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psnet.ahrq.gov/node/33572/psn-pdf
December 15, 2024 - Checklists
December 15, 2024
Checklists. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/checklists
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in 2024.
Background
…
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psnet.ahrq.gov/node/33566/psn-pdf
September 15, 2024 - Teamwork Training
September 15, 2024
Teamwork Training. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/teamwork-training
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed …
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psnet.ahrq.gov/node/33795/psn-pdf
November 01, 2015 - Introducing the Redesigned AHRQ Patient Safety Network
November 1, 2015
Wachter R. Introducing the Redesigned AHRQ Patient Safety Network . PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/introducing-redesigned-ahrq-patient-safety-network
Editorial
It's hard to believe that it has been 15 years since th…
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psnet.ahrq.gov/periodic-issue/periodic-issue-345
May 16, 2022 - June 8, 2022 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports, a…
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psnet.ahrq.gov/issue/long-term-care-healthcare-associated-iinfections-2022-analysis-20216-reports
May 19, 2021 - Study
Long-term care healthcare-associated iInfections in 2022: an analysis of 20,216 reports.
Citation Text:
Kepner S, Bingman C, Jones RM. Long-term care healthcare-associated iInfections in 2022: an analysis of 20,216 reports. Patient Saf. 2023;5(2):20-31. doi:10.33940/001c.74494.
C…
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psnet.ahrq.gov/issue/safety-inpatient-pediatrics-preventing-medical-errors-and-injuries-among-hospitalized
November 16, 2022 - Review
The safety of inpatient pediatrics: preventing medical errors and injuries among hospitalized children.
Citation Text:
Landrigan CP. The safety of inpatient pediatrics: preventing medical errors and injuries among hospitalized children. Pediatr Clin North Am. 2005;52(4):979-93, …
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psnet.ahrq.gov/issue/teamwork-and-total-quality-management-durable-partnership
September 11, 2019 - Commentary
Teamwork and total quality management: a durable partnership.
Citation Text:
Cooney R, Sohal A. Teamwork and Total Quality Management: A Durable Partnership. Total Quality Management & Business Excellence. 2004;15(8). doi:10.1080/1478336042000255442.
Copy Citation
Form…
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psnet.ahrq.gov/issue/free-lessons-aviation-safety
October 19, 2022 - Commentary
"Free lessons" in aviation safety.
Citation Text:
Rose A. “Free lessons” in aviation safety. Aircraft Engineering and Aerospace Technology. 2006;76(5). doi:10.1108/00022660410555130.
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Format:
DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML E…
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psnet.ahrq.gov/issue/developing-culture-collaboration-operating-room-more-effective-communication
June 27, 2018 - Review
Developing a culture of collaboration in the operating room: more than effective communication.
Citation Text:
Wade P. Developing a culture of collaboration in the operating room: more than effective communication. ORNAC J. 2014;32(4):16-20, 22-3, 32-8.
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Format:…
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psnet.ahrq.gov/issue/team-resource-management-and-patient-safety-team-focused-approach-clinical-governance
August 26, 2015 - Study
Team resource management and patient safety: a team focused approach to clinical governance.
Citation Text:
Boddington R, Arthur H, Cummings D, et al. Team Resource Management and patient safety. Clinical Governance: An International Journal. 2006;11(1). doi:10.1108/1477727061064…
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psnet.ahrq.gov/issue/use-computers-clinical-care-case-series-advanced-us-sites
August 04, 2021 - Study
The use of computers for clinical care: a case series of advanced US sites.
Citation Text:
Doolan DF, Bates DW, James BC. The use of computers for clinical care: a case series of advanced U.S. sites. J Am Med Inform Assoc. 2003;10(1):94-107.
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Format:
Go…
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psnet.ahrq.gov/issue/ssssh-handover-protected-medical-handover-optimising-quality-and-prioritising-safety-regional
March 08, 2017 - Commentary
Ssssh for handover: protected medical handover; optimising quality and prioritising safety—a regional initiative.
Citation Text:
Mallett P, Thompson A, Bourke T, et al. Ssssh for Handover: protected medical handover; optimising quality and prioritising safety-a regional initia…
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psnet.ahrq.gov/issue/future-engaging-patients-and-families-patient-safety
January 27, 2016 - Commentary
The future of engaging patients and families for patient safety.
Citation Text:
O'Hara JK, Canfield C. The future of engaging patients and families for patient safety. Lancet. 2023;403(10429):791-793. doi:10.1016/s0140-6736(23)01908-6.
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Format:
DOI G…
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psnet.ahrq.gov/periodic-issue/periodic-issue-461
October 30, 2024 - October 16, 2024 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, report…
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psnet.ahrq.gov/node/49544/psn-pdf
September 01, 2007 - Discharging Our Responsibility
September 1, 2007
Fonarow GC. Discharging Our Responsibility. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/discharging-our-responsibility
The Case
A 75-year-old man with a history of hypertension, coronary artery disease, and congestive heart failure
(CHF) presented to the …
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psnet.ahrq.gov/web-mm/pocket-syringe-swap
July 01, 2006 - Pocket Syringe Swap
Citation Text:
Kulli JC. Pocket Syringe Swap. 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 X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…
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psnet.ahrq.gov/web-mm/cvc-removal-procedure-any-other
October 01, 2018 - CVC Removal: A Procedure Like Any Other
Citation Text:
Feil M. CVC Removal: A Procedure Like Any Other. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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Format:
Google Scholar BibTeX EndNote X3 XML End…
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psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization
September 01, 2012 - Ventricular Wall Injury during a Diagnostic Cardiac Catheterization
Citation Text:
Pham TH, Atreja S. Ventricular Wall Injury during a Diagnostic Cardiac Catheterization. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.152_slideshow.ppt
June 01, 2007 - Spotlight Case [MONTH] 2003
Spotlight Case June 2007
Beeline to Spine
Source and Credits
This presentation is based on June 2007
AHRQ WebM&M Spotlight Case
See full article at http://webmm.ahrq.gov
CME credit is available online
Commentary by: Gerald W. Smetana, MD, Harvard Medical School, Beth Israel D…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.269_slideshow.ppt
June 01, 2012 - Spotlight Case July 2008
Spotlight Case
Transfer Troubles
1
2
Source and Credits
This presentation is based on the June 2012
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Isla M. Hains, PhD; Centre for Health Systems and Safety Research, Australia…