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psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-pharmacists-perspective
June 01, 2016 - Becoming a Certified Professional in Patient Safety—A Pharmacist's Perspective
Zahra Khudeira, PharmD | June 1, 2016
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Khudeira Z. Becoming a Certified Professional in Patient Safet…
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psnet.ahrq.gov/node/836840/psn-pdf
April 22, 2021 - The Johns Hopkins Venous Thromboembolism (VTE)
Collaborative Studies and Implements Methods to Prevent
Avoidable Cases of Hospital Associated VTE
April 7, 2022
https://psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-
implements-methods
Summary
Venous thromboembolism (…
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psnet.ahrq.gov/web-mm/infection-after-carpal-tunnel-surgery
May 28, 2014 - Infection After Carpal Tunnel Surgery
Citation Text:
Szabo RM. Infection After Carpal Tunnel Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
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psnet.ahrq.gov/node/866579/psn-pdf
August 28, 2024 - Infection After Carpal Tunnel Surgery
August 28, 2024
Szabo RM. Infection After Carpal Tunnel Surgery. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/infection-after-carpal-tunnel-surgery
The Case
A woman presented for surgery on her right wrist as a treatment for carpal tunnel syndrome. There were no
repo…
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psnet.ahrq.gov/node/867656/psn-pdf
February 26, 2025 - In Conversation with Lucy Savitz about Learning Health
Systems for Patient Safety
February 26, 2025
Savitz LA, Sousane Z, Mossburg SE. In Conversation with Lucy Savitz about Learning Health Systems for
Patient Safety. PSNet [internet]. 2025.
https://psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learnin…
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psnet.ahrq.gov/node/33649/psn-pdf
May 01, 2007 - WHO then established a patient
safety program/Alliance, and each year the Alliance team sets out the … people have been harmed, even though the number may be no different than what's well
documented and established
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psnet.ahrq.gov/issue/apology-errors-whose-responsibility
September 27, 2016 - Commentary
Apology for errors: whose responsibility?
Citation Text:
Leape L. Apology for errors: whose responsibility? Front Health Serv Manage. 2012;28(3):3-12.
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psnet.ahrq.gov/issue/reporting-medication-errors-residents-diabetes
August 23, 2017 - Commentary
Reporting medication errors: residents with diabetes.
Citation Text:
Milligan F, Gadsby R, Ghaleb MA, et al. Reporting medication errors: residents with diabetes. Nursing and Residential Care. 2014;16(11). doi:10.12968/nrec.2014.16.11.617.
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psnet.ahrq.gov/node/33699/psn-pdf
August 01, 2010 - Nor have many AMCs
established partnerships with other organizations such as community hospitals and
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.335_slideshow.ppt
December 01, 2014 - PowerPoint Presentation
Spotlight
A Stroke of Error
This presentation is based on the December 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Kevin M. Barrett, MD, MSc, Consultant, Associate Professor of Neurology, Director, Neurohospitalist F…
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psnet.ahrq.gov/web-mm/room-without-orders
September 01, 2011 - The nurse manager is responsible for identifying factors that prevent staff from adhering to established … Communication as a Contributor to Error Inadequate communication is a well-established cause of safety
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psnet.ahrq.gov/node/49713/psn-pdf
June 01, 2014 - competent in performing the procedure, are
permitted to remove CVCs.(15) The Infusion Nurses Society has established
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psnet.ahrq.gov/issue/role-leaders-health-care-organizations-patient-safety
September 27, 2010 - Commentary
The role for leaders of health care organizations in patient safety.
Citation Text:
Clarke JR, Lerner JC, Marella WM. The role for leaders of health care organizations in patient safety. Am J Med Qual. 2007;22(5):311-8.
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psnet.ahrq.gov/perspective/conversation-withsir-liam-donaldson-md-msc
May 01, 2007 - WHO then established a patient safety program/Alliance, and each year the Alliance team sets out the … people have been harmed, even though the number may be no different than what's well documented and established … produced intermittently until 1952, when the "Confidential Enquiry into Maternal Deaths" was formally established
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psnet.ahrq.gov/perspective/patient-safety-united-kingdom-evolution-and-progress
May 01, 2007 - produced intermittently until 1952, when the "Confidential Enquiry into Maternal Deaths" was formally established … WHO then established a patient safety program/Alliance, and each year the Alliance team sets out the … people have been harmed, even though the number may be no different than what's well documented and established
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psnet.ahrq.gov/issue/studying-patient-safety-health-care-organizations-accentuate-qualitative
January 18, 2011 - Commentary
Studying patient safety in health care organizations: accentuate the qualitative.
Citation Text:
Hoff TJ, Sutcliffe K. Studying patient safety in health care organizations: accentuate the qualitative. Jt Comm J Qual Patient Saf. 2006;32(1):5-15.
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psnet.ahrq.gov/issue/reportable-incidents
November 02, 2016 - Newspaper/Magazine Article
Reportable incidents.
Citation Text:
Barishansky RM, Glick DE. Reportable incidents. Establishing policies and procedures for when calls go wrong. EMS magazine. 2009;38(3):43-7.
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psnet.ahrq.gov/issue/predictors-warfarin-associated-adverse-events-hospitalized-patients-opportunities-prevent
August 03, 2016 - Review
Predictors of warfarin-associated adverse events in hospitalized patients: opportunities to prevent patient harm.
Citation Text:
Metersky M, Eldridge N, Wang Y, et al. Predictors of warfarin-associated adverse events in hospitalized patients: Opportunities to prevent patient harm.…
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psnet.ahrq.gov/node/49420/psn-pdf
October 01, 2003 - providers cannot realistically accomplish this goal themselves
100% of the time, a system should be established
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psnet.ahrq.gov/issue/patient-safety-culture-hospital-settings-across-continents-systematic-review
June 13, 2018 - Review
Patient safety culture in hospital settings across continents: a systematic review.
Citation Text:
Alabdullah H, Karwowski W. Patient safety culture in hospital settings across continents: a systematic review. Appl Sci. 2024;14(18):8496. doi:10.3390/app14188496.
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