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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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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/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
January 23, 2017 - Specifically, it a highlights the value of implementing system-wide safety protocols and practices to
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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/medication-reconciliation-hospitalists
February 18, 2011 - Toolkit
Medication Reconciliation for Hospitalists.
Citation Text:
Medication Reconciliation for Hospitalists. Society of Hospital Medicine.
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psnet.ahrq.gov/node/42063/psn-pdf
January 06, 2018 - Making Health Care Safer II: An Updated Critical Analysis
of the Evidence for Patient Safety Practices.
January 6, 2018
Shekelle PG, Wachter RM, Pronovost PJ, et al. Making Health Care Safer Ii: An Updated Critical Analysis
Of The Evidence For Patient Safety Practices.; 2013:Evid Rep Technol Assess (Full Rep).(211)…
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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/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/node/73873/psn-pdf
September 29, 2021 - There is an app for that: mobile technology improves
complication reporting and resident perception of their
role in patient safety
September 29, 2021
Johnson CR, Noorzad A, Pujari A, et al. There is an app for that: mobile technology improves complication
reporting and resident perception of their role in patient…
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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/safer-healthcare-now
May 22, 2019 - Multi-use Website
Safer Healthcare Now!
Citation Text:
Safer Healthcare Now! Canadian Patient Safety Institute.
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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.
Citation Text:
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.
Citation Text:
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.
Citation Text:
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/ismp-medication-safety-self-assessment-hospitals
April 17, 2024 - Measurement Tool/Indicator
ISMP Medication Safety Self Assessment for Hospitals.
Citation Text:
ISMP Medication Safety Self Assessment for Hospitals. Horsham, PA: Institute for Safe Medication Practices; April 2011.
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psnet.ahrq.gov/issue/collaborative-accountability-and-improvement
August 14, 2018 - Multi-use Website
Collaborative for Accountability and Improvement.
Citation Text:
Collaborative for Accountability and Improvement. University of Washington.
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psnet.ahrq.gov/node/33640/psn-pdf
September 01, 2006 - What Can the Rest of the Health Care System Learn from
the VA's Quality and Safety Transformation?
September 1, 2006
Jha AK. What Can the Rest of the Health Care System Learn from the VA's Quality and Safety
Transformation? PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system…
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psnet.ahrq.gov/innovation/critical-radiology-alert-process
November 16, 2022 - Critical Radiology Alert Process
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October 30, 2024
View more articles from the same authors.
Innovation
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February 26, 2025 - Learning Health Systems for Patient Safety
February 26, 2025
Savitz LA, Sousane Z, Mossburg SE. Learning Health Systems for Patient Safety. PSNet [internet]. 2025.
https://psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
Despite an observable decrease in adverse events in health care over time, rat…