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psnet.ahrq.gov/node/851869/psn-pdf
July 31, 2023 - Building Capacity for Patient Safety
July 31, 2023
Hoffman R, Mossburg S, Van CM. Building Capacity for Patient Safety. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/building-capacity-patient-safety
In its 2019 report, Safer Together: A National Action Plan to Advance Patient Safety, the National Steer…
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psnet.ahrq.gov/node/33587/psn-pdf
June 15, 2024 - Missed Nursing Care
June 15, 2024
Missed Nursing Care. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/missed-nursing-care
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.95_slideshow.ppt
May 01, 2005 - Spotlight Case [MONTH] 2003
Spotlight Case May 2005
Diagnosing Diagnostic Mistakes
Source and Credits
This presentation is based on the May 2005 AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Robert McNutt, MD; Richard A…
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psnet.ahrq.gov/node/848108/psn-pdf
April 26, 2023 - delays time to desaturation and allows patients to safely tolerate short periods of
hypoventilation by increasing
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psnet.ahrq.gov/perspective/surveillance-monitoring-improve-patient-safety-acute-hospital-care-units
April 26, 2023 - care. 9 , 10 Overall, surveillance monitoring improves patient outcomes, enhances process of care by increasing
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psnet.ahrq.gov/web-mm/triage-time-bomb
September 01, 2008 - ratios of waiting room patients to physicians and triage nurses were associated with longer waits.( 2 ) Increasing … World War I, the triage process emerged in hospitals in the late 1950s and early 1960s in response to increasing … Unfortunately, ambulance diversion may have a domino effect, increasing overcrowding at neighboring EDs
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psnet.ahrq.gov/webmm/submit-case
Submit a Case
Note that your name will not be publicly associated with the case
Breadcrumb
Submit a Case
Case Form
The content of case submissions is anonymous. Do not provide any personally identifiable (patient or provider) information, and do not use institution…
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psnet.ahrq.gov/issue/care-we-need
March 25, 2020 - Book/Report
The Care We Need
Citation Text:
The Care We Need Washington DC: National Quality Forum; 2020.
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psnet.ahrq.gov/issue/diagnostic-safety-issue-briefs
December 24, 2008 - Special or Theme Issue
Diagnostic Safety Issue Briefs.
Citation Text:
Diagnostic Safety Issue Briefs. Rockville, MD: Agency for Healthcare Research and Quality; 2020-2024.
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psnet.ahrq.gov/issue/opioid-stewardship
February 06, 2019 - Special or Theme Issue
Opioid Stewardship.
Citation Text:
Opioid Stewardship. Ochsner J. 2018;18(1):20-45.
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psnet.ahrq.gov/issue/premature-closure-not-so-fast
September 28, 2022 - Commentary
Premature closure? Not so fast.
Citation Text:
Dhaliwal G. Premature closure? Not so fast. BMJ Qual Saf. 2017;26(2):87-89. doi:10.1136/bmjqs-2016-005267.
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Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…
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psnet.ahrq.gov/issue/managing-risks-direct-oral-anticoagulants
December 23, 2016 - Sentinel Event Alerts
Managing the risks of direct oral anticoagulants.
Citation Text:
Managing the risks of direct oral anticoagulants. Sentinel Event Alert. July 30, 2019;(61):1-5.
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psnet.ahrq.gov/issue/avoid-punitive-approach-your-safety-event-reporting
October 23, 2019 - Newspaper/Magazine Article
Avoid punitive approach to your safety event reporting,
Citation Text:
Avoid punitive approach to your safety event reporting, Cheney C. HealthLeaders. September 4, 2020.
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psnet.ahrq.gov/issue/using-machine-learning-improve-patient-safety-home-or-remote-setting-adults
May 25, 2022 - Book/Report
Using Machine Learning to Improve Patient Safety in the Home or Remote Setting for Adults.
Citation Text:
Using Machine Learning to Improve Patient Safety in the Home or Remote Setting for Adults. Feske-Kirby K, Whittington J, McGaffigan P. Boston, MA: Institute for Healthcar…
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psnet.ahrq.gov/issue/maternal-health-research-centers-excellence-u54-clinical-trial-optional
March 08, 2023 - Grant Announcement
Maternal Health Research Centers of Excellence (U54 Clinical Trial Optional).
Citation Text:
Maternal Health Research Centers of Excellence (U54 Clinical Trial Optional). National Institutes of Health. August 11, 2022. RFA-HD-23-035.
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psnet.ahrq.gov/issue/never-events-analysis-hsibs-national-investigations-report
June 09, 2021 - Book/Report
Never Events Analysis of HSIB's National Investigations Report.
Citation Text:
Never Events Analysis of HSIB's National Investigations Report. Farnborough, UK: Healthcare Safety Investigation Branch; January 2021.
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psnet.ahrq.gov/issue/falls-prevention-mayo-clinic-rochester-path-quality-care
January 22, 2017 - Commentary
Falls prevention at Mayo Clinic Rochester: a path to quality care.
Citation Text:
Sulla SJ, McMyler E. Falls prevention at Mayo Clinic Rochester: a path to quality care. J Nurs Care Qual. 2007;22(2):138-44.
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psnet.ahrq.gov/issue/rhios-aim-transform-quality-care-and-patient-safety
August 26, 2020 - Newspaper/Magazine Article
RHIOs aim to transform quality of care and patient safety.
Citation Text:
RHIOs aim to transform quality of care and patient safety. van der Grinten P.
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psnet.ahrq.gov/issue/ahrq-research-summit-improving-diagnosis-health-care
October 23, 2019 - Government Resource
AHRQ Research Summit on Improving Diagnosis in Health Care.
Citation Text:
AHRQ Research Summit on Improving Diagnosis in Health Care. Rockville, MD; Agency for Healthcare Research and Quality: September 28, 2016.
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psnet.ahrq.gov/issue/mitigating-bias-ai-point-care
March 08, 2023 - Newspaper/Magazine Article
Mitigating bias in AI at the point of care.
Citation Text:
Mitigating bias in AI at the point of care. Decamp M, Lindvall C. Science. 2023;381(6654):150-152.
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