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psnet.ahrq.gov/youtube
Introducing Curated Libraries
Curated Libraries are groupings of PSNet content, curated by AHRQ and by other experts in the patient safety field. Watch the video below to learn more about how this new feature works and how it can be of benefit to you.
Visit Curated Libraries
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psnet.ahrq.gov/issue/insulin-pump-associated-adverse-events-qualitative-descriptive-study-clinical-consequences
May 19, 2018 - April 3, 2024
Hidden flaws behind expert-level accuracy of multimodal GPT-4 vision in
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psnet.ahrq.gov/issue/patient-surgeon-and-health-care-worker-safety-during-covid-19-pandemic
August 25, 2021 - Commentary
Patient, surgeon, and health care worker safety during the COVID-19 pandemic.
Citation Text:
Hölscher AH. Patient, surgeon, and health care worker safety during the COVID-19 pandemic. Ann Surg. 2021;274(5):681-687. doi:10.1097/sla.0000000000005124.
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psnet.ahrq.gov/issue/trainee-autonomy-and-patient-safety
November 03, 2021 - Commentary
Trainee autonomy and patient safety.
Citation Text:
George BC, Dunnington GL, DaRosa DA. Trainee autonomy and patient safety. Ann Surg. 2018;267(5):820-822. doi:10.1097/SLA.0000000000002599.
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Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML En…
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psnet.ahrq.gov/node/33707/psn-pdf
February 01, 2011 - The University of Texas System Clinical Safety and
Effectiveness Course
February 1, 2011
Thomas EJ, Patterson JE, Martin S, et al. The University of Texas System Clinical Safety and
Effectiveness Course. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/university-texas-system-clinical-safety-and-effectiv…
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psnet.ahrq.gov/issue/more-1000-preventable-deaths-day-too-many-need-improve-patient-safety
September 02, 2016 - Congressional Testimony
More Than 1,000 Preventable Deaths a Day Is Too Many: The Need to Improve Patient Safety.
Citation Text:
More Than 1,000 Preventable Deaths a Day Is Too Many: The Need to Improve Patient Safety. Hearing Before the Subcommittee on Primary Health and Aging, 113th Co…
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psnet.ahrq.gov/perspective/conversation-withatul-gawande-md-ma-mph
September 01, 2007 - He or she need not be a renowned safety expert, but the moderator must stay up to date with current safety
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psnet.ahrq.gov/node/34986/psn-pdf
December 10, 2008 - Buried answers.
December 10, 2008
Dobbs D. New York Times. April 24, 2005.
https://psnet.ahrq.gov/issue/buried-answers
The author interviews experts who discuss the autopsy as a unique method for discovering medical
mistakes and why it is not used more often as a teaching and improvement mechanism.
https://psnet.…
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psnet.ahrq.gov/node/37043/psn-pdf
May 04, 2015 - To reduce risks, hospitals enlist 'proceduralists.'
May 4, 2015
Landro L.
https://psnet.ahrq.gov/issue/reduce-risks-hospitals-enlist-proceduralists
This article reports on hospitals that are creating dedicated teams of experts who have the skills to
perform risky medical procedures.
https://psnet.ahrq.gov/issue/r…
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psnet.ahrq.gov/node/34131/psn-pdf
March 07, 2005 - Safetyleaders.org
March 7, 2005
Texas Medical Institute of Technology
https://psnet.ahrq.gov/issue/safetyleadersorg
Safetyleaders.org is a knowledge management system provided to hospital leaders and performance
experts. Portions of the site are not accessible to individuals whose organizations are not actively in…
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psnet.ahrq.gov/node/42771/psn-pdf
January 08, 2014 - Patient Safety Collaboration.
January 8, 2014
National Quality Forum; NQF.
https://psnet.ahrq.gov/issue/patient-safety-collaboration
This program aligns with the Partnership for Patients to engage patients, reduce readmissions, and
improve safety in maternity care by convening experts and developing best practices…
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psnet.ahrq.gov/node/36508/psn-pdf
December 06, 2011 - Patient Safety.
December 6, 2011
Matlow A, Laxer RM, eds. Pediatr Clin North Am. 2006;53(6):1053-1276.
https://psnet.ahrq.gov/issue/patient-safety-3
This special issue examines patient safety through the perspectives of parents, hospital leadership, human
factors experts, and clinicians.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/35691/psn-pdf
February 08, 2006 - Recommendations for Safe Use of Insulin in Hospitals.
February 8, 2006
Bethesda MD: American Society of Health-system Pharmacists, Hospital and Health-System Association of
Pennsylvania; 2004.
https://psnet.ahrq.gov/issue/recommendations-safe-use-insulin-hospitals
This report contains recommendations from a panel …
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psnet.ahrq.gov/node/35487/psn-pdf
September 12, 2016 - Safety improvements urged for MRI facilities.
September 12, 2016
Mitka M. Safety improvements urged for MRI facilities. JAMA. 2005;294(17):2145-8.
https://psnet.ahrq.gov/issue/safety-improvements-urged-mri-facilities
This news story from JAMA summarizes a teleconference on magnetic resonance imaging safety
and sha…
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psnet.ahrq.gov/node/33670/psn-pdf
July 01, 2008 - He is a leading expert on several aspects of patient safety, including
disclosure and evaluation.
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psnet.ahrq.gov/node/39347/psn-pdf
September 30, 2015 - MGH death spurs review of patient monitors.
September 30, 2015
Kowalczyk L. Boston Globe. February 21, 2010.
https://psnet.ahrq.gov/issue/mgh-death-spurs-review-patient-monitors
This news account discusses a patient death after a heart monitor alarm was inadvertently turned off.
Hospital and device safety experts …
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psnet.ahrq.gov/node/37230/psn-pdf
October 21, 2007 - Former pharmacist indicted for manslaughter after med
error.
October 21, 2007
Paul R. Drug Topics. September 17, 2007.
https://psnet.ahrq.gov/issue/former-pharmacist-indicted-manslaughter-after-med-error
This article reports on an error for which criminal charges were filed against the pharmacist and his license
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psnet.ahrq.gov/node/34974/psn-pdf
February 08, 2011 - A model patient: how simulators are changing the way
doctors are trained.
February 8, 2011
https://psnet.ahrq.gov/issue/model-patient-how-simulators-are-changing-way-doctors-are-trained
Through discussions with numerous experts and medical educators, this piece explores how simulation
training has developed over t…
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psnet.ahrq.gov/issue/finding-and-fixing-mistakes-do-checklists-work-clinicians-different-levels-experience
February 06, 2014 - Study
Finding and fixing mistakes: do checklists work for clinicians with different levels of experience?
Citation Text:
Sibbald M, de Bruin A, van Merrienboer JJG. Finding and fixing mistakes: do checklists work for clinicians with different levels of experience? Adv Health Sci Educ T…
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psnet.ahrq.gov/issue/how-willing-are-patients-question-healthcare-staff-issues-related-quality-and-safety-their
July 31, 2008 - Study
How willing are patients to question healthcare staff on issues related to the quality and safety of their healthcare? An exploratory study.
Citation Text:
Davis R, Koutantji M, Vincent C. How willing are patients to question healthcare staff on issues related to the quality and …