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psnet.ahrq.gov/issue/computerized-surveillance-adverse-drug-events-hospital-patients
March 27, 2005 - Study
Classic
Computerized surveillance of adverse drug events in hospital patients.
Citation Text:
Classen DC, Pestotnik SL, Evans RS, et al. Computerized surveillance of adverse drug events in hospital patients. JAMA. 1991;266(20):2847-51.
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psnet.ahrq.gov/issue/time-listen-review-methods-solicit-patient-reports-adverse-events
November 23, 2016 - Review
Time to listen: a review of methods to solicit patient reports of adverse events.
Citation Text:
King A, Daniels J, Lim J, et al. Time to listen: a review of methods to solicit patient reports of adverse events. Qual Saf Health Care. 2010;19(2):148-57. doi:10.1136/qshc.2008.0301…
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psnet.ahrq.gov/issue/boosting-medical-diagnostics-pooling-independent-judgments
June 21, 2016 - Study
Boosting medical diagnostics by pooling independent judgments.
Citation Text:
Kurvers RHJM, Herzog SM, Hertwig R, et al. Boosting medical diagnostics by pooling independent judgments. Proc Natl Acad Sci U S A. 2016;113(31):8777-8782. doi:10.1073/pnas.1601827113.
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psnet.ahrq.gov/node/50393/psn-pdf
September 01, 2019 - important role in patient safety education, with the Spotlight Cases being widely
used for teaching purposes
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psnet.ahrq.gov/node/72737/psn-pdf
February 09, 2021 - A downstream impact is the ability to cohort
patients for purposes of clinical outcome tracking on objectives
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psnet.ahrq.gov/web-mm/critical-order-set-change-and-critical-limb-ischemia
July 02, 2019 - Critical Order Set Change and Critical Limb Ischemia
Citation Text:
Clay B. Critical Order Set Change and Critical Limb Ischemia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
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psnet.ahrq.gov/sites/default/files/2025-03/PSNet%20Webinar%20Feb%202025_0.pdf
January 01, 2025 - AHRQ PSNet Webinar
AHRQ PSNet Webinar
Making Healthcare Safer (MHS) IV:
Rapid Response Systems and Opioid Stewardship
February 10, 2025
Agenda
2
• Logistics
• Introduction to the Making Healthcare Safer (MHS) IV Reports
• Report 1 – Rapid Response Systems
► Discussion
► PSNet Resources
• Report 2 – Opioi…
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psnet.ahrq.gov/perspective/what-does-simulation-add-teamwork-training
October 01, 2004 - For other clinical purposes, verbal simulation or drills without any simulator (or with only a passive
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psnet.ahrq.gov/node/49677/psn-pdf
February 01, 2013 - will soon have) established similar procedure
services for direct patient care and/or for training purposes
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psnet.ahrq.gov/innovation/geisingers-outpatient-addiction-medicine-specialty-program-uses-data-driven-decision
October 30, 2024 - A downstream impact is the ability to cohort patients for purposes of clinical outcome tracking on objectives
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psnet.ahrq.gov/node/33582/psn-pdf
September 15, 2024 - methods have been evaluated for screening administrative datasets (typically generated for billing
purposes
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psnet.ahrq.gov/primer/individual-clinician-performance-issues
March 15, 2025 - and other types of clinical encounters will become routinely used both for assessment and improvement purposes
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psnet.ahrq.gov/node/33567/psn-pdf
June 15, 2024 - Handoffs
June 15, 2024
Handoffs and Signouts. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/handoffs
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in 2024.
Backgroun…
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psnet.ahrq.gov/web-mm/supervision-and-entrustment-clinical-training-protecting-patients-protecting-trainees
February 22, 2017 - SPOTLIGHT CASE
Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees
Citation Text:
Cate O ten-. Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu…
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psnet.ahrq.gov/node/848124/psn-pdf
April 26, 2023 - In Conversation with... Susan McGrath, PhD and George
Blike, MD about Surveillance Monitoring
April 26, 2023
In Conversation with.. Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring. PSNet
[internet]. 2023.
https://psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-ab…
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psnet.ahrq.gov/node/33594/psn-pdf
November 18, 2021 - For the purposes of this
primer, we will describe the easiest and most common debriefing method, plus-delta
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psnet.ahrq.gov/node/49862/psn-pdf
May 01, 2019 - But for all intents and purposes, the entire patient will be exposed to the
powerful magnetic fields
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psnet.ahrq.gov/node/72624/psn-pdf
January 05, 2021 - speak up to express any safety
concerns in a non-punitive environment for reporting errors for the purposes
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psnet.ahrq.gov/primer/debriefing-clinical-learning
September 15, 2024 - For the purposes of this primer, we will describe the easiest and most common debriefing method, plus-delta
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.203_slideshow.ppt
August 01, 2009 - Involve staff nurses in staffing decisions made for budgetary purposes
Benchmark staffing ratios annually