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psnet.ahrq.gov/issue/tips-safer-surgery
December 22, 2021 - Fact Sheet/FAQs
Tips for Safer Surgery.
Citation Text:
Tips for Safer Surgery. Surgical Care Improvement Project. Oklahoma City, OK: Oklahoma Foundation for Medical Quality; 2006.
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psnet.ahrq.gov/issue/teamwork-and-communication
February 06, 2019 - Special or Theme Issue
Teamwork and Communication.
Citation Text:
Teamwork and Communication. Pa Patient Saf Advis. June 2010;7(suppl 2):1-16.
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psnet.ahrq.gov/issue/fatal-gas-line-mix-how-avoid-making-gastly-mistake
April 29, 2018 - Newspaper/Magazine Article
Fatal gas line mix-up: How to avoid making this "gastly" mistake.
Citation Text:
Fatal gas line mix-up: How to avoid making this "gastly" mistake. ISMP Medication Safety Alert! Acute care edition. December 16, 2004
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psnet.ahrq.gov/issue/doctors-smartphones-and-ipads-may-be-distracting
May 15, 2024 - Newspaper/Magazine Article
Doctors' smartphones and iPads may be distracting.
Citation Text:
Doctors' smartphones and iPads may be distracting. Gold J.
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psnet.ahrq.gov/issue/engaging-physicians-teamwork-training-quality-and-safety-or-why-dont-your-physicians-get
July 21, 2021 - Meeting/Conference Proceedings
Engaging Physicians in Teamwork Training for Quality and Safety - Or Why Don’t Your Physicians Get Engaged?
Citation Text:
Engaging Physicians in Teamwork Training for Quality and Safety - Or Why Don’t Your Physicians Get Engaged? AHA Team Training. June 8,…
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psnet.ahrq.gov/issue/challenges-ahead-technology-training-report-training-initiative-committee-technology
August 09, 2017 - Newspaper/Magazine Article
Challenges ahead in technology training: a report on the training initiative of the Committee on Technology.
Citation Text:
Challenges ahead in technology training: a report on the training initiative of the Committee on Technology. Olympio MA; Reinke B; Ab…
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psnet.ahrq.gov/issue/physician-accused-reusing-devices-has-license-suspended
December 08, 2010 - Newspaper/Magazine Article
Physician accused of reusing devices has license suspended.
Citation Text:
Physician accused of reusing devices has license suspended. Harasim P. Las Vegas Review-Journal. March 15, 2011:1A.
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psnet.ahrq.gov/issue/abstracts-7th-annual-international-meeting-simulation-healthcare
August 01, 2018 - Special or Theme Issue
Abstracts of the 7th Annual International Meeting on Simulation in Healthcare.
Citation Text:
Abstracts of the 7th Annual International Meeting on Simulation in Healthcare. Simul Healthc. 2007;1(suppl 1):34-138.
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psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
June 28, 2023 - day or week, to ensure secretions do not accumulate inside the cannula. 1 If, at any time, a patient experiences
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psnet.ahrq.gov/node/33643/psn-pdf
December 01, 2006 - If someone surfaces an issue and sees it not
addressed, it doesn't take very many experiences like that
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psnet.ahrq.gov/node/33664/psn-pdf
March 01, 2008 - For any procedure, by virtue of doing more of them, you
get better, learn from your experiences, and
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psnet.ahrq.gov/primer/telehealth-and-patient-safety
July 27, 2022 - Telehealth and Patient Safety.
Citation Text:
O'Malley G, Shaikh U, Marcin JP. Telehealth and Patient Safety.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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psnet.ahrq.gov/primer/patient-safety-101
January 16, 2025 - Patient Safety 101
Citation Text:
Patient Safety 101. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.155_slideshow.ppt
July 01, 2007 - Spotlight Case [MONTH] 2003
Spotlight Case July 2007
Resuscitation Errors:
A Shocking Problem
Source and Credits
This presentation is based on the July 2007
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available online
Commentary by: Benjamin Abella, MD, MPhil, …
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psnet.ahrq.gov/node/49610/psn-pdf
October 01, 2010 - "Recurrent" Appendicitis
October 1, 2010
Greenberg CC. "Recurrent" Appendicitis. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/recurrent-appendicitis
The Case
An 85-year-old man presented to the emergency department (ED) with right lower quadrant pain. On
physical examination, the patient showed rebound t…
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psnet.ahrq.gov/node/33884/psn-pdf
July 01, 2019 - Emerging Safety Issues in Artificial Intelligence
July 1, 2019
Challen R. Emerging Safety Issues in Artificial Intelligence. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/emerging-safety-issues-artificial-intelligence
Perspective
Background
Since the beginning of digital health records, there has bee…
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psnet.ahrq.gov/node/33751/psn-pdf
January 01, 2014 - Strengthening the Business Case for Patient Safety
May 1, 2013
Lindenauer PK. Strengthening the Business Case for Patient Safety. PSNet [internet]. 2013.
https://psnet.ahrq.gov/perspective/strengthening-business-case-patient-safety
Perspective
After more than a decade in the national spotlight, the problem of pati…
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psnet.ahrq.gov/web-mm/one-got-away-elopement-suicidal-patient-emergency-department
September 27, 2023 - Patients’ experiences of emergency hospital care following self-harm: systematic review and thematic
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psnet.ahrq.gov/node/846975/psn-pdf
March 28, 2023 - It is incredibly important for more
people, providers included, to normalize these experiences.
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psnet.ahrq.gov/node/72586/psn-pdf
December 23, 2020 - defined by
James Reason as a knowledge gap that we fill with our own explanation, informed by our own experiences … of advanced read-back—instead of
filling in “DNR/home with hospice” knowledge gaps with their prior experiences