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psnet.ahrq.gov/node/33713/psn-pdf
June 01, 2011 - The Safety of Medical Devices
June 1, 2011
Nemeth CP. The Safety of Medical Devices. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/safety-medical-devices
Perspective
Edward Tenner is right. Technology does have reverberations, including unintended consequences, or
"revenge effects."(1) While such dra…
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psnet.ahrq.gov/node/33882/psn-pdf
June 01, 2019 - Building a Safety Program Using Principles of Resilience
Engineering
June 1, 2019
Hegde S, Fairbanks RJ, Bisantz A. Building a Safety Program Using Principles of Resilience Engineering.
PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
Persp…
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psnet.ahrq.gov/node/33636/psn-pdf
July 01, 2006 - Key Issues in Developing a Successful Hospital Safety
Program
July 1, 2006
Whittington JC. Key Issues in Developing a Successful Hospital Safety Program. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/key-issues-developing-successful-hospital-safety-program
Perspective
What are the key success factors…
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psnet.ahrq.gov/primer/responding-patient-safety-events
October 18, 2023 - Responding to Patient Safety Events
Citation Text:
Shaikh U. Responding to Patient Safety Events. PSNet [internet]. Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…
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digital.ahrq.gov/sites/default/files/docs/survey/clinician-survey-quality-improvement.pdf
June 16, 2021 - Clinician Survey on Quality Improvement, Best Practice Guidelines and Information Technology
Clinician Survey on Quality Improvement,
Best Practice Guidelines and Information Technology
Rural Health Information, Technology Cooperative, Davenport WA
This is a questionnaire designed to be completed by physicians,
c…
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digital.ahrq.gov/ahrq-funded-projects/critical-access-hospital-partnership-health-information-technology
January 01, 2023 - Critical Access Hospital Partnership Health Information Technology Implementation
Project Final Report ( PDF , 431.98 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily …
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hcup-us.ahrq.gov/datainnovations/clinicaldata/FL20LOINCIntroductionHammond.jsp
December 20, 2010 - An Introduction to LOINC
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs
Email Updates
…
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psnet.ahrq.gov/node/73905/psn-pdf
October 06, 2021 - Health Equity and Maternal Health
October 6, 2021
Tully K, Stuebe AM, Gibson A, et al. Health Equity and Maternal Health. PSNet [internet]. 2021.
https://psnet.ahrq.gov/perspective/health-equity-and-maternal-health
Redefining Maternal Safety
Maternal safety refers to the safety of a person during pregnancy, childb…
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psnet.ahrq.gov/node/73303/psn-pdf
May 26, 2021 - Safety Culture in EMS
May 26, 2021
Cebollero C, Fitall E, Hall KK, et al. Safety Culture in EMS. PSNet [internet]. 2021.
https://psnet.ahrq.gov/perspective/safety-culture-ems
Defining a Just Culture
A Just Culture is one that supports transparent and honest error reporting with the goal of fostering an
environmen…
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digital.ahrq.gov/ahrq-funded-projects/transforming-kidney-care-emergency-department-using-artificial-intelligence
July 31, 2025 - Transforming Kidney Care in the Emergency Department Using Artificial Intelligence-Driven Clinical Decision Support
Project Description
Publications
Events
Research Story
Successful development and implementation of an artificial intelligence-driven clinical d…
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digital.ahrq.gov/ahrq-funded-projects/using-location-based-smartphone-alerts-within-system-care-coordination
January 01, 2023 - Using Location-Based Smartphone Alerts Within a System of Care Coordination
Project Final Report ( PDF , 740.79 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily repr…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel.pptx
December 01, 2017 - What happened?
SAY:
Maybe no one in your team is engaged. … What happened?
What could have caused your project to fail?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kline_32.pdf
March 03, 2008 - The unit-based team participates as investigators to determine what happened
to cause the patient to
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psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers
August 01, 2010 - infection has to receive a letter and an explanation from his or her attending physician about what happened
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psnet.ahrq.gov/perspective/safety-and-medical-education
December 01, 2013 - Some other tangential opportunities just happened because you need to write a lot of papers early in
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psnet.ahrq.gov/perspective/preparing-health-reform-federal-government-and-nursing-workforce
September 01, 2012 - daily to-do list as patient conditions change, as new things get ordered, as things that should have happened
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psnet.ahrq.gov/perspective/diagnostic-errors
December 01, 2013 - Some other tangential opportunities just happened because you need to write a lot of papers early in
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psnet.ahrq.gov/node/73906/psn-pdf
October 06, 2021 - In Conversation With….Alison Stuebe, MD, MSc and
Kristin Tully, PhD
October 6, 2021
In Conversation With….Alison Stuebe, MD, MSc and Kristin Tully, PhD. PSNet [internet]. 2021.
https://psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd
Editor’s Note: Alison Stuebe, MD, MSc, is a…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/08-diagnostic-cap-provider-training-slides.pptx
August 01, 2021 - Co-producing a Diagnosis
Provider Training Slides
Toolkit for Engaging Patients and Families To Improve Diagnosis
AHRQ Publication No. 21-0047-7-EF
August 2021
1
"Just listen to your patient, he is telling you the diagnosis."1
- Sir William Osler
This quote from Sir William Osler, who is also commonly referred …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_deep_root_data.pptx
December 01, 2017 - PowerPoint Presentation; Deep-Root Your Data
Deep-Rooting Your Data
AHRQ Safety Program for Surgery
Sustainability
AHRQ Pub. No. 16(18)-0004-15-EF
December 2017
AHRQ Safety Program for Surgery – Sustainability
SAY:
This module focuses on the concept of deep-rooting and set up sustainable interaction with your qual…