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psnet.ahrq.gov/node/46045/psn-pdf
December 22, 2018 - validating-domains-patient-contextual-factors-essential-preventing-contextual-
errors
Contextual errors can occur when health care providers fail to consider a patient's individual
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psnet.ahrq.gov/node/47398/psn-pdf
December 22, 2018 - simulation program to enable practice of rare or complex procedures as a way to
safely build team and individual
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psnet.ahrq.gov/node/45860/psn-pdf
July 21, 2017 - climate-improvement
This randomized controlled trial randomized head nurses in inpatient settings to either receive individual
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psnet.ahrq.gov/node/46066/psn-pdf
August 03, 2017 - A prior study showed that when providers
had similar individual diagnostic accuracy rates, pooling their
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psnet.ahrq.gov/node/37892/psn-pdf
July 09, 2008 - in which patients receive their medications packaged together for each dose
(and not separated by individual
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psnet.ahrq.gov/web-mm/lot-pain-medications
September 23, 2020 - SPOTLIGHT CASE
A Lot of Pain (Medications)
Citation Text:
Herzig SJ. A Lot of Pain (Medications). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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Format:
Google Scholar BibTeX EndNote X3 XM…
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psnet.ahrq.gov/web-mm/total-parenteral-nutrition-multifarious-errors
January 23, 2017 - SPOTLIGHT CASE
Total Parenteral Nutrition, Multifarious Errors
Citation Text:
Boullata JI. Total Parenteral Nutrition, Multifarious Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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Format:
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psnet.ahrq.gov/perspective/conversation-jeffrey-shuren-md-jd
May 28, 2020 - In Conversation With... Jeffrey Shuren, MD, JD
May 28, 2020
Also Read the Essay
Citation Text:
In Conversation With.. Jeffrey Shuren, MD, JD. PSNet [internet]. 2020.In Conversation With... Jeffrey Shuren, MD, JD. PSNet [internet]. Rockville (MD): Agency for Healt…
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psnet.ahrq.gov/node/865466/psn-pdf
March 27, 2024 - Equity in Patient Safety
March 27, 2024
Thomas A, Lee M, Mossburg S. Equity in Patient Safety. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/equity-patient-safety
Introduction
Safety and equity are among the central components that determine quality of care, according to nonprofit
advisory agencies l…
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psnet.ahrq.gov/node/60542/psn-pdf
May 27, 2020 - Life-Threatening Infant Overdose of Sodium Chloride
May 27, 2020
Hamline M, McGlynn G, Lee A, et al. Life-Threatening Infant Overdose of Sodium Chloride. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
The Case
An infant with trisomy 21 underwent repair of a…
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psnet.ahrq.gov/perspective/equity-patient-safety
September 24, 2024 - Annual Perspective
Equity in Patient Safety
Angela D. Thomas, DrPH, MPH, MBA; Merton Lee, PhD, PharmD; Sarah Mossburg, RN, PhD
| March 27, 2024
View more articles from the same authors.
Citation Text:
Thomas A, Lee M, Mossburg S. Equity in Patient Safety. …
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psnet.ahrq.gov/perspective/role-fda-ensuring-device-safety
May 28, 2020 - The Role of the FDA in Ensuring Device Safety
May 28, 2020
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Fitall E, Hall KK, Gale B. The Role of the FDA in Ensuring Device Safety . PSNet [internet]. Rockville (MD): Agency f…
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psnet.ahrq.gov/web-mm/one-got-away-elopement-suicidal-patient-emergency-department
September 27, 2023 - The One That Got Away—Elopement of a Suicidal Patient in the Emergency Department.
Citation Text:
Bourgeois JA, Xiong G, Barnes DK, et al. The One That Got Away—Elopement of a Suicidal Patient in the Emergency Department.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Depa…
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psnet.ahrq.gov/node/42341/psn-pdf
June 19, 2013 - The article includes illustrative examples of both individual and collective workarounds, as well as
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psnet.ahrq.gov/node/39795/psn-pdf
June 06, 2018 - This commentary elegantly makes the point that individual methods of
identifying safety incidents provide
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psnet.ahrq.gov/node/44539/psn-pdf
June 21, 2016 - Fear of confrontation with a disruptive
individual may inhibit speaking up about potential errors and
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psnet.ahrq.gov/node/35832/psn-pdf
August 04, 2009 - incorporation-patient-safety-board-certification-examinations
The American Board of Medical Specialties (ABMS) is committed to supporting each of the individual
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psnet.ahrq.gov/node/46832/psn-pdf
February 07, 2018 - association-household-opioid-availability-and-prescription-opioid-initiation-among-household
https://psnet.ahrq.gov/issue/pain-management-and-opioid-epidemic-balancing-societal-and-individual-benefits-and-risks
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psnet.ahrq.gov/node/34796/psn-pdf
November 18, 2015 - prominent stakeholders with frequently conflicting interests:
providers, purchasers and employers, individual
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psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
August 01, 2015 - systems that can talk to each other, I don't think will happen on its own in that the incentives for individual