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psnet.ahrq.gov/node/33610/psn-pdf
April 01, 2005 - Introducing the New AHRQ WebM&M and AHRQ Patient
Safety Network (PSNet)
April 1, 2005
Wachter R. Introducing the New AHRQ WebM&M and AHRQ Patient Safety Network (PSNet). PSNet
[internet]. 2005.
https://psnet.ahrq.gov/perspective/introducing-new-ahrq-webmm-and-ahrq-patient-safety-network-psnet
Editorial
Five year…
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psnet.ahrq.gov/node/49746/psn-pdf
October 01, 2015 - An Obstructed View
October 1, 2015
Carter J. An Obstructed View. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/obstructed-view
The Case
A 66-year-old man with a history of benign prostatic hyperplasia and obstructive sleep apnea presented to
the emergency department (ED) with subacute abdominal pain that …
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psnet.ahrq.gov/curated-library/medicationdrug-errors
March 12, 2021 - Breadcrumb
Home
The PSNet Collection
Curated Libraries
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Medication/Drug Errors
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Created By: Dr. Yan Xiao, AHRQ TEP Member
Date…
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psnet.ahrq.gov/periodic-issue/periodic-issue-473
March 25, 2025 - March 5, 2025 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports, …
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psnet.ahrq.gov/node/49853/psn-pdf
February 01, 2019 - Adverse Event During Intrahospital Transport
February 1, 2019
Bergman L, Chaboyer W. Adverse Event During Intrahospital Transport. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
The Case
A 4-year-old boy underwent surgery under general anesthesia for correction o…
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psnet.ahrq.gov/node/863641/psn-pdf
February 28, 2024 - Revising TeamSTEPPS: The Evolution of Patient Safety
Teamwork Training
February 28, 2024
Haugstetter M, Hines S, Sousane Z, et al. Revising TeamSTEPPS: The Evolution of Patient Safety
Teamwork Training. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/revising-teamstepps-evolution-patient-safety-teamwork…
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psnet.ahrq.gov/node/73128/psn-pdf
July 01, 2022 - Hospital at Home? Care Reduces Costs, Readmissions,
and Complications and Enhances Satisfaction for Elderly
Patients.
April 7, 2021
https://psnet.ahrq.gov/innovation/hospital-homesm-care-reduces-costs-readmissions-and-complications-
and-enhances
Summary
The Hospital at Homesm program provides hospital-level care…
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psnet.ahrq.gov/perspective/conversation-jeffrey-shuren-md-jd
May 28, 2020 - In Conversation With... Jeffrey Shuren, MD, JD
May 28, 2020
Also Read the Essay
Citation Text:
In Conversation With.. Jeffrey Shuren, MD, JD. PSNet [internet]. 2020.In Conversation With... Jeffrey Shuren, MD, JD. PSNet [internet]. Rockville (MD): Agency for Healt…
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psnet.ahrq.gov/perspective/role-fda-ensuring-device-safety
May 28, 2020 - The Role of the FDA in Ensuring Device Safety
May 28, 2020
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Fitall E, Hall KK, Gale B. The Role of the FDA in Ensuring Device Safety . PSNet [internet]. Rockville (MD): Agency f…
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psnet.ahrq.gov/node/49450/psn-pdf
June 01, 2004 - to think more critically about why the error happened and develop a robust
prevention plan, thereby enhancing
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psnet.ahrq.gov/web-mm/wrong-shot-error-disclosure
May 01, 2011 - to think more critically about why the error happened and develop a robust prevention plan, thereby enhancing
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psnet.ahrq.gov/issue/improving-reliability-root-cause-analysis
January 17, 2017 - Newspaper/Magazine Article
Improving reliability with root cause analysis.
Citation Text:
Improving reliability with root cause analysis. Latino RJ
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psnet.ahrq.gov/issue/dealing-medical-mistake-should-physicians-apologize-patients
February 17, 2016 - Newspaper/Magazine Article
Dealing with a medical mistake: should physicians apologize to patients?
Citation Text:
Dealing with a medical mistake: should physicians apologize to patients? Tabler NG Jr.
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psnet.ahrq.gov/issue/harmed-patient-alliance
October 31, 2018 - Multi-use Website
Harmed Patient Alliance.
Citation Text:
Harmed Patient Alliance. United Kingdom.
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Februar…
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psnet.ahrq.gov/issue/persistent-problem-diagnostic-error
July 17, 2013 - Newspaper/Magazine Article
The persistent problem of diagnostic error.
Citation Text:
The persistent problem of diagnostic error. Lundberg GD. Medscape. December 1, 2015.
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psnet.ahrq.gov/issue/hemolyzed-physical-examination-situational-challenges-accurate-bedside-diagnosis
May 31, 2023 - Commentary
The "hemolyzed" physical examination—situational challenges to accurate bedside diagnosis.
Citation Text:
Sargsyan Z. The "Hemolyzed" Physical Examination-Situational Challenges to Accurate Bedside Diagnosis. JAMA Intern Med. 2019;179(4):465-466. doi:10.1001/jamainternmed.2018…
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psnet.ahrq.gov/issue/excellent-review-scheme-critical-incidents-insufficient-revalidation
May 18, 2022 - Commentary
Excellent review scheme for critical incidents but insufficient for revalidation.
Citation Text:
Lakhani M. Excellent review scheme for critical incidents but insufficient for revalidation. BMJ. 2005;330(7500):1143.
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Format:
Google Scholar PubMed B…
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psnet.ahrq.gov/issue/video-games-can-help-cut-surgical-errors
January 23, 2008 - Newspaper/Magazine Article
Video games can help cut surgical errors.
Citation Text:
Video games can help cut surgical errors. Baertlein L.
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psnet.ahrq.gov/issue/look-alike-sound-alike-drugs-trigger-dangers
June 29, 2016 - Newspaper/Magazine Article
Look-alike, sound-alike drugs trigger dangers.
Citation Text:
Look-alike, sound-alike drugs trigger dangers. Aleccia J.
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psnet.ahrq.gov/issue/do-no-harm
June 27, 2018 - Newspaper/Magazine Article
Do no harm.
Citation Text:
Do no harm. Kalb C.
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October 13, 2010
Kalb C.
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