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psnet.ahrq.gov/node/855058/psn-pdf
October 31, 2023 - Basic patient safety activities, which include promoting teamwork, good
handoffs, timely responses to
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psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
March 01, 2014 - January 1, 2015
Perspective
Innovations in Promoting
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psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
September 28, 2022 - care providers can improve diagnostic safety through the use of relationship-based principles, e.g., promoting … just from an individual clinician standpoint, me as the doctor making a relationship, but also really promoting
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psnet.ahrq.gov/perspective/peacehealth-governance-journey-support-quality-and-safety
August 01, 2007 - Institute for Healthcare Improvement (IHI), where he has taken a role in teaching leadership skills and promoting
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psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph
April 01, 2009 - Accreditation has been observed to be more effective in promoting good safety practices than state-required
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psnet.ahrq.gov/perspective/conversation-withjames-l-reinertsen-md
August 01, 2007 - Institute for Healthcare Improvement (IHI), where he has taken a role in teaching leadership skills and promoting
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psnet.ahrq.gov/perspective/overuse-patient-safety-problem
September 01, 2014 - Overuse as a Patient Safety Problem
Christopher Moriates, MD | September 1, 2014
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Moriates C. Overuse as a Patient Safety Problem. PSNet [internet]. Rockville (MD): Agency for Heal…
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psnet.ahrq.gov/perspective/conversation-rosemary-gibson-msc
September 01, 2014 - In Conversation With… Rosemary Gibson, MSc
September 1, 2014
Also Read an Essay
Citation Text:
In Conversation With… Rosemary Gibson, MSc. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…
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psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon
April 01, 2006 - In Conversation with… Michael Cohen, RPh, MS, ScD (hon)
April 1, 2006
Also Read an Essay
Citation Text:
In Conversation with… Michael Cohen, RPh, MS, ScD (hon). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health …
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psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
August 01, 2017 - The Evolution of Patient Safety in Surgery
Robert M. Wachter, MD | December 1, 2017
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Wachter R. The Evolution of Patient Safety in Surgery. PSNet [internet]. Rockville (MD): Agency…
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psnet.ahrq.gov/issue/healthcare-411-medical-intern-work-hours-and-medical-errors
May 23, 2007 - Audiovisual
Healthcare 411: Medical intern work hours and medical errors.
Citation Text:
Agency for Healthcare Research and Quality; AHRQ; Clancy C.
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psnet.ahrq.gov/issue/healthcare-411-provider-insider-medical-handoffs
October 18, 2006 - Government Resource
Healthcare 411: Provider insider--medical handoffs.
Citation Text:
Agency for Healthcare Research and Quality; AHRQ; Clancy C.
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psnet.ahrq.gov/issue/healthcare-411-making-hospital-discharges-safer-seniors
February 24, 2021 - Audiovisual
Healthcare 411: Making hospital discharges safer for seniors.
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June 17, 2009
This podcast discusses an AHRQ project to design information …
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psnet.ahrq.gov/issue/medical-office-comparative-database-submission-information
February 24, 2021 - Government Resource
Medical Office Comparative Database Submission Information.
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September 28, 2011
This announcement seeks participants in the AHRQ…
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psnet.ahrq.gov/issue/innovations-improve-patient-safety
May 25, 2016 - Book/Report
Innovations to improve patient safety.
Citation Text:
Agency for Healthcare Research and Quality. Health Care Innovations Exchange. May 18, 2016.
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psnet.ahrq.gov/issue/hospitals-tackle-high-risk-drugs-reduce-errors
October 07, 2015 - Newspaper/Magazine Article
Hospitals tackle high-risk drugs to reduce errors.
Citation Text:
Landro L.
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March 19, 2008
Landr…
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psnet.ahrq.gov/issue/surgical-mistakes-persist-bay-state-still-tiny-fraction-total-procedures
September 10, 2014 - Newspaper/Magazine Article
Surgical mistakes persist in Bay State: still a tiny fraction of total procedures.
Citation Text:
Kowalczyk L.
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psnet.ahrq.gov/issue/how-human-factors-lead-medical-device-adverse-events
February 10, 2021 - Commentary
How human factors lead to medical device adverse events.
Citation Text:
Rich S.
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June 11, 2008
Rich S.
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psnet.ahrq.gov/node/49838/psn-pdf
August 01, 2018 - An Untimely End Despite End-of-Life Care Planning
August 1, 2018
Elia G, Barbour S, Anderson WG. An Untimely End Despite End-of-Life Care Planning. PSNet [internet].
2018.
https://psnet.ahrq.gov/web-mm/untimely-end-despite-end-life-care-planning
The Case
A 76-year-old man was admitted to the intensive care unit (…
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psnet.ahrq.gov/node/33825/psn-pdf
January 01, 2017 - Rethinking Root Cause Analysis
January 1, 2016
Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
Annual Perspective 2016
Introduction
Root cause analysis (RCA) is a systematic process to analyze adverse events and near miss…