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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
Summar…
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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/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
January 01, 2023 - DEPARTMENT
A case highlighting the risks of procedural sedation in non-
surgical settings and the value of implementing … – Specifically, it a highlights the value of implementing system-wide safety protocols and
practices
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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
View more articles from the same authors.
Citation Text:
Syed SS. African Partnerships for Patient Safety: Lessons Learned. PSNet [intern…
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psnet.ahrq.gov/node/74830/psn-pdf
June 01, 2022 - internal facilitator will work with the coordinating center to identify barriers and facilitators in
implementing
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psnet.ahrq.gov/node/33586/psn-pdf
December 15, 2024 - Alert Fatigue
December 15, 2024
Alert Fatigue. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/alert-fatigue
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. Last reviewed in 2024.
Bac…
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psnet.ahrq.gov/primer/clinical-decision-support-systems
December 15, 2024 - Clinical Decision Support Systems
Citation Text:
Clinical Decision Support Systems. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
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psnet.ahrq.gov/web-mm/surprise-wire
July 15, 2020 - Implementing various safety curricula in large institutions requires attention not only to the content
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psnet.ahrq.gov/node/49820/psn-pdf
February 01, 2018 - A
common barrier to implementing transitional care in SNFs is the scarcity of clinical staff for delivering
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psnet.ahrq.gov/node/50842/psn-pdf
January 29, 2020 - Mitigating distractions in healthcare settings and implementing pre-test pauses, as operating rooms
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psnet.ahrq.gov/node/73102/psn-pdf
July 01, 2022 - Care Managers Use Software-Aided Medication Review
Protocol for Frail, Community-Dwelling Seniors, Leading
to More Appropriate Medication Use
March 31, 2021
https://psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail-
community-dwelling
Summary
Care management staff (such …
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psnet.ahrq.gov/node/867850/psn-pdf
February 26, 2025 - In Conversation with Timothy Vogus about High
Reliability Organization (HRO) Principles and Patient
Safety
February 26, 2025
Vogus T, Lee M, Mossburg SE. In Conversation with Timothy Vogus about High Reliability Organization
(HRO) Principles and Patient Safety. PSNet [internet]. 2025.
https://psnet.ahrq.gov/persp…
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psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
August 30, 2023 - In Conversation with... Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety
Patricia McGaffigan, MS, RN, CPPS; Cindy Manaoat Van, MHSA, CPPS; Sarah E. Mossburg, RN, PhD
| August 30, 2023
Also Read the Essay
View more articles from the same authors. …
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psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
August 30, 2023 - Beyond the Pandemic: Creating Total Systems Safety
Patricia McGaffigan, MS, RN, CPPS; Cindy Manaoat Van, MHSA, CPPS; Sarah E. Mossburg, RN, PhD
| August 30, 2023
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Van CM, Mossb…
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psnet.ahrq.gov/issue/patient-safety-2nd-edition
October 01, 2024 - Book/Report
Classic
Patient Safety, 2nd edition.
Citation Text:
doi:10.1002/9781444323856.
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Format:
DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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Save
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psnet.ahrq.gov/issue/bar-code-label-requirements-blood-and-blood-components
May 04, 2015 - Fact Sheet/FAQs
Bar Code Label Requirements for Blood and Blood Components.
Citation Text:
Bar Code Label Requirements for Blood and Blood Components. FDA; Food and Drug Administration; CBER; Center for Biologics Evaluation and Research.
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psnet.ahrq.gov/issue/prescription-infrastructre-are-we-ready-eprescribing
August 17, 2011 - Book/Report
The Prescription Infrastructre: Are We Ready for ePrescribing?
Citation Text:
The Prescription Infrastructre: Are We Ready for ePrescribing? Sarasohn-Kahn J, Holt M. Oakland, CA: California Healthcare Foundation; 2006. ISBN 1933795026.
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psnet.ahrq.gov/issue/zero-eliminating-unnecessary-deaths-post-pandemic-nhs
August 06, 2016 - Book/Report
Zero: Eliminating Unnecessary Deaths in a Post-pandemic NHS.
Citation Text:
Zero: Eliminating Unnecessary Deaths in a Post-pandemic NHS. Hunt J. London, UK: Swift Press; 2022. ISBN: 9781800751224.
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Pri…
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psnet.ahrq.gov/issue/icn-position-statement-patient-safety
March 09, 2022 - Organizational Policy/Guidelines
ICN Position Statement: Patient Safety.
Citation Text:
ICN Position Statement: Patient Safety. Geneva, Switzerland; International Council of Nurses: 2023.
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psnet.ahrq.gov/issue/ahrq-projects-prevent-healthcare-associated-infections-fiscal-year-2011
May 07, 2014 - Fact Sheet/FAQs
AHRQ Projects to Prevent Healthcare-Associated Infections, Fiscal Year 2011.
Citation Text:
AHRQ Projects to Prevent Healthcare-Associated Infections, Fiscal Year 2011. Rockville, MD: Agency for Healthcare Research and Quality; October 2011. AHRQ Publication No. 09-P0…