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psnet.ahrq.gov/issue/alarm-fatigue-factor-2nd-death
September 30, 2015 - Newspaper/Magazine Article
'Alarm fatigue’ a factor in 2nd death.
Citation Text:
'Alarm fatigue’ a factor in 2nd death. Kowalczyk L. Boston Globe. September 21, 2011.
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psnet.ahrq.gov/issue/ahrq-projects-prevent-healthcare-associated-infections-fiscal-year-2011
May 07, 2014 - Fact Sheet/FAQs
AHRQ Projects to Prevent Healthcare-Associated Infections, Fiscal Year 2011.
Citation Text:
AHRQ Projects to Prevent Healthcare-Associated Infections, Fiscal Year 2011. Rockville, MD: Agency for Healthcare Research and Quality; October 2011. AHRQ Publication No. 09-P0…
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psnet.ahrq.gov/issue/va-punished-critics-staff-doctors-assert
June 23, 2009 - Newspaper/Magazine Article
VA punished critics on staff, doctors assert.
Citation Text:
VA punished critics on staff, doctors assert. Lichtblau E.
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psnet.ahrq.gov/sites/default/files/2025-01/ACPE%20Home%20Study%20Activity%20Announcement%20-%20Mismanagement%20of%20Acute%20Decompensated%20Heart%20Failure.pdf
January 01, 2025 - HTTPS://PSNET.AHRQ.GOV 1
AHRQ’S PATIENT SAFETY NETWORK (PSNET) SPOTLIGHT CASE
SERIES:
MISMANAGEMENT OF ACUTE DECOMPENSATED HEART FAILURE
WITH HYPERTENSIVE EMERGENCY
INITIAL RELEASE DATE: JANAURY 1, 2025
EXPIRATION DATE: JULY 31, 2027
SPEAKERS:
Jaenic Lee, MD
Resident Physician
Department of In…
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psnet.ahrq.gov/issue/abstracts-7th-annual-international-meeting-simulation-healthcare
August 01, 2018 - Special or Theme Issue
Abstracts of the 7th Annual International Meeting on Simulation in Healthcare.
Citation Text:
Abstracts of the 7th Annual International Meeting on Simulation in Healthcare. Simul Healthc. 2007;1(suppl 1):34-138.
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psnet.ahrq.gov/issue/diagnosis-interpreting-shadows
June 29, 2016 - Book/Report
Diagnosis: Interpreting the Shadows.
Citation Text:
Diagnosis: Interpreting the Shadows. Croskerry P, Cosby KS, Graber ML, Singh H. Boca Raton, FL: CRC Press; 2017. ISBN: 9781409432333.
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psnet.ahrq.gov/issue/patient-safety-improvement-act-2020
February 12, 2020 - Government Resource
Patient Safety Improvement Act of 2020.
Citation Text:
Patient Safety Improvement Act of 2020. SB 3380. 116th Congress (2020).
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psnet.ahrq.gov/issue/checklists-improve-patient-safety
July 31, 2013 - Book/Report
Checklists to Improve Patient Safety.
Citation Text:
Checklists to Improve Patient Safety. Chicago, IL: Health Research & Educational Trust; June 2013.
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psnet.ahrq.gov/issue/drug-shortages-forcing-hard-decisions-rationing-treatments
March 16, 2016 - Newspaper/Magazine Article
Drug shortages forcing hard decisions on rationing treatments.
Citation Text:
Drug shortages forcing hard decisions on rationing treatments. Fink S. New York Times. January 29, 2016.
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psnet.ahrq.gov/issue/calibrate-dx-resource-improve-diagnostic-decisions
September 08, 2021 - Toolkit
Calibrate Dx: A Resource to Improve Diagnostic Decisions.
Citation Text:
Calibrate Dx: A Resource to Improve Diagnostic Decisions. Rockville, MD: Agency for Healthcare Research and Quality; October 2022. AHRQ Publication no. 22(23)-0047-2-EF.
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psnet.ahrq.gov/issue/complications-and-errors-periodontal-and-implant-therapy
May 29, 2019 - Special or Theme Issue
Complications and Errors in Periodontal and Implant Therapy.
Citation Text:
Complications and Errors in Periodontal and Implant Therapy. Zucchelli G, Stefanini M, eds. Periodontol 2000. 2023;92(1):1-398.
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digital.ahrq.gov/sites/default/files/docs/medicaid/health-it-acronyms.pdf
April 30, 2013 - Acronyms
This page provides explanations of many abbreviations (acronyms) used throughout the site. It is
organized in alphabetical order.
AHIC American Health Information Community
AHIMA American Health Information Management Association
AHRQ Agency for Healthcare Research and Quality
ANSI American Natio…
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psnet.ahrq.gov/issue/patient-alarms-often-unheard-unheeded
August 24, 2016 - Newspaper/Magazine Article
Patient alarms often unheard, unheeded.
Citation Text:
Patient alarms often unheard, unheeded. Kowalczyk L. Boston Globe. February 13–14, 2011.
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psnet.ahrq.gov/issue/capturing-more-emergency-department-errors-anonymous-web-based-reporting-system
July 22, 2019 - Commentary
Capturing more emergency department errors via an anonymous web-based reporting system.
Citation Text:
Capturing more emergency department errors via an anonymous web-based reporting system. Khare RK; Uren B; Wears RL.
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psnet.ahrq.gov/issue/unaccountable-what-hospitals-wont-tell-you-and-how-transparency-can-revolutionize-health-care
July 07, 2021 - Book/Report
Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care.
Citation Text:
Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care. Makary M. New York, NY: Bloomsbury Press; 2012. ISBN: 9781608198368…
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psnet.ahrq.gov/issue/prep-stop-block
March 14, 2018 - Tools/Toolkit
Prep, Stop, Block.
Citation Text:
Prep, Stop, Block. RA-UK, the Faculty of Pain Medicine, RCoA Simulation and NHS Improvement
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psnet.ahrq.gov/issue/front-line-ownership-generating-cure-mindset-patient-safety
November 10, 2010 - Special or Theme Issue
Front-Line Ownership: Generating a Cure Mindset for Patient Safety.
Citation Text:
Front-Line Ownership: Generating a Cure Mindset for Patient Safety. Kitts J, ed. Healthcare Papers. 2013;13:1-82.
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psnet.ahrq.gov/issue/hospital-safety-records-ceo-pay-increasingly-linked
March 03, 2010 - Newspaper/Magazine Article
Hospital safety records, CEO pay increasingly linked.
Citation Text:
Hospital safety records, CEO pay increasingly linked. Wilson B. American Medical News: November 26, 2007.
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psnet.ahrq.gov/issue/safety-quality-and-informatics-leadership-program
May 01, 2015 - Course Material/Curriculum
Safety Quality and Informatics Leadership Program.
Citation Text:
Safety Quality and Informatics Leadership Program. Harvard Medical School, Boston, MA
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psnet.ahrq.gov/issue/disuse-system-cited-gaps-soldiers-care
September 28, 2005 - Newspaper/Magazine Article
Disuse of system is cited in gaps in soldiers' care.
Citation Text:
Disuse of system is cited in gaps in soldiers' care. Urbina I; Nixon R.
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