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psnet.ahrq.gov/web-mm/hiding-plain-sight
April 24, 2019 - Hiding in Plain Sight
Citation Text:
Weinberg JM. Hiding in Plain Sight. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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psnet.ahrq.gov/web-mm/local-anesthesia-induced-coma-during-total-knee-arthroplasty
October 27, 2021 - Local Anesthesia-Induced Coma During Total Knee Arthroplasty.
Citation Text:
Aldwinckle R. Local Anesthesia-Induced Coma During Total Knee Arthroplasty.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
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psnet.ahrq.gov/node/860015/psn-pdf
September 01, 2024 - Retained Surgical Items: Definition and Epidemiology.
January 4, 2024
Romano PS, Gibbs VC. Retained Surgical Items: Definition and Epidemiology. PSNet [internet]. 2024.
https://psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
Background
Prudent medical practice and federal and state laws r…
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psnet.ahrq.gov/node/836978/psn-pdf
May 16, 2022 - Check Twice, Transport Once
May 16, 2022
DePew A, Rice J, Chou J. Check Twice, Transport Once. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/check-twice-transport-once
The Case
Case #1: A 26-year-old woman (Patient A) presented to the Emergency Department (ED) with abdominal
pain and was diagnosed with “s…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-PHP-6.pdf
December 14, 2010 - MEASURE SUMMARY (CHIPRA Core Set Candidate Measures) - Control #: PHP-6
Completed by:
Page 1 12/14/2010
MEASURE SUMMARY
CHIPRA Core Set Candidate Measures
A. Control #: PHP-6
B. Measure Name: Adolescent Immunization
C. Measure Definition
a. Numerator: Number of adolescents 13 years of age who had one…
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psnet.ahrq.gov/issue/insight-preventing-wrong-site-surgery
February 06, 2019 - Newspaper/Magazine Article
Insight into preventing wrong-site surgery.
Citation Text:
Insight into preventing wrong-site surgery. PA PSRS Patient Saf Advis 2007 Dec;4(4):109,112-23.
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S…
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psnet.ahrq.gov/issue/teamstepps-canada
May 22, 2019 - Multi-use Website
TeamSTEPPS Canada.
Citation Text:
TeamSTEPPS Canada. Canadian Patient Safety Institute.
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Ma…
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psnet.ahrq.gov/issue/dealing-medical-mistake-should-physicians-apologize-patients
February 17, 2016 - Newspaper/Magazine Article
Dealing with a medical mistake: should physicians apologize to patients?
Citation Text:
Dealing with a medical mistake: should physicians apologize to patients? Tabler NG Jr.
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psnet.ahrq.gov/issue/saying-sorry
October 20, 2021 - Fact Sheet/FAQs
Saying Sorry.
Citation Text:
Saying Sorry. London, England: NHS Resolution; 2018.
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June 12, 2…
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psnet.ahrq.gov/issue/risk-prevention-and-surgical-checklists
November 16, 2015 - Special or Theme Issue
Risk Prevention and Surgical Checklists.
Citation Text:
Risk Prevention and Surgical Checklists. Neurosurg Focus. 2012;33(5):E1-E16.
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psnet.ahrq.gov/node/73873/psn-pdf
September 29, 2021 - There is an app for that: mobile technology improves
complication reporting and resident perception of their
role in patient safety
September 29, 2021
Johnson CR, Noorzad A, Pujari A, et al. There is an app for that: mobile technology improves complication
reporting and resident perception of their role in patient…
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psnet.ahrq.gov/issue/safer-healthcare-now
May 22, 2019 - Multi-use Website
Safer Healthcare Now!
Citation Text:
Safer Healthcare Now! Canadian Patient Safety Institute.
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psnet.ahrq.gov/issue/patient-data-outage-exposes-risks-electronic-medical-records
June 27, 2018 - Newspaper/Magazine Article
Patient data outage exposes risks of electronic medical records.
Citation Text:
Patient data outage exposes risks of electronic medical records. Terhune C.
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psnet.ahrq.gov/issue/indiana-medical-error-reporting-system
October 03, 2017 - Government Resource
Indiana Medical Error Reporting System.
Citation Text:
Indiana Medical Error Reporting System. Indiana State Department of Health.
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psnet.ahrq.gov/issue/patient-safety-papers
July 03, 2013 - Special or Theme Issue
Patient Safety Papers.
Citation Text:
Patient Safety Papers. Baker RG, ed. Healthc Q. 2005;8 Spec No:1-156.
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psnet.ahrq.gov/issue/medical-errors-overcoming-challenges
September 29, 2017 - Commentary
Medical errors: overcoming the challenges.
Citation Text:
Kalra J. Medical errors: overcoming the challenges. Clin Biochem. 2004;37(12):1063-71.
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psnet.ahrq.gov/issue/sentinel-event-program
October 15, 2008 - Government Resource
Sentinel Event Program.
Citation Text:
Sentinel Event Program. Division of Licensing and Regulatory Services; Maine Department of Health and Human Services.
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psnet.ahrq.gov/issue/creating-safe-space-psychological-health-and-safety-healthcare-workers
May 22, 2019 - Toolkit
Creating a Safe Space: Psychological Health and Safety of Healthcare Workers.
Citation Text:
Creating a Safe Space: Psychological Health and Safety of Healthcare Workers. Canadian Patient Safety Institute: 2019.
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psnet.ahrq.gov/issue/smarttots
May 04, 2015 - Multi-use Website
SmartTots.
Citation Text:
SmartTots. Food and Drug Administration; FDA; International Anesthesia Research Society; IARS.
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psnet.ahrq.gov/issue/hospital-harm-project
December 04, 2019 - Toolkit
Hospital Harm Project.
Citation Text:
Hospital Harm Project. Canadian Institute for Health Information, Health Excellence Canada.
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