of likelihood of speaking up about safety concerns in labour and delivery.
Citation Text:
Lyndon A, Sexton B, Simpson KR, et al. Correction. BMJ Qual Saf. 2011;22(2):791-799. doi:10.1136/bmjqs.2010.050211.
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psnet.ahrq.gov/node/33600/psn-pdf
June 16, 2024 - Patient Safety 101
June 16, 2024
Patient Safety 101. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/patient-safety-101
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in…
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psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-implements-methods
June 19, 2024 - The bundle provides a discussion guide for discussions between patients and nurses about VTE prevention
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psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
August 14, 2024 - Whether team discussions were held to consider a more comprehensive personalized approach, involving
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psnet.ahrq.gov/print/pdf/node/867461
January 31, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Patient and Family Engagement in Long
Term Care
Curated Library
Foundations
Long-term Care and Patient Safety
Deb Bakerjian PhD, APRN, FAAN, FAANP, FGSA | April, 10 2024
A large and growing number of Americans require care in skilled nursin…
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psnet.ahrq.gov/curated-library/diagnostic-error
April 17, 2025 - Breadcrumb
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The PSNet Collection
Curated Libraries
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Diagnostic Error
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Created By: Karen Cosby, AHRQ
Date Created: May 8, …
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psnet.ahrq.gov/curated-library/patient-and-family-engagement-long-term-care
April 10, 2024 - Breadcrumb
Home
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Curated Libraries
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Patient and Family Engagement in Long Term Care
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Created By: Lorri Zipperer, C…
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psnet.ahrq.gov/primer/patient-safety-101
January 16, 2025 - Patient Safety 101
Citation Text:
Patient Safety 101. 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/issue/understanding-liability-risk-using-health-care-artificial-intelligence-tools
April 03, 2024 - Commentary
Understanding liability risk from using health care artificial intelligence tools.
Citation Text:
Mello MM, Guha N. Understanding liability risk from using health care artificial intelligence tools. N Engl J Med. 2024;390(3):271-278. doi:10.1056/nejmhle2308901.
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psnet.ahrq.gov/issue/patient-safety-2nd-edition
October 01, 2024 - Book/Report
Classic
Patient Safety, 2nd edition.
Citation Text:
doi:10.1002/9781444323856.
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psnet.ahrq.gov/node/33567/psn-pdf
June 15, 2024 - Handoffs
June 15, 2024
Handoffs and Signouts. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/handoffs
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in 2024.
Backgroun…
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psnet.ahrq.gov/issue/what-ring-tone-should-be-used-patient-safety-early-results-blackberry-based-telementoring
February 28, 2011 - Study
What ring tone should be used for patient safety? Early results with a Blackberry-based telementoring safety solution.
Citation Text:
Parker A, Rubinfeld IS, Azuh O, et al. What ring tone should be used for patient safety? Early results with a Blackberry-based telementoring safety…
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psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
December 23, 2020 - The infant’s family and attending physician met regularly for discussions and reconciliation.
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psnet.ahrq.gov/web-mm/when-meds-dont-reach-bed
May 16, 2022 - Patient empowerment and discussions of patient goals for care facilitate communication with the patient
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psnet.ahrq.gov/web-mm/postpartum-woman-erroneous-sars-cov-2-test
December 23, 2020 - Massachusetts Betsy Lehman Center for Patient Safety, contributes cases and commentaries from their monthly discussions
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psnet.ahrq.gov/perspective/patient-safety-frail-older-patients
November 26, 2019 - When you are thinking about the consequences of proposed care, how and with whom are you having these discussions
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psnet.ahrq.gov/perspective/conversation-heidi-wald-md
November 26, 2019 - When you are thinking about the consequences of proposed care, how and with whom are you having these discussions
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psnet.ahrq.gov/issue/ashamed-admit-it-owning-medical-error
April 03, 2019 - Commentary
Ashamed to admit it: owning up to medical error.
Citation Text:
Ofri D. Ashamed to admit it: owning up to medical error. Health Aff (Millwood). 2010;29(8):1549-51. doi:10.1377/hlthaff.2009.0946.
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