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psnet.ahrq.gov/issue/decontamination-surgical-instruments
September 21, 2022 - Book/Report
Decontamination of Surgical Instruments.
Citation Text:
Decontamination of Surgical Instruments. Farnborough, UK; Healthcare Safety Investigation Branch; May 26, 2022.
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psnet.ahrq.gov/issue/national-patient-safety-board-act-2022
July 20, 2022 - Legislation/Regulation
National Patient Safety Board Act of 2022.
Citation Text:
National Patient Safety Board Act of 2022. HR 9377, 117th Cong, 2d Sess (2022).
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psnet.ahrq.gov/issue/safety-first-one-year
December 24, 2007 - Book/Report
Safety First: One Year On.
Citation Text:
Safety First: One Year On. London, England: National Patient Safety Agency; 2008.
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psnet.ahrq.gov/issue/fair-and-reliable-medical-justice-act
March 06, 2005 - Legislation/Case Law
Fair and Reliable Medical Justice Act.
Citation Text:
Fair and Reliable Medical Justice Act. Enzi M; Baucus M.
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psnet.ahrq.gov/perspective/conversation-timothy-b-mcdonald-md-jd
February 26, 2025 - Often you'll hear people say, "I'm going to iVOS you before you iVOS me." … We'd defend these cases for 4 or 5 years, and we would hear these defense attorneys say these are defensible
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psnet.ahrq.gov/issue/disclosure-adverse-events-patients
November 29, 2023 - Organizational Policy/Guidelines
Disclosure of Adverse Events to Patients.
Citation Text:
Disclosure of Adverse Events to Patients. Department of Veterans Affairs, Washington DC: Veterans Health Administration; October 31, 2018. VHA Directive 1004.08.
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psnet.ahrq.gov/issue/department-defense-health-care-quality
February 11, 2025 - Book/Report
Department of Defense Health Care Quality.
Citation Text:
Department of Defense Health Care Quality. Washington DC: Office of the Assistant Secretary of Defense; Tricare Management Activity: 2011.
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psnet.ahrq.gov/issue/nurse-staffing-standards-hospital-patient-safety-and-quality-care-act-2023
August 09, 2024 - Legislation/Regulation
Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023.
Citation Text:
Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023. 118th Cong (2023-2024).
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psnet.ahrq.gov/issue/opportunities-improve-patient-safety-advancing-us-innovation-and-innovation-hubs
September 13, 2023 - Webinar
Opportunities to Improve Patient Safety, Advancing U.S. Innovation, and Innovation Hubs.
Citation Text:
Opportunities to Improve Patient Safety, Advancing U.S. Innovation, and Innovation Hubs. President’s Council of Advisors on Science and Technology. Washington, DC: White House;…
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psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices
September 07, 2019 - Inpatient Transitions of Care: Challenges and Safety Practices
Citation Text:
Satake A, McElroy V. Inpatient Transitions of Care: Challenges and Safety Practices. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
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psnet.ahrq.gov/node/60652/psn-pdf
June 29, 2020 - In Conversation With... Anna Legreid Dopp, Pharm. D
June 29, 2020
In Conversation With.. Anna Legreid Dopp, Pharm. D. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/conversation-anna-legreid-dopp-pharm-d
Editor’s note: Anna Legreid Dopp, Pharm. D is the Senior Director of Clinical Guidelines and Quality…
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psnet.ahrq.gov/perspective/conversation-robert-hirschtick-md
January 01, 2018 - You're in the team room and you hear the person next to you just flying across the keyboard. … There's a groundswell of support from what I see and hear in talking to people throughout the country … On the other hand, there is this phrase, the quick physical exam —I literally grate my teeth when I hear … If I hear something, I'm not going to believe it because the pretest probability was so low.
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psnet.ahrq.gov/periodic-issue/periodic-issue-289
April 28, 2021 - April 28, 2021 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/node/72835/psn-pdf
March 10, 2021 - surveys and into focus groups and listening sessions and try some new and different techniques to really
hear … from community members that we don't usually hear from.
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psnet.ahrq.gov/issue/working-knowledge-how-organizations-manage-what-they-know
May 24, 2016 - Book/Report
Working Knowledge: How Organizations Manage What They Know.
Citation Text:
Working Knowledge: How Organizations Manage What They Know. Davenport TH, Prusak L. Boston MA: Harvard Business School Press; 1998. ISBN: 0875846556.
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psnet.ahrq.gov/issue/growing-role-patient-safety-officer-implications-risk-managers
February 17, 2009 - Book/Report
The growing role of the Patient Safety Officer: implications for risk managers.
Citation Text:
The growing role of the Patient Safety Officer: implications for risk managers. Chicago, IL: American Society of Healthcare Risk Management; 2004.
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psnet.ahrq.gov/issue/serious-safety-events-getting-zero-second-edition
February 19, 2014 - Book/Report
Serious Safety Events: Getting to Zero. Second Edition.
Citation Text:
Serious Safety Events: Getting to Zero. Second Edition. Hoppes M, Mitchell JL. Chicago, IL: American Society for Healthcare Risk Management; October 2014.
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psnet.ahrq.gov/issue/cause-death-sloppy-doctors
January 14, 2011 - Newspaper/Magazine Article
Cause of death: sloppy doctors.
Citation Text:
Cause of death: sloppy doctors. Caplan J. Time. January 15, 2007.
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psnet.ahrq.gov/issue/improving-diagnosis-medicine-act-2020
September 10, 2009 - Legislation/Case Law
Improving Diagnosis in Medicine Act of 2020.
Citation Text:
Improving Diagnosis in Medicine Act of 2020. 116th Congress 2d session. December 10, 2020.
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psnet.ahrq.gov/issue/do-no-harm-ensuring-patient-safety-health-care-organizations
August 16, 2016 - Book/Report
To Do No Harm: Ensuring Patient Safety in Health Care Organizations.
Citation Text:
To Do No Harm: Ensuring Patient Safety in Health Care Organizations. Morath JM, Turnbull JE. San Francisco, CA: Jossey-Bass; 2005. ISBN: 9780787967703.
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