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  1. psnet.ahrq.gov/issue/clinical-alarms-complexity-and-common-sense
    September 23, 2020 - Commentary Clinical alarms: complexity and common sense. Citation Text: Phillips J. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL June 21, 2006 Phillips J. View more…
  2. psnet.ahrq.gov/issue/mandatory-error-reporting-discourages-disclosure-information
    October 26, 2011 - Newspaper/Magazine Article Mandatory error reporting discourages disclosure of information. Citation Text: Tokarski C Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL April …
  3. psnet.ahrq.gov/issue/junior-medics-bullied-lie-about-hours-doctors-ordered-work-without-proper-training
    April 27, 2016 - Newspaper/Magazine Article Junior medics bullied to lie about hours: doctors ordered to work without proper training. Citation Text: Revill J. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy U…
  4. psnet.ahrq.gov/issue/medical-errors-impact-clinical-laboratories-and-other-critical-areas
    March 06, 2005 - Review Medical errors: impact on clinical laboratories and other critical areas. Citation Text: Kalra J. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL March 6, 2005 Ka…
  5. psnet.ahrq.gov/issue/medical-errors-introduction-concepts
    March 06, 2005 - Review Medical errors: an introduction to concepts. Citation Text: Kalra J. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL March 6, 2005 Kalra J. View more articles f…
  6. psnet.ahrq.gov/issue/tragic-medication-errors-result-accidental-abortions-and-premature-birth-safety-advocates-say
    August 21, 2019 - Audiovisual Presentation Tragic medication errors result in accidental abortions and premature birth—safety advocates say drug mistakes are still too frequent, despite advances. Citation Text: Patel A; ABCnews.com Copy Citation Save Save to your library Prin…
  7. psnet.ahrq.gov/issue/why-doctors-so-often-get-it-wrong
    October 03, 2007 - Newspaper/Magazine Article Why doctors so often get it wrong. Citation Text: Leonhardt D. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL March 8, 2006 Leonhardt D. V…
  8. psnet.ahrq.gov/issue/state-starts-project-track-serious-hospital-mistakes
    May 10, 2006 - Newspaper/Magazine Article State starts project to track serious hospital mistakes. Citation Text: Colburn D. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL February 15, 20…
  9. psnet.ahrq.gov/issue/reducing-patient-risk-prescription-instruction-errors-six-sigma-approach
    October 17, 2012 - Audiovisual Presentation Reducing patient risk from prescription instruction errors—a six sigma approach. Citation Text: O'Dell ML; Andell JL; American Society for Quality; ASQ; Creative Healthcare USA. Copy Citation Save Save to your library Print S…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72624/psn-pdf
    January 05, 2021 - The LifePoint National Quality Program Provides Structured Framework for Reducing Inpatient Harm January 5, 2021 https://psnet.ahrq.gov/innovation/lifepoint-national-quality-program-provides-structured-framework- reducing-inpatient-harm Summary Building on the company’s experience as a Hospital Engagement Network…
  11. Spotlight (ppt file)

    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…
  12. psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
    January 01, 2015 - Annual Perspective Patient Safety and Opioid Medications Urmimala Sarkar, MD, and Kaveh Shojania, MD | January 1, 2016  View more articles from the same authors. Citation Text: Sarkar U, Shojania KG. Patient Safety and Opioid Medications. PSNet [internet]. Ro…
  13. psnet.ahrq.gov/curated-article-libraries
    March 18, 2025 - Curated Libraries Curated Libraries are groupings of PSNet content, curated by AHRQ and by other experts in the patient safety field. Watch the video to learn more about how this new feature works and how it can be of benefit to you. Latest PSNet…
  14. psnet.ahrq.gov/web-mm/electrocardiogram-results-read-me
    May 01, 2019 - Electrocardiogram Results: ***READ ME*** Citation Text: Alpert JS. Electrocardiogram Results: ***READ ME***. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XM…
  15. psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
    December 15, 2024 - Medication Errors and Adverse Drug Events Citation Text: Medication Errors and Adverse Drug Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849660/psn-pdf
    May 31, 2023 - Strategies to Improve Organizational Health Literacy. May 31, 2023 Seidel E, Cortes T, Chong C. Strategies to Improve Organizational Health Literacy. PSNet [internet]. 2023. https://psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy Background Health literacy is important at both the personal …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49443/psn-pdf
    May 01, 2004 - Privacy Gone Awry May 1, 2004 Pauker SG, Pauker SP. Privacy Gone Awry. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/privacy-gone-awry The Case A 3-year-old child underwent bilateral myringotomies and tube insertion with adenoidectomy. Preoperatively, she had an upper respiratory infection, but was eating…
  18. psnet.ahrq.gov/web-mm/discharged-blindly
    October 26, 2022 - Discharged Blindly Citation Text: Iezzoni LI. Discharged Blindly. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33640/psn-pdf
    September 01, 2006 - What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? September 1, 2006 Jha AK. What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49827/psn-pdf
    April 01, 2018 - Walking Patient, Missing Drain April 1, 2018 Olkowski BF, Ravenel M, Stiefel MF. Walking Patient, Missing Drain. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/walking-patient-missing-drain The Case A 43-year-old woman with a history of metastatic breast cancer was admitted to the hospital for an elective …

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