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psnet.ahrq.gov/node/40717/psn-pdf
August 24, 2011 - Revealing their medical errors: why three doctors went
public.
August 24, 2011
O'Reilly KB.
https://psnet.ahrq.gov/issue/revealing-their-medical-errors-why-three-doctors-went-public
This news article reports on health care providers who have publicly revealed direct involvement in cases
of medical errors, with a …
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psnet.ahrq.gov/node/35607/psn-pdf
January 23, 2012 - The Patients' View: 2004 ISQSH National Survey.
January 23, 2012
Dublin: Irish Society for Quality and Safety in Healthcare; 2004.
https://psnet.ahrq.gov/issue/patients-view-2004-isqsh-national-survey
This report provides results from a 26-hospital survey investigating areas of service and care weakness in
Irish h…
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psnet.ahrq.gov/node/37287/psn-pdf
October 26, 2007 - Patients as Partners: Toolkit for Implementing National
Patient Safety Goal 13.
October 26, 2007
Pillow M. Oakbrook Terrace, IL: Joint Commission Resources; 2007. ISBN 9781599401614.
https://psnet.ahrq.gov/issue/patients-partners-toolkit-implementing-national-patient-safety-goal-13
This publication and accompanyin…
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psnet.ahrq.gov/node/36959/psn-pdf
September 12, 2011 - Health care governance for quality and safety: the new
agenda.
September 12, 2011
Clough J, Nash DB. Health care governance for quality and safety: the new agenda. Am J Med Qual.
2007;22(3):203-13.
https://psnet.ahrq.gov/issue/health-care-governance-quality-and-safety-new-agenda
The authors provide an annotated l…
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psnet.ahrq.gov/node/34122/psn-pdf
September 13, 2016 - Patient Safety, Risk and Quality.
September 13, 2016
ECRI
https://psnet.ahrq.gov/issue/patient-safety-risk-and-quality
ECRI is a nonprofit health services research agency. Their mission involves improving the safety, quality,
and cost-effectiveness of health care. ECRI focuses on health care technology, health car…
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psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
August 01, 2018 - Studies involving patients have demonstrated that procedural skills training using simulation is associated … Simulations involving standardized patients are a means to assess selected competencies in patient care
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psnet.ahrq.gov/node/36611/psn-pdf
January 14, 2011 - In the wake of hospital inquiries: impact on staff and
safety.
January 14, 2011
Dunbar JA, Reddy P, Beresford B, et al. In the wake of hospital inquiries: impact on staff and safety. Med J
Aust. 2007;186(2):80-3.
https://psnet.ahrq.gov/issue/wake-hospital-inquiries-impact-staff-and-safety
The authors present seve…
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psnet.ahrq.gov/node/40523/psn-pdf
August 31, 2011 - A Hospital Accident: Lessons Learned – A Death, A
Conviction, and A Healing.
August 31, 2011
Texas Medical Institute of Technology. June 16, 2011.
https://psnet.ahrq.gov/issue/hospital-accident-lessons-learned-death-conviction-and-healing
This webinar covered how medical errors affect both the family and provider …
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psnet.ahrq.gov/node/35179/psn-pdf
June 06, 2016 - Patient safety in cataract surgery.
June 6, 2016
Kelly SP, Astbury NJ. Patient safety in cataract surgery. Eye (Lond). 2006;20(3):275-82.
https://psnet.ahrq.gov/issue/patient-safety-cataract-surgery
The authors evaluate patient safety issues involved with cataract surgery and provide several
recommendations for sa…
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psnet.ahrq.gov/node/36531/psn-pdf
March 28, 2011 - Developing a national patient safety education framework
for Australia.
March 28, 2011
Walton MM, Shaw T, Barnet S, et al. Developing a national patient safety education framework for
Australia. Qual Saf Health Care. 2006;15(6):437-42.
https://psnet.ahrq.gov/issue/developing-national-patient-safety-education-frame…
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psnet.ahrq.gov/node/37246/psn-pdf
December 16, 2011 - Nurses' experiences of drug administration errors.
December 16, 2011
Schelbred A-B, Nord R. Nurses' experiences of drug administration errors. J Adv Nurs. 2007;60(3):317-24.
https://psnet.ahrq.gov/issue/nurses-experiences-drug-administration-errors
This qualitative study describes the experiences of nurses who comm…
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psnet.ahrq.gov/node/38767/psn-pdf
April 18, 2011 - Failed spinal anaesthesia: mechanisms, management,
and prevention.
April 18, 2011
Fettes PDW, Jansson J-R, Wildsmith JAW. Failed spinal anaesthesia: mechanisms, management, and
prevention. Br J Anaesth. 2009;102(6):739-48. doi:10.1093/bja/aep096.
https://psnet.ahrq.gov/issue/failed-spinal-anaesthesia-mechanisms-ma…
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psnet.ahrq.gov/node/36541/psn-pdf
January 25, 2010 - Patient Safety in Pediatric Emergency Medicine.
January 25, 2010
Frush KS, Hohenhaus SM eds. Clin Pediatr Emerg Med. 2006;7(4):213-283.
https://psnet.ahrq.gov/issue/patient-safety-pediatric-emergency-medicine
This special issue provides 11 articles on various aspects of ensuring safety in pediatric emergency care,
…
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psnet.ahrq.gov/node/37237/psn-pdf
December 15, 2011 - Discontinuity and disaster: gaps and the negotiation of
culpability in medication delivery.
December 15, 2011
Dekker SWA. Discontinuity and disaster: gaps and the negotiation of culpability in medication delivery. J
Law Med Ethics. 2007;35(3):463-70.
https://psnet.ahrq.gov/issue/discontinuity-and-disaster-gaps-and…
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psnet.ahrq.gov/node/867497/psn-pdf
February 26, 2025 - Surgical Count Processes
Surgical
Count
A process involving two people who look at items together
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psnet.ahrq.gov/node/850361/psn-pdf
June 14, 2023 - Involving a patient’s family members, if permitted by
the patient, helps them to understand the patient
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psnet.ahrq.gov/web-mm/endometriosis-common-and-commonly-missed-and-delayed-diagnosis
May 26, 2021 - Endometriosis: A Common and Commonly Missed and Delayed Diagnosis
Citation Text:
Mackenzie M, Royce C. Endometriosis: A Common and Commonly Missed and Delayed Diagnosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
Copy Cit…
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psnet.ahrq.gov/node/33796/psn-pdf
January 01, 2016 - In Conversation With… Mark L. Graber, MD
January 1, 2016
In Conversation With… Mark L. Graber, MD. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
Editor's note: Dr. Graber is a Senior Fellow at RTI International and Professor Emeritus of Medicine at
the State University o…
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psnet.ahrq.gov/training-catalog/ismp-education-solutions
September 14, 2025 - ISMP Education Solutions
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Organization:
Organization
ECRI Institute
Event Description: As a global leader in medication s…
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psnet.ahrq.gov/node/36825/psn-pdf
March 28, 2011 - Should patients have a role in patient safety? A safety
engineering view.
March 28, 2011
Lyons M. Should patients have a role in patient safety? A safety engineering view. Qual Saf Health Care.
2007;16(2):140-2.
https://psnet.ahrq.gov/issue/should-patients-have-role-patient-safety-safety-engineering-view
Noting a…