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psnet.ahrq.gov/issue/piece-my-mind-im-sorry
November 22, 2017 - Commentary
A piece of my mind. I'm sorry.
Citation Text:
Kahn JS. A PIECE OF MY MIND. I'm Sorry. JAMA. 2015;313(24):2427-8. doi:10.1001/jama.2014.6507.
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…
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psnet.ahrq.gov/issue/national-report-findings-2016-issue-brief-no-2-patient-safety
November 18, 2020 - Book/Report
National Report of Findings 2016: Issue Brief No. 2: Patient Safety.
Citation Text:
National Report of Findings 2016: Issue Brief No. 2: Patient Safety. Clinical Learning Environment Review. Chicago, IL: Accreditation Council for Graduate Medical Education; 2016.
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digital.ahrq.gov/sites/default/files/docs/citation/HealthITHazardManagerFinalReport.pdf
May 01, 2012 - Health IT Hazard Manager Beta-Test
Final Report
Health IT Hazard Manager Beta-Test
Prepared for:
Agency for Healthcare Research and Quality
540 Gaither Road
Rockville, MD 20850
www.ahrq.gov
Contract No. HHSA290200600011i, #14
Prepared by:
Abt Associates and Geisinger Health System
Contributing Authors…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/2016/nhsurv16-pt1.pdf
January 01, 2016 - 2016 AHRQ Nursing Home Survey on Patient Safety Culture Part I
PATIENT
SAFETY
NURSING
HOME
SURVEY ON
PATIENT SAFETY
CULTURE:
2016 User
Comparative
Database Report
The authors of this report are responsible for its content. Statements in the report should not be
construed as endorsement by the Agency for Health…
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www.ahrq.gov/sites/default/files/2024-12/weinger2-report.pdf
January 01, 2024 - The incidence, impact, and type of NRE were similar in a
retrospective sample of 412 cases. … The similar NRE incidence in prospective and
retrospective cases provides support for the validity of … Future research must determine if NRE occurrence is associated with a higher
incidence of patient injury
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs025005-snyder-final-report-2019.pdf
January 01, 2019 - Enhancing Clinical Decision Support Applications for Community Pharmacist-Delivered Medication Therapy Management - Final Report
1
Enhancing Clinical Decision Support Applications for Community Pharmacist-Delivered
Medication Therapy Management
Final Report
Principal Investigator: Margie E. Snyder, Ph…
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psnet.ahrq.gov/node/836839/psn-pdf
March 31, 2022 - Annual Perspective: Psychological Safety of Healthcare
Staff
March 31, 2022
Kingston MB, Dowell P, Mossburg SE, et al. Annual Perspective: Psychological Safety of Healthcare Staff.
PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/annual-perspective-psychological-safety-healthcare-staff
Introduction
The…
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psnet.ahrq.gov/web-mm/check-wristband
August 03, 2009 - Check the Wristband
Citation Text:
Rosenthal M. Check the Wristband. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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psnet.ahrq.gov/web-mm/result-stopped-here
December 01, 2006 - The Result Stopped Here
Citation Text:
Astion ML. The Result Stopped Here. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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psnet.ahrq.gov/web-mm/doctor-dont-treat-thyself
August 21, 2024 - Doctor, Don't Treat Thyself
Citation Text:
Rosvold EO. Doctor, Don't Treat Thyself. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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hcup-us.ahrq.gov/datainnovations/clinicaldata/SampleVHIandhospitalcontractforAHRQstudy.pdf
September 30, 2007 - SUBCONTRACTOR AGREEMENT
CLINICAL DATA SHARING AGREEMENT
THIS CLINICAL DATA SHARING AGREEMENT (this “Agreement”) is entered into
as of the ___ day of ___________, 2008, by and between Virginia Health Information,
Inc., a Virginia nonstock corporation (“VHI”) and XXXX), and recites and provides as
follows:
…
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psnet.ahrq.gov/node/49408/psn-pdf
July 01, 2003 - Check the Wristband
July 1, 2003
Rosenthal M. Check the Wristband. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/check-wristband
The Case
The patient was a 28-year-old female awaiting ambulatory surgery. She was very anxious about the
impending surgery. The patient spoke English and appeared to be of aver…
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psnet.ahrq.gov/node/49857/psn-pdf
March 01, 2019 - Duplicate Insulin Order
March 1, 2019
Acquisto NM, Cobaugh DJ. Duplicate Insulin Order. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/duplicate-insulin-order
The Case
A 45-year-old man with a history of insulin-dependent diabetes mellitus was seen in the emergency
department (ED) for complaints of letharg…
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psnet.ahrq.gov/node/33652/psn-pdf
June 01, 2007 - Advancing Patient Safety Through State Reporting
Systems
June 1, 2007
Rosenthal J. Advancing Patient Safety Through State Reporting Systems. PSNet [internet]. 2007.
https://psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
Perspective
Seven years ago, the Institute of Medicine (I…
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psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions
November 13, 2024 - The Second Victim Phenomenon: A Harsh Reality of Health Care Professions
Susan D. Scott RN, MSN | May 1, 2011
View more articles from the same authors.
Citation Text:
Scott SD. The Second Victim Phenomenon: A Harsh Reality of Health Care Professions. PSNet [intern…
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psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation
October 13, 2018 - Slow Down: Right Drug, Wrong Formulation
Citation Text:
Amato MG, Schiff G. Slow Down: Right Drug, Wrong Formulation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/periodic-issue/periodic-issue-469
December 31, 2024 - January 8, 2025 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/high-cholestorol-medications_executive.pdf
September 01, 2009 - One 5-year omega-3 trial of 18,645
participants demonstrated no significant difference in
the incidence … While the available data do not suggest
an increased incidence of cancer with ezetimibe or
omega-3 combinations … restricted
our focus to studies of 24 weeks or longer that reported
clinical efficacy outcomes, the incidence
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/rtc-design-principles_research.pdf
January 01, 2009 - We already have evidence that Pap test
screening programs reduce the incidence and mortality of cervical … purpose of this simplified example, we will assume the major claims for LBC are
reduced cervical cancer incidence … assumptions linking these intermediate
outcomes to long-term patient benefits, including reduced cancer incidence
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www.uspreventiveservicestaskforce.org/uspstf/document/RecommendationStatementFinal/statin-use-in-adults-preventive-medication
August 23, 2022 - harms compared with placebo. 13 Almost all trials did not find an association between statin use and incidence … Incidence of statin use in older adults with and without cardiovascular disease and diabetes mellitus … older with no history of CVD and who are not already taking a statin is beneficial in reducing the incidence