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psnet.ahrq.gov/node/45208/psn-pdf
April 22, 2017 - Cognitive tests predict real-world errors: the relationship
between drug name confusion rates in laboratory-based
memory and perception tests and corresponding error
rates in large pharmacy chains.
April 22, 2017
Schroeder SR, Salomon MM, Galanter W, et al. Cognitive tests predict real-world errors: the relationsh…
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psnet.ahrq.gov/node/47671/psn-pdf
January 01, 2019 - Racial, ethnic, and socioeconomic disparities in patient
safety events for hospitalized children.
December 19, 2018
Stockwell DC, Landrigan CP, Toomey SL, et al. Racial, Ethnic, and Socioeconomic Disparities in Patient
Safety Events for Hospitalized Children. Hosp Pediatr. 2019;9(1):1-5. doi:10.1542/hpeds.2018-0131…
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psnet.ahrq.gov/node/42819/psn-pdf
October 31, 2014 - Implementing a national program to reduce catheter-
associated urinary tract infection: a quality improvement
collaboration of state hospital associations, academic
medical centers, professional societies, and
governmental agencies.
October 31, 2014
Fakih MG, George C, Edson B, et al. Implementing a national prog…
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psnet.ahrq.gov/node/865514/psn-pdf
April 10, 2024 - Drug-drug interactions and actual harm to hospitalized
patients: a multicentre study examining the prevalence
pre- and post-electronic medication system
implementation.
April 10, 2024
Li L, Baker J, Quirk R, et al. Drug-drug interactions and actual harm to hospitalized patients: a multicentre
study examining the …
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psnet.ahrq.gov/node/33864/psn-pdf
January 01, 2019 - patients, and VR simulators, educators can create a variety
of multimodal and interactive simulation experiences
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psnet.ahrq.gov/clinical-areas
March 24, 2025 - Study
Nurse leader perspectives and experiences on caregiver support following
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psnet.ahrq.gov/node/850450/psn-pdf
June 14, 2023 - Patients’ experiences of emergency hospital care
following self-harm: systematic review and thematic
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psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
September 28, 2022 - FS: I’ve just learned so much through my recent experiences as the Primary Care Medical Director for … comfortable sharing their disagreement with treatment options because their values, preferences, and experiences
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psnet.ahrq.gov/web-mm/nstemi-curbside-consultation
August 04, 2021 - Physicians' experiences and beliefs regarding informal consultation. Jama. 1998;280(10):900-4.
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psnet.ahrq.gov/node/867655/psn-pdf
February 26, 2025 - Learning Health Systems for Patient Safety
February 26, 2025
Savitz LA, Sousane Z, Mossburg SE. Learning Health Systems for Patient Safety. PSNet [internet]. 2025.
https://psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
Despite an observable decrease in adverse events in health care over time, rat…
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psnet.ahrq.gov/node/33689/psn-pdf
October 01, 2009 - The Media: An Essential, If Sometimes Arbitrary,
Promoter of Patient Safety
October 1, 2009
Wachter R. The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety. PSNet [internet].
2009.
https://psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
Perspective
…
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psnet.ahrq.gov/node/49405/psn-pdf
June 01, 2003 - XL or Smaller?
June 1, 2003
Kozer E. XL or Smaller? PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/xl-or-smaller
The Case
With a history of hypertension and chronic renal failure secondary to hemolytic uremia syndrome at age 3,
a 14-year-old boy presented to the emergency department with dehydration second…
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psnet.ahrq.gov/node/33698/psn-pdf
August 01, 2010 - In Conversation with...Richard P. Shannon, MD
August 1, 2010
In Conversation with..Richard P. Shannon, MD. PSNet [internet]. 2010.
https://psnet.ahrq.gov/perspective/conversation-withrichard-p-shannon-md
Editor's note: Richard P. Shannon, MD, is the Frank Wister Thomas Professor of Medicine at the
University of Pe…
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psnet.ahrq.gov/node/49487/psn-pdf
August 21, 2005 - Surprise Wire
August 21, 2005
Pearl JM, Donaldson NE. Surprise Wire. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/surprise-wire
The Case
A 39-year-old man with a history of liver disease presented to the emergency department (ED) with
gastrointestinal bleeding and altered mental status. Due to his clinic…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.461_slideshow.ppt
November 01, 2018 - Spotlight
Spotlight
Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees
*
Source and Credits
This presentation is based on the November 2018 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Olle ten C…
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psnet.ahrq.gov/node/33684/psn-pdf
May 01, 2009 - Patient Safety: A Perspective from Office Practice
May 1, 2009
Baron RJ. Patient Safety: A Perspective from Office Practice. PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/patient-safety-perspective-office-practice
Perspective
Most patient interactions with the health care system occur in the outpatien…
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psnet.ahrq.gov/node/33687/psn-pdf
August 01, 2009 - Workarounds and Resiliency on the Front Lines of Health
Care
August 1, 2009
Tucker AL. Workarounds and Resiliency on the Front Lines of Health Care. PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/workarounds-and-resiliency-front-lines-health-care
Perspective
Frontline health care providers are challen…
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psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-physical-examination
April 29, 2020 - While there are certainly limits to telephone and online solutions compared to in-person experiences,
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psnet.ahrq.gov/web-mm/time-death
January 03, 2017 - March 28, 2011
How do simulated error experiences impact attitudes related to error prevention
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psnet.ahrq.gov/web-mm/lost-sign-out-and-documentation
January 31, 2011 - Physicians' experiences and beliefs regarding informal consultation. JAMA. 1998;280:900-904.