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psnet.ahrq.gov/issue/spinal-surgery-complications-unsolved-problem-world-health-organization-safety-surgical
March 08, 2023 - Study
Spinal surgery complications: an unsolved problem-Is the World Health Organization Safety Surgical Checklist an useful tool to reduce them?
Citation Text:
Barbanti-Brodano G, Griffoni C, Halme J, et al. Spinal surgery complications: an unsolved problem-Is the World Health Organizat…
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psnet.ahrq.gov/issue/decreasing-misdiagnoses-urinary-tract-infections-pediatric-emergency-department
October 26, 2022 - Study
Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department.
Citation Text:
Ostrow O, Prodanuk M, Foong Y, et al. Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department. Pediatrics. 2022;150(1):e2021055866. doi:10.1542/pe…
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psnet.ahrq.gov/issue/targeted-implementation-comprehensive-unit-based-safety-program-through-assessment-safety
November 20, 2015 - Study
Targeted implementation of the Comprehensive Unit-Based Safety Program through an assessment of safety culture to minimize central line-associated bloodstream infections.
Citation Text:
Richter J, McAlearney AS. Targeted implementation of the Comprehensive Unit-Based Safety Program…
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psnet.ahrq.gov/issue/leveraging-artificial-intelligence-reduce-diagnostic-errors-emergency-medicine-challenges
May 29, 2019 - Commentary
Leveraging artificial intelligence to reduce diagnostic errors in emergency medicine: challenges, opportunities, and future directions.
Citation Text:
Taylor RA, Sangal RB, Smith ME, et al. Leveraging artificial intelligence to reduce diagnostic errors in emergency medicine: c…
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psnet.ahrq.gov/issue/pharmacists-reducing-medication-risk-medical-outpatient-clinics-retrospective-study-18
June 16, 2021 - Study
Pharmacists reducing medication risk in medical outpatient clinics: a retrospective study of 18 clinics.
Citation Text:
Snoswell CL, De Guzman KR, Barras M. Pharmacists reducing medication risk in medical outpatient clinics: a retrospective study of 18 clinics. Intern Med J. 2023;5…
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psnet.ahrq.gov/issue/sorry-never-enough-how-state-apology-laws-fail-reduce-medical-malpractice-liability-risk
January 07, 2022 - Study
"Sorry" is never enough: how state apology laws fail to reduce medical malpractice liability risk.
Citation Text:
McMichael BJ, Van Horn L, Viscusi K. "Sorry” Is Never Enough: How State Apology Laws Fail to Reduce Medical Malpractice Liability Risk. Stanford Law Rev. 2019;71(2):341…
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psnet.ahrq.gov/issue/efforts-improve-patient-safety-result-13-million-fewer-patient-harms-interim-update-2013
January 07, 2015 - Book/Report
Classic
Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms: Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013.
Citation Text:
Efforts To Improve …
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psnet.ahrq.gov/issue/wrong-patient-ordering-errors-peripartum-mother-newborn-pairs-unique-patient-safety-challenge
July 28, 2021 - Commentary
Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety challenge in obstetrics.
Citation Text:
Kern-Goldberger AR, Adelman JS, Applebaum JR, et al. Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety chal…
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psnet.ahrq.gov/node/851568/psn-pdf
July 31, 2023 - neuronal excitability, and thereby
mimicking the neurodepressant effect of alcohol.12,13 This mechanism reduces
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psnet.ahrq.gov/curated-library/diagnostic-safety-improvement
July 21, 2025 - Breadcrumb
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Diagnostic Safety Improvement
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Created By: Lorri Zipperer, Cybrarian, AHRQ PSNe…
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psnet.ahrq.gov/issue/when-medical-students-make-errors
March 08, 2017 - Newspaper/Magazine Article
When medical students make errors.
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May 28, 2014
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psnet.ahrq.gov/issue/safe-use-initiative
April 08, 2020 - Multi-use Website
Safe Use Initiative.
Citation Text:
Safe Use Initiative. Food and Drug Administration
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psnet.ahrq.gov/issue/navigating-information-technology-highway-computer-solutions-reduce-errors-and-enhance
September 01, 2016 - Review
Navigating the information technology highway: computer solutions to reduce errors and enhance patient safety.
Citation Text:
Koshy R. Navigating the information technology highway: computer solutions to reduce errors and enhance patient safety. Transfusion (Paris). 2005;45(4 Su…
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psnet.ahrq.gov/issue/patient-safety-collaboration
April 15, 2005 - Multi-use Website
Patient Safety Collaboration.
Citation Text:
Patient Safety Collaboration. National Quality Forum; NQF.
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psnet.ahrq.gov/issue/toolkit-improve-safety-mechanically-ventilated-patients
October 01, 2024 - Toolkit
Toolkit To Improve Safety for Mechanically Ventilated Patients.
Citation Text:
Agency for Healthcare Research and Quality . Toolkit To Improve Safety for Mechanically Ventilated Patients. August 2017.
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psnet.ahrq.gov/issue/how-make-surgery-safer
August 17, 2016 - Newspaper/Magazine Article
How to make surgery safer.
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February 25, 2015
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psnet.ahrq.gov/submit-your-toolkit-landing
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Improvement Resources
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Toolkit Submissions
PSNet encourages healthcare-related organizations to help make care safer by submitting a Patient Safety Toolkit to support the implementation of products, services, processes, systems, policies, organizational stru…
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psnet.ahrq.gov/node/42083/psn-pdf
March 13, 2013 - The top patient safety strategies that can be encouraged
for adoption now.
March 13, 2013
Shekelle PG, Pronovost P, Wachter R, et al. The top patient safety strategies that can be encouraged for
adoption now. Ann Intern Med. 2013;158(5 Pt 2):365-8. doi:10.7326/0003-4819-158-5-201303051-00001.
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psnet.ahrq.gov/issue/technology-has-transformed-va
October 07, 2008 - Newspaper/Magazine Article
Technology has transformed the VA.
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May 24, 2006
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psnet.ahrq.gov/issue/team-performance-measurement-model-continuous-improvement
February 26, 2025 - Commentary
A team performance measurement model for continuous improvement.
Citation Text:
Çiçek MC, Köksal G, Özdemirel NE. A team performance measurement model for continuous improvement. Total Quality Management & Business Excellence. 2007;16(3). doi:10.1080/14783360500054129.
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