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psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer
February 26, 2025 - Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer
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July 31, 2023
Innovation
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psnet.ahrq.gov/web-mm/cups-error
January 12, 2011 - Cups of Error
Citation Text:
Blegen MA, Pepper GA. Cups of Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…
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psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare
March 27, 2024 - authors suggested creating and maintaining a supportive, empathetic, and nonpunitive workplace culture, establishing
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psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - Zero Harm: How to Achieve Patient and Workforce Safety in Healthcare articulates the importance of establishing
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psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patient-safety-initiatives
July 10, 2024 - reforming the private insurance market. 1 The ACA specifically sought to improve patient safety by establishing
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psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
July 10, 2024 - reforming the private insurance market. 1 The ACA specifically sought to improve patient safety by establishing
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psnet.ahrq.gov/primer/maternal-safety
January 10, 2024 - Cardiac Conditions in Obstetrical Care toolkit focuses on screening for basic cardiac conditions and establishing
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psnet.ahrq.gov/node/33608/psn-pdf
February 01, 2024 - Cardiac
Conditions in Obstetrical Care toolkit focuses on screening for basic cardiac conditions and establishing
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psnet.ahrq.gov/node/851389/psn-pdf
July 31, 2023 - Ambulatory Safety Nets to Reduce Missed and Delayed
Diagnoses of Cancer
July 31, 2023
https://psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer
Summary
Concern over patient safety issues associated with inadequate tracking of test results has grown over the
last decade, a…
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psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
October 31, 2023 - that point, given her progressive symptoms, advanced imaging (e.g., MRI) would have been helpful for establishing
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psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow
July 31, 2023 - Establishing standardized definitions detailing scope of practice and allowing for flexibility across
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psnet.ahrq.gov/perspective/becoming-patient-safety-organization
July 01, 2011 - Becoming a Patient Safety Organization
Rory Jaffe, MD, MBA | July 1, 2011
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Jaffe R. Becoming a Patient Safety Organization. PSNet [internet]. Rockville (MD): Agency for Healthcare …
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psnet.ahrq.gov/node/43679/psn-pdf
May 22, 2015 - Patient safety goals for the proposed Federal Health
Information Technology Safety Center.
May 22, 2015
Sittig DF, Classen D, Singh H. Patient safety goals for the proposed Federal Health Information
Technology Safety Center. J Am Med Inform Assoc. 2015;22(2):472-8. doi:10.1136/amiajnl-2014-002988.
https://psnet.a…
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psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
March 03, 2021 - SPOTLIGHT CASE
Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong.
Citation Text:
Ahmed SM, Ali M. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong.. PSNet [internet]. Rockville (MD): Agency fo…
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psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
December 23, 2020 - communicating about patient safety, including daily huddles and leadership walk rounds, are critical for establishing
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psnet.ahrq.gov/web-mm/missed-compartment-syndrome-after-steep-lithotomy-position-laparoscopic-gynecological
January 29, 2021 - surgical decompression of the compartment by cutting the fascia then becomes the only option for re-establishing
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psnet.ahrq.gov/web-mm/falling-through-crack-bedrails
February 19, 2020 - Preventing Patient Falls: Establishing a Fall Intervention Program, 2nd ed.
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psnet.ahrq.gov/node/40673/psn-pdf
September 03, 2011 - Evaluating efforts to optimize TeamSTEPPS
implementation in surgical and pediatric intensive care
units.
September 3, 2011
Mayer CM, Cluff L, Lin W-T, et al. Evaluating efforts to optimize TeamSTEPPS implementation in surgical
and pediatric intensive care units. Jt Comm J Qual Patient Saf. 2011;37(8):365-374.
htt…
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psnet.ahrq.gov/node/72836/psn-pdf
January 26, 2021 - Meaningful Measurement in Patient and Family
Engagement
March 10, 2021
Hoy L, Hoy S, Fitall E, et al. Meaningful Measurement in Patient and Family Engagement. PSNet [internet].
2021.
https://psnet.ahrq.gov/perspective/meaningful-measurement-patient-and-family-engagement
Defining Patient and Family Engagement
Pat…
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psnet.ahrq.gov/node/33565/psn-pdf
September 01, 2024 - Healthcare-associated Infections
June 15, 2024
Healthcare - Associated Infections. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/health-care-associated-infections
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice …