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psnet.ahrq.gov/web-mm/raise-bar
May 29, 2024 - Raise the Bar
Citation Text:
Stotts J, Lyndon A. Raise the Bar. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit
June 01, 2005 - Diagnostic Failure: The Growing Deficit
Citation Text:
Chang R, Flanders S. Diagnostic Failure: The Growing Deficit. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system
March 01, 2012 - Can Research Help Us Improve the Medical Liability System?
Allen Kachalia, MD, JD | March 1, 2012
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Citation Text:
Kachalia A. Can Research Help Us Improve the Medical Liability System?. PSNet [in…
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psnet.ahrq.gov/perspective/conversation-richard-c-boothman-jd
March 01, 2012 - In Conversation With… Richard C. Boothman, JD
March 1, 2012
Also Read an Essay
Citation Text:
In Conversation With… Richard C. Boothman, JD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …
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psnet.ahrq.gov/node/836749/psn-pdf
March 16, 2022 - Comparison of a focused family cancer history
questionnaire to family history documentation in the
electronic medical record.
March 16, 2022
Clift K, Macklin-Mantia S, Barnhorst M, et al. Comparison of a focused family cancer history questionnaire
to family history documentation in the electronic medical record. J…
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psnet.ahrq.gov/node/72799/psn-pdf
March 03, 2021 - Measuring and improving diagnostic safety in primary
care: addressing the “twin” pandemics of diagnostic error
and clinician burnout.
March 3, 2021
Olson APJ, Linzer M, Schiff GD. Measuring and Improving Diagnostic Safety in Primary Care: Addressing
the “Twin” Pandemics of Diagnostic Error and Clinician Burnout. J…
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psnet.ahrq.gov/issue/patient-stories
March 27, 2024 - Multi-use Website
Patient Stories.
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March 6, 2013
This Web site hosts documentary accounts of medical errors to encourage clinici…
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psnet.ahrq.gov/node/47545/psn-pdf
December 19, 2018 - Adverse events during dental care for children:
implications for practitioner health and wellness.
December 19, 2018
Nainar SMH. Adverse events during dental care for children: implications for practitioner health and
wellness. Pediatr Dent. 2018;40(5):323-326.
https://psnet.ahrq.gov/issue/adverse-events-during-de…
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psnet.ahrq.gov/node/837972/psn-pdf
September 01, 2022 - Patient safety: where to aim when zero harm is not the
target-a case for learning and resilience.
September 1, 2022
Stockwell DC, Kayes DC, Thomas EJ. Patient safety: where to aim when zero harm is not the target-a case
for learning and resilience. J Patient Saf. 2022;18(5):e877-e882. doi:10.1097/pts.00000000000009…
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psnet.ahrq.gov/node/45235/psn-pdf
September 19, 2016 - Patient safety culture and the second victim
phenomenon: connecting culture to staff distress in
nurses.
September 19, 2016
Quillivan RR, Burlison JD, Browne EK, et al. Patient Safety Culture and the Second Victim Phenomenon:
Connecting Culture to Staff Distress in Nurses. Jt Comm J Qual Patient Saf. 2016;42(8):37…
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psnet.ahrq.gov/node/60763/psn-pdf
August 05, 2020 - Supporting the emotional well-being of health care
workers during the COVID-19 pandemic.
August 5, 2020
Wu AW, Buckle P, Haut ER, et al. Supporting the emotional well-being of health care workers during the
COVID-19 pandemic. J Patient Saf Risk Manag. 2020;25(3):93-96. doi:10.1177/2516043520931971.
https://psnet.a…
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psnet.ahrq.gov/node/46060/psn-pdf
October 31, 2017 - Do hospitals support second victims? Collective insights
from patient safety leaders in Maryland.
October 31, 2017
Edrees HH, Morlock L, Wu AW. Do Hospitals Support Second Victims? Collective Insights From Patient
Safety Leaders in Maryland. Jt Comm J Qual Saf. 2017;43(9):471-483. doi:10.1016/j.jcjq.2017.01.008.
h…
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psnet.ahrq.gov/node/866158/psn-pdf
June 19, 2024 - Anesthesia-related closed claims in free-standing
ambulatory surgery centers.
June 19, 2024
Pimentel MPT, Chung S, Ross JM, et al. Anesthesia-related closed claims in free-standing ambulatory
surgery centers. Anesth Analg. 2024;139(3):521-531. doi:10.1213/ane.0000000000006700.
https://psnet.ahrq.gov/issue/anesthes…
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psnet.ahrq.gov/node/34729/psn-pdf
October 31, 2016 - Set Phasers on Stun: And Other True Tales of Design,
Technology, and Human Error, Second Edition.
October 31, 2016
Casey SM. Santa Barbara, CA: Aegean; 1998. ISBN 9780963617880.
https://psnet.ahrq.gov/issue/set-phasers-stun-and-other-true-tales-design-technology-and-human-error-
second-edition
This book introduce…
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psnet.ahrq.gov/node/849121/psn-pdf
May 17, 2023 - Thematic reviews of patient safety incidents as a tool for
systems thinking: a quality improvement report.
May 17, 2023
Machen S. Thematic reviews of patient safety incidents as a tool for systems thinking: a quality
improvement report. BMJ Open Qual. 2023;12(2):e002020. doi:10.1136/bmjoq-2022-002020.
https://psne…
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psnet.ahrq.gov/node/47193/psn-pdf
September 05, 2018 - Situation, background, assessment, recommendation
(SBAR) communication tool for handoff in health care- a
narrative review.
September 5, 2018
Shahid S, Thomas S. Situation, background, assessment, recommendation (SBAR) communication tool for
handoff in health care; a narrative review. Saf Health. 2018;4(7). doi:10…
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psnet.ahrq.gov/node/47680/psn-pdf
January 16, 2019 - Perioperative medication errors: uncovering risk from
behind the drapes.
January 16, 2019
Cierniak KH, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. 2018;15(4):1-17.
https://psnet.ahrq.gov/issue/perioperative-medication-errors-uncovering-risk-behind-drapes
The operating room environment harbors particular pat…
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psnet.ahrq.gov/node/837143/psn-pdf
January 01, 2023 - Understanding the factors influencing implementation of
a new national patient safety policy in England: lessons
from 'Learning from Deaths'.
May 18, 2022
Lalani M, Morgan S, Basu A, et al. Understanding the factors influencing implementation of a new national
patient safety policy in England: lessons from ‘Learni…
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psnet.ahrq.gov/node/837502/psn-pdf
June 22, 2022 - Toward safer opioid prescribing in HIV care (TOWER): a
mixed-methods, cluster-randomized trial.
June 22, 2022
Cedillo G, George MC, Deshpande R, et al. Toward safer opioid prescribing in HIV care (TOWER): a
mixed-methods, cluster-randomized trial. Addict Sci Clin Pract. 2022;17(1):28. doi:10.1186/s13722-022-
00311…
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psnet.ahrq.gov/issue/center-consumer-health-care-information-patient-safety-center
February 04, 2025 - Multi-use Website
Center for Consumer Health Care Information Patient Safety Center.
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March 6, 2005
The Center's efforts for pati…