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psnet.ahrq.gov/issue/effect-genetic-diagnosis-patients-previously-undiagnosed-disease
October 19, 2022 - Study
Effect of genetic diagnosis on patients with previously undiagnosed disease.
Citation Text:
Splinter K, Adams DR, Bacino CA, et al. Effect of Genetic Diagnosis on Patients with Previously Undiagnosed Disease. New Engl J Med. 2018;379(22):2131-2139. doi:10.1056/NEJMoa1714458.
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psnet.ahrq.gov/issue/safe-use-ehr-medical-scribes-qualitative-study
February 01, 2023 - Study
Safe use of the EHR by medical scribes: a qualitative study.
Citation Text:
Ash JS, Corby S, Mohan V, et al. Safe use of the EHR by medical scribes: a qualitative study. J Amer Med Inform Assoc. 2021;28(2):294-302. doi:10.1093/jamia/ocaa199.
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psnet.ahrq.gov/issue/mitigating-july-effect
August 05, 2020 - Commentary
Mitigating the July effect.
Citation Text:
Wu AW, Vincent CA, Shapiro DW, et al. Mitigating the July effect. J Patient Saf Risk Manag. 2021;26(3):93-96. doi:10.1177/25160435211019142.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML En…
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psnet.ahrq.gov/node/60000
January 01, 2021 - Patient Safety Innovations Exchange
The Patient Safety Innovations Exchange highlights important innovations that can lead to improvements in patient safety. It is based on AHRQ’s Health Care Innovations Exchange , which shares many health care innovations, including those that improve patient safety. While available …
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psnet.ahrq.gov/issue/qualitytoolstm
April 25, 2018 - Database/Directory
QualityTools™.
Citation Text:
Agency for Healthcare Research and Quality; AHRQ
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March 6, 2005
Agency for …
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psnet.ahrq.gov/issue/beyond-misadventure-compensation-medical-injuries-new-zealand
March 29, 2023 - Commentary
Beyond misadventure: compensation for medical injuries in New Zealand.
Citation Text:
Oliphant K. Beyond misadventure: compensation for medical injuries in New Zealand. Med Law Rev. 2007;15(3):357-91.
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psnet.ahrq.gov/node/49439/psn-pdf
March 01, 2004 - Lethal Cap
March 1, 2004
Schillinger D. Lethal Cap. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/lethal-cap
The Case
A 9-month-old child was seen by her pediatrician for a fever and decreased appetite. She was found to
have otitis media and was prescribed amoxicillin. The doctor gave the first dose to th…
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psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
March 15, 2025 - Strategies and Approaches for Investigating Patient Safety Events
Citation Text:
Shaikh U. Strategies and Approaches for Investigating Patient Safety Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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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/49845/psn-pdf
October 01, 2018 - Coming Up Short: Maintaining Safety in the Face of Drug
Shortages
October 1, 2018
Plogsted S. Coming Up Short: Maintaining Safety in the Face of Drug Shortages. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages
The Case
A 1-month-old preterm infant in the ne…
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psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-summary
February 26, 2025 - Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary
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February 26, 2025
Innovation
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psnet.ahrq.gov/perspective/accountability-patient-safety
January 01, 2018 - Annual Perspective
Accountability in Patient Safety
Christopher Moriates, MD, and Robert M. Wachter, MD | January 1, 2015
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Citation Text:
Moriates C, Wachter R. Accountability in Patient Safety. PSNet [internet]. Rock…
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psnet.ahrq.gov/perspective/maternal-safety
January 01, 2015 - Annual Perspective
Maternal Safety
Audrey Lyndon, RN, PhD | December 22, 2018
View more articles from the same authors.
Citation Text:
Lyndon A. Maternal Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of H…
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psnet.ahrq.gov/web-mm/culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care
December 23, 2020 - cancer patients. 27 Treatment planning as an on-going process, not a one-time decision A final lesson learned
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psnet.ahrq.gov/Issues
June 23, 2021 - Issues
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. Current Issue highlights what's new this week in patient safety literature, news, conferences, reports, a…
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psnet.ahrq.gov/issues
June 23, 2021 - Issues
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. Current Issue highlights what's new this week in patient safety literature, news, conferences, reports, a…
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psnet.ahrq.gov/perspective/conversation-neel-shah-md-mpp
October 30, 2019 - In Conversation With… Neel Shah, MD, MPP
October 30, 2019
Also Read the Essay
Citation Text:
In Conversation With… Neel Shah, MD, MPP. 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/issue/notice-intent-publish-funding-opportunity-announcement-data-management-and-coordinating
February 15, 2023 - Press Release/Announcement
Notice of Intent to Publish a Funding Opportunity Announcement for a Data Management and Coordinating Center for Diagnostic Centers of Excellence.
Citation Text:
Bethesda, MD: National Institute of Neurological Disorders and Stroke. February 10, 2022. Publicati…
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psnet.ahrq.gov/issue/9th-international-patient-safety-conference-2023
April 13, 2023 - International Meeting/Conference
9th International Patient Safety Conference 2023.
Citation Text:
Indraprastha Apollo Hospitals. The Taj Palace, New Delhi, India. February 13-14, 2023.
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psnet.ahrq.gov/issue/identification-and-description-randomized-controlled-trials-and-systematic-reviews-patient
March 09, 2022 - Study
Identification and description of randomized controlled trials and systematic reviews on patient safety published in medical journals.
Citation Text:
Barajas-Nava LA, Calvache JA, López-Alcalde J, et al. Identification and description of randomized controlled trials and systemati…