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psnet.ahrq.gov/perspective/ehr-copy-and-paste-and-patient-safety
January 01, 2018 - EHR Copy and Paste and Patient Safety
Shannon M. Dean, MD | January 1, 2018
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Citation Text:
Dean SM. EHR Copy and Paste and Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare…
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psnet.ahrq.gov/perspective/becoming-patient-safety-organization
July 01, 2011 - Becoming a Patient Safety Organization
Rory Jaffe, MD, MBA | July 1, 2011
Also Read a Conversation
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Citation Text:
Jaffe R. Becoming a Patient Safety Organization. PSNet [internet]. Rockville (MD): Agency for Healthcare …
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psnet.ahrq.gov/issue/economic-evaluation-healthcare-safety-which-attributes-safety-do-healthcare-professionals
July 01, 2012 - Study
Economic evaluation of healthcare safety: which attributes of safety do healthcare professionals consider most important in resource allocation decisions?
Citation Text:
Steuten L, Buxton M. Economic evaluation of healthcare safety: which attributes of safety do healthcare profes…
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psnet.ahrq.gov/issue/systems-approach-error-prevention-medicine
February 15, 2017 - Commentary
A systems approach to error prevention in medicine.
Citation Text:
Wieman TJ, Wieman EA. A systems approach to error prevention in medicine. J Surg Oncol. 2004;88(3):115-21.
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psnet.ahrq.gov/issue/fatal-case-iatrogenic-hypercalcemia-after-calcium-channel-blocker-overdose
October 26, 2022 - Commentary
A fatal case of iatrogenic hypercalcemia after calcium channel blocker overdose.
Citation Text:
Sim MT, Stevenson FT. A fatal case of iatrogenic hypercalcemia after calcium channel blocker overdose. J Med Toxicol. 2008;4(1):25-9.
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-medical-errors-and-adverse-events
October 18, 2006 - Review
Patient safety and quality improvement: medical errors and adverse events.
Citation Text:
Leonard M. Patient safety and quality improvement: medical errors and adverse events. Pediatr Rev. 2010;31(4):151-8. doi:10.1542/pir.31-4-151.
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psnet.ahrq.gov/issue/good-medical-care-can-suffer-late-day
December 16, 2020 - Newspaper/Magazine Article
Good medical care can suffer late in the day.
Citation Text:
Gordon M. Good medical care can suffer late in the day. National Public Radio. 2020.
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psnet.ahrq.gov/issue/patient-safety-synonymous-quality-nursing-care-should-it-be-brief-discourse
July 15, 2020 - Commentary
Is patient safety synonymous with quality nursing care? Should it be? A brief discourse.
Citation Text:
Carroll S. Is patient safety synonymous with quality nursing care? Should it be? A brief discourse. Qual Manag Health Care. 2005;14(4):229-33.
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psnet.ahrq.gov/issue/relationships-among-clinician-delay-diagnosis-breast-cancer-and-tumor-size-nodal-status-and
March 08, 2017 - Study
The relationships among clinician delay of diagnosis of breast cancer and tumor size, nodal status, and stage.
Citation Text:
Hardin C, Pommier S, Pommier RF. The relationships among clinician delay of diagnosis of breast cancer and tumor size, nodal status, and stage. Am J Surg.…
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psnet.ahrq.gov/issue/medical-device-associated-safety-and-risk-surveillance-and-stratagems
March 06, 2005 - Commentary
Medical device-associated safety and risk: surveillance and stratagems.
Citation Text:
Small SD. Medical device-associated safety and risk: surveillance and stratagems. JAMA. 2004;291(3):367-70.
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psnet.ahrq.gov/issue/quality-improvement-study-medication-error-leading-thyrotoxicosis-and-death
September 13, 2017 - Study
A quality improvement study: medication error leading to thyrotoxicosis and death.
Citation Text:
Levine JM. A quality improvement study: medication error leading to thyrotoxicosis and death. J Am Med Dir Assoc. 2004;5(6):410-3.
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psnet.ahrq.gov/issue/playing-it-safe-simulated-team-training-or
July 22, 2020 - Commentary
Playing it safe: simulated team training in the OR.
Citation Text:
Anderson M, Leflore J. Playing it safe: simulated team training in the OR. AORN J. 2008;87(4):772-9. doi:10.1016/j.aorn.2007.12.027.
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psnet.ahrq.gov/issue/safety-culture-indian-hospitals-cultural-adaptation-safety-attitudes-questionnaire
July 29, 2020 - Study
Safety culture in Indian hospitals: a cultural adaptation of the Safety Attitudes Questionnaire.
Citation Text:
Patel S, Wu AW. Safety Culture in Indian Hospitals: A Cultural Adaptation of the Safety Attitudes Questionnaire. J Patient Saf. 2016;12(2):75-81. doi:10.1097/PTS.00000000…
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psnet.ahrq.gov/periodic-issue/periodic-issue-434
April 10, 2024 - April 3, 2024 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports, …
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psnet.ahrq.gov/node/49763/psn-pdf
June 01, 2016 - July Syndrome
June 1, 2016
Young JQ. July Syndrome. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/july-syndrome
The Case
A 64-year-old man was seen in the thoracic surgery clinic in June after being diagnosed with a right lower
lobe lung cancer. The attending surgeon saw the patient along with his fellow,…
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psnet.ahrq.gov/node/33820/psn-pdf
December 01, 2016 - In Conversation With... James P. Bagian, MD, PE
December 1, 2016
In Conversation With.. James P. Bagian, MD, PE. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/conversation-james-p-bagian-md-pe
Editor's note: Dr. Bagian is Director of the Center for Healthcare Engineering and Patient Safety at the
Uni…
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psnet.ahrq.gov/node/49398/psn-pdf
May 01, 2003 - Bloody BP Cuff
May 1, 2003
Madan AK. Bloody BP Cuff. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/bloody-bp-cuff
The Case
Patient #1, a 28-year-old male, was a trauma patient following a motor vehicle collision into a cement pillar.
Patient #1 was in the trauma bay with massive injuries and profuse bleed…
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psnet.ahrq.gov/node/49562/psn-pdf
May 01, 2008 - The Inside of a Time Out
May 1, 2008
Feldman DL. The Inside of a Time Out. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/inside-time-out
The Case
A 65-year-old man was scheduled for an elective endovascular repair of an abdominal aortic aneurysm.
The patient had an allergy to "IV contrast dye" that was no…
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psnet.ahrq.gov/node/50696/psn-pdf
November 27, 2019 - Complications of Vascular Access Procedures in Patients
with Kidney Disease
November 27, 2019
Young SR, Chen I. Complications of Vascular Access Procedures in Patients with Kidney Disease. PSNet
[internet]. 2019.
https://psnet.ahrq.gov/web-mm/complications-vascular-access-procedures-patients-kidney-disease
The Ca…
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psnet.ahrq.gov/node/33675/psn-pdf
October 01, 2008 - Identifying Adverse Events Not Present on Admission:
Can We Do It?
October 1, 2008
Naessens JM. Identifying Adverse Events Not Present on Admission: Can We Do It? PSNet [internet].
2008.
https://psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
Perspective
Interest is growi…