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psnet.ahrq.gov/node/47500/psn-pdf
October 24, 2018 - Use of a novel, electronic health record–centered,
interprofessional ICU rounding simulation to understand
latent safety issues.
October 24, 2018
Bordley J, Sakata KK, Bierman J, et al. Use of a Novel, Electronic Health Record-Centered,
Interprofessional ICU Rounding Simulation to Understand Latent Safety Issues. …
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psnet.ahrq.gov/issue/war-games-and-diagnostic-errors
April 10, 2024 - Commentary
War games and diagnostic errors.
Citation Text:
Vaughn VM, Chopra V, Howell JD. War games and diagnostic errors. BMJ. 2016;355:i6342. doi:10.1136/bmj.i6342.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…
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psnet.ahrq.gov/node/41478/psn-pdf
June 20, 2014 - 2012 User Comparative Database Report: Medical Office
Survey on Patient Safety Culture.
June 20, 2014
Sorra J, Famolaro T, Dyer N, Smith S, Liu H, Ragan M. Rockville, MD: Agency for Healthcare Research
and Quality; May 2012. AHRQ Publication No. 12-0052.
https://psnet.ahrq.gov/issue/2012-user-comparative-database-…
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psnet.ahrq.gov/node/41317/psn-pdf
January 31, 2013 - Variation in 17 obstetric care pathways: potential danger
for health professionals and patient safety?
January 31, 2013
Sarrechia M, Van Gerven E, Hermans L, et al. Variation in 17 obstetric care pathways: potential danger for
health professionals and patient safety? J Adv Nurs. 2013;69(2):278-85. doi:10.1111/j.136…
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psnet.ahrq.gov/node/49438/psn-pdf
March 05, 2004 - OR Peeping
March 1, 2004
Mackenzie CF. OR Peeping. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/or-peeping
The Case
A healthy unmarried woman was undergoing a dilation and curettage (D&C) following an incomplete
spontaneous abortion (miscarriage).
At this community hospital, a new operating room (OR) su…
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psnet.ahrq.gov/issue/learning-health-systems
December 24, 2008 - Multi-use Website
Learning Health Systems
Citation Text:
Learning Health Systems Agency for Health Research and Quality.
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psnet.ahrq.gov/node/74120/psn-pdf
November 30, 2021 - disease-directed therapies, improves patients’ overall quality of life and duration of life.11
Although the purpose
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psnet.ahrq.gov/sites/default/files/2021-11/spotlight_integration_and_coordination_of_disesase_treatment_and_palliative_care_final.pdf
January 01, 2021 - quality and duration of life.
25
Palliative Care and Hospice as Patient Safety (4)
• Although the purpose
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psnet.ahrq.gov/web-mm/culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care
December 23, 2020 - disease-directed therapies, improves patients’ overall quality of life and duration of life. 11 Although the purpose
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psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection
October 08, 2024 - Press Release/Announcement
Common Formats for Patient Safety Data Collection.
Citation Text:
Common Formats for Patient Safety Data Collection. Agency for Healthcare Research and Quality. Fed Register. Mar 6, 2024;89(45);15992.
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psnet.ahrq.gov/issue/accidents-claiming-and-regional-subcultures-are-medical-errors-and-malpractice-lawsuits
October 16, 2024 - Study
Accidents, claiming, and regional subcultures: are medical errors and malpractice lawsuits related to social capital?
Citation Text:
Williams J. Accidents, claiming, and regional subcultures: Are medical errors and malpractice lawsuits related to social capital? J Safety Res. 200…
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psnet.ahrq.gov/node/43280/psn-pdf
November 30, 2016 - Medical Office Survey on Patient Safety Culture: 2014
User Comparative Database Report.
November 30, 2016
Sorra J, Famolaro T, Yount ND, et al. Rockville, MD: Agency for Healthcare Research and Quality; June
2014. Report No. 14-0032-EF.
https://psnet.ahrq.gov/issue/medical-office-survey-patient-safety-culture-2014…
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psnet.ahrq.gov/node/42740/psn-pdf
December 31, 2014 - ICD-10 codes used to identify adverse drug events in
administrative data: a systematic review.
December 31, 2014
Hohl CM, Karpov A, Reddekopp L, et al. ICD-10 codes used to identify adverse drug events in
administrative data: a systematic review. J Am Med Inform Assoc. 2014;21(3):547-57. doi:10.1136/amiajnl-
2013-…
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psnet.ahrq.gov/node/41031/psn-pdf
February 10, 2012 - Is patient safety improving? National trends in patient
safety indicators: 1998–2007.
February 10, 2012
Downey JR, Hernandez-Boussard T, Banka G, et al. Is patient safety improving? National trends in patient
safety indicators: 1998-2007. Health Serv Res. 2012;47(1 Pt 2):414-30. doi:10.1111/j.1475-
6773.2011.01361…
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psnet.ahrq.gov/issue/national-patient-safety-board-act-2022
July 20, 2022 - Legislation/Regulation
National Patient Safety Board Act of 2022.
Citation Text:
National Patient Safety Board Act of 2022. HR 9377, 117th Cong, 2d Sess (2022).
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psnet.ahrq.gov/node/44427/psn-pdf
October 13, 2015 - Problem list completeness in electronic health records: a
multi-site study and assessment of success factors.
October 13, 2015
Wright A, McCoy AB, Hickman T-TT, et al. Problem list completeness in electronic health records: A multi-
site study and assessment of success factors. Int J Med Inform. 2015;84(10):784-90.…
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement
December 21, 2022 - Legislation/Regulation
Patient safety and quality improvement.
Citation Text:
Patient safety and quality improvement. Agency for Healthcare Research and Quality. Fed Register. February 12, 2008;73(29):8112-8183.
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psnet.ahrq.gov/issue/fda-begins-inquiry-after-death-and-illness-saline-bags-meant-training
October 17, 2012 - Newspaper/Magazine Article
FDA begins inquiry after death and illness from saline bags meant for training.
Citation Text:
FDA begins inquiry after death and illness from saline bags meant for training. Tavernise S. New York Times. January 15, 2015.
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psnet.ahrq.gov/node/38837/psn-pdf
June 28, 2011 - A comparison of hospital adverse events identified by
three widely used detection methods.
June 28, 2011
Naessens JM, Campbell CR, Huddleston JM, et al. A comparison of hospital adverse events identified by
three widely used detection methods. Int J Qual Health Care. 2009;21(4):301-7.
doi:10.1093/intqhc/mzp027.
h…
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psnet.ahrq.gov/issue/use-duodenoscopes-innovative-designs-enhance-safety-fda-safety-communication
October 19, 2022 - Press Release/Announcement
Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication.
Citation Text:
Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; April 5, 2022.
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