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psnet.ahrq.gov/submit-case-landing
March 25, 2025 - WebM&M Case Submission
PSNet is looking for interesting, provocative cases that illustrate key issues … professionals may submit de-identified cases that highlight medical errors or other patient safety/quality issues … Is the case an important example of a common error, or is it unique but nevertheless raises some key issues … Does the case highlight important systems issues? … form should only be used to submit de-identified, factual cases of medical errors or patient safety issues
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psnet.ahrq.gov/issue/critical-issues-food-allergy-national-academies-consensus-report
November 16, 2022 - Commentary
Critical Issues in Food Allergy: A National Academies Consensus Report … Critical Issues in Food Allergy: A National Academies Consensus Report. … Critical Issues in Food Allergy: A National Academies Consensus Report.
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psnet.ahrq.gov/node/73893/psn-pdf
September 29, 2021 - How to seek care for non-covid health issues during the
pandemic, and why you shouldn’t delay. …
https://psnet.ahrq.gov/issue/how-seek-care-non-covid-health-issues-during-pandemic-and-why-you … https://psnet.ahrq.gov/issue/how-seek-care-non-covid-health-issues-during-pandemic-and-why-you-shouldnt-delay … https://psnet.ahrq.gov/issue/how-seek-care-non-covid-health-issues-during-pandemic-and-why-you-shouldnt-delay
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psnet.ahrq.gov/node/838644/psn-pdf
October 19, 2022 - Issues a Voluntary
Nationwide Recall of Atenolol 25 mg Tablets and
Clopidogrel 75 mg Tablets Due to … https://psnet.ahrq.gov/issue/golden-state-medical-supply-inc-issues-voluntary-nationwide-recall-atenolol … https://psnet.ahrq.gov/issue/golden-state-medical-supply-inc-issues-voluntary-nationwide-recall-atenolol … -25-mg-tablets-and
https://psnet.ahrq.gov/issue/golden-state-medical-supply-inc-issues-voluntary-nationwide-recall-atenolol
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psnet.ahrq.gov/node/50844/psn-pdf
January 29, 2020 - workday or shift to focus on care coordination, facilitate immediate face-to-face clarification
of issues … purpose of the huddle is to share information and highlight
concerns to be followed up – not solve issues … Issues with non-functional or defective equipment, or concerns about patient rooms are included in these … issue" to clearly convey the gravity of the event to the listener.8
A designated team member notes issues … and to outline plans to
prevent and address those issues.
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psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
December 15, 2024 - workday or shift to focus on care coordination, facilitate immediate face-to-face clarification of issues … . 6 The overall goal of the safety huddle is to review the previous day’s work to identify safety issues … purpose of the huddle is to share information and highlight concerns to be followed up – not solve issues … Issues with non-functional or defective equipment, or concerns about patient rooms are included in these … and to outline plans to prevent and address those issues.
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psnet.ahrq.gov/issue/enhancing-teamwork-communication-and-patient-safety-responsiveness-paediatric-intensive-care
March 10, 2021 - aimed at improving communication and early identification and timely resolution of patient safety issues … Over a 7-month period, 340 safety issues were addressed; the majority involved infection control and … medication errors (32%), communication issues (24%) and documentation issues (17%).
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psnet.ahrq.gov/node/60051/psn-pdf
March 18, 2020 - aimed at improving communication and early identification and timely resolution of patient safety issues … Over a 7-month period, 340 safety issues were addressed; the majority involved infection control and … medication errors (32%), communication issues (24%) and documentation issues (17%).
