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psnet.ahrq.gov/issue/health-care-associated-infections-0
October 04, 2017 - Special or Theme Issue
Health Care-Associated Infections
Citation Text:
Health Care-Associated Infections APSF Newsletter. October 2019;34:29-56.
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psnet.ahrq.gov/issue/global-knowledge-sharing-platform-patient-safety
July 14, 2021 - Multi-use Website
Global Knowledge Sharing Platform for Patient Safety.
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Global Knowledge Sharing Platform for Patient Safety. World Health Organization.
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psnet.ahrq.gov/issue/ismp-list-error-prone-abbreviations-symbols-and-dose-designations
January 14, 2024 - Fact Sheet/FAQs
ISMP List of Error-Prone Abbreviations, Symbols, and Dose Designations.
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ISMP List of Error-Prone Abbreviations, Symbols, and Dose Designations. Horsham, PA; Institute for Safe Medication Practices; April 17, 2024.
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psnet.ahrq.gov/issue/preventing-errors-relating-commonly-used-anticoagulants
June 16, 2019 - Sentinel Event Alerts
Preventing errors relating to commonly used anticoagulants.
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Preventing errors relating to commonly used anticoagulants. Sentinel Event Alert. 2008;41(41):1-4.
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psnet.ahrq.gov/issue/diagnostic-excellence-0
December 08, 2021 - Special or Theme Issue
Diagnostic Excellence.
Citation Text:
Diagnostic Excellence. JAMA. Nov 2021-Sep 2022.
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psnet.ahrq.gov/issue/safety-0
March 07, 2018 - Multi-use Website
Safety.
Citation Text:
Safety. Center for Health Design.
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June 15, 2016
Center for Heal…
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psnet.ahrq.gov/issue/balancing-doctor-egos-and-errors
December 04, 2019 - Newspaper/Magazine Article
Balancing doctor egos and errors.
Citation Text:
Balancing doctor egos and errors. Sweeney JF. Medical Economics. November 10, 2016.
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psnet.ahrq.gov/issue/improving-patient-safety-through-simulation-research-funded-projects
December 24, 2008 - Government Resource
Improving Patient Safety Through Simulation Research: Funded Projects.
Citation Text:
Improving Patient Safety Through Simulation Research: Funded Projects. Agency for Healthcare Quality and Research; AHRQ.
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psnet.ahrq.gov/issue/safer-healthcare-now
May 22, 2019 - Multi-use Website
Safer Healthcare Now!
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Safer Healthcare Now! Canadian Patient Safety Institute.
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psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
August 21, 2016 - Annual Perspective
Rethinking Root Cause Analysis
Kiran Gupta, MD, MPH, and Audrey Lyndon, PhD | January 1, 2016
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Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. Rockville (MD): Age…
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psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
October 23, 2013 - Building a Safety Program Using Principles of Resilience Engineering
Sudeep Hegde, PhD; Ann M. Bisantz, PhD; and Rollin J. Fairbanks, MD, MS | June 1, 2019
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Hegde S, Fairbanks RJ, Bisantz A. Building a Safety…
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psnet.ahrq.gov/node/852700/psn-pdf
August 30, 2023 - In Conversation with... Patricia McGaffigan about Beyond
the Pandemic: Creating Total Systems Safety
August 30, 2023
McGaffigan P, Van CM, Mossburg S. In Conversation with.. Patricia McGaffigan about Beyond the
Pandemic: Creating Total Systems Safety . PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/con…
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psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow
July 31, 2023 - Critical Echocardiogram Result Lost to Follow-up
Citation Text:
Boctor N, Molla M. Critical Echocardiogram Result Lost to Follow-up.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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psnet.ahrq.gov/node/49660/psn-pdf
August 01, 2012 - capabilities of an ideal laboratory results
management systems are shown in the Table.(16,17)
Additionally, implementing
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psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
May 19, 2021 - Hyperglycemia and Switching to Subcutaneous Insulin
Citation Text:
Wetterneck TB. Hyperglycemia and Switching to Subcutaneous Insulin. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/node/72811/psn-pdf
September 01, 2022 - Algorithm-Based Decision Support System Guides
Trauma Staff During Initial Treatment, Leading to Fewer
Medical Errors
Originally published on March 3, 2021
Last updated on March 16, 2021
https://psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-
initial-treatment
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psnet.ahrq.gov/node/49699/psn-pdf
February 01, 2014 - Multifactorial Medication Mishap
February 1, 2014
Yang A. Multifactorial Medication Mishap. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
Case Objectives
Understand the system-based causes of medication errors.
Describe a model for a systems approach to error analysis.
Id…
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psnet.ahrq.gov/perspective/annual-perspective-topics-medication-safety
April 27, 2022 - In reality, though, there are several known barriers to implementing a deprescribing process.
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psnet.ahrq.gov/node/849661/psn-pdf
June 28, 2023 - include pertinent medications may provide additional benefit, as it would allow the teams to practice
implementing
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psnet.ahrq.gov/perspective/african-partnerships-patient-safety-lessons-learned
December 01, 2014 - African Partnerships for Patient Safety: Lessons Learned
Shams B. Syed, MD, MPH | December 1, 2014
Also Read a Conversation
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Citation Text:
Syed SS. African Partnerships for Patient Safety: Lessons Learned. PSNet [intern…