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psnet.ahrq.gov/node/33654/psn-pdf
August 01, 2007 - In Conversation with...James L. Reinertsen, MD
August 1, 2007
In Conversation with..James L. Reinertsen, MD. PSNet [internet]. 2007.
https://psnet.ahrq.gov/perspective/conversation-withjames-l-reinertsen-md
Editor's Note: James L. Reinertsen, MD, heads the Reinertsen Group, a prominent health care consulting
firm …
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psnet.ahrq.gov/node/33822/psn-pdf
January 01, 2017 - In Conversation With… Paul H. O'Neill, MPA
January 1, 2017
In Conversation With… Paul H. O'Neill, MPA. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/conversation-paul-h-oneill-mpa
Editor's note: Mr. O'Neill served as the United States Secretary of the Treasury under President George
W. Bush and, prio…
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psnet.ahrq.gov/node/33865/psn-pdf
September 01, 2018 - In Conversation With… Rebecca Lawton, PhD
September 1, 2018
In Conversation With… Rebecca Lawton, PhD. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/conversation-rebecca-lawton-phd
Editor's note: Rebecca Lawton, a Professor in the Psychology of Healthcare at the University of Leeds, is
a health psycho…
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psnet.ahrq.gov/innovations
February 26, 2025 - Innovations
The PSNet Innovations page highlights pioneering advances that can improve patient safety. PSNet innovations are defined as “new or updated interventions, approaches, systems, tools, policies, organizational structures or business models implemented to improve or enhance quality of care and reduce harm.” …
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psnet.ahrq.gov/curated-library/diagnostic-error
May 05, 2025 - Breadcrumb
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Diagnostic Error
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Created By: Karen Cosby, AHRQ
Date Created: May 8, …
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psnet.ahrq.gov/innovation/preventing-falls-through-patient-and-family-engagement-create-customized-prevention
July 23, 2024 - Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans
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May 31, 2023
Innovation
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psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
November 27, 2019 - Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities
Citation Text:
Duby JJ, Schomer K, Oyewole V, et al. Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departm…
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psnet.ahrq.gov/web-mm/ounce-prevention
February 17, 2011 - SPOTLIGHT CASE
An Ounce of Prevention
Citation Text:
Kucher N. An Ounce of Prevention. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7…
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psnet.ahrq.gov/node/60721/psn-pdf
July 21, 2020 - Special Edition Perspective: Technology Responses to
COVID-19
July 21, 2020
Marcin JP, Cohen NM, Lowery C, et al. Special Edition Perspective: Technology Responses to COVID-19.
PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/special-edition-perspective-technology-responses-covid-19
Editor’s note: This …
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psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-about-surveillance-monitoring
April 26, 2023 - In Conversation with... Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring
April 26, 2023
Also Read the Essay
Citation Text:
In Conversation with.. Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring. PSNet [internet]. 2023.In…
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psnet.ahrq.gov/perspective/conversation-john-d-birkmeyer-md
January 31, 2024 - use of prophylaxis against postoperative blood clots—all of the things you can easily measure that occur
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psnet.ahrq.gov/node/863649/psn-pdf
February 28, 2024 - In the contract that I mentioned, the implementation of the Diagnosis Improvement Course will
occur
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psnet.ahrq.gov/node/33869/psn-pdf
November 01, 2018 - But just observing the model, a lot of handoffs just don't occur.
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psnet.ahrq.gov/node/33688/psn-pdf
October 01, 2009 - did close, there were lots of statements from many quarters talking about the problems that
would occur
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psnet.ahrq.gov/node/33716/psn-pdf
September 01, 2011 - Many such reports, for
instance ones involving opiates or anticoagulants, capture problems that occur
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psnet.ahrq.gov/node/33831/psn-pdf
April 01, 2017 - they're focused also on the human–electronic interfaces where a lot of the
opportunities for error occur
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psnet.ahrq.gov/perspective/conversation-jack-westfall-md-mph
September 28, 2022 - The bulk of serious medical mistakes probably occur in acute settings where major decisions have to be … This encounter establishes a relationship from which the other functions can occur (i.e., continuity
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psnet.ahrq.gov/perspective/suicide-prevention
March 24, 2025 - potentially help to improve our identification of suicide risk, suicidal ideation and behaviors can occur … The same kind of decision-making would occur in an outpatient setting, let us say, primary care.
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psnet.ahrq.gov/perspective/conversation-edwin-boudreaux-about-suicide-prevention
March 25, 2025 - potentially help to improve our identification of suicide risk, suicidal ideation and behaviors can occur … The same kind of decision-making would occur in an outpatient setting, let us say, primary care.
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psnet.ahrq.gov/perspective/annual-perspective-topics-medication-safety
April 27, 2022 - Errors occur when pump users bypass the programmed dosage or infusion rates or the drug library.