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psnet.ahrq.gov/node/866055/psn-pdf
May 29, 2024 - Reducing Preventable Patient Harm Due to Retained
Surgical Items: The RSI Bundle
May 29, 2024
https://psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
Summary
Retained surgical items (RSIs) cause severe yet preventable patient harm. RSIs are the most common
catego…
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psnet.ahrq.gov/web-mm/duplicate-insulin-order
May 04, 2012 - Duplicate Insulin Order
Citation Text:
Acquisto NM, Cobaugh DJ. Duplicate Insulin Order. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/node/33784/psn-pdf
April 01, 2015 - In Conversation With… David Urbach, MD, MSc
April 1, 2015
In Conversation With… David Urbach, MD, MSc. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/conversation-david-urbach-md-msc
Editor's note: Dr. David Urbach is Professor of Surgery and Health Policy, Management, and Evaluation
at the University…
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psnet.ahrq.gov/perspective/annual-perspective-psychological-safety-healthcare-staff
November 16, 2022 - Annual Perspective
Annual Perspective: Psychological Safety of Healthcare Staff
March 31, 2022
View more articles from the same authors.
Citation Text:
Kingston MB, Dowell P, Mossburg SE, et al. Annual Perspective: Psychological Safety of Healthcare Staff. P…
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psnet.ahrq.gov/web-mm/aspergillus-mediastinitis-endocarditis-pediatric-patient-complicating-cardiac-surgery-and
November 16, 2022 - Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient Complicating Cardiac Surgery and Bedside Chest Closure.
Citation Text:
Partridge E, Dodson D, Reilly M, et al. Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient Complicating Cardiac Surgery and Bedside Chest Closure.. PSNet [inter…
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psnet.ahrq.gov/node/865296/psn-pdf
March 27, 2024 - National Patient Safety Goals
March 27, 2024
Shaikh U. National Patient Safety Goals. PSNet [internet]. 2024.
https://psnet.ahrq.gov/primer/national-patient-safety-goals
Background
Despite the development and publication of effective and evidence-based strategies to enhance patient
safety and reduce preventable h…
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psnet.ahrq.gov/node/49790/psn-pdf
April 01, 2017 - Patient Allergies and Electronic Health Records
April 1, 2017
Doyle MJ. Patient Allergies and Electronic Health Records. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/patient-allergies-and-electronic-health-records
The Case
A 40-year-old woman presented with recurring intense right upper quadrant pain, whi…
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psnet.ahrq.gov/node/33647/psn-pdf
March 01, 2007 - The Role of the Patient in Improving Patient Safety
March 1, 2007
Gibson R. The Role of the Patient in Improving Patient Safety. PSNet [internet]. 2007.
https://psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
Perspective
Patients have three roles in improving patient safety: helping to ensure thei…
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psnet.ahrq.gov/issue/reducing-diagnostic-errors
August 17, 2011 - Audiovisual Presentation
Reducing Diagnostic Errors.
Citation Text:
Reducing Diagnostic Errors. Boston, MA: National Patient Safety Foundation; 2011.
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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/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/preventing-violence-health-care-setting
April 26, 2023 - Sentinel Event Alerts
Preventing violence in the health care setting.
Citation Text:
Preventing violence in the health care setting. Sentinel Event Alert. 2010;(45):1-3.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
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psnet.ahrq.gov/issue/patient-safety-tools-improving-safety-point-care
December 24, 2008 - Grant Recipient
Patient Safety Tools: Improving Safety at the Point of Care.
Citation Text:
Patient Safety Tools: Improving Safety at the Point of Care. Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/issue/still-crossing-quality-chasm
November 04, 2012 - Special or Theme Issue
Still Crossing The Quality Chasm.
Citation Text:
Still Crossing The Quality Chasm. Health Aff (Millwood). 2011;30(4):554-800.
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psnet.ahrq.gov/issue/practitioners-agree-medication-reconciliation-value-frustration-and-difficulties-abound
August 09, 2023 - Newspaper/Magazine Article
Practitioners agree on medication reconciliation value, but frustration and difficulties abound.
Citation Text:
Practitioners agree on medication reconciliation value, but frustration and difficulties abound. ISMP Medication Safety Alert! Acute care edition. Ju…
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psnet.ahrq.gov/issue/workplace-violence-prevention-implementing-strategies-safer-healthcare-organizations
February 28, 2018 - Multi-use Website
Workplace Violence Prevention: Implementing Strategies for Safer Healthcare Organizations.
Citation Text:
Workplace Violence Prevention: Implementing Strategies for Safer Healthcare Organizations. Joint Commission.
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psnet.ahrq.gov/issue/how-safe-do-patients-feel
June 25, 2010 - Newspaper/Magazine Article
How safe do patients feel?
Citation Text:
How safe do patients feel? Wolosin R; Vercler L; Matthews J.
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psnet.ahrq.gov/issue/partnership-health-it-patient-safety
March 10, 2021 - Multi-use Website
Partnership for Health IT Patient Safety.
Citation Text:
Partnership for Health IT Patient Safety. ECRI. Plymouth Meeting, PA.
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psnet.ahrq.gov/issue/obstetric-issues
April 16, 2018 - Special or Theme Issue
Obstetric Issues.
Citation Text:
Obstetric Issues. PA-PSRS; Patient Safety Advisory.
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psnet.ahrq.gov/issue/ariadne-labs
February 05, 2014 - Multi-use Website
Ariadne Labs.
Citation Text:
Ariadne Labs. Brigham & Women's Hospital; Harvard T.H. Chan School of Public Health.
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