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psnet.ahrq.gov/issue/improving-healthcare-systems-disclosures-large-scale-adverse-events-department-veterans
August 18, 2021 - Study
Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs leadership, policymaker, research and stakeholder partnership.
Citation Text:
Elwy R, Bokhour BG, Maguire EM, et al. Improving healthcare systems' disclosures of large-scale ad…
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psnet.ahrq.gov/issue/what-us-hospitals-are-currently-doing-prevent-common-device-associated-infections-results
June 21, 2023 - Study
What US hospitals are currently doing to prevent common device-associated infections: results from a national survey.
Citation Text:
Saint S, Greene MT, Fowler KE, et al. What US hospitals are currently doing to prevent common device-associated infections: results from a national s…
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psnet.ahrq.gov/issue/evaluating-safety-mental-health-related-prescribing-uk-primary-care-cross-sectional-study
August 14, 2019 - Study
Evaluating the safety of mental health-related prescribing in UK primary care: a cross-sectional study using the Clinical Practice Research Datalink (CPRD).
Citation Text:
Khawagi WY, Steinke DT, Carr MJ, et al. Evaluating the safety of mental health-related prescribing in UK prima…
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psnet.ahrq.gov/node/39465/psn-pdf
May 08, 2018 - Latest heparin fatality speaks loudly—what have you
done to stop the bleeding?
May 8, 2018
ISMP Medication Safety Alert! Acute Care Edition. April 8, 2010;15:1-3.
https://psnet.ahrq.gov/issue/latest-heparin-fatality-speaks-loudly-what-have-you-done-stop-bleeding
Detailing a recent lethal overdose of heparin, this …
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psnet.ahrq.gov/node/47472/psn-pdf
October 24, 2018 - Patient Safety Certificate Course.
October 24, 2018
American Board of Quality Assurance and Utilization Review Physicians; ABQAURP.
https://psnet.ahrq.gov/issue/patient-safety-certificate-course
This online course offers three modules designed to build awareness of key patient safety topics, including
how to ident…
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psnet.ahrq.gov/node/47977/psn-pdf
August 14, 2019 - Reducing Diagnostic Error: Measurement Considerations.
August 14, 2019
National Quality Forum
https://psnet.ahrq.gov/issue/reducing-diagnostic-error-measurement-considerations
This website tracks the progress of a project focused on the development and review of measures to
enhance viability, reporting, accountabi…
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psnet.ahrq.gov/node/38677/psn-pdf
August 18, 2010 - Impact of a computerized physician order-entry system.
August 18, 2010
Stone WM, Smith BE, Shaft JD, et al. Impact of a computerized physician order-entry system. J Am Coll
Surg. 2009;208(5):960-7; discussion 967-9. doi:10.1016/j.jamcollsurg.2009.01.042.
https://psnet.ahrq.gov/issue/impact-computerized-physician-or…
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psnet.ahrq.gov/node/39288/psn-pdf
February 10, 2010 - Patient Safety Act.
February 10, 2010
Washington, DC: United States Government Accountability Office; January 28, 2010. Publication GAO-10-
281.
https://psnet.ahrq.gov/issue/patient-safety-act
This report describes progress in implementing the Patient Safety and Quality Improvement Act. The
document details devel…
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psnet.ahrq.gov/node/50787/psn-pdf
January 08, 2020 - Q3 Health Innovation Partners.
January 8, 2020
New Jersey Hospital Association, the Ohio Hospital Association and The Hospital and Healthsystem
Association of Pennsylvania.
https://psnet.ahrq.gov/issue/q3-health-innovation-partners
Local efforts that draw from the experience of its leaders serve an important role …
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psnet.ahrq.gov/node/72788/psn-pdf
February 24, 2021 - Harmed Patient Alliance.
February 24, 2021
United Kingdom.
https://psnet.ahrq.gov/issue/harmed-patient-alliance
Patients and families that experience medical harm have unique support needs. This organization works to
improve health system and clinician response to harmed patients. Their efforts aim to create a dee…
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psnet.ahrq.gov/node/42523/psn-pdf
October 08, 2013 - Patient safety in clinical research articles.
October 8, 2013
Vintzileos AM, Finamore PS, Sicuranza GB, et al. Patient safety in clinical research articles. Int J Gynaecol
Obstet. 2013;123(2):93-5. doi:10.1016/j.ijgo.2013.05.006.
https://psnet.ahrq.gov/issue/patient-safety-clinical-research-articles
This commentar…
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psnet.ahrq.gov/node/42394/psn-pdf
July 10, 2013 - In situ simulation: identification of systems issues.
July 10, 2013
Guise J-M, Mladenovic J. In situ simulation: Identification of systems issues. Semin Perinatol. 2013;37(3).
doi:10.1053/j.semperi.2013.02.007.
https://psnet.ahrq.gov/issue/situ-simulation-identification-systems-issues
This review describes how in …
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psnet.ahrq.gov/issue/simulation-based-surgical-education
August 19, 2015 - Special or Theme Issue
Simulation-based Surgical Education.
Citation Text:
Simulation-based Surgical Education. Surgery. 2015;158:1395-1440.
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psnet.ahrq.gov/issue/first-protect-patient-harm-applying-adult-learning-principles-patient-safety
June 09, 2011 - Newspaper/Magazine Article
First, protect the patient from harm: applying adult learning principles to patient safety.
Citation Text:
First, protect the patient from harm: applying adult learning principles to patient safety. Duffy B.
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psnet.ahrq.gov/issue/complications
November 28, 2018 - Special or Theme Issue
Complications.
Citation Text:
Complications. Anaesthesia. 2018;73(suppl 1):3-101.
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psnet.ahrq.gov/issue/active-learning-when-more-better-case-resident-physicians-medical-errors
February 22, 2006 - Study
Active learning: when is more better? The case of resident physicians' medical errors.
Citation Text:
Active learning: when is more better? The case of resident physicians' medical errors. Katz-Navon T; Naveh E; Stern Z.
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psnet.ahrq.gov/issue/recognizing-unsafe-care-what-it-and-how-report-it
April 22, 2020 - Webinar
Recognizing Unsafe Care: What It Is and How to Report It.
Citation Text:
Recognizing Unsafe Care: What It Is and How to Report It. Patient Safety Foundation. August 26, 2021.
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psnet.ahrq.gov/issue/perfecting-detection-understanding-source-harm
May 27, 2020 - Book/Report
Safer Together Annual Report.
Citation Text:
Safer Together Annual Report. Child Health Patient Safety Organization. Washington, DC: Children's Hospital Association.
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psnet.ahrq.gov/issue/dying-waitlist
September 04, 2019 - Newspaper/Magazine Article
Dying on the waitlist.
Citation Text:
Dying on the waitlist. Armstrong D. Allen M. ProPublica. February 18, 2021.
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psnet.ahrq.gov/issue/there-and-home-again-safely
September 29, 2017 - Book/Report
There and Home Again, Safely.
Citation Text:
There and Home Again, Safely. Sokol PE, Wynia MK; AMA Expert Panel on Care Transitions. Chicago, IL: American Medical Association; February 2013.
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