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psnet.ahrq.gov/web-mm/are-we-pushing-graduate-nurses-too-fast
November 16, 2022 - comprehensive transition to practice program for nurses incorporate so that situations like this don't happen
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psnet.ahrq.gov/web-mm/waiting-too-long
February 01, 2013 - Was the situation communicated as unstable, urgent, or a problem that 'might' happen?
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meps.ahrq.gov/data_files/publications/st137/stat137.pdf
August 01, 2006 - – Did this happen during the past 12 months?
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psnet.ahrq.gov/web-mm/missing-trauma
March 03, 2011 - However, as this case so dramatically presents, rare events do indeed happen and we need to be alert
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www.ahrq.gov/sites/default/files/2024-04/yang-report.pdf
January 01, 2024 - Other errors
happen frequently but are associated with minimal risks, for example, an incorrect dose … There is no quantitative estimation about the inconsistencies and the
issues, because they happen too … A rough estimation among a small
number of patients indicated that the inconsistencies and issues happen
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
January 01, 2004 - which physicians’ preferences, such as the anticipated “goodness” of the
outcome (what they hope will happen … ), or anticipated failure (what they fear
might happen), may all influence the particular decision that
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter3.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Chapter 3. Description of Methods
Previous Page Next Page
Table of Contents
Designing Consumer Reporting Systems for Patient Safety Events
Executive Summary
Chapter 1. Background
Chapter 2. Conceptual Framework and Design
Chapter…
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www.ahrq.gov/hai/cusp/toolkit/content-calls/best-practices.html
April 01, 2013 - we knew where we wanted to go, and C, we felt very confidently that the only way that was going to happen … and show a tape with Sorrel speaking, the boards would just say, “We’re not going to allow that to happen
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docx
May 01, 2017 - many times when adverse events occur in the surgical environment, someone knew something was about to happen
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psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
February 26, 2025 - Shared learning and improvements in patient safety happen when learning health systems with a strong
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psnet.ahrq.gov/perspective/ems-patient-safety-field
July 28, 2021 - EMS quality improvement begins when the EMS providers know what would happen in ideal circumstances but
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psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
February 26, 2025 - Shared learning and improvements in patient safety happen when learning health systems with a strong
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psnet.ahrq.gov/perspective/patient-safety-concerns-and-lgbtq-population
February 01, 2023 - trans men about being pregnant whether it comes to surgery or imaging, but I think education needs to happen
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psnet.ahrq.gov/perspective/conversation-connor-wesley-rn-bsn-patient-safety-concerns-and-lgbtq-population
February 01, 2023 - trans men about being pregnant whether it comes to surgery or imaging, but I think education needs to happen
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digital.ahrq.gov/sites/default/files/docs/TRANSCRIPT%20OF%20LEVERAGING%20HEALTH%20INFORMATION%20TECHNOLOGY%20FOR%20PATIENT%20EMPOWERMENT_1.pdf
April 08, 2010 - What do you think you can do to make that happen?" … And what would happen from a patient standpoint, if they were in the intervention group, they would get … So next what would happen for the patient is My Preventive Care would connect to their doctor's electronic
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psnet.ahrq.gov/web-mm/wrongful-resuscitation
October 12, 2012 - The Wrongful Resuscitation
Citation Text:
Teno JM. The Wrongful Resuscitation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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psnet.ahrq.gov/node/866621/psn-pdf
August 28, 2024 - Application of Safety-II Principles
August 28, 2024
Venkatesan C, Helak K, Sousane Z, et al. Application of Safety-II Principles. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/application-safety-ii-principles
Traditional approaches to patient safety have often been reactive rather than proactive, seeki…
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psnet.ahrq.gov/node/49448/psn-pdf
June 01, 2004 - Listen to the Family
June 1, 2004
Campbell D. Listen to the Family. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/listen-family
The Case
Vascular surgery was consulted for placement of a dialysis catheter in a patient on the medical floor. The
surgical resident examined the patient, an elderly woman with …
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psnet.ahrq.gov/node/33850/psn-pdf
January 01, 2018 - EHR Copy and Paste and Patient Safety
January 1, 2018
Dean SM. EHR Copy and Paste and Patient Safety. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/ehr-copy-and-paste-and-patient-safety
Perspective
Although the ability to copy and paste text is a central benefit of computing in general, and electronic…
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psnet.ahrq.gov/web-mm/charcoal-lavage-lungs
January 01, 2016 - Charcoal Lavage of the Lungs
Citation Text:
Wigton RS. Charcoal Lavage of the Lungs. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …