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psnet.ahrq.gov/issue/advancing-maternal-health-equity-and-reducing-maternal-mortality-workshop
May 19, 2021 - Meeting/Conference Proceedings
Advancing Maternal Health Equity and Reducing Maternal Mortality Workshop.
Citation Text:
Advancing Maternal Health Equity and Reducing Maternal Mortality Workshop. National Academies of Sciences, Engineering, and Medicine. June 7-8, 2021.
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psnet.ahrq.gov/issue/how-insight-contributes-diagnostic-excellence
June 08, 2022 - Commentary
How insight contributes to diagnostic excellence.
Citation Text:
Shimizu T, Graber ML. How insight contributes to diagnostic excellence. Diagnosis (Berl). 2022;9(3):311-315. doi:10.1515/dx-2022-0007.
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psnet.ahrq.gov/issue/economic-analysis-medical-malpractice-liability-and-its-reform
January 31, 2018 - Book/Report
Economic Analysis of Medical Malpractice Liability and Its Reform.
Citation Text:
Economic Analysis of Medical Malpractice Liability and Its Reform. Arlen J. New York, NY: New York University School of Law; May 9, 2013. Public Law Research Paper No. 13-25.
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psnet.ahrq.gov/issue/patient-safety-organizations-new-paradigm-quality-management-and-communication-systems
March 10, 2021 - Commentary
Patient Safety Organizations: a new paradigm in quality management and communication systems in healthcare.
Citation Text:
Dotan DB. Patient safety organizations. J Clin Engineer. 2013;34(3):142-146. doi:10.1097/jce.0b013e3181aae4b2.
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psnet.ahrq.gov/issue/blind-obedience-and-unnecessary-workup-hypoglycemia-teachable-moment
March 14, 2022 - Commentary
Blind obedience and an unnecessary workup for hypoglycemia: a teachable moment.
Citation Text:
Wang EY, Patrick L, Connor DM. Blind Obedience and an Unnecessary Workup for Hypoglycemia: A Teachable Moment. JAMA Intern Med. 2018;178(2):279-280. doi:10.1001/jamainternmed.2017.71…
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psnet.ahrq.gov/innovation/system-approaches-social-determinants-health-screening-and-intervention-innovation
July 23, 2024 - System Approaches to Social Determinants of Health Screening and Intervention Innovation Summary
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September 23, 2024
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psnet.ahrq.gov/primers-0
March 15, 2025 - Primers
Guides for key topics in patient safety through context, epidemiology, and relevant AHRQ PSNet content. The Patient Safety 101 Primer provides an overview of the patient safety field and covers key definitions and concepts.
Latest Primers
Clinical Decision Support Systems
March…
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psnet.ahrq.gov/node/836877/psn-pdf
May 16, 2022 - In Conversation With... Remle P. Crowe, PhD
May 16, 2022
In Conversation With.. Remle P. Crowe, PhD . PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/conversation-remle-p-crowe-phd
Editor’s Note: Remle Crowe, PhD, NREMT, is the Director of Clinical and Operational Research at ESO.
In her professional ro…
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psnet.ahrq.gov/perspective/adverse-events-dentistry
December 22, 2020 - Adverse Events in Dentistry
December 22, 2020
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Kalenderian E, Walji MF, Fitall E, et al. Adverse Events in Dentistry. PSNet [internet]. Rockville (MD): Agency for Healthcare Rese…
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psnet.ahrq.gov/node/45527/psn-pdf
January 23, 2017 - Do work condition interventions affect quality and errors
in primary care? Results from the Healthy Work Place
Study.
January 23, 2017
Linzer M, Poplau S, Brown RL, et al. Do Work Condition Interventions Affect Quality and Errors in Primary
Care? Results from the Healthy Work Place Study. J Gen Intern Med. 2017;32…
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psnet.ahrq.gov/issue/pressing-better-quality-across-healthcare
July 14, 2010 - Newspaper/Magazine Article
Pressing for better quality across healthcare.
