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psnet.ahrq.gov/node/35225/psn-pdf
December 17, 2008 - Wired hospitals: can high tech save your life?
December 17, 2008
Fischman J. Wired hospitals: can high tech save your life? U.S. news & world report. 2005;139(4):44-5, 49-
50, 52.
https://psnet.ahrq.gov/issue/can-high-tech-save-your-life
This article reports on activities at several hospitals that illustrate how i…
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psnet.ahrq.gov/node/34001/psn-pdf
April 16, 2018 - Patient Safety Authority.
April 16, 2018
Commonwealth of Pennsylvania
https://psnet.ahrq.gov/issue/patient-safety-authority
The Patient Safety Authority is an independent state agency charged with taking steps to reduce and
eliminate medical errors by identifying problems and recommending solutions. The site inclu…
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psnet.ahrq.gov/node/41595/psn-pdf
May 28, 2019 - Luer Connector Misconnections: Under-Recognized but
Potentially Dangerous Events.
May 28, 2019
Medical Product Safety Network. Silver Spring, MD; US Food and Drug Administration. November 19,
2008.
https://psnet.ahrq.gov/issue/luer-connector-misconnections-under-recognized-potentially-dangerous-events
This Web si…
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psnet.ahrq.gov/node/836877/psn-pdf
May 16, 2022 - In Conversation With... Remle P. Crowe, PhD
May 16, 2022
In Conversation With.. Remle P. Crowe, PhD . PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/conversation-remle-p-crowe-phd
Editor’s Note: Remle Crowe, PhD, NREMT, is the Director of Clinical and Operational Research at ESO.
In her professional ro…
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psnet.ahrq.gov/node/43035/psn-pdf
October 12, 2018 - Patient's Toolkit for Diagnosis.
October 12, 2018
SIDM Patient Engagement Committee. Evanston, IL: Society to Improve Diagnosis in Medicine; October
2018.
https://psnet.ahrq.gov/issue/patients-toolkit-diagnosis
Patient engagement has been promoted as a strategy to enhance safety in health care. This toolkit helps
…
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psnet.ahrq.gov/node/37285/psn-pdf
December 24, 2007 - Safer Care for the Acutely Ill Patient: Learning from
Serious Incidents.
December 24, 2007
Thomson R, Luettel D, Healey F, Scobie S. London, England: National Patient Safety Agency; 2007. ISBN
9780955634055.
https://psnet.ahrq.gov/issue/safer-care-acutely-ill-patient-learning-serious-incidents
In analyzing inform…
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psnet.ahrq.gov/node/46852/psn-pdf
March 07, 2018 - NHS Resolution.
March 7, 2018
NHS Resolution.
https://psnet.ahrq.gov/issue/nhs-resolution
The National Health Service (NHS) is a global leader in patient safety improvement. This website
coalesces information and activities generated by three NHS improvement efforts: patient compensation,
performance assessment, …
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psnet.ahrq.gov/node/37397/psn-pdf
January 16, 2008 - The Selective Attention Task.
January 16, 2008
Simons DJ. Visual Cognition Lab. Champaign, IL: University of Illinois; 2010.
https://psnet.ahrq.gov/issue/selective-attention-task
This instructional tool, commonly known as the "gorilla video," illustrates the importance of selective
attention theories. These theori…
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psnet.ahrq.gov/node/42592/psn-pdf
May 20, 2015 - Healthcare–Associated Infections (HAI).
May 20, 2015
Centers for Disease Control and Prevention; CDC.
https://psnet.ahrq.gov/issue/healthcare-associated-infections-hai
This Web site provides information about government initiatives to research and prevent health
care–associated infections.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/33947/psn-pdf
November 21, 2016 - Improving Health Care Quality: A Guide for Patients and
Families.
November 21, 2016
Agency for Healthcare Research and Quality (AHRQ)
https://psnet.ahrq.gov/issue/improving-health-care-quality-guide-patients-and-families
This guide offers information and resources to allow consumers to understand quality health ca…
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psnet.ahrq.gov/node/36293/psn-pdf
July 14, 2010 - Hospital internet site content on patient safety and
medical errors.
