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psnet.ahrq.gov/node/73589/psn-pdf
August 11, 2021 - The paper includes recommended actions to address the root causes of attempted and
completed patient
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psnet.ahrq.gov/node/855426/psn-pdf
November 15, 2023 - Each recommendation includes an illustrative diagram,
explains its importance, and offers methods to
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psnet.ahrq.gov/node/48120/psn-pdf
July 17, 2019 - Spotlighting the accomplishments of the 2018 recipients, this
special issue includes an interview with
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psnet.ahrq.gov/issue/mha-person-and-family-centered-care
May 13, 2024 - This toolkit from the MHA Keystone Center includes a roadmap and self-assessment for developing policies
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psnet.ahrq.gov/node/42942/psn-pdf
February 22, 2024 - The
2024-2025 edition includes new practices that are associated with tranexamic acid wrong-route errors
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psnet.ahrq.gov/issue/quality-institute-toolkits
November 09, 2022 - This collection of toolkits provides resources to support safety in ambulatory care and includes information
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psnet.ahrq.gov/issue/double-key-bounce-and-double-keying-errors
February 01, 2023 - This article describes problems involving the keys on infusion pumps and includes recommendations to
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psnet.ahrq.gov/issue/patient-safety-authority
October 07, 2020 - The site includes information on the mandatory statewide Pennsylvania Patient Safety Reporting System
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psnet.ahrq.gov/issue/patient-safety-resources-clinicians
August 04, 2021 - This Web site includes patient safety-related materials for orthopedic surgeons such as checklists ,
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psnet.ahrq.gov/node/36796/psn-pdf
August 26, 2011 - consensus-conference
The authors share a patient safety curriculum matrix for surgical residents, which includes
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psnet.ahrq.gov/node/36146/psn-pdf
February 05, 2019 - The material also includes risk assessments
to identify space concerns that could lead to unsafe conditions
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psnet.ahrq.gov/node/37605/psn-pdf
February 22, 2010 - Version 2.0 includes a chapter focusing on the patient's role in effecitve
post adverse event commuinication
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psnet.ahrq.gov/node/44693/psn-pdf
June 15, 2016 - The collection includes an assessment and interactive tools to test ideas for improvement.
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psnet.ahrq.gov/node/36468/psn-pdf
September 27, 2010 - translating-patient-safety-legislation-health-care-practice
This article describes the safety efforts of the Pennsylvania Patient Safety Authority, which includes
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psnet.ahrq.gov/node/42603/psn-pdf
March 04, 2015 - cognitive-and-system-factors-contributing-diagnostic-errors-radiology
This review examines diagnostic errors and cognitive biases in radiology practice and includes
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psnet.ahrq.gov/node/43328/psn-pdf
August 20, 2018 - The program includes webinars, lectures, workshops, and case discussions.
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psnet.ahrq.gov/node/33946/psn-pdf
July 26, 2010 - The site also includes interactive learning modules ("Spotlight Cases") and
forums for online discussion
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psnet.ahrq.gov/node/42636/psn-pdf
October 02, 2013 - The article also includes insights on the study from patient safety experts.
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psnet.ahrq.gov/node/60172/psn-pdf
March 01, 2021 - Verification Screen That Includes Prominent Patient
Photograph Significantly Reduces Errors Caused by … June 12, 2020
Last updated on January 11, 2021
https://psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly … any order
entered into its computerized order entry system through a popup verification screen that includes … https://psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly-reduces-errors … all orders entered into the computerized order entry system through a popup verification
screen that includes
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psnet.ahrq.gov/issue/interprofessional-approaches-patient-safety
October 15, 2008 - This issue includes articles that explore successful multidisciplinary efforts to improve patient safety