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psnet.ahrq.gov/node/866217/psn-pdf
July 10, 2024 - In Conversation With...Amy Helwig about Health Plan
Patient Safety Initiatives
July 10, 2024
Helwig A, Sousane Z, Mossburg S. In Conversation With..Amy Helwig about Health Plan Patient Safety
Initiatives. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patie…
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psnet.ahrq.gov/perspective/role-national-quality-forum-nqf-quest-transparency-us-hospitals-patient-safety
April 01, 2010 - National Quality Forum 30 safe practices: priority and progress in Iowa hospitals. … Eliminating health disparities is a cross-cutting goal that should be addressed in each of the six priority … Related Resources From the Same Author(s)
National Quality Forum 30 safe practices: priority
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psnet.ahrq.gov/node/33691/psn-pdf
December 01, 2009 - How to Identify and Manage Problem Behaviors
December 1, 2009
Rosenstein AH, O'Daniel M. How to Identify and Manage Problem Behaviors. PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
Perspective
The 1999 Institute of Medicine report highlighted the need for heal…
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psnet.ahrq.gov/web-mm/one-dose-fifty-pills
January 13, 2021 - One Dose, Fifty Pills
Citation Text:
Smith L. One Dose, Fifty Pills
. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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psnet.ahrq.gov/node/49665/psn-pdf
September 01, 2012 - Undetected Foreign Object
September 1, 2012
Cima RR. Undetected Foreign Object. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/undetected-foreign-object
The Case
A 75-year-old man with a past medical history of end-stage renal disease (on hemodialysis), hypertension,
and diabetes was found to have obstruct…
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psnet.ahrq.gov/web-mm/electronic-err
April 01, 2014 - Electronic Err
Citation Text:
Tang PC. Electronic Err. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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…
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psnet.ahrq.gov/innovation/remote-response-team-and-customized-alert-settings-help-improve-management-sepsis
February 26, 2025 - Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis
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May 31, 2023
Innovation
Contact
…
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psnet.ahrq.gov/web-mm/home-medications-contribute-unique-opportunity-error-discharge-hospital
May 16, 2022 - Home Medications Contribute to a Unique Opportunity for Error on Discharge from the Hospital
Citation Text:
Agrawal G, Nguyen DM. Home Medications Contribute to a Unique Opportunity for Error on Discharge from the Hospital.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US De…
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psnet.ahrq.gov/node/861838/psn-pdf
January 31, 2024 - Adverse Drug Event (ADE) Surveillance and Pharmacist
Counseling
January 31, 2024
https://psnet.ahrq.gov/innovation/adverse-drug-event-ade-surveillance-and-pharmacist-counseling
Summary
Adverse events resulting from medications are a common occurrence that often go undetected, unreported,
and unaddressed.1 The imp…
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psnet.ahrq.gov/issue/chpso
March 20, 2024 - Multi-use Website
CHPSO.
Citation Text:
CHPSO. 1215 K Street, Suite 800, Sacramento, CA 95814.
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April 15, 201…
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psnet.ahrq.gov/issue/systematic-review-identify-factors-affect-failure-rescue-and-escalation-care-surgery
September 09, 2015 - Review
A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery.
Citation Text:
Johnston MJ, Arora S, King D, et al. A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery. Surgery. 20…
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psnet.ahrq.gov/primer/covid-19-and-dentistry-challenges-and-opportunities-providing-safe-care
February 24, 2022 - January 12, 2022
Health Worker Safety: A Priority for Patient Safety.
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psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned
September 01, 2017 - ' performance proactively.( 8 ) A recent report by the National Quality Forum that highlighted high-priority
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psnet.ahrq.gov/web-mm/cognitive-overload-icu
June 01, 2005 - radiograph (such as one obtained after a cardiac arrest) would be interpreted by a radiologist as a priority
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psnet.ahrq.gov/node/49431/psn-pdf
January 01, 2004 - Take-Home Points
"The first priority in differential diagnosis is to think about the diseases you can't
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psnet.ahrq.gov/node/43157/psn-pdf
May 07, 2014 - Governing board, C-suite, and clinical management
perceptions of quality and safety structures, processes,
and priorities in US hospitals.
May 7, 2014
Vaughn T, Koepke M, Levey S, et al. Governing board, C-suite, and clinical management perceptions of
quality and safety structures, processes, and priorities in U.S…
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psnet.ahrq.gov/node/47210/psn-pdf
November 16, 2018 - A multi-stakeholder consensus-driven research agenda
for better understanding and supporting the emotional
impact of harmful events on patients and families.
November 16, 2018
Bell SK, Etchegaray J, Gaufberg E, et al. A Multi-Stakeholder Consensus-Driven Research Agenda for
Better Understanding and Supporting the …
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psnet.ahrq.gov/perspective/conversation-withjanet-corrigan-phd-mba
April 01, 2010 - Eliminating health disparities is a cross-cutting goal that should be addressed in each of the six priority … National Quality Forum 30 safe practices: priority and progress in Iowa hospitals.
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psnet.ahrq.gov/node/33764/psn-pdf
April 01, 2014 - In particular now with the
priority on cost and value, an organization like NPSF really has to maintain … absolutely, this makes total
sense but we can't do it because we have five other things that are higher priority
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psnet.ahrq.gov/node/47750/psn-pdf
January 30, 2019 - Association of adverse effects of medical treatment with
mortality in the United States: a secondary analysis of the
Global Burden of Diseases, Injuries, and Risk Factors
study.
January 30, 2019
Sunshine JE, Meo N, Kassebaum NJ, et al. Association of Adverse Effects of Medical Treatment With
Mortality in the Unit…