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psnet.ahrq.gov/node/60547/psn-pdf
May 28, 2020 - The Role of the FDA in Ensuring Device Safety
May 28, 2020
Fitall E, Hall KK, Gale B. The Role of the FDA in Ensuring Device Safety . PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/role-fda-ensuring-device-safety
Introduction
The Food and Drug Administration (FDA) plays a critical role in ensuring the …
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psnet.ahrq.gov/issue/locating-errors-through-networked-surveillance-multimethod-approach-peer-assessment-hazard
May 24, 2012 - Study
Locating errors through networked surveillance: a multimethod approach to peer assessment, hazard identification, and prioritization of patient safety efforts in cardiac surgery.
Citation Text:
Thompson DA, Marsteller JA, Pronovost P, et al. Locating Errors Through Networked Survei…
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psnet.ahrq.gov/node/46749/psn-pdf
April 04, 2018 - Toolkit for Improving Perinatal Safety.
April 4, 2018
Rockville, MD: Agency for Healthcare Research and Quality. June 2017.
https://psnet.ahrq.gov/issue/toolkit-improving-perinatal-safety
Communication in labor and delivery units can be challenging. This AHRQ-funded program draws from
comprehensive unit-based safe…
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psnet.ahrq.gov/node/42194/psn-pdf
April 24, 2013 - Drug errors and related interventions reported by United
States clinical pharmacists: The American College of
Clinical Pharmacy Practice-Based Research Network
medication error detection, amelioration and prevention
study.
April 24, 2013
Kuo GM, Touchette DR, Marinac JS. Drug errors and related interventions repo…
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psnet.ahrq.gov/issue/luer-connector-misconnections-under-recognized-potentially-dangerous-events
May 24, 2015 - Multi-use Website
Luer Connector Misconnections: Under-Recognized but Potentially Dangerous Events.
Citation Text:
Luer Connector Misconnections: Under-Recognized but Potentially Dangerous Events. Medical Product Safety Network. Silver Spring, MD; US Food and Drug Administration. Novembe…
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psnet.ahrq.gov/node/47640/psn-pdf
March 20, 2019 - Self-reported adherence to high reliability practices
among participants in the Children's Hospitals' Solutions
for Patient Safety Collaborative.
March 20, 2019
Randall KH, Slovensky D, Weech-Maldonado R, et al. Self-reported adherence to high reliability practices
among participants in the Children's Hospitals' S…
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psnet.ahrq.gov/issue/perspectives-emergency-clinicians-about-medical-errors-resulting-patient-harm-or-malpractice
October 13, 2021 - Study
Perspectives of emergency clinicians about medical errors resulting in patient harm or malpractice litigation.
Citation Text:
Ostrovsky D, Novack V, Smulowitz PB, et al. Perspectives of emergency clinicians about medical errors resulting in patient harm or malpractice litigation. J…
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psnet.ahrq.gov/issue/health-care-associated-infections-among-hospitalized-patients-covid-19-march-2020-march-2022
May 12, 2021 - Study
Health care-associated infections among hospitalized patients with COVID-19, March 2020-March 2022.
Citation Text:
Sands KE, Blanchard EJ, Fraker S, et al. Health care-associated infections among hospitalized patients with COVID-19, March 2020-March 2022. JAMA Netw Open. 2023;6(4):…
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psnet.ahrq.gov/innovation/catching-those-who-fall-through-cracks-integrating-follow-process-emergency-department
September 09, 2020 - EMERGING INNOVATIONS
Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings.
Citation Text:
Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with …
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psnet.ahrq.gov/issue/vital-signs-are-still-vital-instability-discharge-and-risk-post-discharge-adverse-outcomes
September 23, 2020 - Study
Vital signs are still vital: instability on discharge and the risk of post-discharge adverse outcomes.
