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psnet.ahrq.gov/node/33635/psn-pdf
July 01, 2006 - In Conversation with...Allan Frankel, MD
July 1, 2006
In Conversation with..Allan Frankel, MD. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/conversation-withallan-frankel-md
Dr. Robert Wachter, Editor, AHRQ WebM&M: Tell us a little bit about how you became interested in this
kind of work.
Dr. Allan …
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psnet.ahrq.gov/node/49699/psn-pdf
February 01, 2014 - Multifactorial Medication Mishap
February 1, 2014
Yang A. Multifactorial Medication Mishap. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
Case Objectives
Understand the system-based causes of medication errors.
Describe a model for a systems approach to error analysis.
Id…
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psnet.ahrq.gov/node/49857/psn-pdf
March 01, 2019 - Duplicate Insulin Order
March 1, 2019
Acquisto NM, Cobaugh DJ. Duplicate Insulin Order. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/duplicate-insulin-order
The Case
A 45-year-old man with a history of insulin-dependent diabetes mellitus was seen in the emergency
department (ED) for complaints of letharg…
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psnet.ahrq.gov/web-mm/complaints-safety-surveillance
May 05, 2021 - Complaints as Safety Surveillance
Citation Text:
Morris JL, Bismark M. Complaints as Safety Surveillance. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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Format:
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psnet.ahrq.gov/node/49588/psn-pdf
August 01, 2009 - Nurse Staffing Ratios: The Crucible of Money, Policy,
Research, and Patient Care
August 1, 2009
Rich V. Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care. PSNet
[internet]. 2009.
https://psnet.ahrq.gov/web-mm/nurse-staffing-ratios-crucible-money-policy-research-and-patient-care
Case…
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psnet.ahrq.gov/perspective/conversation-james-p-bagian-md-pe
February 26, 2025 - In Conversation With... James P. Bagian, MD, PE
December 1, 2016
Citation Text:
In Conversation With.. James P. Bagian, MD, PE. PSNet [internet]. 2016.In Conversation With... James P. Bagian, MD, PE. PSNet [internet]. Rockville (MD): Agency for Healthcare Research a…
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psnet.ahrq.gov/node/47071/psn-pdf
January 23, 2019 - Medication for opioid use disorder after nonfatal opioid
overdose and association with mortality: a cohort study.
January 23, 2019
Larochelle MR, Bernson D, Land T, et al. Medication for Opioid Use Disorder After Nonfatal Opioid
Overdose and Association With Mortality: A Cohort Study. Ann Intern Med. 2018;169(3):13…
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psnet.ahrq.gov/node/43802/psn-pdf
August 02, 2015 - Association of the 2011 ACGME resident duty hour
reforms with mortality and readmissions among
hospitalized Medicare patients.
August 2, 2015
Patel MS, Volpp KG, Small DS, et al. Association of the 2011 ACGME resident duty hour reforms with
mortality and readmissions among hospitalized Medicare patients. JAMA. 201…
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psnet.ahrq.gov/node/41461/psn-pdf
April 05, 2013 - Residents' response to duty-hour regulations—a follow-
up national survey.
April 5, 2013
Drolet BC, Christopher DA, Fischer SA. Residents' response to duty-hour regulations--a follow-up national
survey. N Engl J Med. 2012;366(24):e35. doi:10.1056/NEJMp1202848.
https://psnet.ahrq.gov/issue/residents-response-duty-h…
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psnet.ahrq.gov/node/47307/psn-pdf
December 12, 2018 - Are teaching hospitals treated fairly in the Hospital-
Acquired Condition Reduction Program?
December 12, 2018
Mohajer MA, Joiner KA, Nix DE. Are Teaching Hospitals Treated Fairly in the Hospital-Acquired Condition
Reduction Program? Acad Med. 2018;93(12):1827-1832. doi:10.1097/ACM.0000000000002399.
https://psnet.…
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psnet.ahrq.gov/node/48098/psn-pdf
July 10, 2019 - How often do prescribers include indications in drug
orders? Analysis of 4 million outpatient prescriptions.
July 10, 2019
Salazar A, Karmiy SJ, Forsythe KJ, et al. How often do prescribers include indications in drug orders?
Analysis of 4 million outpatient prescriptions. Am J Health Syst Pharm. 2019;76(13):970-97…
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psnet.ahrq.gov/node/38909/psn-pdf
September 02, 2009 - Effect of work-hours regulations on intensive care unit
mortality in United States teaching hospitals.
September 2, 2009
Prasad M, Iwashyna TJ, Christie JD, et al. Effect of work-hours regulations on intensive care unit mortality
in United States teaching hospitals. Crit Care Med. 2009;37(9):2564-9.
doi:10.1097/CC…
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psnet.ahrq.gov/issue/patient-safety-resource-center
May 26, 2021 - Multi-use Website
Patient Safety Resource Center.
Citation Text:
Patient Safety Resource Center. Medscape
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Save
Save to your library
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…
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psnet.ahrq.gov/node/73258/psn-pdf
May 12, 2021 - Rate of sepsis hospitalizations after misdiagnosis in adult
emergency department patients: a look-forward analysis
with administrative claims data using Symptom-Disease
Pair Analysis of Diagnostic Error methodology in an
integrated health system.
May 12, 2021
Horberg MA, Nassery N, Rubenstein KB, et al. Rate of s…
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psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
August 30, 2023 - In Conversation with... Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety
Patricia McGaffigan, MS, RN, CPPS; Cindy Manaoat Van, MHSA, CPPS; Sarah E. Mossburg, RN, PhD
| August 30, 2023
Also Read the Essay
View more articles from the same authors. …
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psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
August 30, 2023 - Beyond the Pandemic: Creating Total Systems Safety
Patricia McGaffigan, MS, RN, CPPS; Cindy Manaoat Van, MHSA, CPPS; Sarah E. Mossburg, RN, PhD
| August 30, 2023
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Van CM, Mossb…
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psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety
August 31, 2020 - Institutional COVID-19 protocols: focused on preparation, safety, and care consolidation.
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psnet.ahrq.gov/node/865466/psn-pdf
March 27, 2024 - Still in its early implementation, the REPAIR (REParations and
Anti-Institutional Racism) project includes
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psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
December 01, 2009 - But when the data indicate there is no improvement, an institutional policy directs that the individual's
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psnet.ahrq.gov/perspective/conversation-withgerald-b-hickson-md
December 01, 2009 - But when the data indicate there is no improvement, an institutional policy directs that the individual's