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psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-cesarean-deliveries
July 23, 2024 - the process of developing, similar perinatal collaboratives. 22 The Centers for Disease Control and Prevention … Centers for Disease Control and Prevention. … Accessed March 3, 2022. [9] Department of Health and Human Services Office of Disease Prevention and … The Annals of Family Medicine . 2021 May 1;19(3):249-57. [22] Centers for Disease Control and Prevention … Accessed May 12, 2022. [23] Centers for Disease Control and Prevention.
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psnet.ahrq.gov/node/850361/psn-pdf
June 14, 2023 - delivery.17 Following up on pending tests or laboratory
studies and informing providers of results may fall
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psnet.ahrq.gov/node/72589/psn-pdf
December 23, 2020 - Center for Disease Control and Prevention. United States cancer statistics: data visualization.
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psnet.ahrq.gov/issue/language-games-and-tragedy-bristol-royal-infirmary-disaster-revisited
August 25, 2010 - June 5, 2019
Teamwork- Part 1: Divided We Fall; Part 2: Cursed By Knowledge: Building
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psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
October 23, 2013 - Building a Safety Program Using Principles of Resilience Engineering
Sudeep Hegde, PhD; Ann M. Bisantz, PhD; and Rollin J. Fairbanks, MD, MS | June 1, 2019
View more articles from the same authors.
Citation Text:
Hegde S, Fairbanks RJ, Bisantz A. Building a Safety…
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psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
May 01, 2005 - References
Center for Disease Control and Prevention.
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psnet.ahrq.gov/node/33766/psn-pdf
May 01, 2014 - Nevertheless,
https://cdn.who.int/media/docs/default-source/integrated-health-services-(ihs)/infection-prevention-and-control
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psnet.ahrq.gov/web-mm/pregnant-danger
January 12, 2011 - In the present case, the patient would fall into Category V (medical complaint not related to pregnancy
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psnet.ahrq.gov/node/866622/psn-pdf
August 28, 2024 - For example,
most people don't fall or get a wrong site surgery.
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psnet.ahrq.gov/topics-0
March 03, 2025 - Topics
Guides for key topics in patient safety through context, epidemiology, and relevant AHRQ PSNet content. The Patient Safety 101 Primer provides an overview of the patient safety field and covers key definitions and concepts.
Featured Topics in Patient Safety
Updated Date: March 3, 2025
…
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psnet.ahrq.gov/node/33715/psn-pdf
July 01, 2011 - Becoming a Patient Safety Organization
July 1, 2011
Jaffe R. Becoming a Patient Safety Organization. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/becoming-patient-safety-organization
Perspective
While I was the first employee of the California Hospital Patient Safety Organization (CHPSO), its story
…
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psnet.ahrq.gov/node/49520/psn-pdf
September 01, 2006 - psnet.ahrq.gov/web-mm/dnr-or-and-afterwards
The Case
An 85-year-old woman with dementia took a mechanical fall
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psnet.ahrq.gov/glossary
January 01, 2003 - When it comes to industrial performance, having 5% of a product fall outside the desired specifications … Aspects of care with proven connections to patient outcomes fall into two general categories: process
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psnet.ahrq.gov/glossary-0
January 01, 2003 - When it comes to industrial performance, having 5% of a product fall outside the desired specifications … Aspects of care with proven connections to patient outcomes fall into two general categories: process
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psnet.ahrq.gov/web-mm/picking-cause-stroke
August 07, 2024 - Use of designated nurse PICC teams and CLABSI prevention practices among U.S. hospitals: a survey-based
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psnet.ahrq.gov/web-mm/mobility-lost-icu
August 01, 2018 - SPOTLIGHT CASE
Mobility Lost in the ICU
Citation Text:
Smith J. Mobility Lost in the ICU. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNot…
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psnet.ahrq.gov/node/865429/psn-pdf
April 24, 2024 - Missed Connection: A Case of Inadequate ECG Oversight
in Cardiac Surgery
April 24, 2024
Bohringer C, Fierro M, Venugopal S. Missed Connection: A Case of Inadequate ECG Oversight in Cardiac
Surgery. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery…
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psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_missed_connection-a_case_of_inadequate_ecg_oversight_in_cardiac_surgery_slides_-_final.pdf
January 01, 2024 - Spotlight
Spotlight
Missed Connection: A Case of Inadequate ECG
Oversight in Cardiac Surgery
Source and Credits
• This presentation is based on the March 2024 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Christian Bohringer, MBBS, …
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psnet.ahrq.gov/node/867656/psn-pdf
February 26, 2025 - In Conversation with Lucy Savitz about Learning Health
Systems for Patient Safety
February 26, 2025
Savitz LA, Sousane Z, Mossburg SE. In Conversation with Lucy Savitz about Learning Health Systems for
Patient Safety. PSNet [internet]. 2025.
https://psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learnin…
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psnet.ahrq.gov/node/33696/psn-pdf
June 01, 2010 - Does it help that you're aware of the
possible holes that you may fall into, or are there more specific