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psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
June 01, 2005 - In Conversation with…Peter J. Pronovost, MD, PhD
June 1, 2005
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In Conversation with…Peter J. Pronovost, MD, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Servi…
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psnet.ahrq.gov/innovation/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads-improved-outcomes
July 23, 2024 - Rehearsing Team Care for Relatively Rare Obstetric Emergencies Leads to Improved Outcomes
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December 22, 2020
Innovation
Contact
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psnet.ahrq.gov/web-mm/impact-communication-medication-errors
August 01, 2009 - The Impact of Communication on Medication Errors
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Branch J, Hiner D, Jackson V. The Impact of Communication on Medication Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
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psnet.ahrq.gov/web-mm/falling-through-crack-bedrails
February 19, 2020 - SPOTLIGHT CASE
Falling Through the Crack (in the Bedrails)
Citation Text:
Dykes PC, Vacca V, Leung WY. Falling Through the Crack (in the Bedrails). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/web-mm/overdose-oxygen
August 02, 2023 - Overdose on Oxygen?
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O'Driscoll RB. Overdose on Oxygen?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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psnet.ahrq.gov/node/60220/psn-pdf
April 29, 2020 - Implicit Biases, Interprofessional Communication, and
Power Dynamics
April 29, 2020
Sanchez ES, Tran-Reina M, Ackerman-Barger K, et al. Implicit Biases, Interprofessional Communication,
and Power Dynamics. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/implicit-biases-interprofessional-communication-and-pow…
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psnet.ahrq.gov/perspective/role-national-quality-forum-nqf-quest-transparency-us-hospitals-patient-safety
April 01, 2010 - The Role of the National Quality Forum (NQF) in the Quest for Transparency in U.S. Hospitals' Patient Safety Performance
Lance L. Roberts, MS; Marcia M. Ward, PhD; Thomas C. Evans, MD | April 1, 2010
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psnet.ahrq.gov/perspective/conversation-withdonald-m-berwick-md-mpp
November 01, 2005 - In Conversation with…Donald M. Berwick, MD, MPP
November 1, 2005
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In Conversation with…Donald M. Berwick, MD, MPP. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Ser…
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psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
June 01, 2005 - Interpreting the Patient Safety Literature
Kaveh G. Shojania, MD | June 1, 2005
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Shojania KG. Interpreting the Patient Safety Literature. PSNet [internet]. Rockville (MD): Agency f…
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psnet.ahrq.gov/perspective/conversation-alison-holmes-md-mph
March 01, 2014 - In Conversation With… Alison Holmes, MD, MPH
March 1, 2014
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In Conversation With… Alison Holmes, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…
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psnet.ahrq.gov/web-mm/postpartum-woman-erroneous-sars-cov-2-test
December 23, 2020 - A Postpartum Woman with an Erroneous SARS-CoV-2 Test
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Martin SA, Kanjilal S, Schiff G. A Postpartum Woman with an Erroneous SARS-CoV-2 Test. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
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psnet.ahrq.gov/node/73104/psn-pdf
January 04, 2021 - Further, the World Health Organization estimates that over 20 million routine
preventive vaccinations
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psnet.ahrq.gov/perspective/conversation-charles-crecelius-md-phd-cmd-and-lori-l-popejoy-phd-rn-faan
October 28, 2020 - approximately 10% of total cases in the United States and a disproportionate percentage of deaths, with some estimates
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psnet.ahrq.gov/perspective/long-term-care-and-response-covid-19
October 28, 2020 - approximately 10% of total cases in the United States and a disproportionate percentage of deaths, with some estimates
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psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience
November 01, 2005 - Rapid Response Teams: Lessons from the Early Experience
William S. Krimsky, MD | November 1, 2005
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Krimsky WS. Rapid Response Teams: Lessons from the Early Experience. PSNet [inter…
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psnet.ahrq.gov/node/837959/psn-pdf
August 31, 2022 - Perioperative Anaphylaxis After Insertion of a Latex Drain
in a Patient with Known Latex Allergy
August 31, 2022
Kelly KJ. Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy.
PSNet [internet]. 2022.
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psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
March 01, 2014 - How Does Infection Prevention Fit Into a Safety Program?
Susan S. Huang, MD, MPH | March 1, 2014
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Huang SS. How Does Infection Prevention Fit Into a Safety Program?. PSNet [interne…
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psnet.ahrq.gov/perspective/conversation-david-m-gaba-md
March 01, 2013 - In Conversation With… David M. Gaba, MD
March 1, 2013
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In Conversation With… David M. Gaba, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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psnet.ahrq.gov/node/60721/psn-pdf
July 21, 2020 - For example, the
University of California, Davis (UC Davis) Medical Center estimates that outpatient
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psnet.ahrq.gov/perspective/surveillance-monitoring-improve-patient-safety-acute-hospital-care-units
April 26, 2023 - Failure to rescue is a serious patient safety issue in the inpatient setting; research estimates between