July 14, 2010
Heffner JE, Webster L, Ellis R. J Patient Saf. 2006;2(2):72-77.
https://psnet.ahrq.gov/issue/hospital-internet-site-content-patient-safety-and-medical-errors
The authors looked at safety program–related content on 250 US hospitals' …
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psnet.ahrq.gov/node/37864/psn-pdf
August 06, 2016 - Improving Healthcare Team Communication: Building on
Lessons from Aviation and Aerospace.
August 6, 2016
Nemeth CP, ed. Burlington, VT: Ashgate Publishing; 2008. ISBN: 9780754670254.
https://psnet.ahrq.gov/issue/improving-healthcare-team-communication-building-lessons-aviation-and-
aerospace
This book provides an…
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psnet.ahrq.gov/node/37641/psn-pdf
March 10, 2011 - EHR safety: the way forward to safe and effective
systems.
March 10, 2011
Walker JM, Carayon P, Leveson N, et al. EHR safety: the way forward to safe and effective systems. J Am
Med Inform Assoc. 2008;15(3):272-7. doi:10.1197/jamia.M2618.
https://psnet.ahrq.gov/issue/ehr-safety-way-forward-safe-and-effective-syste…
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psnet.ahrq.gov/node/33897/psn-pdf
January 25, 2016 - Reducing Errors in Health Care: Translating Research
Into Practice.
January 25, 2016
Rockville, MD: Agency of Healthcare Research and Quality; AHRQ Publication No. 00-PO58.
https://psnet.ahrq.gov/issue/reducing-errors-health-care-translating-research-practice
This fact sheet on medical errors provides information …
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psnet.ahrq.gov/node/38223/psn-pdf
October 14, 2015 - Patient-Centered Care Improvement Guide.
October 14, 2015
Frampton S, Guastello S, Brady C, et al. Derby, CT: Planetree; Camden, ME: Picker Institute; 2008.
https://psnet.ahrq.gov/issue/patient-centered-care-improvement-guide
This guide contains comprehensive information about best practices and implementation tool…
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psnet.ahrq.gov/node/34629/psn-pdf
March 05, 2008 - AHRQ's News Now.
March 5, 2008
Rockville, MD: Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/ahrqs-patient-safety-e-newsletter
E-newsletter issued weekly to make important patient safety news and information available. The E-
newsletter features concise descriptions of findings from …
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psnet.ahrq.gov/node/38074/psn-pdf
June 04, 2018 - Questions and Answers on FDA's Adverse Event
Reporting System (FAERS).
October 3, 2017
Center for Drug Evaluation and Research, US Food and Drug Administration. June 4, 2018.
https://psnet.ahrq.gov/issue/questions-and-answers-fdas-adverse-event-reporting-system-faers
This FAQ provides information on and access to …
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psnet.ahrq.gov/node/35498/psn-pdf
February 22, 2010 - Iatrogenic harm caused by diagnostic errors in
fibrodysplasia ossificans progressiva.
February 22, 2010
Kitterman JA, Kantanie S, Rocke DM, et al. Iatrogenic harm caused by diagnostic errors in fibrodysplasia
ossificans progressiva. Pediatrics. 2005;116(5):e654-61.
https://psnet.ahrq.gov/issue/iatrogenic-harm-caus…
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psnet.ahrq.gov/node/42093/psn-pdf
June 10, 2018 - A clinical reminder about the safe use of insulin vials.
June 10, 2018
ISMP Medication Safety Alert! Acute care edition. February 21, 2013;18:1-3.
https://psnet.ahrq.gov/issue/clinical-reminder-about-safe-use-insulin-vials
This newsletter piece recommends strategies to ensure the safe transition from using insulin …
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psnet.ahrq.gov/node/35581/psn-pdf
June 17, 2010 - Incident reporting in one UK accident and emergency
department.
June 17, 2010
Tighe CM, Woloshynowych M, Brown R, et al. Incident reporting in one UK accident and emergency
department. Accid Emerg Nurs. 2006;14(1):27-37.
https://psnet.ahrq.gov/issue/incident-reporting-one-uk-accident-and-emergency-department
The …