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psnet.ahrq.gov/issue/selective-attention-task
August 11, 2010 - Audiovisual
Classic
The Selective Attention Task.
Citation Text:
The Selective Attention Task. Simons DJ. Visual Cognition Lab. Champaign, IL: University of Illinois; 2010.
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psnet.ahrq.gov/issue/safety-ethics-cases-aviation-healthcare-and-occupational-and-environmental-health
August 02, 2016 - Book/Report
Safety Ethics: Cases from Aviation, Healthcare and Occupational and Environmental Health.
Citation Text:
Safety Ethics: Cases from Aviation, Healthcare and Occupational and Environmental Health. Patankar MS, Brown JP, Treadwell MD. Burlington VT: Ashgate; 2005. ISBN: 97807546…
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psnet.ahrq.gov/issue/safety-culture-building-and-sustaining-cultural-change-aviation-and-healthcare
August 02, 2016 - Book/Report
Safety Culture: Building and Sustaining a Cultural Change in Aviation and Healthcare.
Citation Text:
Safety Culture: Building and Sustaining a Cultural Change in Aviation and Healthcare. Patankar MS, Brown JP, Sabin EJ, Bigda-Peyton TG. Burlington, VT: Ashgate; 2012. ISBN: 97…
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psnet.ahrq.gov/issue/differences-strength-expression-product-labels-compounders-and-conventional-manufacturers-may
April 08, 2020 - Government Resource
Differences in strength expression on product labels of compounders and conventional manufacturers may lead to dosing errors.
Citation Text:
Differences in strength expression on product labels of compounders and conventional manufacturers may lead to dosing errors. U…
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psnet.ahrq.gov/issue/what-doctors-can-learn-factory-floor
June 13, 2011 - Commentary
What doctors can learn from the factory floor.
Citation Text:
Martyn C. What doctors can learn from the factory floor. BMJ. 2010;340(mar03 3). doi:10.1136/bmj.c1217.
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psnet.ahrq.gov/issue/impact-professionalism-safe-surgical-care
January 23, 2017 - Commentary
The impact of professionalism on safe surgical care.
Citation Text:
Whittemore A, Surgery NES for V. The impact of professionalism on safe surgical care. J Vasc Surg. 2007;45(2):415-9.
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psnet.ahrq.gov/issue/quality-and-safety-1
September 21, 2022 - Special or Theme Issue
Quality and Safety.
Citation Text:
Quality and Safety. Iyer R, Walker A, eds. Paediatr Anaesth. 2022;32(11):1176-1272.
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psnet.ahrq.gov/issue/health-care-leaders-action-guide-hospital-strategies-reducing-preventable-mortality
May 06, 2015 - Book/Report
Health Care Leaders Action Guide: Hospital Strategies for Reducing Preventable Mortality.
Citation Text:
Health Care Leaders Action Guide: Hospital Strategies for Reducing Preventable Mortality. Chicago, IL: Health Research & Educational Trust; March 2011.
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psnet.ahrq.gov/issue/sbar-patients
September 12, 2012 - Commentary
SBAR for patients.
Citation Text:
Denham CR. SBAR for Patients. J Patient Saf. 2008;4(1). doi:10.1097/pts.0b013e2181660c06.
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psnet.ahrq.gov/issue/introduction-improved-fda-prescription-drug-labeling
September 29, 2010 - Meeting/Conference Proceedings
An Introduction to the Improved FDA Prescription Drug Labeling.
Citation Text:
An Introduction to the Improved FDA Prescription Drug Labeling. Silver Spring MD; US Food and Drug Administration: 2006.
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psnet.ahrq.gov/issue/more-half-million-heart-surgery-patients-risk-dangerous-infection
April 22, 2015 - Newspaper/Magazine Article
More than half a million heart surgery patients at risk of a dangerous infection.
Citation Text:
More than half a million heart surgery patients at risk of a dangerous infection. Sun LH.
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psnet.ahrq.gov/issue/keeping-commitment-progress-report-four-early-leaders-patient-safety-improvement
October 07, 2008 - Book/Report
Keeping the Commitment: A Progress Report on Four Early Leaders in Patient Safety Improvement.
Citation Text:
Keeping the Commitment: A Progress Report on Four Early Leaders in Patient Safety Improvement. McCarthy D, Klein S. New York, NY: The Commonwealth Fund; March 15,…
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psnet.ahrq.gov/issue/patient-education-materials-assessment-tool-pemat-and-users-guide-instrument-assess
December 24, 2008 - Toolkit
The Patient Education Materials Assessment Tool (PEMAT) and User's Guide: An Instrument to Assess the Understandability and Actionability of Print and Audiovisual Patient Education Materials.
Citation Text:
The Patient Education Materials Assessment Tool (PEMAT) and User's Guid…
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psnet.ahrq.gov/issue/ambulatory-safety-and-quality-program-health-it-portfolio-2007-2013
August 01, 2012 - Grant Recipient
Ambulatory Safety and Quality Program: Health IT Portfolio.
Citation Text:
Ambulatory Safety and Quality Program: Health IT Portfolio. Rockville,MD: Agency for Healthcare Research and Quality; July 2010. AHRQ Pub. No. 10-P004.
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psnet.ahrq.gov/issue/special-section-human-factors-and-ergonomics-operating-room-contributions-advance-surgical
September 01, 2018 - Special or Theme Issue
Special Section on Human Factors and Ergonomics in the Operating Room: Contributions That Advance Surgical Practice.
Citation Text:
Special Section on Human Factors and Ergonomics in the Operating Room: Contributions That Advance Surgical Practice. Hallbeck MS, Paq…
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psnet.ahrq.gov/issue/reducing-preventable-harm-hospitals
March 16, 2016 - Newspaper/Magazine Article
Reducing preventable harm in hospitals.
Citation Text:
Reducing preventable harm in hospitals. Bornstein D. New York Times. January 26, and February 2, 2016.
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psnet.ahrq.gov/issue/diagnostic-safety-toolkit-0
January 01, 2019 - Toolkit
Diagnostic Safety Toolkit.
Citation Text:
Diagnostic Safety Toolkit.
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psnet.ahrq.gov/issue/effective-reporting-could-improve-safe-use-electronic-health-records
August 12, 2020 - Book/Report
Effective Reporting Could Improve Safe Use of Electronic Health Records.
Citation Text:
Effective Reporting Could Improve Safe Use of Electronic Health Records. Philadelphia, PA: Pew Charitable Trusts; March 2020.
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psnet.ahrq.gov/sites/default/files/2024-03/final_spotlight_case_not_missing_sepsis_needles_in_viral_haystacks_slides_march_date.pdf
January 01, 2024 - Spotlight
Spotlight
Do Not Miss Sepsis Needles in Viral Haystacks!
Source and Credits
• This presentation is based on the March 2024 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Michelle Hamline, MD, PhD, MAS and Ulfat
Shaikh, MD, M…
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psnet.ahrq.gov/node/33572/psn-pdf
December 15, 2024 - Checklists
December 15, 2024
Checklists. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/checklists
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 in 2024.
Background
…