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psnet.ahrq.gov/issue/medical-errors-overcoming-challenges
September 29, 2017 - Commentary
Medical errors: overcoming the challenges.
Citation Text:
Kalra J. Medical errors: overcoming the challenges. Clin Biochem. 2004;37(12):1063-71.
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psnet.ahrq.gov/issue/ahrq-2010-annual-conference
December 24, 2008 - Government Resource
AHRQ 2010 Annual Conference.
Citation Text:
AHRQ 2010 Annual Conference. Agency for Healthcare Research and Quality; AHRQ.
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psnet.ahrq.gov/issue/nursing-care-quality-nqf
September 06, 2011 - Multi-use Website
Nursing Care Quality at NQF.
Citation Text:
Nursing Care Quality at NQF. National Quality Forum
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psnet.ahrq.gov/issue/hospitals-try-break-deadly-code
August 24, 2016 - Newspaper/Magazine Article
Hospitals try to break a deadly 'code.'
Citation Text:
Hospitals try to break a deadly 'code.' Kowalczyk L.
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psnet.ahrq.gov/issue/hospitals-leery-reporting-serious-errors
August 11, 2010 - Newspaper/Magazine Article
Hospitals leery of reporting serious errors.
Citation Text:
Hospitals leery of reporting serious errors. Bernhard B; Kohler J.
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psnet.ahrq.gov/issue/amia-annual-symposium-proceedings-2011
March 06, 2024 - Meeting/Conference Proceedings
AMIA Annual Symposium Proceedings: 2011.
Citation Text:
AMIA Annual Symposium Proceedings: 2011. AMIA Annu Symp Proc. 2011;19-1667.
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psnet.ahrq.gov/issue/center-excellence-improving-diagnosis
April 30, 2024 - Multi-use Website
Center of Excellence for Improving Diagnosis.
Citation Text:
Center of Excellence for Improving Diagnosis. Patient Safety Authority.
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psnet.ahrq.gov/issue/safety-and-human-performance-operating-room-and-other-extreme-environments
December 02, 2020 - Special or Theme Issue
Safety and Human Performance in the Operating Room and Other Extreme Environments.
Citation Text:
Safety and Human Performance in the Operating Room and Other Extreme Environments. Ruskin KJ, ed. Int Anesthesiol Clin. 2024;62(2):1-65.
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psnet.ahrq.gov/issue/patient-safety-20
July 01, 2018 - Special or Theme Issue
Patient Safety.
Citation Text:
Patient Safety. Levett-Jones T, ed. Clin Sim Nurs. 2020;44(1):1-78; 2020;45(1):1-60.
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psnet.ahrq.gov/issue/what-safety-science
January 22, 2022 - Commentary
What is safety science?
Citation Text:
Aven T. What is safety science? Safety Sci. 2014;67:15-20. doi:10.1016/j.ssci.2013.07.026.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.293_slideshow.ppt
March 01, 2013 - Spotlight Case July 2008
Spotlight Case
A Weighty Mistake
*
*
Source and Credits
This presentation is based on the March 2013
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Seth J. Bokser, MD, MPH, Associate Professor of Pediatrics & Medical…
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psnet.ahrq.gov/node/33798/psn-pdf
January 01, 2015 - Accountability in Patient Safety
January 1, 2015
Moriates C, Wachter R. Accountability in Patient Safety. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/accountability-patient-safety
Annual Perspective 2015
The tension between the no-blame culture espoused in the early years of the safety movement and …
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psnet.ahrq.gov/primer/falls
October 27, 2021 - Falls
Citation Text:
Falls. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/node/50858/psn-pdf
January 31, 2020 - Artificial Intelligence and Diagnostic Errors
January 31, 2020
Hall KK, Fitall E. Artificial Intelligence and Diagnostic Errors. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/artificial-intelligence-and-diagnostic-errors
Definition of Artificial Intelligence
The definition of artificial intelligence (…
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psnet.ahrq.gov/node/49778/psn-pdf
December 01, 2016 - One Dose, Two Errors
December 1, 2016
Filice GA. One Dose, Two Errors. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/one-dose-two-errors
The Case
A 65-year-old woman was admitted to the intensive care unit (ICU) with severe sepsis and respiratory
failure secondary to community-acquired pneumonia. The pati…
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psnet.ahrq.gov/node/49653/psn-pdf
May 01, 2012 - The Forgotten Line
May 1, 2012
Render ML. The Forgotten Line. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/forgotten-line
The Case
An 81-year-old man with a history of coronary artery disease, hypertension, cerebrovascular accidents, and
chronic kidney disease was transferred to a referral hospital for p…
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psnet.ahrq.gov/node/49809/psn-pdf
October 01, 2017 - Hyperbilirubinemia Refractory to Phototherapy
October 1, 2017
Bhutani VK, Wong RJ. Hyperbilirubinemia Refractory to Phototherapy. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/hyperbilirubinemia-refractory-phototherapy
The Case
A 1-day-old full-term infant was noted to have elevated total serum bilirubin (…
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psnet.ahrq.gov/web-mm/triage-time-bomb
September 01, 2008 - Triage Time Bomb
Citation Text:
Washington DL. Triage Time Bomb. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
June 16, 2021 - Adverse Event During Intrahospital Transport
Citation Text:
Bergman L, Chaboyer W. Adverse Event During Intrahospital Transport. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/web-mm/reconciling-records
September 01, 2017 - Reconciling Records
Citation Text:
Singh H, Sittig DF, Layden M. Reconciling Records. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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