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psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
February 01, 2004 - problems including time pressure and cognitive workload.( 4 ) In particular, in one study of primary care practices … Testing process errors and their harms and consequences reported from family medicine practices: a study
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psnet.ahrq.gov/node/846564/psn-pdf
March 29, 2023 - In an attempt to address these concerns, one article in 2022 detailed best practices for AI implementation … Best practices include using AI to address a priority
problem for the health system rather than treating
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psnet.ahrq.gov/node/73145/psn-pdf
April 28, 2021 - How do you mitigate
the risk of infection with infection control practices, like when you're assessing … JAM: You'll see different practices from different programs: all still ensure safety and quality.
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psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety
April 26, 2023 - In an attempt to address these concerns, one article in 2022 detailed best practices for AI implementation … Best practices include using AI to address a priority problem for the health system rather than treating
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psnet.ahrq.gov/node/72835/psn-pdf
March 10, 2021 - research teams, measure developers—basically anyone who wants to implement authentic and
sustainable PFE practices … https://innovation.cms.gov/innovation-models/transforming-clinical-practices
KH: You know you've succeeded
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psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
February 22, 2023 - However, barriers exist to changing current care practices, even if such practices are vulnerable to
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.45_slideshow.ppt
January 01, 2004 - A predictive instrument to improve coronary-care-unit admission practices in acute ischemic heart disease … A predictive instrument to improve coronary-care-unit admission practices in acute ischemic heart disease
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psnet.ahrq.gov/node/50841/psn-pdf
January 29, 2020 - Identify areas to focus on for continuous quality improvement to ensure safe transfusion practices. … reducing patient specimen
and laboratory testing identification errors: alaboratory medicine best practices
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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/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/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/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.
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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…
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psnet.ahrq.gov/web-mm/near-miss-neonate
August 15, 2018 - Near Miss With Neonate
Citation Text:
Malana J, Lyndon A. Near Miss With Neonate. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/node/49844/psn-pdf
October 01, 2018 - Diffusion of Responsibility Leads to Danger
October 1, 2018
Balcezak TJ, Deshpande O. Diffusion of Responsibility Leads to Danger. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
The Case
A 70-year-old man was sent to the emergency department (ED) from a nursing facility…
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psnet.ahrq.gov/node/49802/psn-pdf
August 01, 2017 - Add-on Case and the Missing Checklist
August 1, 2017
Catchpole K. Add-on Case and the Missing Checklist. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/add-case-and-missing-checklist
The Case
A 65-year-old woman was admitted for evaluation of abdominal pain and weight loss. Based on diagnostic
data and ima…
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psnet.ahrq.gov/node/865697/psn-pdf
April 24, 2024 - In Conversation with...Katie Boston-Leary about Patient
Safety Amid Nursing Workforce Challenges
April 24, 2024
Leary KB. In Conversation with..Katie Boston-Leary about Patient Safety Amid Nursing Workforce
Challenges. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-a…
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psnet.ahrq.gov/node/40827/psn-pdf
October 05, 2011 - Educating for Safety.
October 5, 2011
Am J Pharm Edu. 2011;75(7):e140-e143.
https://psnet.ahrq.gov/issue/educating-safety
This special section discusses strategies for integrating safety concepts into pharmacy curricula to promote
safe medication practice.
https://psnet.ahrq.gov/issue/educating-safety
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