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psnet.ahrq.gov/perspective/conversation-paul-aylin-mbchb
June 01, 2017 - The richness and the volume of data is going to allow us to do much more interesting things.
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psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
September 16, 2015 - In this case, the procedural team were not going to be involved in using the catheter, raising the possibility
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psnet.ahrq.gov/innovation/suicide-prevention-emergency-department-population-ed-safe
July 23, 2024 - If the spot checks find there are reoccurring gaps, an innovator may want to consider going back to a
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psnet.ahrq.gov/primer/debriefing-clinical-learning
September 15, 2024 - Group norms of going around the circle giving each person the opportunity to share or use of a “talking
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psnet.ahrq.gov/web-mm/nurse-staffing-ratios-crucible-money-policy-research-and-patient-care
June 01, 2003 - Rather than using the bedpan, the patient insisted on getting up and going to the bathroom.
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psnet.ahrq.gov/web-mm/all-history
February 28, 2011 - associated with chest pain, and the patient had stated at the time that he "felt faint and like he was going
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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/perspective/conversation-withsanjay-saint-md-mph
November 01, 2008 - for asymptomatic bacteriuria is unnecessary unless patients fit certain criteria—for example, they're going
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psnet.ahrq.gov/perspective/conversation-rosemary-gibson-msc
September 01, 2014 - harder cases, which may be even more prevalent, are when it might work but the probability that it's going
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psnet.ahrq.gov/perspective/overuse-patient-safety-problem
September 01, 2014 - harder cases, which may be even more prevalent, are when it might work but the probability that it's going
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psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions
November 01, 2008 - for asymptomatic bacteriuria is unnecessary unless patients fit certain criteria—for example, they're going
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psnet.ahrq.gov/issue/right-tech-dose-helps-medicine-go-down
October 28, 2020 - Newspaper/Magazine Article
Right tech dose helps medicine go down.
Citation Text:
Right tech dose helps medicine go down. Patton S. CIO Magazine. July 12, 2006.
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psnet.ahrq.gov/issue/most-adverse-events-hospitals-still-go-unreported
September 05, 2012 - Newspaper/Magazine Article
Most adverse events at hospitals still go unreported.
Citation Text:
Most adverse events at hospitals still go unreported. Shaw G. The Hospitalist. August 2012.
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psnet.ahrq.gov/issue/when-things-go-wrong-voices-patients-and-families
November 19, 2015 - Audiovisual
When Things Go Wrong: Voices of Patients and Families.
Citation Text:
When Things Go Wrong: Voices of Patients and Families. CRICO/RMF; Harvard Risk Management Foundation
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psnet.ahrq.gov/issue/when-good-doctors-go-bad-systems-problem
November 02, 2014 - Commentary
When good doctors go bad: a systems problem.
Citation Text:
Leape L. When good doctors go bad: a systems problem. Ann Surg. 2006;244(5):649-652.
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psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events
November 19, 2014 - Book/Report
Classic
When Things Go Wrong: Responding to Adverse Events.
Citation Text:
When Things Go Wrong: Responding to Adverse Events. Boston, MA: Massachusetts Coalition for the Prevention of Medical Errors; 2006.
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psnet.ahrq.gov/issue/among-elderly-many-mental-illnesses-go-undiagnosed
May 15, 2024 - Commentary
Among the elderly, many mental illnesses go undiagnosed.
Citation Text:
Bor JS. Among the elderly, many mental illnesses go undiagnosed. Health Aff (Millwood). 2015;34(5):727-31. doi:10.1377/hlthaff.2015.0314.
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psnet.ahrq.gov/issue/miles-go-introduction-5-million-lives-campaign
April 04, 2011 - Commentary
Miles to go: an introduction to the 5 Million Lives Campaign.
Citation Text:
McCannon J, Hackbarth AD, Griffin F. Miles to go: an introduction to the 5 Million Lives Campaign. Jt Comm J Qual Patient Saf. 2007;33(8):477-84.
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psnet.ahrq.gov/node/72613/psn-pdf
December 22, 2020 - KH: Going back to our discussion about specific adverse events, we had talked about infection control
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psnet.ahrq.gov/node/863649/psn-pdf
February 28, 2024 - training if you think about it as an
opportunity to make things better and to celebrate things that are going