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psnet.ahrq.gov/node/39576/psn-pdf
September 25, 2010 - Taking Care of Myself: A Guide for When I Leave the
Hospital.
September 25, 2010
Rockville, MD: Agency for Healthcare Research and Quality; April 2010. AHRQ Publication No. 10-0059.
https://psnet.ahrq.gov/issue/taking-care-myself-guide-when-i-leave-hospital
This guide provides patients with information they need t…
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psnet.ahrq.gov/node/38453/psn-pdf
January 02, 2017 - A multidisciplinary team approach to retained foreign
objects.
January 2, 2017
Cima RR, Kollengode A, Storsveen AS, et al. A multidisciplinary team approach to retained foreign objects.
Jt Comm J Qual Saf. 2009;35(3):123-132.
https://psnet.ahrq.gov/issue/multidisciplinary-team-approach-retained-foreign-objects
Th…
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psnet.ahrq.gov/node/841789/psn-pdf
July 01, 2022 - The REPAIR Project.
July 1, 2022
University of California San Francisco, San Francisco, CA.
https://psnet.ahrq.gov/issue/repair-project
Systemic racism reduces the effectiveness and safety of the care people of color receive. The REPAIR (
REParations and Anti-Institutional Racism) Project is examining the impact o…
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psnet.ahrq.gov/node/44875/psn-pdf
March 02, 2016 - "Teach-back" from a patient's perspective.
March 2, 2016
Miller S, Lattanzio M, Cohen S. "Teach-back" from a patient's perspective. Nursing (Brux). 2016;46(2):63-4.
doi:10.1097/01.NURSE.0000476249.18503.f5.
https://psnet.ahrq.gov/issue/teach-back-patients-perspective
The teach-back method, having patients repeat i…
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psnet.ahrq.gov/node/41038/psn-pdf
February 10, 2012 - Activating knowledge for patient safety practices: a
Canadian academic-policy partnership.
February 10, 2012
Harrison MB, Nicklin W, Owen M, et al. Activating knowledge for patient safety practices: a Canadian
academic-policy partnership. Worldviews Evid Based Nurs. 2012;9(1):49-58. doi:10.1111/j.1741-
6787.2011.0…
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psnet.ahrq.gov/node/39257/psn-pdf
January 27, 2010 - Opportunities and Recommendations for State–Federal
Coordination to Improve Health System Performance: A
Focus on Patient Safety.
January 27, 2010
Buxbaum J. Portland, ME: National Academy for State Health Policy; January 2010.
https://psnet.ahrq.gov/issue/opportunities-and-recommendations-state-federal-coordinati…
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psnet.ahrq.gov/node/45241/psn-pdf
October 31, 2023 - Hospital Harm Project.
October 31, 2023
Canadian Institute for Health Information, Health Excellence Canada.
https://psnet.ahrq.gov/issue/hospital-harm-project
Reducing preventable harm associated with health care is a worldwide goal. This Canadian initiative
developed a measure to track unintended harm in acute c…
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psnet.ahrq.gov/node/60709/psn-pdf
July 22, 2020 - Developing perioperative Covid-19 testing protocols to
restore surgical services.
July 22, 2020
Hamilton BCS, Kratz JR, Sosa JA, et al. Developing perioperative Covid-19 testing protocols to restore
surgical services. NEJM Catalyst. 2020;June 19.
https://psnet.ahrq.gov/issue/developing-perioperative-covid-19-testi…
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psnet.ahrq.gov/node/40517/psn-pdf
June 08, 2011 - Learning safe prescribing during post-take ward rounds.
June 8, 2011
Conroy-Smith E, Herring R, Caldwell G. Learning safe prescribing during post-take ward rounds. The
clinical teacher. 2011;8(2):75-8. doi:10.1111/j.1743-498X.2011.00432.x.
https://psnet.ahrq.gov/issue/learning-safe-prescribing-during-post-take-ward…
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psnet.ahrq.gov/node/40765/psn-pdf
September 14, 2011 - Medication errors reported in a pediatric intensive care
unit for oncologic patients.
September 14, 2011
Belela ASC, Peterlini MAS, Pedreira MLG. Medication errors reported in a pediatric intensive care unit for
oncologic patients. Cancer Nurs. 2011;34(5):393-400. doi:10.1097/NCC.0b013e3182064a6a.
https://psnet.ah…
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psnet.ahrq.gov/node/837679/psn-pdf
July 13, 2022 - Provider implicit bias: bringing awareness to clinical
practice.
July 13, 2022
Moss LD. Clinical Advisor. June 29, 2022.
https://psnet.ahrq.gov/issue/provider-implicit-bias-bringing-awareness-clinical-practice
Health disparities perpetuated by structural racism degrade patient safety. This article discusses the
i…
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psnet.ahrq.gov/node/43354/psn-pdf
July 16, 2014 - Weaving a healthcare tapestry of safety and
communication.
July 16, 2014
Hay J, Collin S, Koruth S. Weaving a healthcare tapestry of safety and communication. Nurs Manage.
2014;45(7):40-6. doi:10.1097/01.NUMA.0000451035.84587.7d.
https://psnet.ahrq.gov/issue/weaving-healthcare-tapestry-safety-and-communication
Th…
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psnet.ahrq.gov/node/41499/psn-pdf
December 29, 2014 - Strategies for sustaining a quality improvement
collaborative and its patient safety gains.
December 29, 2014
Parand A, Benn J, Burnett S, et al. Strategies for sustaining a quality improvement collaborative and its
patient safety gains. Int J Qual Health Care. 2012;24(4):380-90. doi:10.1093/intqhc/mzs030.
https:/…
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psnet.ahrq.gov/node/73451/psn-pdf
June 30, 2021 - National Patient Safety Syllabus.
June 30, 2021
Spurgeon P, Cross S. London, UK; Academy of Medical Royal Colleges: May 2021.
https://psnet.ahrq.gov/issue/national-patient-safety-syllabus
Amending curricula to incorporate the increasing scholarship related to patient safety improvement is a
challenge. This st…
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psnet.ahrq.gov/node/35632/psn-pdf
February 03, 2025 - Anesthesia Patient Safety Foundation (APSF) Grant
Program.
February 3, 2025
Anesthesia Patient Safety Foundation.
https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-apsf-grant-program
This grant program supports research that seeks to improve anesthesia safety and the development of
researchers in …
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psnet.ahrq.gov/node/851068/psn-pdf
June 28, 2023 - Building a Culture of Safety in Health Care.
June 28, 2023
Chicago, IL: American Hospital Association: May 2023.
https://psnet.ahrq.gov/issue/building-culture-safety-health-care
Healthcare-acquired infections (HAIs) are a common complication of hospital care. This report summarizes
lessons learned at a series of i…
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psnet.ahrq.gov/node/49676/psn-pdf
February 01, 2013 - Several organizations have publically shared experiences with comprehensive safety initiatives surrounding
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psnet.ahrq.gov/web-mm/great-pretender-syphilis-still-stumping-healthcare-providers
January 07, 2022 - The “Great Pretender” (Syphilis) is Still Stumping Healthcare Providers
Citation Text:
Glaser K, Vongspanich-Dray J. The “Great Pretender” (Syphilis) is Still Stumping Healthcare Providers. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Servic…
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psnet.ahrq.gov/web-mm/turn-other-cheek
October 26, 2010 - Increased attention to human error ( 1-3 ) continues to promote a growing number of patient safety initiatives
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psnet.ahrq.gov/web-mm/its-all-syringe
February 01, 2013 - Advising patients about patient safety: current initiatives risk shifting responsibility.