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psnet.ahrq.gov/issue/university-michigans-patient-safety-enhancement-program-psep
August 31, 2016 - Multi-use Website
University of Michigan's Patient Safety Enhancement Program (PSEP).
Citation Text:
University of Michigan's Patient Safety Enhancement Program (PSEP). University of Michigan
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psnet.ahrq.gov/issue/seeking-safer-surgery-some-states-crack-down-doctors-who-perform-unregulated-outpatient
August 17, 2016 - Newspaper/Magazine Article
Seeking a safer surgery: some states crack down on doctors who perform unregulated outpatient procedures.
Citation Text:
Seeking a safer surgery: some states crack down on doctors who perform unregulated outpatient procedures. Landro L.
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psnet.ahrq.gov/issue/patient-safety-and-quality-healthcare
June 14, 2011 - Newsletter/Journal
Patient Safety and Quality Healthcare.
Citation Text:
Patient Safety and Quality Healthcare. Middleton, MA: HealthLeaders Media. ISSN: 1553-6637.
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psnet.ahrq.gov/issue/panel-set-study-safety-electronic-patient-data
March 06, 2005 - Newspaper/Magazine Article
Panel set to study safety of electronic patient data.
Citation Text:
Panel set to study safety of electronic patient data. Freudenheim M.
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psnet.ahrq.gov/issue/pharmacy-safety-and-service-what-you-should-expect
November 23, 2016 - Fact Sheet/FAQs
Pharmacy Safety and Service—What You Should Expect.
Citation Text:
Pharmacy Safety and Service—What You Should Expect. National Patient Safety Foundation.
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psnet.ahrq.gov/issue/diagnostic-excellence-0
December 08, 2021 - Special or Theme Issue
Diagnostic Excellence.
Citation Text:
Diagnostic Excellence. JAMA. Nov 2021-Sep 2022.
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psnet.ahrq.gov/node/39389/psn-pdf
January 03, 2017 - Shaping systems for better behavioral choices: lessons
learned from a fatal medication error.
January 3, 2017
Smetzer JL, Baker C, Byrne FD, et al. Shaping systems for better behavioral choices: lessons learned from
a fatal medication error. Jt Comm J Qual Patient Saf. 2010;36(4):152-163.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/47570/psn-pdf
December 05, 2018 - An electronic health record–based real-time analytics
program for patient safety surveillance and improvement.
December 5, 2018
Classen D, Li M, Miller S, et al. An Electronic Health Record-Based Real-Time Analytics Program For
Patient Safety Surveillance And Improvement. Health Aff (Millwood). 2018;37(11):1805-181…
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psnet.ahrq.gov/issue/psychological-safety-healthcare-settings
June 01, 2017 - Special or Theme Issue
Psychological Safety in Healthcare Settings.
Citation Text:
Psychological Safety in Healthcare Settings. Int J Public Health. 2024;69.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/safety-you-go-hospital-home
November 23, 2016 - Fact Sheet/FAQs
Safety as You Go from Hospital to Home.
Citation Text:
Safety as You Go from Hospital to Home. National Patient Safety Foundation; NPSF
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psnet.ahrq.gov/issue/graduate-programs-healthcare-quality-and-patient-safety
September 21, 2005 - Course Material/Curriculum
Graduate Programs in Healthcare Quality and Patient Safety.
Citation Text:
Graduate Programs in Healthcare Quality and Patient Safety. Center for Education in the Health Sciences, Northwestern University, Chicago, IL.
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psnet.ahrq.gov/issue/nam-action-collaborative-clinician-well-being-and-resilience
June 15, 2011 - Multi-use Website
NAM Action Collaborative on Clinician Well-Being and Resilience.
Citation Text:
NAM Action Collaborative on Clinician Well-Being and Resilience. Washington, DC: National Academy of Medicine.
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psnet.ahrq.gov/node/33871/psn-pdf
December 22, 2018 - Maternal Safety
December 22, 2018
Lyndon A. Maternal Safety. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/maternal-safety
Annual Perspective 2018
The Context of Maternal Safety
Childbirth-related maternal health outcomes have been worsening for some time in the United States. After
a dramatic reduc…
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psnet.ahrq.gov/node/49800/psn-pdf
July 01, 2017 - The Hidden Harms of Hand Sanitizer
July 1, 2017
Stewart S. The Hidden Harms of Hand Sanitizer. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/hidden-harms-hand-sanitizer
The Case
A 57-year-old woman with a history of alcohol abuse and severe depression was admitted to the hospital
for community-acquired pn…
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psnet.ahrq.gov/node/72616/psn-pdf
December 22, 2020 - Adverse Events in Dentistry
December 22, 2020
Kalenderian E, Walji MF, Fitall E, et al. Adverse Events in Dentistry. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/adverse-events-dentistry
Introduction
Similar to many other healthcare settings, dentistry carries with it inherent patient safety risks. D…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.365_slideshow.ppt
January 01, 2016 - PowerPoint Presentation
Spotlight
A Room Without Orders
1
This presentation is based on the January 2016
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Amy Vogelsmeier, PhD, RN, Sinclair School of Nursing; and Laurel Despins, PhD, RN, Sinclair Sc…
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psnet.ahrq.gov/node/49652/psn-pdf
May 01, 2012 - Double Dose at Transfer
May 1, 2012
Hackman JL. Double Dose at Transfer. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/double-dose-transfer
The Case
A 74-year-old man with history of diabetes and hypertension was admitted to the emergency department
(ED) for left lower extremity pain, swelling, and erythe…
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psnet.ahrq.gov/node/33798/psn-pdf
January 01, 2015 - Accountability in Patient Safety
January 1, 2015
Moriates C, Wachter R. Accountability in Patient Safety. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/accountability-patient-safety
Annual Perspective 2015
The tension between the no-blame culture espoused in the early years of the safety movement and …
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psnet.ahrq.gov/node/836812/psn-pdf
March 30, 2022 - Strategies and Approaches for Investigating Patient
Safety Events
March 30, 2022
Shaikh U. Strategies and Approaches for Investigating Patient Safety Events. PSNet [internet]. 2022.
https://psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
Background
This primer provides a broad …
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psnet.ahrq.gov/node/33603/psn-pdf
September 15, 2024 - Surgical Site Infections
September 15, 2024
Surgical Site Infections. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/surgical-site-infections
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 …