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psnet.ahrq.gov/issue/health-factory
December 23, 2008 - Newspaper/Magazine Article
The health factory.
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The health factory. Spear SJ.
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August 31, …
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psnet.ahrq.gov/issue/safety-numbers-try-connectivity
October 07, 2008 - Newspaper/Magazine Article
Safety in numbers? Try connectivity.
Citation Text:
Safety in numbers? Try connectivity. Dyell D.
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psnet.ahrq.gov/issue/safety-requires-state-mindfulness
May 02, 2018 - Newspaper/Magazine Article
Safety requires a state of mindfulness.
Citation Text:
Safety requires a state of mindfulness. ISMP Medication Safety Alert! Acute care edition. July 31, 2014.
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psnet.ahrq.gov/issue/when-doctors-dont-talk-doctors
December 23, 2020 - Newspaper/Magazine Article
When doctors don't talk to doctors.
Citation Text:
When doctors don't talk to doctors. Bond A.
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psnet.ahrq.gov/issue/hospital-mistakes-kept-secret
September 30, 2009 - Newspaper/Magazine Article
Hospital mistakes kept secret.
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Hospital mistakes kept secret. Judd A. The Atlanta Journal-Constitution. November 20, 2011.
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psnet.ahrq.gov/issue/leapfrog-hospital-survey
June 21, 2023 - Database/Directory
The Leapfrog Hospital Survey.
Citation Text:
The Leapfrog Hospital Survey. Leapfrog Group.
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psnet.ahrq.gov/issue/insight-preventing-wrong-site-surgery
February 06, 2019 - Newspaper/Magazine Article
Insight into preventing wrong-site surgery.
Citation Text:
Insight into preventing wrong-site surgery. PA PSRS Patient Saf Advis 2007 Dec;4(4):109,112-23.
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psnet.ahrq.gov/issue/quality-and-safety-health-care
September 21, 2023 - Special or Theme Issue
Quality and Safety in Health Care.
Citation Text:
Quality and Safety in Health Care. Harolds JA, Harolds LB. Clin Nucl Med. 2015–2023.
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psnet.ahrq.gov/node/47570/psn-pdf
December 05, 2018 - An electronic health record–based real-time analytics
program for patient safety surveillance and improvement.
December 5, 2018
Classen D, Li M, Miller S, et al. An Electronic Health Record-Based Real-Time Analytics Program For
Patient Safety Surveillance And Improvement. Health Aff (Millwood). 2018;37(11):1805-181…
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psnet.ahrq.gov/issue/fixing-broken-healthcare-system
August 01, 2018 - Commentary
Fixing a broken healthcare system.
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Fixing a broken healthcare system. Delbanco SF.
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psnet.ahrq.gov/issue/improving-patient-safety-through-simulation-research-funded-projects
December 24, 2008 - Government Resource
Improving Patient Safety Through Simulation Research: Funded Projects.
Citation Text:
Improving Patient Safety Through Simulation Research: Funded Projects. Agency for Healthcare Quality and Research; AHRQ.
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psnet.ahrq.gov/issue/bmj-quality-safety
October 11, 2016 - Newsletter/Journal
BMJ Quality & Safety.
Citation Text:
BMJ Quality & Safety. Franklin BD, Thomas E, eds. BMJ Publishing Group Ltd and the Health Foundation. ISSN: 2044-5415.
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psnet.ahrq.gov/issue/new-system-patients-report-medical-mistakes
May 16, 2008 - Newspaper/Magazine Article
New system for patients to report medical mistakes.
Citation Text:
New system for patients to report medical mistakes. Pear R.
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psnet.ahrq.gov/issue/leadership-practices-advance-patient-safety
May 26, 2011 - Newspaper/Magazine Article
Leadership practices to advance patient safety.
Citation Text:
Leadership practices to advance patient safety. Crowley JD, Deen JB. Patient Saf Qual Healthc. May/June 2009;6:18-22.
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psnet.ahrq.gov/issue/medical-liability-reform-patient-safety-initiative
December 24, 2008 - Government Resource
Medical Liability Reform & Patient Safety Initiative.
Citation Text:
Medical Liability Reform & Patient Safety Initiative. Agency for Healthcare Research and Quality; AHRQ.
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psnet.ahrq.gov/issue/preventing-pediatric-medication-errors
August 05, 2020 - Sentinel Event Alerts
Preventing pediatric medication errors.
Citation Text:
Preventing pediatric medication errors. Sentinel event alert. 2008;39:1-4.
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psnet.ahrq.gov/node/49429/psn-pdf
January 01, 2004 - Ruptured Heterotopic Pregnancy
January 1, 2004
Cedars MI. Ruptured Heterotopic Pregnancy. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/ruptured-heterotopic-pregnancy
The Case
A 43-year-old woman, gravida 3 para 2, presented at 16 weeks' gestational age with abdominal pain. Her
current pregnancy was the r…
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psnet.ahrq.gov/node/72616/psn-pdf
December 22, 2020 - Adverse Events in Dentistry
December 22, 2020
Kalenderian E, Walji MF, Fitall E, et al. Adverse Events in Dentistry. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/adverse-events-dentistry
Introduction
Similar to many other healthcare settings, dentistry carries with it inherent patient safety risks. D…
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psnet.ahrq.gov/node/33586/psn-pdf
December 15, 2024 - Alert Fatigue
December 15, 2024
Alert Fatigue. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/alert-fatigue
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 2024.
Bac…
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psnet.ahrq.gov/sites/default/files/2023-11/spotlight_case_the_risk_of_malpositioned.pdf
January 01, 2023 - • When the IR team evaluated the patient on day 65, they re-reviewed the
CT scan from 24 days earlier