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psnet.ahrq.gov/node/866109/psn-pdf
June 12, 2024 - Grading recommendations for enhanced patient safety in
sentinel event analysis: the recommendation
improvement matrix.
June 12, 2024
Bos K, van der Laan MJ, Groeneweg J, et al. Grading recommendations for enhanced patient safety in
sentinel event analysis: the recommendation improvement matrix. BMJ Open Qual. 2024…
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psnet.ahrq.gov/node/853236/psn-pdf
September 06, 2023 - Video review of simulated pediatric cardiac arrest to
identify errors/latent safety threats: a mixed methods
study.
September 6, 2023
Garcia-Jorda D, Nikitovic D, Gilfoyle E. Video review of simulated pediatric cardiac arrest to identify
errors/latent safety threats: a mixed methods study. Simul Healthc. 2023;18(4…
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psnet.ahrq.gov/node/851923/psn-pdf
August 02, 2023 - Patient, carer and family experiences of seeking redress
and reconciliation following a life-changing event:
systematic review of qualitative evidence.
August 2, 2023
Shaw L, Lawal HM, Briscoe S, et al. Patient, carer and family experiences of seeking redress and
reconciliation following a life?changing event: sys…
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psnet.ahrq.gov/node/851458/psn-pdf
July 19, 2023 - Improving handoffs in the perioperative environment: a
conceptual framework of key theories, system factors,
methods, and core interventions to ensure success.
July 19, 2023
Starmer AJ, Michael MM, Spector ND, et al. Improving handoffs in the perioperative environment: a
conceptual framework of key theories, syste…
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psnet.ahrq.gov/node/851189/psn-pdf
July 05, 2023 - So many ways to be wrong: completeness and accuracy
in a prospective study of OR-to-ICU handoff
standardization.
July 5, 2023
Conn Busch J, Wu J, Anglade E, et al. So many ways to be wrong: completeness and accuracy in a
prospective study of OR-to-ICU handoff standardization. Jt Comm J Qual Patient Saf. 2023;49(8)…
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psnet.ahrq.gov/node/60541/psn-pdf
May 01, 2013 - Targeted versus universal decolonization to prevent ICU
infection.
May 1, 2013
Huang SS, Septimus E, Kleinman K, et al. Targeted versus universal decolonization to prevent ICU
infection. N Engl J Med. 2013;368(24):2255-2265. doi:10.1056/nejmoa1207290.
https://psnet.ahrq.gov/issue/targeted-versus-universal-decoloni…
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psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
August 01, 2009 - , situational awareness and contingency plans (S), and synthesis by receiver (S). 21 In this case, implementing
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psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
April 01, 2018 - Patient Safety During Hospital Discharge
Katherine Liang and Eric Alper, MD | April 1, 2018
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Liang K, Alper E. Patient Safety During Hospital Discharge. PSNet [internet]. Rockville…
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psnet.ahrq.gov/perspective/conversation-withvineet-arora-md-ma
March 01, 2011 - In Conversation with…Vineet Arora, MD, MA
March 1, 2011
Also Read an Essay
Citation Text:
In Conversation with…Vineet Arora, MD, MA . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. …
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psnet.ahrq.gov/print/pdf/node/867659
July 10, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Rapid Response Systems
Curated Library
Primers
Rapid Response Systems
UC Davis PSNet Editorial Team | September, 15 2024
Rapid response teams represent an intuitively simple concept: when a patient demonstrates signs of
imminent clinical de…
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psnet.ahrq.gov/perspective/response-getting-root-matter-june-2005
June 01, 2005 - In response to “Getting to the Root of the Matter” (June 2005)
September 1, 2005
View more articles from the same authors.
Citation Text:
Grondin L, Saint S, Flanders S, et al. In response to “Getting to the Root of the Matter” (June 2005). PSNet [internet]. Rockv…
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psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage
August 21, 2024 - They also serve as a valuable rallying point to create a culture of safety on maternity units by implementing
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.260_slideshow.ppt
February 01, 2012 - Spotlight Case July 2008
Spotlight Case
E-prescribing: E for Error?
1
2
Source and Credits
This presentation is based on the February 2012
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Elisa W. Ashton, PharmD, Assistant Clinical Professor, Departm…
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psnet.ahrq.gov/node/33868/psn-pdf
October 01, 2018 - Safety in the Retail Pharmacy
October 1, 2018
Chui MA. Safety in the Retail Pharmacy. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/safety-retail-pharmacy
Perspective
There are approximately 67,000 retail/community pharmacies dispensing 4.4 billion prescriptions each
year.(1) Many patients interact w…
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psnet.ahrq.gov/node/49839/psn-pdf
August 01, 2018 - Mixup Beyond the Medication Label
August 1, 2018
Pervanas H, VanValkenburgh D. Mixup Beyond the Medication Label. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/mixup-beyond-medication-label
The Case
An 80-year-old man was admitted to a hospital for recurrent hypoglycemia. He had been seen at another
hospi…
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psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-summary
February 26, 2025 - Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary
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February 26, 2025
Innovation
Contact
…
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psnet.ahrq.gov/node/867845/psn-pdf
February 26, 2025 - Combined Proactive Risk Assessment (CPRA) – 4-Step
Technique Innovation Summary
February 26, 2025
https://psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-
summary
Summary
This innovation describes the Veteran Health Administration (VHA) National Center for Patient Saf…
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psnet.ahrq.gov/perspective/conversation-libby-hoy-and-stephen-hoy
March 10, 2021 - In Conversation With... Libby Hoy and Stephen Hoy
March 10, 2021
Also Read the Essay
Citation Text:
In Conversation With.. Libby Hoy and Stephen Hoy. PSNet [internet]. 2021.In Conversation With... Libby Hoy and Stephen Hoy. PSNet [internet]. Rockville (MD): Agenc…
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psnet.ahrq.gov/perspective/conversation-edwin-boudreaux-about-suicide-prevention
March 25, 2025 - These systemic issues can result in inconsistent application of screening protocols and delays in implementing
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psnet.ahrq.gov/perspective/suicide-prevention
March 24, 2025 - These systemic issues can result in inconsistent application of screening protocols and delays in implementing