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psnet.ahrq.gov/issue/identifying-resilience-system-safety-review-trauma-and-orthopaedic-theatres
October 19, 2011 - 2017
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Grading recommendations for enhanced
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psnet.ahrq.gov/issue/prevention-3-never-events-operating-room-fires-gossypiboma-and-wrong-site-surgery
February 10, 2012 - November 6, 2024
Grading recommendations for enhanced patient safety in sentinel event
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psnet.ahrq.gov/issue/preventing-wrong-site-procedure-and-patient-events-using-common-cause-analysis
October 03, 2017 - 2017
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Grading recommendations for enhanced
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psnet.ahrq.gov/issue/development-implementation-and-dissemination-i-pass-handoff-curriculum-multisite-educational
November 12, 2014 - View More
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Patient safety outcomes after two years of an enhanced
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psnet.ahrq.gov/issue/under-mined
October 27, 2010 - November 6, 2024
Grading recommendations for enhanced patient safety in sentinel event
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psnet.ahrq.gov/issue/prevalence-and-characteristics-interruptions-and-distractions-during-surgical-counts
March 09, 2016 - Items: Causation and Prevention
February 26, 2025
Grading recommendations for enhanced
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psnet.ahrq.gov/issue/danger-discharge-summaries-abbreviations-create-confusion-both-author-and-recipient
March 15, 2017 - Adherence to drug–drug interaction alerts in high-risk patients: a trial of context-enhanced
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psnet.ahrq.gov/issue/evidence-based-organization-and-patient-safety-strategies-european-hospitals
January 20, 2016 - October 17, 2018
Strengthening leadership as a catalyst for enhanced patient safety culture
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psnet.ahrq.gov/issue/use-simulation-emergency-medicine-research-agenda
December 30, 2008 - February 18, 2011
Simulation-debriefing enhanced needs assessment to address quality
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psnet.ahrq.gov/issue/patient-centered-prescription-opioid-tapering-community-outpatients-chronic-pain
May 17, 2017 - Adherence to drug–drug interaction alerts in high-risk patients: a trial of context-enhanced
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psnet.ahrq.gov/issue/safety-issues-related-electronic-medical-record-emr-synthesis-literature-last-decade-2000
January 20, 2016 - Characterization of adverse events detected in a large health care delivery system using an enhanced
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psnet.ahrq.gov/issue/selection-indicators-continuous-monitoring-patient-safety-recommendations-project-safety
June 22, 2016 - Related Resources From the Same Author(s)
Strengthening leadership as a catalyst for enhanced
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psnet.ahrq.gov/perspective/conversation-withthomas-j-nasca-md
February 01, 2010 - recommended improvements to the culture of safety through error detection, reporting, and monitoring, enhanced … Internal Medicine Educational Innovations Project (EIP) provides selected internal medicine programs with enhanced
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psnet.ahrq.gov/node/33570/psn-pdf
June 15, 2024 - Diagnostic Errors
June 15, 2024
Diagnostic Errors. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/diagnostic-errors
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 20…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.365_slideshow.ppt
January 01, 2016 - PowerPoint Presentation
Spotlight
A Room Without Orders
1
This presentation is based on the January 2016
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Amy Vogelsmeier, PhD, RN, Sinclair School of Nursing; and Laurel Despins, PhD, RN, Sinclair Sc…
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psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-corrective-action
November 27, 2018 - Book/Report
Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events.
Citation Text:
Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. Oakbroo…
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psnet.ahrq.gov/issue/teaming-how-organizations-learn-innovate-and-compete-knowledge-economy
May 06, 2016 - Book/Report
Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy.
Citation Text:
Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy. Edmondson AC, Schein EH. San Franscisco, CA: Jossey-Bass; 2012. ISBN: 9780787970932.
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psnet.ahrq.gov/issue/care-we-need
March 25, 2020 - Book/Report
The Care We Need
Citation Text:
The Care We Need Washington DC: National Quality Forum; 2020.
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psnet.ahrq.gov/issue/what-cannot-be-said-television-about-health-care
January 10, 2018 - Commentary
What cannot be said on television about health care.
Citation Text:
Emanuel EJ. What Cannot Be Said on Television About Health Care. JAMA. 2007;297(19). doi:10.1001/jama.297.19.2131.
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psnet.ahrq.gov/issue/declaration-advance-patient-safety
July 12, 2017 - Book/Report
Declaration to Advance Patient Safety.
Citation Text:
Declaration to Advance Patient Safety. National Steering Committee for Patient Safety. Boston, MA: Institute for Healthcare Improvement; May 2022.
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