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psnet.ahrq.gov/periodic-issue/periodic-issue-447
July 10, 2024 - July 10, 2024 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports, …
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psnet.ahrq.gov/issue/healthcare-411-special-report-national-patient-safety-awareness-week
October 18, 2006 - Audiovisual
Healthcare 411 Special Report: National Patient Safety Awareness Week.
Citation Text:
AHRQ; Agency for Healthcare Research and Quality; Clancy C; Gardner R.
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psnet.ahrq.gov/issue/patient-safety-case-based-comprehensive-guide
March 05, 2014 - Book/Report
Patient Safety: A Case-Based Comprehensive Guide.
Citation Text:
Agrawal A, ed. New York, NY: Springer; 2014. ISBN: 9781461474180.
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psnet.ahrq.gov/issue/diagnostic-error-medicine-16th-international-conference
October 12, 2018 - Press Release/Announcement
Diagnostic Error in Medicine 16th International Conference.
Citation Text:
Society to Improve Diagnosis in Medicine. Cleveland, Ohio, October 8-11, 2023.
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psnet.ahrq.gov/issue/how-built-environment-impacts-resilient-healthcare-systems
January 24, 2024 - International Meeting/Conference
How the Built Environment Impacts Resilient Healthcare Systems.
Citation Text:
Resilient Health Care Society. January 18, 2024; 3:00-4:00 PM (eastern).
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psnet.ahrq.gov/issue/impact-medical-mistakes-navigating-work-family-boundaries-physicians-and-their-families
January 23, 2019 - Study
Impact of medical mistakes: navigating work–family boundaries for physicians and their families.
Citation Text:
Petronio S.
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psnet.ahrq.gov/issue/use-bar-code-technology-medication-administration
January 23, 2019 - Commentary
The use of bar code technology in medication administration.
Citation Text:
McRoberts S.
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March 6, 2005
McRober…
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psnet.ahrq.gov/issue/fourth-cause-campaign
April 22, 2009 - Multi-use Website
Fourth Cause Campaign.
Citation Text:
American Society of Pharmacovigilance.
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April 23, 2021
American Soc…
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psnet.ahrq.gov/issue/international-forum-quality-and-safety-healthcare
September 10, 2024 - Meeting/Conference Proceedings
The International Forum on Quality and Safety in Healthcare.
Citation Text:
Institute for Healthcare Improvement and British Medical Journal. ExCeL London, London, UK, April 10-12, 2024.
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psnet.ahrq.gov/issue/mri-safety-week
January 29, 2021 - Multi-use Website
MRI Safety Week.
Citation Text:
International Society for Magnetic Resonance in Medicine.
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June 27, 2007
I…
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psnet.ahrq.gov/issue/clinical-alarms-complexity-and-common-sense
September 23, 2020 - Commentary
Clinical alarms: complexity and common sense.
Citation Text:
Phillips J.
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June 21, 2006
Phillips J.
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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.
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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.
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March 6, 2005
Ka…
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psnet.ahrq.gov/issue/medical-errors-introduction-concepts
March 06, 2005 - Review
Medical errors: an introduction to concepts.
Citation Text:
Kalra J.
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March 6, 2005
Kalra J.
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psnet.ahrq.gov/issue/state-nurse-error-caused-death
May 10, 2006 - Newspaper/Magazine Article
State: nurse error caused death.
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August 2, 2006
View more articles from the same authors.
This article reports on a fe…
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psnet.ahrq.gov/issue/how-human-factors-lead-medical-device-adverse-events
February 10, 2021 - Commentary
How human factors lead to medical device adverse events.
Citation Text:
Rich S.
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June 11, 2008
Rich S.
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psnet.ahrq.gov/node/33825/psn-pdf
January 01, 2017 - Rethinking Root Cause Analysis
January 1, 2016
Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
Annual Perspective 2016
Introduction
Root cause analysis (RCA) is a systematic process to analyze adverse events and near miss…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.60_slideshow.ppt
May 01, 2004 - Spotlight Case [MONTH] 2003
Spotlight Case May 2004
Too Tight Control:
The Risks of Intensive Insulin Therapy
Source and Credits
This presentation is based on the May 2004
AHRQ WebM&M Spotlight Case in Medicine
CME credit is available through the Web site
See the full article at http://webmm.ahrq.gov
Comm…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.311_slideshow.ppt
December 01, 2013 - PowerPoint Presentation
Spotlight Case
New Oral Anticoagulants
1
This presentation is based on the December 2013
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Margaret C. Fang, MD, MPH, University of California, San Francisco
Editor, AHRQ WebM&M…
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psnet.ahrq.gov/node/33779/psn-pdf
March 01, 2015 - Handoffs and Transitions
January 22, 2014
Sehgal NL. Handoffs and Transitions. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/handoffs-and-transitions
Annual Perspective 2014
Despite recent efforts to promote clinical integration, the United States health care system remains highly
fragmented. From it…