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psnet.ahrq.gov/issue/tips-topics-patient-safety
May 24, 2017 - Government Resource
TIPS (Topics in Patient Safety).
Citation Text:
TIPS (Topics in Patient Safety). National Center for Patient Safety.
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psnet.ahrq.gov/node/38825/psn-pdf
October 12, 2009 - Implementation of a mandatory checklist of protocols and
objectives improves compliance with a wide range of
evidence-based intensive care unit practices.
October 12, 2009
Byrnes MC, Schuerer DJE, Schallom ME, et al. Implementation of a mandatory checklist of protocols and
objectives improves compliance with a wid…
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psnet.ahrq.gov/issue/toolkit-improving-surgical-care-and-recovery
September 18, 2024 - Toolkit
Toolkit for Improving Surgical Care and Recovery.
Citation Text:
Agency for Healthcare Research and Quality. Toolkit for Improving Surgical Care and Recovery. June 2023.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…
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psnet.ahrq.gov/node/38837/psn-pdf
June 28, 2011 - A comparison of hospital adverse events identified by
three widely used detection methods.
June 28, 2011
Naessens JM, Campbell CR, Huddleston JM, et al. A comparison of hospital adverse events identified by
three widely used detection methods. Int J Qual Health Care. 2009;21(4):301-7.
doi:10.1093/intqhc/mzp027.
h…
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psnet.ahrq.gov/issue/high-reliability-health-care
May 06, 2015 - Measurement Tool/Indicator
High Reliability in Health Care.
Citation Text:
High Reliability in Health Care. Joint Commission Center for Transforming Healthcare.
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psnet.ahrq.gov/submit-innovations-landing
February 26, 2025 - Breadcrumb
Home
Improvement Resources
Innovations
Innovation Submissions
Individuals or organizations are encouraged to submit new or reimagined patient safety innovations that have been implemented, evaluated, sustained, and demonstrate significant improvement to patient safet…
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psnet.ahrq.gov/issue/toolkit-improve-safety-mechanically-ventilated-patients
October 01, 2024 - Toolkit
Toolkit To Improve Safety for Mechanically Ventilated Patients.
Citation Text:
Agency for Healthcare Research and Quality . Toolkit To Improve Safety for Mechanically Ventilated Patients. August 2017.
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psnet.ahrq.gov/node/42667/psn-pdf
December 30, 2014 - Culture and behaviour in the English National Health
Service: overview of lessons from a large multimethod
study.
December 30, 2014
Dixon-Woods M, Baker R, Charles K, et al. Culture and behaviour in the English National Health Service:
overview of lessons from a large multimethod study. BMJ Qual Saf. 2014;23(2):10…
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psnet.ahrq.gov/issue/make-safety-priority-create-and-maintain-culture-safety
February 25, 2013 - Newspaper/Magazine Article
Make safety a priority: create and maintain a culture of safety.
Citation Text:
Make safety a priority: create and maintain a culture of safety. Leonard M; Frankel A.
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psnet.ahrq.gov/issue/leapfrog-hospital-safety-scores-depressing
November 13, 2013 - Newspaper/Magazine Article
Leapfrog hospital safety scores 'depressing.'
Citation Text:
Leapfrog hospital safety scores 'depressing.' Clark C. HealthLeaders Media. May 9, 2013.
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psnet.ahrq.gov/issue/missed-signals
September 21, 2016 - Newspaper/Magazine Article
Missed signals.
Citation Text:
Missed signals. Sanders L. New York Times Magazine. April 22, 2007.
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psnet.ahrq.gov/issue/ahrq-2009-annual-conference
December 24, 2008 - Meeting/Conference Proceedings
AHRQ 2009 Annual Conference.
Citation Text:
AHRQ 2009 Annual Conference. Agency for Healthcare Research and Quality; AHRQ.
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psnet.ahrq.gov/node/60722/psn-pdf
February 06, 2023 - diagnosis of SARS-CoV-2 infection reported that the average sensitivity across 48 published
studies evaluating
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psnet.ahrq.gov/perspective/becoming-patient-safety-organization
July 01, 2011 - We are evaluating how to handle our data needs not satisfied by the Common Formats.
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psnet.ahrq.gov/node/33669/psn-pdf
May 01, 2018 - Integrating Multiple Medication Decision Support
Systems: How Will We Make It All Work?
May 1, 2018
Peterson JF. Integrating Multiple Medication Decision Support Systems: How Will We Make It All Work?
PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/integrating-multiple-medication-decision-support-system…
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psnet.ahrq.gov/web-mm/nonsustained-ventricular-tachycardia-after-acute-coronary-syndromes-recognizing-high-risk
September 20, 2011 - Nonsustained Ventricular Tachycardia After Acute Coronary Syndromes: Recognizing High-Risk Patients
Citation Text:
Piccini JP, Newby KL, Califf R. Nonsustained Ventricular Tachycardia After Acute Coronary Syndromes: Recognizing High-Risk Patients. PSNet [internet]. Rockville (MD): Agency for Healthcare Rese…
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psnet.ahrq.gov/node/49526/psn-pdf
December 01, 2006 - Crossing the Borderline
December 1, 2006
Oldham JM. Crossing the Borderline. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/crossing-borderline
The Case
A 24-year-old woman with borderline personality disorder was admitted to an inpatient psychiatry unit
following a failed suicide attempt with excess doses…
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psnet.ahrq.gov/node/49722/psn-pdf
December 01, 2014 - Medical Devices in the "Wild"
December 1, 2014
Gurses AP, Doyle PA. Medical Devices in the "Wild". PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/medical-devices-wild
The Case
A 75-year-old man with a history of congestive heart failure (CHF), coronary artery disease, diabetes,
chronic pain, arthritis, and…
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psnet.ahrq.gov/node/49736/psn-pdf
June 01, 2015 - Inflicting Confusion
June 1, 2015
Scott FI, Lichtenstein GR. Inflicting Confusion. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/inflicting-confusion
The Case
A 26-year-old man with recently diagnosed Crohn disease presented to the emergency department with
acute-onset abdominal pain, nausea, vomiting, an…
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psnet.ahrq.gov/node/49815/psn-pdf
December 01, 2017 - Over-the-Counter Oversight
December 1, 2017
Janamanchi V, Modha K, Whinney C. Over-the-Counter Oversight. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/over-counter-oversight
The Case
A 56-year-old man was evaluated in the burn clinic for a second-degree burn on his chest. Although
portions of his skin we…