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psnet.ahrq.gov/node/866395/psn-pdf
July 23, 2024 - Rescue Improvement Conference Innovation Summary
July 23, 2024
https://psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
Summary
The Rescue Improvement Conference (RIC)1 was designed at the University of Michigan to address failure
to rescue with a particular focus on communication and com…
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psnet.ahrq.gov/node/33565/psn-pdf
September 01, 2024 - Healthcare-associated Infections
June 15, 2024
Healthcare - Associated Infections. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/health-care-associated-infections
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.230_slideshow.ppt
December 01, 2010 - Spotlight Case July 2008
Spotlight Case
The Forgotten Turn
*
*
Source and Credits
This presentation is based on the December 2010
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Susan Barbour, RN, FNP, University of California San Francisco …
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psnet.ahrq.gov/sites/default/files/2020-05/webmm.ahrq_.gov_.392_slideshow.pptx
January 01, 2020 - Spotlight
Spotlight
Suicidal Ideation in the Family Medicine Clinic
1
Source and Credits
This presentation is based on the December 2016
AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Christine Moutier, MD, Chief Medical Officer, American …
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psnet.ahrq.gov/node/33778/psn-pdf
March 01, 2015 - Diagnostic Errors
January 1, 2014
Sarkar U, Shojania KG. Diagnostic Errors. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/diagnostic-errors
Annual Perspective 2014
Until very recently, diagnostic errors received relatively little attention in the field of patient safety,
particularly when compared wi…
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psnet.ahrq.gov/node/33868/psn-pdf
October 01, 2018 - Safety in the Retail Pharmacy
October 1, 2018
Chui MA. Safety in the Retail Pharmacy. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/safety-retail-pharmacy
Perspective
There are approximately 67,000 retail/community pharmacies dispensing 4.4 billion prescriptions each
year.(1) Many patients interact w…
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psnet.ahrq.gov/sites/default/files/2021-09/spotlight_lost_in_transitions_of_care_09.22.2021_final.pdf
January 01, 2021 - Spotlight
Spotlight
Lost in Transitions of Care: Managing an
Opioid-Dependent Patient with Frequent
Hospitalizations
Source and Credits
• This presentation is based on the September 2021 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary …
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psnet.ahrq.gov/node/33858/psn-pdf
May 01, 2018 - In Conversation With… John Halamka, MD, MS
May 1, 2018
In Conversation With… John Halamka, MD, MS. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/conversation-john-halamka-md-ms
Editor's note: Dr. Halamka is the International Healthcare Innovation Professor at Harvard Medical
School, Chief Information …
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psnet.ahrq.gov/node/865373/psn-pdf
March 27, 2024 - In Conversation with...Patrick Tighe about Artificial
Intelligence
March 27, 2024
Tighe P. In Conversation with..Patrick Tighe about Artificial Intelligence . PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence
Editor's note: Patrick Tighe, MD, M…
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psnet.ahrq.gov/innovation/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads-improved-outcomes
July 23, 2024 - Rehearsing Team Care for Relatively Rare Obstetric Emergencies Leads to Improved Outcomes
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December 22, 2020
Innovation
Contact
…
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psnet.ahrq.gov/issue/2016-john-m-eisenberg-patient-safety-and-quality-award-recipients-announced
April 13, 2016 - Award Recipient
2016 John M. Eisenberg Patient Safety and Quality Award Recipients Announced.
Citation Text:
Joint Commission. April 4, 2017.
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…
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psnet.ahrq.gov/issue/panel-discussion-error-proofing-your-pharmacy
April 05, 2006 - Audiovisual
Panel Discussion: Error Proofing Your Pharmacy.
Citation Text:
Chi J; Bootman L; Cohen M; Fong D; Jorgenson J, Ravnan S; Mayer F; Laborsky J.
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psnet.ahrq.gov/issue/part-2-9th-annual-communication-apology-and-resolution-care-forum
June 19, 2019 - Meeting/Conference Proceedings
Part 2 of the 9th Annual Communication, Apology, and Resolution (CARe) Forum.
Citation Text:
Betsy Lehman Center for Patient Safety. June 2, 2022.
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psnet.ahrq.gov/issue/impact-medical-mistakes-navigating-work-family-boundaries-physicians-and-their-families
January 23, 2019 - Study
Impact of medical mistakes: navigating work–family boundaries for physicians and their families.
Citation Text:
Petronio S.
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psnet.ahrq.gov/issue/use-bar-code-technology-medication-administration
January 23, 2019 - Commentary
The use of bar code technology in medication administration.
Citation Text:
McRoberts S.
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March 6, 2005
McRober…
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psnet.ahrq.gov/issue/fourth-cause-campaign
April 22, 2009 - Multi-use Website
Fourth Cause Campaign.
Citation Text:
American Society of Pharmacovigilance.
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April 23, 2021
American Soc…
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psnet.ahrq.gov/issue/international-forum-quality-and-safety-healthcare
September 10, 2024 - Meeting/Conference Proceedings
The International Forum on Quality and Safety in Healthcare.
Citation Text:
Institute for Healthcare Improvement and British Medical Journal. ExCeL London, London, UK, April 10-12, 2024.
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psnet.ahrq.gov/issue/mri-safety-week
January 29, 2021 - Multi-use Website
MRI Safety Week.
Citation Text:
International Society for Magnetic Resonance in Medicine.
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June 27, 2007
I…
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psnet.ahrq.gov/issue/state-starts-project-track-serious-hospital-mistakes
May 10, 2006 - Newspaper/Magazine Article
State starts project to track serious hospital mistakes.
Citation Text:
Colburn D.
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February 15, 20…
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psnet.ahrq.gov/issue/state-nurse-error-caused-death
May 10, 2006 - Newspaper/Magazine Article
State: nurse error caused death.
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August 2, 2006
View more articles from the same authors.
This article reports on a fe…