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psnet.ahrq.gov/perspective/conversation-ellen-deutsch-md-ms-facs-faap-fssh-cpps
December 14, 2022 - For this reason, researchers purport that the Safety-II view helps us understand the value of variability
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digital.ahrq.gov/sites/default/files/docs/citation/ahrq-step-up-app-challenge-final-report-2020.pdf
January 01, 2020 - For this reason, normalization ensures fairness in the submission
selection process.
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psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety
July 31, 2023 - Regina Hoffman: That is our primary reason for existence—to support interorganizational learning.
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www.ahrq.gov/sites/default/files/2024-04/pines-mccarthy-report.pdf
January 01, 2024 - significant delays in evaluation and treatment for emergent and urgent
conditions because of the same reason
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication4.html
July 01, 2024 - Meaning I wanna see everything immediately, but for some reason… let’s say my tumor marker… I really
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www.ahrq.gov/sites/default/files/2024-01/sangasubana-report.pdf
January 01, 2024 - They were
also asked the reason for answering each question as they did.
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psnet.ahrq.gov/perspective/building-capacity-patient-safety
July 31, 2023 - Regina Hoffman: That is our primary reason for existence—to support interorganizational learning.
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psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
December 14, 2022 - For this reason, researchers purport that the Safety-II view helps us understand the value of variability
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mottur.pdf
June 01, 2005 - Reason J. Foreword. In: Bogner MS, editor. Human
error in medicine.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meliones_40.pdf
January 01, 2006 - The reason for this delay is multifactorial but may include:
lack of formalized health care team training
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psnet.ahrq.gov/perspective/conversation-timothy-b-mcdonald-md-jd
February 26, 2025 - In Conversation With… Timothy B. McDonald, MD, JD
April 1, 2019
Citation Text:
In Conversation With… Timothy B. McDonald, MD, JD. 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/node/852698/psn-pdf
August 30, 2023 - The e-Autopsy/e-Biopsy: A Systematic Chart Review to
Increase Safety and Diagnostic Accuracy Innovation
August 30, 2023
https://psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-
diagnostic-accuracy
Summary
Addressing diagnostic errors to improve outcomes and patient safety h…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/prostate-cancer-radiation_research.pdf
November 01, 2012 - Data Points 16: Types of Prostate Radiation: Changes across time and geography in the use of prostate radiation technologies for newly diagnosed older cancer patients: 2006-2008
Types of Prostate Radiation Data Points # 16
Changes across time and geography in the use of prostate
radiation technologies for newly dia…
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psnet.ahrq.gov/node/866055/psn-pdf
May 29, 2024 - Reducing Preventable Patient Harm Due to Retained
Surgical Items: The RSI Bundle
May 29, 2024
https://psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
Summary
Retained surgical items (RSIs) cause severe yet preventable patient harm. RSIs are the most common
catego…
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psnet.ahrq.gov/web-mm/empiric-steroids-good-bad-and-ugly
June 01, 2015 - SPOTLIGHT CASE
Empiric Steroids: the Good, the Bad, and the Ugly
Citation Text:
Harris ED. Empiric Steroids: the Good, the Bad, and the Ugly. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
June 01, 2007 - Advancing Patient Safety Through State Reporting Systems
Jill Rosenthal, MPH | June 1, 2007
View more articles from the same authors.
Citation Text:
Rosenthal J. Advancing Patient Safety Through State Reporting Systems. PSNet [internet]. Rockville (MD): Agency for…
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effectivehealthcare.ahrq.gov/sites/default/files/study-objectives-and-questions-chapter-1.pptx
January 01, 2013 - Study Objectives and Questions for Observational Comparative Effectiveness Research
Study Objectives and Questions for Observational Comparative Effectiveness Research
Prepared for:
Agency for Healthcare Research and Quality (AHRQ)
www.ahrq.gov
Study Objectives and Questions for Observational Comparative Effective…
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psnet.ahrq.gov/web-mm/lung-nodule-refused-grow
March 01, 2004 - SPOTLIGHT CASE
The Lung Nodule That Refused To Grow
Citation Text:
Balekian AA, Gould MK. The Lung Nodule That Refused To Grow. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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Format:
Googl…
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psnet.ahrq.gov/web-mm/case-mistaken-intubation
July 01, 2016 - SPOTLIGHT CASE
The Case of Mistaken Intubation
Citation Text:
Silveira MJ. The Case of Mistaken Intubation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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Format:
Google Scholar BibTeX End…
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digital.ahrq.gov/sites/default/files/docs/citation/r13hs024833-gill-final-report-2017.pdf
January 01, 2017 - e3iVR: Conference on Ethics in Investigational and Interventional Uses of Immersive VR - Final Report
e3iVR: Conference on ethics in investigational and interventional uses of
…