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psnet.ahrq.gov/issue/patient-safety-issues-advanced-practice-nursing-students-care-settings
April 10, 2013 - Study
Patient safety issues in advanced practice nursing students' care settings. … Patient Safety Issues in Advanced Practice Nursing Studentsʼ Care Settings. … Patient Safety Issues in Advanced Practice Nursing Studentsʼ Care Settings. … the Same Author(s)
Advanced practice nursing students' identification of patient safety issues
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psnet.ahrq.gov/issue/top-10-patient-safety-issues-what-more-can-we-do
May 08, 2013 - Commentary
Top 10 patient safety issues: what more can we do? … Top 10 patient safety issues: what more can we do? … Top 10 patient safety issues: what more can we do? … Citation
Related Resources From the Same Author(s)
Priority patient safety issues
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psnet.ahrq.gov/node/42175/psn-pdf
April 10, 2013 - Advanced practice nursing students' identification of
patient safety issues in ambulatory care. … Advanced practice nursing students' identification of patient safety
issues in ambulatory care. … https://psnet.ahrq.gov/issue/advanced-practice-nursing-students-identification-patient-safety-issues- … ambulatory-care
Recent research has focused on identifying patient safety issues in the ambulatory … In this study,
advanced practice nursing students recognized more than 800 patient safety issues during
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psnet.ahrq.gov/node/46975/psn-pdf
November 16, 2018 - Electronic health record usability issues and potential
contribution to patient harm. … Electronic Health Record Usability Issues and Potential
Contribution to Patient Harm. … https://psnet.ahrq.gov/issue/electronic-health-record-usability-issues-and-potential-contribution-patient … In particular, issues with EHR usability (the ease of understanding, learning,
and using the interface … the EHR vendors' legal liability, meaning that patients may not be able to seek
compensation if EHR issues
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psnet.ahrq.gov/node/38137/psn-pdf
October 15, 2008 - Ethical and legal issues in the use of health information
technology to improve patient safety. … Ethical and legal issues in the use of health information technology to improve patient safety. … https://psnet.ahrq.gov/issue/ethical-and-legal-issues-use-health-information-technology-improve-patient … -
safety
This review explores the emerging privacy, security, and regulatory issues in using health … https://psnet.ahrq.gov/issue/ethical-and-legal-issues-use-health-information-technology-improve-patient-safety
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psnet.ahrq.gov/issue/how-communications-issues-between-doctors-and-nurses-can-affect-your-health
September 28, 2016 - Newspaper/Magazine Article
How communications issues between doctors and nurses can … Citation Text:
How communications issues between doctors and nurses can affect your health. … URL
Cite
Citation
Citation Text:
How communications issues … October 1, 2016
Costly issues of an uncommunicative OR.
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psnet.ahrq.gov/node/36337/psn-pdf
October 26, 2010 - Technology, governance and patient safety: systems
issues in technology and patient safety. … Technology, governance and patient safety: systems
issues in technology and patient safety. … https://psnet.ahrq.gov/issue/technology-governance-and-patient-safety-systems-issues-technology-and- … adverse events related to medical devices, equipment, and other
technologies and discuss governance issues … https://psnet.ahrq.gov/issue/technology-governance-and-patient-safety-systems-issues-technology-and-patient-safety
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psnet.ahrq.gov/node/40251/psn-pdf
June 13, 2012 - Emerging issues and challenges for improving patient
safety in mental health: a qualitative analysis … Emerging issues and challenges for improving patient safety in mental health: a
qualitative analysis … https://psnet.ahrq.gov/issue/emerging-issues-and-challenges-improving-patient-safety-mental-health- … This article describes the dominant
issues and priorities for improving patient safety in this field … https://psnet.ahrq.gov/issue/emerging-issues-and-challenges-improving-patient-safety-mental-health-qualitative-analysis
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psnet.ahrq.gov/node/42935/psn-pdf
February 12, 2014 - Socio-technical issues and challenges in implementing
safe patient handovers: insights from ethnographic … Socio-technical issues and challenges in implementing safe patient
handovers: insights from ethnographic … https://psnet.ahrq.gov/issue/socio-technical-issues-and-challenges-implementing-safe-patient-handovers … These analyses emphasize numerous contextual issues that need be
considered when creating computerized … https://psnet.ahrq.gov/issue/socio-technical-issues-and-challenges-implementing-safe-patient-handovers-insights
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psnet.ahrq.gov/node/864377/psn-pdf
March 13, 2024 - patients-experiences-dental-diagnostic-failures-qualitative-study-using-social-
media
Patient safety issues … Participants identified several categories of contributing factors, including clinician issues (e.g., … poor
communication), patient issues (e.g., lack of self-advocacy), and system factors (e.g., insurance
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psnet.ahrq.gov/node/45132/psn-pdf
July 20, 2016 - Staying silent about safety issues: conceptualizing and
measuring safety silence motives. … Staying silent about safety issues: Conceptualizing and measuring safety
silence motives. … https://psnet.ahrq.gov/issue/staying-silent-about-safety-issues-conceptualizing-and-measuring-safety- … This study found several motives explaining why employees stay silent about safety issues, including … https://psnet.ahrq.gov/issue/staying-silent-about-safety-issues-conceptualizing-and-measuring-safety-silence-motives
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psnet.ahrq.gov/Webmm/submit-case-info
August 10, 2025 - cases that highlight medical errors or other patient
safety/quality
issues … used to submit de-identified factual cases of medical errors or patient
safety issues … Does the case highlight important systems issues? … cases that highlight medical errors or other patient
safety/quality
issues … The PSNet Collection
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