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psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
September 15, 2024 - March 8, 2023
Factors causing variation in World Health Organization surgical safety
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psnet.ahrq.gov/innovation/pharmacist-led-mobile-health-intervention-and-transplant-medication-safety-randomized
April 07, 2021 - EMERGING INNOVATIONS
Pharmacist-led mobile health intervention and transplant medication safety: a randomized controlled clinical trial.
Citation Text:
Gonzales HM, Fleming JN, Gebregziabher M, et al. Pharmacist-led mobile health intervention and transplant medication safety: a randomized controll…
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psnet.ahrq.gov/perspective/conversation-withbradley-t-rosen-md-mba
March 01, 2008 - RW: Is the feeling of the organization that the evidence of safety benefit is so self-evident and impressive
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psnet.ahrq.gov/node/49715/psn-pdf
August 21, 2014 - Liver Biopsy: Proceed With Caution
August 21, 2014
Rockey DC. Liver Biopsy: Proceed With Caution. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/liver-biopsy-proceed-caution
The Case
A 42-year-old woman with a history of multiple malignancies, including osteosarcoma and recurrent breast
cancer, presented t…
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psnet.ahrq.gov/perspective/creation-medical-procedure-service-improve-patient-safety
March 01, 2008 - RW: Is the feeling of the organization that the evidence of safety benefit is so self-evident and impressive
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psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
May 01, 2005 - Did the culture in the organization encourage consultation and provide support for new clinicians? … records (EHRs), 26 closed-loop referral management is a less mature intervention. 27-29 Few healthcare organizations
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psnet.ahrq.gov/node/49591/psn-pdf
October 01, 2009 - Organizations that aspire to create cultures of safety must address the
pervasive behavioral patterns … collegial relationship and
culture that set the tone for the other health care professionals within the organization
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psnet.ahrq.gov/node/861760/psn-pdf
January 31, 2024 - Safety
Adopt and maintain a safety culture
Medication safety involves both the individual and the organization … improve high-quality, safe patient care, integrating human factor methodologies in its design.17
Organizations
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psnet.ahrq.gov/perspective/conversation-withatul-gawande-md-ma-mph
September 01, 2007 - Interview
In Conversation with Timothy Vogus about High Reliability Organization
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psnet.ahrq.gov/periodic-issue/periodic-issue-381
March 15, 2023 - Workers who experience psychological safety in their organization are more likely to speak up about safety
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psnet.ahrq.gov/issue/validation-discharge-summary-term-search-method-detect-adverse-events
December 06, 2017 - January 29, 2014
A World Health Organization field trial assessing a proposed ICD-11
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psnet.ahrq.gov/node/49819/psn-pdf
February 01, 2018 - steps include the following:
Establish institutional support for the initiative and ensure adequate organization
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psnet.ahrq.gov/continuing-education
February 26, 2025 - Informed Consent
(2)
Culture of Safety
(14)
Learning Organization
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psnet.ahrq.gov/curated-library/patient-and-family-engagement-long-term-care
April 10, 2024 - Library Organization
Custom - This library is organized by custom section header names.
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psnet.ahrq.gov/periodic-issue/periodic-issue-409
September 27, 2023 - World Health Organization.
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psnet.ahrq.gov/web-mm/techno-trip
May 01, 2005 - Mandates from groups such as the Leapfrog organization ( 19 ) stress the advantages of IT but do not
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psnet.ahrq.gov/web-mm/empty-handoff
August 01, 2017 - Handover Processes
Construct
Pit Stop Practice
Principle
Handover implementation
Process Organization
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psnet.ahrq.gov/curated-library/diagnostic-error
May 05, 2025 - Library Organization
Custom - This library is organized by custom section header names.
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psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
May 26, 2021 - respiratory depression, recommendations for the timing and duration of monitoring can differ among organizations
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psnet.ahrq.gov/node/72563/psn-pdf
December 07, 2020 - Additionally, the Association of State and Territorial Dental Directors, our state dental
director’s organization