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psnet.ahrq.gov/issue/explaining-matching-michigan-ethnographic-study-patient-safety-program
August 20, 2018 - June 16, 2021
Seven features of safety in maternity units: a framework based on multisite
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psnet.ahrq.gov/issue/top-patient-safety-strategies-can-be-encouraged-adoption-now
September 20, 2011 - April 22, 2011
What context features might be important determinants of the effectiveness
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psnet.ahrq.gov/issue/nature-blame-patient-safety-incident-reports-mixed-methods-analysis-national-database
October 12, 2016 - Improving Diagnostic Safety and Quality
April 26, 2023
Seven features
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psnet.ahrq.gov/issue/safe-sound-patient-safety-meets-evidence-based-medicine
March 13, 2013 - April 22, 2011
What context features might be important determinants of the effectiveness
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psnet.ahrq.gov/web-mm/intraoperative-awareness-during-rhinoplasty
January 29, 2021 - When features like excessive fear, lack of sleep and constant reliving of the intraoperative experience … If the patient shows features of post-traumatic stress syndrome, a psychiatry consult may be helpful. … Awareness during emergence from anesthesia: Features and future research directions.
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psnet.ahrq.gov/node/49714/psn-pdf
August 21, 2014 - Strategies to Improve Diagnosis
Given the multiple features that contribute to missed or delayed diagnoses … Three other cutaneous features can serve as diagnostic clues to differentiate NF from simple
soft tissue … Staging of necrotizing fasciitis based on the evolving cutaneous features.
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psnet.ahrq.gov/node/33609/psn-pdf
March 15, 2025 - for drug doses, routes of administration, and frequency, and offer more
sophisticated drug safety features
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psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumothorax
December 14, 2022 - The patient’s CT scan showed classic features of lymphangioleiomyomatosis (LAM), a rare cystic lung disease … CT reports that are automatically populated with a differential diagnosis that features LAM for CT’s
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psnet.ahrq.gov/patient-safety-101
March 26, 2025 - Patient Safety 101: The Fundamentals
What is Patient Safety?
The breadth of the field of patient safety is captured in various definitions. It has been defined as avoiding harm to patients from care that is intended to help them. 1 It involves the prevention and mitigation of harm caused by err…
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psnet.ahrq.gov/web-mm/code-status-confusion
September 01, 2006 - discussions between physicians and patients concerning DNR orders and advance directives have several common features … hospital floors is about 10% to 15%.( 6 ) When patients were asked to describe CPR, 26% could identify no features
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psnet.ahrq.gov/issue/effect-computerized-physician-order-entry-and-team-intervention-prevention-serious-medication
February 10, 2011 - Study
Classic
Effect of computerized physician order entry and a team intervention on prevention of serious medication errors.
Citation Text:
Bates DW, Leape L, Cullen DJ, et al. Effect of computerized physician order entry and a team intervention on preventio…
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psnet.ahrq.gov/node/33563/psn-pdf
September 16, 2024 - This commitment establishes a "culture of safety" that
encompasses these key features:
acknowledgment
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psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
December 23, 2020 - Features that support patient involvement include the ability for patients to review after-visit instructions … July 19, 2010
Exploring the role of salient distracting clinical features in the emergence
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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
Audio-Described Version (…
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psnet.ahrq.gov/innovations-video
Learn About the Submit an Innovation Process
PSNet’s Submit an Innovation feature allows organizations to share successfully implemented innovative practices and/or interventions that have resulted in improved patient safety and reduced harm. Watch the video below to learn more about the Submit an Innovation process…
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psnet.ahrq.gov/about-psnet
September 01, 2015 - About PSNet AHRQ Patient Safety Network (PSNet) is a national web-based resource featuring the latest news and essential resources on patient safety. The site offers weekly updates of patient safety literature, news, tools, and meetings ("Current Issue"), and a vast set of carefully annotated links to important researc…
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psnet.ahrq.gov/perspective/introducing-redesigned-ahrq-patient-safety-network
December 01, 2005 - Over the years, we have added features such as Patient Safety Primers and the education database.
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psnet.ahrq.gov/primer/culture-safety
September 15, 2024 - This commitment establishes a "culture of safety" that encompasses these key features : acknowledgment
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psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
May 31, 2023 - Future program elements: Several new features of the TR&R® program are being evaluated by ongoing clinical … The team is also evaluating expanded features of the system, including a Heads-Up Display and integration
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psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
December 31, 2024 - For hemodynamically unstable patients, a combination of clinical features, ultrasonography, and ECG may … Anchoring, a type of cognitive bias, occurs when a clinician fixates on features of a specific diagnosis … Prospective Study of the Clinical Features and Outcomes of Emergency Department Patients with Delayed