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psnet.ahrq.gov/perspective/conversation-eric-thomas-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - To your mind, is there an evolution in an organization's approach to safety, a place where it becomes
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psnet.ahrq.gov/sites/default/files/2024-03/final_spotlight_case_not_missing_sepsis_needles_in_viral_haystacks_slides_march_date.pdf
January 01, 2024 - Spotlight
Spotlight
Do Not Miss Sepsis Needles in Viral Haystacks!
Source and Credits
• This presentation is based on the March 2024 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Michelle Hamline, MD, PhD, MAS and Ulfat
Shaikh, MD, M…
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psnet.ahrq.gov/node/33608/psn-pdf
February 01, 2024 - Maternal Safety
January 31, 2024
Shauer M, Nichols A, Lyndon A. Maternal Safety. PSNet [internet]. 2024.
https://psnet.ahrq.gov/primer/maternal-safety
Originally published in 2018 by researchers at the University of California, San Francisco. Updated in
February 2024 by Marla Shauer, PhD(c), MSN, CNM, Amy Nichols,…
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psnet.ahrq.gov/perspective/what-makes-good-checklist
October 01, 2010 - What Makes a Good Checklist
Anne Collins McLaughlin, PhD | October 1, 2010
Also Read a Conversation
View more articles from the same authors.
Citation Text:
McLaughlin AC. What Makes a Good Checklist. PSNet [internet]. Rockville (MD): Agency for Healthcare Rese…
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psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0
October 01, 2010 - In Conversation with...Peter J. Pronovost, MD, PhD
October 1, 2010
Also Read an Essay
Citation Text:
In Conversation with..Peter J. Pronovost, MD, PhD. PSNet [internet]. 2010.In Conversation with...Peter J. Pronovost, MD, PhD. PSNet [internet]. Rockville (MD): Ag…
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psnet.ahrq.gov/perspective/conversation-david-w-bates-about-are-we-safer-today
February 26, 2025 - But a question on everyone's mind that follows from that is the big picture: Are we safer today?
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psnet.ahrq.gov/perspective/are-we-safer-today
February 26, 2025 - But a question on everyone's mind that follows from that is the big picture: Are we safer today?
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psnet.ahrq.gov/perspective/conversation-withdean-schillinger-md
March 01, 2009 - are disempowered and may be used to having problems with access to care, so it didn't even cross her mind
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psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
September 01, 2008 - You can imagine this type of setup wasn't really designed with the best ergonomics in mind.
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psnet.ahrq.gov/perspective/role-health-literacy-patient-safety
March 22, 2009 - are disempowered and may be used to having problems with access to care, so it didn't even cross her mind
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psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety
October 24, 2021 - GL: When you think about a community pharmacy, most people bring to their mind their neighborhood pharmacy
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psnet.ahrq.gov/web-mm/perioperative-anaphylaxis-after-insertion-latex-drain-patient-known-latex-allergy
July 08, 2022 - SPOTLIGHT CASE
Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy
Citation Text:
Kelly KJ. Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy. PSNet [internet]. Rockville (MD): Agency for Healthcare Resear…
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psnet.ahrq.gov/perspective/evolution-root-cause-analysis
February 26, 2025 - A couple of specific organizations come to mind related to innovations – MedStar Health has a strong
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psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
February 26, 2025 - A couple of specific organizations come to mind related to innovations – MedStar Health has a strong
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psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
June 01, 2014 - Now mind you, I'm no saint.
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psnet.ahrq.gov/perspective/conversation-harlan-krumholz-md-sm
April 01, 2018 - I remember thinking that this actor is channeling what is on the mind of our patients.
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psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd
October 06, 2021 - In Conversation With….Alison Stuebe, MD, MSc and Kristin Tully, PhD
October 6, 2021
Also Read the Essay
Citation Text:
In Conversation With….Alison Stuebe, MD, MSc and Kristin Tully, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qualit…
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psnet.ahrq.gov/perspective/health-equity-and-maternal-health
October 06, 2021 - Health Equity and Maternal Health
October 6, 2021
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Tully K, Stuebe AM, Gibson A, et al. Health Equity and Maternal Health. PSNet [internet]. Rockville (MD): Agency for Healthcare…
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psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
November 27, 2023 - That is a huge mind shift for both the student and faculty.
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psnet.ahrq.gov/perspective/conversation-joan-stanley-about-role-undergraduate-nursing-education-patient-safety
November 27, 2023 - That is a huge mind shift for both the student and faculty.