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psnet.ahrq.gov/node/867652/psn-pdf
February 26, 2025 - Root Cause Analysis and Medical Error Prevention.
StatPearls Publishing; 2024.
3.
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psnet.ahrq.gov/node/49583/psn-pdf
April 01, 2009 - Implications for prevention. ADE Prevention Study Group. JAMA. 1995;274:29-34. [go to PubMed]
3. … ADE Prevention Study
Group. JAMA. 1995;274:35-43. [go to PubMed]
4. … Effect of computerized physician order entry and a team
intervention on prevention of serious medication … The impact of computerized physician order entry on medication error
prevention.
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psnet.ahrq.gov/perspective/maternal-safety
January 01, 2015 - The Centers for Disease Control and Prevention report that the US pregnancy-related mortality ratio has … Related Resources
‘I felt like I was dying’: how women with postpartum depression fall
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psnet.ahrq.gov/issue/improving-patient-safety-implementing-standardized-and-consistent-approach-hand-communication
March 01, 2023 - Toolkit
Improving patient safety by implementing a standardized and consistent approach to hand-off communication.
Citation Text:
Sandlin D. Improving patient safety by implementing a standardized and consistent approach to hand-off communication. J Perianesth Nurs. 2007;22(4):289-92. …
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March 14, 2025 - Promoting Patient Safety.
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AHRQ’s Patient Safety Network (PSNet) features a collection of the latest news and resources on patient safety, innovations and toolkits , opportunities for CE without a fee and trainings . T…
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June 01, 2007 - https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
prophylaxis would normally fall … So we fall back to the history: did the patient
mention the mass or abdominal pain? … Prevention of venous thromboembolism: the Seventh ACCP
Conference on Antithrombotic and Thrombolytic … The surgical infection prevention and surgical care improvement projects:
national initiatives to improve
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psnet.ahrq.gov/issue/emerging-ehr-purgatory-moving-process-outcomes
July 22, 2020 - August 18, 2021
Potentially harmful medication dispenses after a fall or hip fracture … January 30, 2019
Selected medication safety risks that can easily fall off the radar
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psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
April 27, 2022 - How to Monitor Patients Receiving Direct Oral Anticoagulants for Stroke Prevention in Atrial Fibrillation
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psnet.ahrq.gov/perspective/conversation-nicholas-g-castle-mha-phd
August 01, 2012 - In Conversation With… Nicholas G. Castle, MHA, PhD
August 1, 2012
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Citation Text:
In Conversation With… Nicholas G. Castle, MHA, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human…
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psnet.ahrq.gov/issue/state-nurse-error-caused-death
May 10, 2006 - November 21, 2007
Point-of-care medication error prevention: best practices in action … August 16, 2023
‘I felt like I was dying’: how women with postpartum depression fall
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psnet.ahrq.gov/node/33872/psn-pdf
January 01, 2018 - Update: Patient Engagement in Safety
January 1, 2018
Stern RJ, Sarkar U. Update: Patient Engagement in Safety. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/update-patient-engagement-safety
Annual Perspective 2018
Background
Patient engagement has become a cornerstone of patient safety. A Patient Saf…
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September 01, 2015 - Implications for prevention. ADE Prevention Study Group. JAMA. 1995;274:29-34.
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psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
February 26, 2025 - In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety
Lucy A. Savitz, MBA, PhD; Zoe Sousane, BS; Sarah E. Mossburg, RN, PhD | February 26, 2025
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Savitz LA, S…
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February 26, 2025 - Learning Health Systems for Patient Safety
Lucy A. Savitz, MBA, PhD; Zoe Sousane, BS; Sarah E. Mossburg, RN, PhD | February 26, 2025
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View more articles from the same authors.
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Savitz LA, Sousane Z, Mossburg SE. Learning …
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psnet.ahrq.gov/web-mm/electrocardiogram-results-read-me
May 01, 2019 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/node/866846/psn-pdf
September 24, 2024 - Zero Harm: Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement
September 24, 2024
Stockmeier CA, Thomas E, Mossburg S, et al. Zero Harm: Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/zero…
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psnet.ahrq.gov/issue/ahrq-epc-program-grand-rounds-making-healthcare-safer
December 16, 2015 - April 20, 2022
AHRQ Safety Program for MRSA Prevention. … Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
January 01, 2015 - This year, the Centers for Disease Control and Prevention (CDC) reported a 200% increase in opioid overdose
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psnet.ahrq.gov/issue/risk-propensity-and-safe-medication-administration
December 08, 2010 - April 1, 2015
Guideline for prevention of retained surgical items.
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psnet.ahrq.gov/issue/association-cataract-surgical-outcomes-late-surgeon-career-stages-population-based-cohort
September 23, 2020 - February 11, 2009
A randomized trial of a multifactorial strategy to prevent serious fall