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psnet.ahrq.gov/node/39150/psn-pdf
June 10, 2018 - Shakespeare was on target—don't be a borrower or
lender.
June 10, 2018
https://psnet.ahrq.gov/issue/shakespeare-was-target-dont-be-borrower-or-lender
This piece describes the dangers of "borrowing" dispensed medications as a workaround in the presence of
pharmacy delays and shares strategies to eliminate the pract…
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psnet.ahrq.gov/node/39925/psn-pdf
October 13, 2010 - Do no harm.
October 13, 2010
Kalb C.
https://psnet.ahrq.gov/issue/do-no-harm
This news piece describes adjustments made in medical training to enable safe, team-oriented practice
during residency.
https://psnet.ahrq.gov/issue/do-no-harm
https://psnet.ahrq.gov/issue/resident-duty-hours-enhancing-sleep-supervision-…
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psnet.ahrq.gov/node/40877/psn-pdf
February 05, 2018 - Fire Safety.
February 5, 2018
Council on Surgical & Perioperative Safety.
https://psnet.ahrq.gov/issue/fire-safety
This initiative provides information on surgical fires and makes recommendations to address the risk of fires
during surgery.
https://psnet.ahrq.gov/issue/fire-safety
https://psnet.ahrq.gov/issue/pra…
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psnet.ahrq.gov/periodic-issue/periodic-issue-409
September 27, 2023 - The sharing of best practices is a key component of enabling successful strategy implementation in support
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psnet.ahrq.gov/web-mm/check-wristband
August 03, 2009 - Making health care safer: a critical analysis of patient safety practices.
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psnet.ahrq.gov/web-mm/low-totem-pole
October 01, 2003 - However, being new to this setting and assuming different practices were used in pediatric patients,
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psnet.ahrq.gov/web-mm/mothers-milk-whose-mother
November 15, 2023 - This cost can render this approach less appealing for health care facilities.( 2 ) Practices to Prevent
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psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
August 28, 2024 - been previously described.( 4 ) The case above illustrates some of those associated with migrating practices
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psnet.ahrq.gov/innovations
February 26, 2025 - UNC Health introduced the screening program in 92 primary care practices in July 2021.
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psnet.ahrq.gov/node/33573/psn-pdf
March 15, 2025 - Disruptive and Unprofessional Behavior
March 15, 2025
Disruptive and Unprofessional Behavior. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/disruptive-and-unprofessional-behavior
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current resear…
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psnet.ahrq.gov/node/41130/psn-pdf
February 15, 2012 - 10 medical errors that changed the standard of care.
February 15, 2012
Bialek BB. Medscape Today. January 18, 2012.
https://psnet.ahrq.gov/issue/10-medical-errors-changed-standard-care
This slide set presents medical errors that led to changes in practice standards.
https://psnet.ahrq.gov/issue/10-medical-errors-c…
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psnet.ahrq.gov/node/39346/psn-pdf
March 10, 2010 - How-to Guide: Multidisciplinary Rounds.
March 10, 2010
Cambridge, MA: Institute for Healthcare Improvement; February 2010.
https://psnet.ahrq.gov/issue/how-guide-multidisciplinary-rounds
This manual offers practical advice on how to plan for and implement care team rounds that involve a
variety of health care prov…
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psnet.ahrq.gov/node/35604/psn-pdf
January 04, 2006 - Hospitals save money, but safety is questioned.
January 4, 2006
Klein A. Washington Post. December 11, 2005.
https://psnet.ahrq.gov/issue/hospitals-save-money-safety-questioned
This article reports on the reuse of single-use medical instruments, discussing both the benefits and risks of
the practice.
https://psne…
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psnet.ahrq.gov/node/43546/psn-pdf
July 10, 2019 - BMJ Open Quality.
July 10, 2019
Crisp H, ed. London, UK: BMJ Publishing Group Ltd; ISSN: 2399-6641.
https://psnet.ahrq.gov/issue/bmj-open-quality
This journal provides access to a collection of practice reports on patient safety and quality improvement
initiatives in the United Kingdom.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/perspective/safety-retail-pharmacy
May 11, 2016 - High-level decisions about policies and procedures, tools and technology, and hiring practices are viewed
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psnet.ahrq.gov/web-mm/walking-patient-missing-drain
April 01, 2006 - Implementing best practices such as those recommended by the AANN may reduce adverse events associated
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psnet.ahrq.gov/node/33673/psn-pdf
September 01, 2008 - potential benefits of
pumps were missed because of the pump design and previously unforeseen clinical practices
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psnet.ahrq.gov/primer/triggers-and-trigger-tools
September 15, 2024 - Triggers and Trigger Tools
Citation Text:
Triggers and Trigger Tools. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…
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psnet.ahrq.gov/primer/duty-hours-and-patient-safety
June 15, 2024 - Duty Hours and Patient Safety
Citation Text:
Duty Hours and Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…
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psnet.ahrq.gov/node/49410/psn-pdf
July 01, 2003 - A Little Shuteye
July 1, 2003
Farion KJ. A Little Shuteye. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/little-shuteye
The Case
A 3-year-old boy was seen in urgent care for a superficial laceration above the left eyebrow. The
pediatrician had heard of the availability of topical skin adhesive that can be…