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psnet.ahrq.gov/issue/failure-and-rescue
September 28, 2017 - Newspaper/Magazine Article
Failure and rescue.
Citation Text:
Failure and rescue. Gawande A. The New Yorker: News Desk. June 4, 2012.
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psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
August 02, 2015 - The intensive care unit (ICU) team consulted at the bedside and made plans to transfer her to the ICU
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psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
September 01, 2016 - often multifactorial, analysis of errors should always identify weaknesses in the system and corrective plans
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psnet.ahrq.gov/web-mm/another-fall
June 01, 2010 - Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans
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psnet.ahrq.gov/web-mm/pains-chronic-opioid-usage
April 04, 2018 - Trends in use of opioids for non-cancer pain conditions 2000–2005 in commercial and Medicaid insurance plans
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psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
September 16, 2015 - Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans
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psnet.ahrq.gov/perspective/safety-across-board
August 31, 2020 - Safety Across The Board
August 31, 2020
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Fitall E, Hall KK, Gale B. Safety Across The Board . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US De…
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psnet.ahrq.gov/node/40673/psn-pdf
September 03, 2011 - Evaluating efforts to optimize TeamSTEPPS
implementation in surgical and pediatric intensive care
units.
September 3, 2011
Mayer CM, Cluff L, Lin W-T, et al. Evaluating efforts to optimize TeamSTEPPS implementation in surgical
and pediatric intensive care units. Jt Comm J Qual Patient Saf. 2011;37(8):365-374.
htt…
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psnet.ahrq.gov/issue/how-implicit-bias-harm-patient-care
December 04, 2019 - Newspaper/Magazine Article
How implicit bias harms patient care.
Citation Text:
How implicit bias harms patient care. Bendix J. Med Econ. November 25, 2019;96(23);10-14.
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psnet.ahrq.gov/issue/your-diagnosis-was-wrong-could-doctor-bias-have-been-factor
December 22, 2021 - Newspaper/Magazine Article
Your diagnosis was wrong. Could doctor bias have been a factor?
Citation Text:
Your diagnosis was wrong. Could doctor bias have been a factor? Glicksman E. Washington Post. November 17, 2019.
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psnet.ahrq.gov/issue/improving-patient-care-through-safe-health-it
August 12, 2020 - Book/Report
Classic
Improving Patient Care Through Safe Health IT.
Citation Text:
Improving Patient Care Through Safe Health IT. Philadelphia, PA: Pew Charitable Trusts; December 2017.
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psnet.ahrq.gov/issue/quality-special-issue
April 13, 2022 - Special or Theme Issue
Quality Special Issue.
Citation Text:
Quality Special Issue. J Med Imaging Radiat Oncol. 2022;66(2):165-309.
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psnet.ahrq.gov/issue/professional-conduct-toolkit
January 04, 2009 - Toolkit
Professional Conduct Toolkit.
Citation Text:
Professional Conduct Toolkit. Washington, DC: US Department of Defense, Patient Safety Program.
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psnet.ahrq.gov/issue/patient-safety-20
July 01, 2018 - Special or Theme Issue
Patient Safety.
Citation Text:
Patient Safety. Levett-Jones T, ed. Clin Sim Nurs. 2020;44(1):1-78; 2020;45(1):1-60.
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psnet.ahrq.gov/primer/pharmacists-role-medication-safety
March 14, 2018 - Pharmacist's Role in Medication Safety
Citation Text:
The Pharmacist's Role in Medication Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/perspective/conversation-withwilliam-b-munier-md-mba
July 01, 2011 - We still are fine-tuning our plans, but following are several of CHPSO's priorities:
Perform focused
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psnet.ahrq.gov/node/49687/psn-pdf
August 21, 2013 - Emergency Error
August 21, 2013
Symons NRA. Emergency Error. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/emergency-error
Case Objectives
State that emergency surgery is high risk and has high mortality.
Appreciate that emergency laparotomy is a particularly high-risk procedure with a high likelihood of
…
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psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-and-event-reporting-0
December 24, 2008 - Multi-use Website
Common formats for patient safety data collection and event reporting.
Citation Text:
Common formats for patient safety data collection and event reporting. Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/issue/network-patient-safety-databases
December 24, 2008 - Database/Directory
Network of Patient Safety Databases.
Citation Text:
Network of Patient Safety Databases. Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/issue/ahrq-2008-annual-conference
December 24, 2008 - Government Resource
AHRQ 2008 Annual Conference.
Citation Text:
AHRQ 2008 Annual Conference. Agency for Healthcare Research and Quality; AHRQ.
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