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psnet.ahrq.gov/node/35594/psn-pdf
January 04, 2006 - VA Patient Safety Program: A Cultural Perspective at Four
Medical Facilities.
January 4, 2006
General Accounting Office. Washington, DC: Government Printing Office; 2004. Report no. GAO-05-83.
https://psnet.ahrq.gov/issue/va-patient-safety-program-cultural-perspective-four-medical-facilities
The Government Account…
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psnet.ahrq.gov/issue/adverse-events-hospitals-quarter-medicare-patients-experienced-harm-october-2018
February 01, 2023 - Book/Report
Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018.
Citation Text:
Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018. Grimm CA. Washington DC: Office of the Inspector General; May 2022. Repor…
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psnet.ahrq.gov/issue/trends-pregnancy-related-deaths-and-federal-efforts-reduce-them
May 27, 2020 - Book/Report
Trends in Pregnancy-Related Deaths and Federal Efforts to Reduce Them.
Citation Text:
Trends in Pregnancy-Related Deaths and Federal Efforts to Reduce Them. Washington, DC: United States Government Accountability Office; March 2020. Publication GAO-20-248.
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psnet.ahrq.gov/issue/defense-health-agency-processes-responding-provider-quality-and-safety-concerns
December 09, 2020 - Book/Report
Defense Health Agency Processes for Responding to Provider Quality and Safety Concerns.
Citation Text:
Defense Health Agency Processes for Responding to Provider Quality and Safety Concerns. Washington DC; Governmental Accountability Office; December 1, 2020. Publication GAO-…
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psnet.ahrq.gov/issue/cybersecurity-patient-safety-policy-options-health-care-sector
December 16, 2020 - Book/Report
Cybersecurity is Patient Safety: Policy Options in the Health Care Sector.
Citation Text:
Cybersecurity is Patient Safety: Policy Options in the Health Care Sector. Washington DC; Office of Senator Mark Warner: November 25, 2022.
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psnet.ahrq.gov/issue/improving-medication-safety-high-risk-medicare-beneficiaries-toolkit
October 23, 2019 - Government Resource
Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit.
Citation Text:
Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit. Touchette DR, Stubbings J, Schumock G. Effective Healthcare Research Report No. 38. Rockville, MD: Agen…
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psnet.ahrq.gov/issue/patient-safety-ambulatory-obgyn-setting
November 16, 2022 - Commentary
Patient safety in the ambulatory OB/GYN setting.
Citation Text:
Weiss PM, Swisher E. Patient safety in the ambulatory OB/GYN setting. Clin Obstet Gynecol. 2012;55(3):613-9. doi:10.1097/GRF.0b013e31825ca6e6.
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DOI Google Scholar PubMed BibTeX…
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psnet.ahrq.gov/node/43561/psn-pdf
September 24, 2014 - At surgery clinic, rush to save Joan Rivers's life.
September 24, 2014
Hartocollis A, Goodman JD. New York Times. September 9, 2014.
https://psnet.ahrq.gov/issue/surgery-clinic-rush-save-joan-riverss-life
Office-based anesthesia is becoming more common despite concerns regarding its safety. This newspaper
article …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.443_slideshow.ppt
May 01, 2018 - Spotlight
Spotlight
Out of Sight, Out of Mind: Out-of-Office Test Result Management
1
Source and Credits
This presentation is based on the May 2018
AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Eric Poon, MD, MPH, Duke University School o…
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psnet.ahrq.gov/issue/progress-made-towards-improving-opioid-safety-further-efforts-assess-progress-and-reduce-risk
May 16, 2018 - Book/Report
Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed.
Citation Text:
Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed. Washington, DC: United States Gov…
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psnet.ahrq.gov/issue/actions-needed-address-employee-misconduct-process-and-ensure-accountability
July 11, 2018 - Book/Report
Actions Needed to Address Employee Misconduct Process and Ensure Accountability.
Citation Text:
Actions Needed to Address Employee Misconduct Process and Ensure Accountability. Washington, DC: United States Government Accountability Office; July 2018. Publication GAO-18-137. …
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psnet.ahrq.gov/web-mm/case-patient-flow-management
February 23, 2019 - The Case for Patient Flow Management
Citation Text:
Litvak E, Bernheim SA. The Case for Patient Flow Management. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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Format:
Google Scholar BibTeX EndNote X…
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psnet.ahrq.gov/issue/artificial-intelligence-health-care-benefits-and-challenges-technologies-augment-patient-care
January 08, 2014 - Book/Report
Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient Care.
Citation Text:
Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient Care. Washington DC; United States Government Accountabil…
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psnet.ahrq.gov/issue/managed-care-penetration-and-other-factors-affecting-computerized-physician-order-entry
October 06, 2011 - Study
Managed care penetration and other factors affecting computerized physician order entry in the ambulatory setting.
Citation Text:
Menachemi N, Ford E, Chukmaitov A, et al. Managed care penetration and other factors affecting computerized physician order entry in the ambulatory se…
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psnet.ahrq.gov/issue/quality-care-concerns-and-facility-response-following-medical-emergency-va-southern-nevada
July 13, 2022 - Book/Report
Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care System in Las Vegas.
Citation Text:
Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care Sy…
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psnet.ahrq.gov/node/39872/psn-pdf
February 25, 2013 - The Essential Guide for Patient Safety Officers, Second
Edition.
February 25, 2013
Leonard M, Frankel A, Federico F, et al, eds. Oakbrook Terrace, IL: Joint Commission Resources, Institute
for Healthcare Improvement; 2013. ISBN: 9781599407036.
https://psnet.ahrq.gov/issue/essential-guide-patient-safety-officers-se…
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psnet.ahrq.gov/web-mm/it-safe-be-direct
September 30, 2015 - Is It Safe to Be Direct?
Citation Text:
Kulkarni NS, Williams M. Is It Safe to Be Direct?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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psnet.ahrq.gov/node/49563/psn-pdf
May 01, 2008 - Is It Safe to Be Direct?
May 1, 2008
Kulkarni NS, Williams M. Is It Safe to Be Direct? PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/it-safe-be-direct
The Case
A 92-year-old man with hypertension and heart failure (HF) was evaluated by his primary care physician
(PCP) for progressive shortness of breat…
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psnet.ahrq.gov/node/33812/psn-pdf
August 01, 2016 - In Conversation With… Bernardo Perea-Pérez, MD, DDS,
PhD
August 1, 2016
In Conversation With… Bernardo Perea-Pérez, MD, DDS, PhD. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/conversation-bernardo-perea-perez-md-dds-phd
Editor's note: Dr. Perea-Pérez is Director de la Escuela de Medicina Legal y For…
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psnet.ahrq.gov/node/33856/psn-pdf
April 01, 2018 - Massachusetts Medical School
Eric Alper, MD Hospital Medicine Vice President/Chief Clinical Informatics Officer