Citation Text:
Pressing for better quality across healthcare. Levey NN.
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psnet.ahrq.gov/node/46405/psn-pdf
October 13, 2018 - Children's hospitals' solutions for patient safety
collaborative impact on hospital-acquired harm.
October 13, 2018
Lyren A, Brilli RJ, Zieker K, et al. Children's Hospitals' Solutions for Patient Safety Collaborative Impact on
Hospital-Acquired Harm. Pediatrics. 2017;140(3). doi:10.1542/peds.2016-3494.
https://ps…
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psnet.ahrq.gov/issue/jcahos-safety-goals-clock-ticking-will-your-ed-be-compliant
April 10, 2019 - Commentary
JCAHO's safety goals—the clock is ticking, will your ED be compliant?
Citation Text:
JCAHO's safety goals--the clock is ticking, will your ED be compliant? ED Manag. 2005;17(7):73-5.
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psnet.ahrq.gov/node/50715/psn-pdf
December 04, 2019 - Quality and Safety of Healthcare in Switzerland.
December 4, 2019
Vincent C, Staines A. Bern, Switzerland: Federal Department of Home Affairs, Federal Office of Public
Health; 2019.
https://psnet.ahrq.gov/issue/quality-and-safety-healthcare-switzerland
Patient safety is a goal for countries worldwide. This report …
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psnet.ahrq.gov/node/44720/psn-pdf
December 16, 2015 - The persistent problem of diagnostic error.
December 16, 2015
Lundberg GD. Medscape. December 1, 2015.
https://psnet.ahrq.gov/issue/persistent-problem-diagnostic-error
Spotlighting the author's experience with autopsies to provide context regarding diagnostic errors as a
patient safety problem, this commentary out…
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psnet.ahrq.gov/node/847542/psn-pdf
April 12, 2023 - Imagining the future of diagnostic performance feedback.
April 12, 2023
Rosner BI, Zwaan L, Olson APJ. Imagining the future of diagnostic performance feedback. Diagnosis
(Berl). 2023;10(1):31-37. doi:10.1515/dx-2022-0055.
https://psnet.ahrq.gov/issue/imagining-future-diagnostic-performance-feedback
Peer feedback i…
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psnet.ahrq.gov/node/60193/psn-pdf
July 01, 2022 - Improving Diagnosis and Treatment of Maternal Sepsis.
April 1, 2020
Stanford, CA; California Maternal Quality Care Collaborative: July 1, 2022.
https://psnet.ahrq.gov/issue/improving-diagnosis-and-treatment-maternal-sepsis
This toolkit focuses on identification of, and rapid response to, sepsis in obstetric p…
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psnet.ahrq.gov/node/36446/psn-pdf
March 28, 2011 - Healthcare provider complaints to the emergency
department: a preliminary report on a new quality
improvement instrument.
March 28, 2011
Griffey RT, Bohan JS. Healthcare provider complaints to the emergency department: a preliminary report
on a new quality improvement instrument. Qual Saf Health Care. 2006;15(5):3…
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psnet.ahrq.gov/node/846765/psn-pdf
March 29, 2023 - Addressing Medical Gaslighting to Improve Maternal
Health—Together.
March 29, 2023
Oregon Patient Safety Commission: 2023.
https://psnet.ahrq.gov/issue/addressing-medical-gaslighting-improve-maternal-health-together
Gaslighting has been identified as a contributor to maternal mortality and morbidity. This toolkit …
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psnet.ahrq.gov/node/38701/psn-pdf
June 28, 2011 - Selection of indicators for continuous monitoring of
patient safety: recommendations of the project 'safety
improvement for patients in Europe.'
June 28, 2011
Kristensen S, Mainz J, Bartels P. Selection of indicators for continuous monitoring of patient safety:
recommendations of the project 'safety improvement f…