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psnet.ahrq.gov/issue/new-system-patients-report-medical-mistakes
May 16, 2008 - Newspaper/Magazine Article
New system for patients to report medical mistakes.
Citation Text:
New system for patients to report medical mistakes. Pear R.
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psnet.ahrq.gov/issue/medication-errors-and-professional-practice-registered-nurses
November 21, 2018 - Study
Medication errors and professional practice of registered nurses.
Citation Text:
Deans C. Medication errors and professional practice of registered nurses. Collegian. 2005;12(1):29-33.
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psnet.ahrq.gov/issue/learn-not-blame
November 14, 2011 - Multi-use Website
Learn Not Blame.
Citation Text:
Learn Not Blame. Doctors' Association UK.
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July 31, 2019
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psnet.ahrq.gov/issue/hcupnet
December 24, 2008 - Database/Directory
HCUPnet.
Citation Text:
HCUPnet. Agency for Healthcare Research and Quality
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December 22, …
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psnet.ahrq.gov/issue/improving-health-care
July 12, 2006 - Audiovisual Presentation
Improving Health Care.
Citation Text:
Improving Health Care. Schiff G
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November …
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psnet.ahrq.gov/issue/impact-wellbeing
April 01, 2024 - Multi-use Website
Impact Wellbeing.
Citation Text:
Impact Wellbeing. National Institute for Occupational Safety and Health. Centers for Disease Control and Prevention.
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psnet.ahrq.gov/issue/leapfrog-hospital-survey
June 21, 2023 - Database/Directory
The Leapfrog Hospital Survey.
Citation Text:
The Leapfrog Hospital Survey. Leapfrog Group.
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psnet.ahrq.gov/issue/survey-results-reveal-tubing-misconnections-are-common-and-underreported-parts-i-and-ii
December 18, 2024 - Newspaper/Magazine Article
Survey results reveal tubing misconnections are common and underreported—Parts I and II.
Citation Text:
Survey results reveal tubing misconnections are common and underreported—Parts I and II. ISMP Medication Safety Alert! Acute Care. October 31, 2024;29(22 & 2…
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psnet.ahrq.gov/node/851869/psn-pdf
July 31, 2023 - Building Capacity for Patient Safety
July 31, 2023
Hoffman R, Mossburg S, Van CM. Building Capacity for Patient Safety. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/building-capacity-patient-safety
In its 2019 report, Safer Together: A National Action Plan to Advance Patient Safety, the National Steer…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.191_slideshow.ppt
January 01, 2009 - Spotlight Case July 2008
Spotlight Case January 2009
To Transfer or Not to Transfer
Source and Credits
This presentation is based on the January 2009
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Jesse M. Pines, MD, MBA, MSCE
University o…
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psnet.ahrq.gov/node/33657/psn-pdf
September 01, 2007 - Rediscovering the Power of the Surgical M&M
Conference: The M+M Matrix
September 1, 2007
Gordon LA. Rediscovering the Power of the Surgical M&M Conference: The M+M Matrix. PSNet [internet].
2007.
https://psnet.ahrq.gov/perspective/rediscovering-power-surgical-mm-conference-mm-matrix
Perspective
There is a slumbe…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.221_slideshow.ppt
July 01, 2010 - Spotlight Case [MONTH] 2003
Spotlight Case
Weighing in on Surgical Safety
*
*
Source and Credits
This presentation is based on the July 2010
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Jay B. Brodsky, MD, Stanford University Medical Cente…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.434_slideshow.ppt
February 01, 2018 - PowerPoint Presentation
Spotlight
Signout Fallout
1
Source and Credits
This presentation is based on the February 2018
AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Amy J. Starmer, MD, MPH, and Christopher P. Landrigan, MD, MPH, Harvard M…
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psnet.ahrq.gov/primer/ambulatory-care-safety
December 15, 2024 - Ambulatory Care Safety
Citation Text:
Ambulatory Care Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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…
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psnet.ahrq.gov/node/851870/psn-pdf
July 31, 2023 - provision in that act states that every effort must be made to reduce and eliminate
medical errors by identifying
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psnet.ahrq.gov/web-mm/hidden-heparins-hit-happens
March 27, 2024 - Identifying uses of heparins that circumvent provider orders can lower the risk that a patient with HIT
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psnet.ahrq.gov/node/49534/psn-pdf
May 01, 2007 - Identifying clinically significant
preventable adverse drug events through a hospital's database of
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psnet.ahrq.gov/node/49750/psn-pdf
January 01, 2016 - The nurse manager is responsible for identifying factors that prevent staff from adhering to established
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psnet.ahrq.gov/node/33764/psn-pdf
April 01, 2014 - generalist who understands patient safety and can be in the trenches doing continuous
improvement, identifying
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psnet.ahrq.gov/node/49849/psn-pdf
January 01, 2019 - Identifying and reducing medication errors in
psychiatry: creating a culture of safety through the use