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psnet.ahrq.gov/node/36348/psn-pdf
March 09, 2009 - Reducing medical error in the Military Health System: how
can team training help?
March 9, 2009
Alonso A, Baker DP, Holtzman A, et al. Reducing medical error in the Military Health System: How can
team training help? Human Resource Management Review. 2006;16(3). doi:10.1016/j.hrmr.2006.05.006.
https://psnet.ahrq.g…
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psnet.ahrq.gov/issue/quick-tips-when-planning-surgery-0
December 18, 2008 - Fact Sheet/FAQs
Quick Tips--When Planning for Surgery.
Citation Text:
Quick Tips--When Planning for Surgery. Rockville, MD: Agency for Health Care Policy and Research; 2005. AHRQ Pub. No. 01-0040d.
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November 01, 2017 - In Conversation With… Wanda Pratt, PhD
November 1, 2017
In Conversation With… Wanda Pratt, PhD. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/conversation-wanda-pratt-phd
Editor's note: Wanda Pratt is a Professor in the Information School with an adjunct appointment in the
Division of Biomedical and …
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psnet.ahrq.gov/node/38533/psn-pdf
January 31, 2011 - Measuring preventable harm: helping science keep pace
with policy.
January 31, 2011
Pronovost P, Colantuoni E. Measuring preventable harm: helping science keep pace with policy. JAMA.
2009;301(12):1273-5. doi:10.1001/jama.2009.388.
https://psnet.ahrq.gov/issue/measuring-preventable-harm-helping-science-keep-pace…
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psnet.ahrq.gov/node/43117/psn-pdf
December 12, 2014 - Is your hospital really as safe as you think? Our updated
hospital safety score can help you find out.
December 12, 2014
Consumer Reports. March 27, 2014.
https://psnet.ahrq.gov/issue/your-hospital-really-safe-you-think-our-updated-hospital-safety-score-can-help-
you-find-out
Despite lack of consensus on the valu…
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psnet.ahrq.gov/node/35993/psn-pdf
June 07, 2006 - Video games can help cut surgical errors.
June 7, 2006
Baertlein L.
https://psnet.ahrq.gov/issue/video-games-can-help-cut-surgical-errors
This article reports on a study that found that playing video games before surgery enhanced surgical
dexterity and minimized errors.
https://psnet.ahrq.gov/issue/video-games-ca…
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psnet.ahrq.gov/node/37961/psn-pdf
May 05, 2010 - Does the Leapfrog program help identify high-quality
hospitals?
May 5, 2010
Jha AK, Orav J, Ridgway AB, et al. Does the Leapfrog program help identify high-quality hospitals? Jt
Comm J Qual Patient Saf. 2008;34(6):318-325.
https://psnet.ahrq.gov/issue/does-leapfrog-program-help-identify-high-quality-hospitals
The…
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psnet.ahrq.gov/node/33907/psn-pdf
November 21, 2016 - Ways You Can Help Your Family Prevent Medical Errors!
November 21, 2016
Agency for Healthcare Research and Quality; AHRQ.
https://psnet.ahrq.gov/issue/ways-you-can-help-your-family-prevent-medical-errors
A brief presentation of "pearls" to allow consumers to take an active role in preventing medical errors.
https:…
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psnet.ahrq.gov/node/39738/psn-pdf
June 10, 2018 - Preventing catheter/tubing misconnections: much needed
help is on the way.
June 10, 2018
ISMP Medication Safety Alert! Acute care edition! July 15, 2010;15:1-2.
https://psnet.ahrq.gov/issue/preventing-cathetertubing-misconnections-much-needed-help-way
This piece describes reports of tubing misconnections and discu…
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psnet.ahrq.gov/node/41977/psn-pdf
October 11, 2016 - Patient safety tool helps ID hospital errors.
October 11, 2016
Clark C. HealthLeaders Media. December 2012.
https://psnet.ahrq.gov/issue/patient-safety-tool-helps-id-hospital-errors
This magazine article discusses how the AHRQ common formats tool has been used to identify, track, and
report near misses in hospital…
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psnet.ahrq.gov/node/49457/psn-pdf
September 01, 2004 - Doctor, Don't Treat Thyself
September 1, 2004
Rosvold EO. Doctor, Don't Treat Thyself. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/doctor-dont-treat-thyself
The Case
A 50-year-old radiologist presented to the emergency department of the community hospital where he
worked and reported increasing shortnes…
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psnet.ahrq.gov/node/36594/psn-pdf
May 27, 2011 - Right tech dose helps medicine go down.
May 27, 2011
Patton S. CIO Magazine. July 12, 2006.
https://psnet.ahrq.gov/issue/right-tech-dose-helps-medicine-go-down
The author describes some common mistakes involving the design and launch of computerized physician
order entry (CPOE) initiatives and provides sugges…
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psnet.ahrq.gov/issue/five-medication-safety-tips-older-adults
April 23, 2012 - Fact Sheet/FAQs
Five Medication Safety Tips for Older Adults.
Citation Text:
Five Medication Safety Tips for Older Adults. FDA Consumer Health Information. Silver Spring, MD: US Food and Drug Administration; February 15, 2024.
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December 21, 2016 - Can computers help doctors reduce diagnostic errors?
December 21, 2016
Shryock T. Med Econ. December 5, 2016.
https://psnet.ahrq.gov/issue/can-computers-help-doctors-reduce-diagnostic-errors
Computerized decision support and advanced computing are being used to augment various processes in
health care, such as med…
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psnet.ahrq.gov/node/45370/psn-pdf
July 27, 2016 - Correct use of inhalers: help patients breathe easier.
July 27, 2016
ISMP Medication Safety Alert! Acute Care Edition. July 14, 2016;21:1-6.
https://psnet.ahrq.gov/issue/correct-use-inhalers-help-patients-breathe-easier
Patients and clinicians can make medication administration mistakes when new drug delivery mecha…
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psnet.ahrq.gov/node/45367/psn-pdf
September 28, 2016 - How PSOs Help Health Care Organizations Improve
Patient Safety Culture.
September 28, 2016
Rockville, MD: Agency for Healthcare Research and Quality; April 2016. AHRQ Pub. No. 16-0026-EF.
https://psnet.ahrq.gov/issue/how-psos-help-health-care-organizations-improve-patient-safety-culture
Patient safety organization…
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psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
September 16, 2015 - However, it is not clear that a simple successive check of this type would have helped in this case,
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psnet.ahrq.gov/web-mm/pains-chronic-opioid-usage
April 04, 2018 - Urine drug testing may have helped identify some of the abuses.
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psnet.ahrq.gov/node/39329/psn-pdf
September 30, 2015 - Safe Patients, Smart Hospitals: How One Doctor's
Checklist Can Help Us Change Health Care from the
Inside Out.
September 30, 2015
Pronovost P, Vohr E. New York, NY: Hudson Street Press; 2010. ISBN: 9781594630644.
https://psnet.ahrq.gov/issue/safe-patients-smart-hospitals-how-one-doctors-checklist-can-help-us-chang…
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psnet.ahrq.gov/submit-your-toolkit-landing
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PSNet encourages healthcare-related organizations to help make care safer by submitting a Patient Safety Toolkit to support the implementation of products, services, processes, systems, policies, organizational stru…