Citation Text:
Nguyen OK, Makam AN, Clark C, et al. Vital Signs Are Still Vital: Instability on Discharge and the Risk of Post-Discharge Adverse Outcomes. J Gen Intern Med. 2017;3…
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psnet.ahrq.gov/node/46412/psn-pdf
October 11, 2017 - Team-based care: the changing face of cardiothoracic
surgery.
October 11, 2017
Crawford TC, Conte J, Sanchez JA. Team-Based Care: The Changing Face of Cardiothoracic Surgery.
Surg Clin North Am. 2017;97(4):801-810. doi:10.1016/j.suc.2017.03.003.
https://psnet.ahrq.gov/issue/team-based-care-changing-face-cardiothor…
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psnet.ahrq.gov/node/866217/psn-pdf
July 10, 2024 - In Conversation With...Amy Helwig about Health Plan
Patient Safety Initiatives
July 10, 2024
Helwig A, Sousane Z, Mossburg S. In Conversation With..Amy Helwig about Health Plan Patient Safety
Initiatives. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patie…
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psnet.ahrq.gov/issue/potentially-dangerous-confusion-between-bloxiverz-neostigmine-injection-and-vazculep
July 08, 2015 - Press Release/Announcement
Potentially dangerous confusion between Bloxiverz (neostigmine) injection and Vazculep (phenylephrine) injection.
Citation Text:
Potentially dangerous confusion between Bloxiverz (neostigmine) injection and Vazculep (phenylephrine) injection. National Alert Net…
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psnet.ahrq.gov/issue/reevaluation-diagnosis-adults-physician-diagnosed-asthma
March 15, 2017 - Study
Reevaluation of diagnosis in adults with physician-diagnosed asthma.
Citation Text:
Aaron SD, Vandemheen KL, FitzGerald M, et al. Reevaluation of Diagnosis in Adults With Physician-Diagnosed Asthma. JAMA. 2017;317(3):269-279. doi:10.1001/jama.2016.19627.
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psnet.ahrq.gov/issue/tracing-foundations-conceptual-framework-patient-safety-ontology
March 23, 2011 - Commentary
Tracing the foundations of a conceptual framework for a patient safety ontology.
Citation Text:
Runciman WB, Baker GR, Michel P, et al. Tracing the foundations of a conceptual framework for a patient safety ontology. BMJ Qual Saf. 2010;19(6). doi:10.1136/qshc.2009.035147.
…
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psnet.ahrq.gov/issue/age-related-covid-19-vaccine-mix-ups
June 13, 2018 - Press Release/Announcement
Age-related COVID-19 vaccine mix-ups.
Citation Text:
Age-related COVID-19 vaccine mix-ups. National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American Society of Health-System Pharmacists. December 6, 2021.
Cop…
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psnet.ahrq.gov/perspective/conversation-jeffrey-shuren-md-jd
May 28, 2020 - In Conversation With... Jeffrey Shuren, MD, JD
May 28, 2020
Also Read the Essay
Citation Text:
In Conversation With.. Jeffrey Shuren, MD, JD. PSNet [internet]. 2020.In Conversation With... Jeffrey Shuren, MD, JD. PSNet [internet]. Rockville (MD): Agency for Healt…
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psnet.ahrq.gov/perspective/role-fda-ensuring-device-safety
May 28, 2020 - The Role of the FDA in Ensuring Device Safety
May 28, 2020
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Fitall E, Hall KK, Gale B. The Role of the FDA in Ensuring Device Safety . PSNet [internet]. Rockville (MD): Agency f…
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psnet.ahrq.gov/node/72835/psn-pdf
March 10, 2021 - engagement in the QIOs and in the Partnership for Patients (PfP) and Hospital
Improvement Innovation Networks
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psnet.ahrq.gov/node/36738/psn-pdf
August 02, 2011 - Barriers and motivators for making error reports from
family medicine offices: a report from the American
Academy of Family Physicians National Research
Network (AAFP NRN).
August 2, 2011
Elder NC, Graham D, Brandt E, et al. Barriers and motivators for making error reports from family medicine
offices: a report f…