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psnet.ahrq.gov/node/33607/psn-pdf
September 27, 2022 - Burnout
September 27, 2022
Yellowlees P, Rea M. Burnout. PSNet [internet]. 2022.
https://psnet.ahrq.gov/primer/burnout
Originally published in December 2011 by researchers at the University of California, San Francisco.
Updated in September 2022 by Peter Yellowlees, MD and Margaret Rea, PhD. PSNet primers are regu…
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psnet.ahrq.gov/node/862983/psn-pdf
February 28, 2024 - Airway Obstruction during Anterior Cervical Spine
Surgery
February 28, 2024
Bohringer C, Vo L. Airway Obstruction during Anterior Cervical Spine Surgery. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/airway-obstruction-during-anterior-cervical-spine-surgery
The Case
A 47-year-old obese man (body weight 13…
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psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
May 31, 2023 - Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors
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March 3, 2021
Innovation…
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psnet.ahrq.gov/node/837324/psn-pdf
July 08, 2022 - like CMQCC’s vaginal birth initiative, CMQCC leaders say that it is important to
start with clearly identifying
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psnet.ahrq.gov/issue/wrong-site-surgery-critical-incident-analysis-near-miss
June 15, 2024 - Commentary
Wrong site surgery: a critical incident analysis of a near miss.
Citation Text:
Tichanow S. Wrong site surgery: A critical incident analysis of a near miss. J Perioper Pract. 2016;26(1-2):11-5.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML End…
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psnet.ahrq.gov/issue/sentinel-event-alert-67-preserving-patient-safety-after-cyberattack
March 13, 2024 - Sentinel Event Alerts
Sentinel Event Alert 67: Preserving Patient Safety After a Cyberattack.
Citation Text:
Sentinel Event Alert 67: Preserving Patient Safety After a Cyberattack. Jt Comm J Qual Patient Saf. 2023;49(12):724-729. doi:10.1016/j.jcjq.2023.07.006.
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Format…
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psnet.ahrq.gov/node/840173/psn-pdf
November 16, 2022 - Catching those who fall through the cracks: integrating a
follow-up process for emergency department patients
with incidental radiologic findings.
November 16, 2022
Barrett TW, Garland NM, Freeman CL, et al. Ann Emerg Med. 2022;80(3):235-242.
https://psnet.ahrq.gov/innovation/catching-those-who-fall-thr…
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psnet.ahrq.gov/issue/opioid-overdose
April 06, 2022 - Government Resource
Opioid Overdose.
Citation Text:
Opioid Overdose. Centers for Disease Control and Prevention.
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…
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psnet.ahrq.gov/node/40165/psn-pdf
December 29, 2014 - Self-reported medical, medication and laboratory error in
eight countries: risk factors for chronically ill adults.
December 29, 2014
Scobie A. Self-reported medical, medication and laboratory error in eight countries: risk factors for
chronically ill adults. Int J Qual Health Care. 2011;23(2):182-6. doi:10.1093/in…
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psnet.ahrq.gov/issue/patient-safety-13
November 26, 2018 - Special or Theme Issue
Patient Safety.
Citation Text:
Patient Safety. Todd DW, Bennett JD, eds. Oral Maxillofac Surg Clin North Am. 2017;29:121-244.
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psnet.ahrq.gov/issue/hospital-infections-hard-gauge
July 20, 2011 - Newspaper/Magazine Article
Hospital infections hard to gauge.
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April 28, 2010
View more articles from the same authors.
This ne…
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psnet.ahrq.gov/node/45600/psn-pdf
September 01, 2018 - Using harm-based weights for the AHRQ Patient Safety
for Selected Indicators composite (PSI-90): does it affect
assessment of hospital performance and financial
penalties in Veterans Health Administration hospitals?
September 1, 2018
Chen Q, Rosen AK, Borzecki A, et al. Using Harm-Based Weights for the AHRQ Patien…
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psnet.ahrq.gov/issue/data-docs
March 02, 2016 - Newspaper/Magazine Article
Data docs.
Citation Text:
Data docs. Wherry R.
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November 4, 2015
Wherry R.
…
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psnet.ahrq.gov/issue/national-healthcare-safety-network-0
April 06, 2022 - Multi-use Website
National Healthcare Safety Network.
Citation Text:
National Healthcare Safety Network. Centers for Disease Control and Prevention.
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psnet.ahrq.gov/issue/2024-network-patient-safety-databases-chartbook-medication-and-other-substance-events
September 11, 2024 - Book/Report
2024 Network of Patient Safety Databases Chartbook: Medication and Other Substance Events.
Citation Text:
2024 Network Of Patient Safety Databases Chartbook: Medication And Other Substance Events. Rockville, MD: Agency for Healthcare Research and Quality; 2024. AHRQ Pub. No. …
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psnet.ahrq.gov/innovation/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads-improved-outcomes
July 23, 2024 - Identifying specific champions can help to encourage provider buy-in and participation.
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psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication
December 23, 2020 - basics, like utilizing the systematic approach of the eight rights of medication administration, 5 i.e. identifying
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psnet.ahrq.gov/primer/maternal-safety
January 10, 2024 - complementary data to MMRC data from other population-based sources that may provide further information for identifying
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.2_slideshow.ppt
February 01, 2003 - PowerPoint Presentation
Spotlight Case February 2003
Apnea in a Patient Under General Anesthesia
webmm.ahrq.gov
Source and Credits
This presentation is based on February 2003 Surgery–Anesthesia Spotlight Case
See full case–commentary on webmm.ahrq.gov
CME credit is available online
Commentary by: Paul Barach,…
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psnet.ahrq.gov/node/33574/psn-pdf
March 15, 2025 - Ambulatory Care Safety
March 15, 2025
Ambulatory Care Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/ambulatory-care-safety
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Las…