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psnet.ahrq.gov/node/44862/psn-pdf
March 16, 2016 - Patient safety science in cardiothoracic surgery: an
overview.
March 16, 2016
Sanchez JA, Ferdinand FD, Fann J. Patient Safety Science in Cardiothoracic Surgery: An Overview. Ann
Thorac Surg. 2016;101(2):426-33. doi:10.1016/j.athoracsur.2015.12.034.
https://psnet.ahrq.gov/issue/patient-safety-science-cardiothoraci…
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psnet.ahrq.gov/node/837214/psn-pdf
May 25, 2022 - Global Report on Infection Prevention and Control:
Executive Summary.
May 25, 2022
Geneva, Switzerland; World Health Organization; May 5, 2022.
https://psnet.ahrq.gov/issue/global-report-infection-prevention-and-control-executive-summary
Healthcare-acquired infection is a persistent systemic problem. This report r…
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psnet.ahrq.gov/node/44019/psn-pdf
March 25, 2015 - A systematic review of human factors and ergonomics
(HFE)-based healthcare system redesign for quality of
care and patient safety.
March 25, 2015
Xie A, Carayon P. A systematic review of human factors and ergonomics (HFE)-based healthcare system
redesign for quality of care and patient safety. Ergonomics. 2015;58(…
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psnet.ahrq.gov/node/842434/psn-pdf
June 01, 2024 - AHRQ Safety Program for Telemedicine.
January 22, 2024
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/ahrq-safety-program-telemedicine
Telemedicine efforts harbor both risk and reward to patients and clinicians. The AHRQ Safety Program for
Telemedicine is a national effort to develop and …
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psnet.ahrq.gov/node/46682/psn-pdf
January 24, 2018 - AHRQ Safety Program for Surgery.
January 24, 2018
Rockville, MD: Agency for Healthcare Research and Quality. December 2017. AHRQ Publication No.
16(18)-0004-1-EF.
https://psnet.ahrq.gov/issue/ahrq-safety-program-surgery
Large-scale collaboratives have achieved success in implementing patient safety improvements. T…
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psnet.ahrq.gov/node/46734/psn-pdf
February 07, 2018 - To err is human: use of simulation to enhance training
and patient safety in anaesthesia.
February 7, 2018
Higham H, Baxendale B. To err is human: use of simulation to enhance training and patient safety in
anaesthesia. Br J Anaesth. 2017;119(suppl_1):i106-i114. doi:10.1093/bja/aex302.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/72628/psn-pdf
January 13, 2021 - Awareness of human factors in the operating theatres
during the COVID-19 pandemic.
January 13, 2021
Britton CR, Hayman G, Stroud N. Awareness of Human Factors in the operating theatres during the
COVID-19 pandemic. J Perioper Pract. 2021;31(1-2):44-50. doi:10.1177/1750458920978858.
https://psnet.ahrq.gov/issue/awa…
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psnet.ahrq.gov/node/60929/psn-pdf
September 16, 2020 - Safer Together: A National Action Plan to Advance Patient
Safety.
September 16, 2020
Boston, MA: Institute for Healthcare Improvement: September 2020.
https://psnet.ahrq.gov/issue/national-action-plan-advance-patient-safety
This National Action Plan developed by the National Steering Committee for Pati…
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psnet.ahrq.gov/node/867042/psn-pdf
October 30, 2024 - The foundational science of learning health systems.
October 30, 2024
Kilbourne AM, Borsky AE, O'Brien RW, et al. The foundational science of learning health systems. Health
Serv Res. 2024;59(6):e14374. doi:10.1111/1475-6773.14374.
https://psnet.ahrq.gov/issue/foundational-science-learning-health-systems
Learning …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.37_slideshow.ppt
November 01, 2003 - Spotlight Case [MONTH] 2003
Spotlight Case November 2003
The Missing Suction Tip
Source and Credits
This presentation is based on the Nov. 2003
AHRQ WebM&M Spotlight Case in Surgery
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Eric J. Thomas, MD,…
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psnet.ahrq.gov/primer/teamwork-training
September 15, 2024 - Teamwork Training
Citation Text:
Teamwork Training. 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 tagged PubMedId RIS
Dow…
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psnet.ahrq.gov/perspective/risk-management-and-patient-safety
December 01, 2010 - Risk Management and Patient Safety
Barry M. Manuel, MD; Jack L. McCarthy; William Berry, MD, MPH; Kathy Dwyer | December 1, 2010
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Manuel BM, McCarthy JL, Berry WR, et al. Risk Mana…
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psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
December 01, 2009 - How to Identify and Manage Problem Behaviors
Alan H. Rosenstein, MD, MBA; Michelle O'Daniel, MSG, MHA | December 1, 2009
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Rosenstein AH, O'Daniel M. How to Identify and Manage Prob…
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psnet.ahrq.gov/perspective/conversation-withgeri-amori-phd
December 01, 2010 - In Conversation with...Geri Amori, PhD
December 1, 2010
Also Read an Essay
Citation Text:
In Conversation with..Geri Amori, PhD. PSNet [internet]. 2010.In Conversation with...Geri Amori, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu…
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psnet.ahrq.gov/perspective/conversation-withallan-frankel-md
July 01, 2006 - In Conversation with...Allan Frankel, MD
July 1, 2006
Also Read an Essay
Citation Text:
In Conversation with..Allan Frankel, MD. PSNet [internet]. 2006.In Conversation with...Allan Frankel, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and …
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psnet.ahrq.gov/node/33608/psn-pdf
February 01, 2024 - Maternal Safety
January 31, 2024
Shauer M, Nichols A, Lyndon A. Maternal Safety. PSNet [internet]. 2024.
https://psnet.ahrq.gov/primer/maternal-safety
Originally published in 2018 by researchers at the University of California, San Francisco. Updated in
February 2024 by Marla Shauer, PhD(c), MSN, CNM, Amy Nichols,…
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psnet.ahrq.gov/node/850673/psn-pdf
June 14, 2023 - In Conversation with... Beverley H. Johnson about The
Role of Patient's Family In Reducing Harm
June 14, 2023
Johnson B. In Conversation with.. Beverley H. Johnson about The Role of Patient's Family In Reducing
Harm. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/conversation-beverley-h-johnson-about-r…
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psnet.ahrq.gov/node/74830/psn-pdf
June 01, 2022 - The Michigan Hospital Medicine Safety Consortium (HMS)
Finds Infectious Diseases (ID) Physician Approval for
Placement of Peripherally Inserted Central Catheters
(PICCs) Prevents Unnecessary PICC Use and Reduces
Complications
February 23, 2022
https://psnet.ahrq.gov/innovation/michigan-hospital-medicine-safety-co…
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psnet.ahrq.gov/innovation/veterans-health-administration-stratification-tool-opioid-risk-mitigation-storm-shows
October 30, 2024 - Veterans Health Administration Stratification Tool for Opioid Risk Mitigation (STORM) Shows Promise for Targeting Prevention Interventions to Reduce Mortality in Patients Who Are Prescribed Opioids
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April 05, 2017 - Study
Evaluation of the association between Nursing Home Survey on Patient Safety culture (NHSOPS) measures and catheter-associated urinary tract infections: results of a national collaborative.
Citation Text:
Smith SN, Greene MT, Mody L, et al. Evaluation of the association between Nurs…