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psnet.ahrq.gov/issue/root-cause-analysis-action-building-foundations
August 19, 2020 - Meeting/Conference
Root Cause Analysis-in-Action: Building Foundations.
Citation Text:
ECRI, Institute for Safe Medication Practices. September 12 and 14, 2023.
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psnet.ahrq.gov/issue/improving-safety-efficiencies-and-reducing-waste-ready-administer-iv-medications-roadmap
January 24, 2024 - International Meeting/Conference
Improving Safety, Efficiencies, and Reducing Waste with Ready-to-Administer IV Medications: A Roadmap to Success.
Citation Text:
Institute for Safe Medication Practices. February 6, 2024, 1:00-2:00 PM (eastern).
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…
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psnet.ahrq.gov/issue/international-forum-quality-and-safety-healthcare
September 10, 2024 - Meeting/Conference Proceedings
The International Forum on Quality and Safety in Healthcare.
Citation Text:
Institute for Healthcare Improvement and British Medical Journal. ExCeL London, London, UK, April 10-12, 2024.
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psnet.ahrq.gov/issue/accuracy-every-step-challenge-medication-reconciliation
September 28, 2005 - Newspaper/Magazine Article
Accuracy at every step: the challenge of medication reconciliation.
Citation Text:
Institute for Healthcare Improvement. 2006.
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psnet.ahrq.gov/issue/hospitals-tackle-high-risk-drugs-reduce-errors
October 07, 2015 - Newspaper/Magazine Article
Hospitals tackle high-risk drugs to reduce errors.
Citation Text:
Landro L.
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March 19, 2008
Landr…
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psnet.ahrq.gov/issue/surgical-mistakes-persist-bay-state-still-tiny-fraction-total-procedures
September 10, 2014 - Newspaper/Magazine Article
Surgical mistakes persist in Bay State: still a tiny fraction of total procedures.
Citation Text:
Kowalczyk L.
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…
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psnet.ahrq.gov/issue/tragic-medication-errors-result-accidental-abortions-and-premature-birth-safety-advocates-say
August 21, 2019 - Audiovisual Presentation
Tragic medication errors result in accidental abortions and premature birth—safety advocates say drug mistakes are still too frequent, despite advances.
Citation Text:
Patel A; ABCnews.com
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psnet.ahrq.gov/issue/why-doctors-so-often-get-it-wrong
October 03, 2007 - Newspaper/Magazine Article
Why doctors so often get it wrong.
Citation Text:
Leonhardt D.
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March 8, 2006
Leonhardt D.
V…
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psnet.ahrq.gov/issue/state-starts-project-track-serious-hospital-mistakes
May 10, 2006 - Newspaper/Magazine Article
State starts project to track serious hospital mistakes.
Citation Text:
Colburn D.
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February 15, 20…
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psnet.ahrq.gov/issue/state-nurse-error-caused-death
May 10, 2006 - Newspaper/Magazine Article
State: nurse error caused death.
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August 2, 2006
View more articles from the same authors.
This article reports on a fe…
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psnet.ahrq.gov/issue/facts-about-patient-safety
May 30, 2012 - Fact Sheet/FAQs
Facts About Patient Safety.
Citation Text:
The Joint Commission.
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March 6, 2005
The Joint Commission.
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psnet.ahrq.gov/issue/ihi-fellowship-program
December 13, 2017 - Press Release/Announcement
IHI Fellowship Program.
Citation Text:
Institute for Healthcare Improvement.
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June 3, 2024
Instit…
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psnet.ahrq.gov/web-mm/communication-consultants
October 01, 2018 - Communication With Consultants
Citation Text:
Cohn SL. Communication With Consultants. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnot…
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psnet.ahrq.gov/node/33840/psn-pdf
August 01, 2017 - ACGME's 2017 Revision of Common Program
Requirements
August 1, 2017
Malloy K, Brigham TP, Nasca TJ. ACGME's 2017 Revision of Common Program Requirements. PSNet
[internet]. 2017.
https://psnet.ahrq.gov/perspective/acgmes-2017-revision-common-program-requirements
Perspective
The Accreditation Council for Graduate …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.116_slideshow.ppt
February 01, 2006 - Spotlight Case [MONTH] 2003
Spotlight Case February 2006
Lost in Transition
Source and Credits
This presentation is based on the February 2006 AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Christopher Beach, MD; Northwe…
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psnet.ahrq.gov/node/33876/psn-pdf
August 01, 2018 - Building a Safety Program in a Vast Health Care Network
March 1, 2019
Phrampus P. Building a Safety Program in a Vast Health Care Network. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/building-safety-program-vast-health-care-network
Perspective
Background
As hospital-based health care in the United …
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psnet.ahrq.gov/node/33676/psn-pdf
November 01, 2008 - In Conversation with…Sanjay Saint, MD, MPH
November 1, 2008
In Conversation with…Sanjay Saint, MD, MPH. PSNet [internet]. 2008.
https://psnet.ahrq.gov/perspective/conversation-withsanjay-saint-md-mph
Editor's note: Sanjay Saint, MD, MPH, is Professor of Medicine at the University of Michigan and the Ann
Arbor VA …
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psnet.ahrq.gov/node/49805/psn-pdf
September 01, 2017 - The Forgotten Radiographic Read
September 1, 2017
Coil CJ, Witt MD. The Forgotten Radiographic Read. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/forgotten-radiographic-read
The Case
A 60-year-old woman with peripheral artery disease and chronic mesenteric ischemia was admitted for
management of inferior…
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psnet.ahrq.gov/node/49850/psn-pdf
January 01, 2019 - Critical Order Set Change and Critical Limb Ischemia
January 1, 2019
Clay B. Critical Order Set Change and Critical Limb Ischemia. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/critical-order-set-change-and-critical-limb-ischemia
The Case
A 72-year-old woman with a history of severe peripheral vascular dis…
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psnet.ahrq.gov/node/837785/psn-pdf
August 05, 2022 - Emergence of Application-based Healthcare
August 5, 2022
Marvel FA, Dowell P, Mossburg SE. Emergence of Application-based Healthcare. PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/emergence-application-based-healthcare
Introduction
The demand for digital healthcare, including both telemedicine and hea…