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psnet.ahrq.gov/issue/preventing-diagnostic-errors-primary-care
July 02, 2014 - Commentary
Preventing diagnostic errors in primary care.
Citation Text:
Ely JW, Graber ML. Preventing Diagnostic Errors in Primary Care. Am Fam Physician. 2016;94(6):426-32.
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psnet.ahrq.gov/issue/first-do-no-harm-part-1-case-study-systems-failure
September 07, 2022 - Audiovisual Presentation
First, Do No Harm Part 1: A Case Study of Systems Failure.
Citation Text:
First, Do No Harm Part 1: A Case Study of Systems Failure. Chicago: Partnership for Patient Safety, Harvard Risk Management Foundation; 2000.
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psnet.ahrq.gov/issue/starter-kit-alarm-fatigue
October 19, 2022 - Toolkit
Starter Kit for Alarm Fatigue.
Citation Text:
Starter Kit for Alarm Fatigue. National Association of Clinical Nurse Specialists; NACNS.
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psnet.ahrq.gov/issue/errors-clinical-reasoning-causes-and-remedial-strategies
August 25, 2021 - Commentary
Errors in clinical reasoning: causes and remedial strategies.
Citation Text:
Scott IA. Errors in clinical reasoning: causes and remedial strategies. BMJ. 2009;338:b1860. doi:10.1136/bmj.b1860.
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psnet.ahrq.gov/issue/important-actions-community-pharmacists-need-take-now-reduce-potentially-harmful-dispensing
June 30, 2021 - Webinar
Important Actions Community Pharmacists Need to Take Now to Reduce Potentially Harmful Dispensing Errors.
Citation Text:
Important Actions Community Pharmacists Need to Take Now to Reduce Potentially Harmful Dispensing Errors. Institute for Safe Medication Practices. October 26, …
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psnet.ahrq.gov/issue/improving-patient-safety-human-factors-methods
June 12, 2019 - United States Meeting/Conference
Improving Patient Safety with Human Factors Methods.
Citation Text:
Improving Patient Safety with Human Factors Methods. Armstrong Institute for Patient Safety and Quality, Baltimore, MD. April 17-18, 2025.
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psnet.ahrq.gov/issue/nurses-role-patient-safety
June 09, 2011 - Commentary
Nurses' role in patient safety.
Citation Text:
Hughes RG, Clancy CM. Nurses' role in patient safety. J Nurs Care Qual. 2009;24(1):1-4. doi:10.1097/NCQ.0b013e31818f55c7.
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psnet.ahrq.gov/issue/regulating-compensation-injuries-associated-medical-error
February 15, 2023 - Commentary
Regulating compensation for injuries associated with medical error.
Citation Text:
Regulating compensation for injuries associated with medical error. Corbett A. Sydney Law Review. 2006;28(2):259-296.
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psnet.ahrq.gov/issue/eliminating-clabsi-national-patient-safety-imperative
October 23, 2019 - Book/Report
Eliminating CLABSI: A National Patient Safety Imperative.
Citation Text:
Eliminating CLABSI: A National Patient Safety Imperative. Rockville, MD: Agency for Healthcare Research and Quality; September 2011. AHRQ Publication No. 11-0037-1-EF.
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psnet.ahrq.gov/issue/ahrq-safety-program-improving-antibiotic-use
December 24, 2008 - Tools/Toolkit
AHRQ Safety Program for Improving Antibiotic Use.
Citation Text:
AHRQ Safety Program for Improving Antibiotic Use. Agency for Healthcare Research and Quality, Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality, and University of Chicago.
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psnet.ahrq.gov/issue/safe-practices-reduce-cpoe-alert-fatigue-through-monitoring-analysis-and-optimization
February 17, 2021 - Book/Report
Safe Practices to Reduce CPOE Alert Fatigue through Monitoring, Analysis, and Optimization.
Citation Text:
Safe Practices to Reduce CPOE Alert Fatigue through Monitoring, Analysis, and Optimization. Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institut…
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psnet.ahrq.gov/issue/preventing-falls-hospitals-toolkit-improving-quality-care
December 24, 2008 - Toolkit
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care.
Citation Text:
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care. Ganz DA, Huang C, Saliba D, et al. Rockville, MD: Agency for Healthcare Research and Quality; January 2013. AHRQ Publicat…
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psnet.ahrq.gov/issue/infection-control-intensive-care-unit
May 27, 2011 - Special or Theme Issue
Infection Control in the Intensive Care Unit.
Citation Text:
Infection Control in the Intensive Care Unit. Crit Care Med. 2010;38:S265-S404.
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psnet.ahrq.gov/issue/our-stubborn-quest-diagnostic-certainty
June 21, 2016 - Commentary
Our stubborn quest for diagnostic certainty.
Citation Text:
Kassirer JP. Our stubborn quest for diagnostic certainty. N Engl J Med. 1989;320(22):1489-1491. doi:10.1056/nejm198906013202211.
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psnet.ahrq.gov/issue/hand-hygiene-project-best-practices-hospitals-participating-joint-commission-center
May 06, 2015 - Book/Report
Hand Hygiene Project: Best Practices from Hospitals Participating in the Joint Commission Center for Transforming Healthcare Project.
Citation Text:
Hand Hygiene Project: Best Practices from Hospitals Participating in the Joint Commission Center for Transforming Healthcare…
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psnet.ahrq.gov/issue/patient-safety-leader-reflects-err-human-report
April 15, 2021 - Audiovisual
Patient safety leader reflects on ‘To Err is Human’ report
Citation Text:
Patient safety leader reflects on ‘To Err is Human’ report Chassin M, Foster N. Chicago, IL: American Hospital Association; November 13, 2019.
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psnet.ahrq.gov/issue/building-culture-safety-health-care
April 15, 2021 - Book/Report
Building a Culture of Safety in Health Care.
Citation Text:
Building a Culture of Safety in Health Care. Chicago, IL: American Hospital Association: May 2023.
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psnet.ahrq.gov/issue/what-every-health-care-organization-should-know-about-sentinel-events
November 27, 2018 - Book/Report
What Every Health Care Organization Should Know about Sentinel Events.
Citation Text:
What Every Health Care Organization Should Know about Sentinel Events. Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 2005. ISBN 9780866889117.
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psnet.ahrq.gov/issue/power-predict-leveraging-medical-malpractice-data-reduce-patient-harm-and-financial-loss
July 18, 2018 - Webinar
The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm and Financial Loss.
Citation Text:
The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm and Financial Loss. Cambridge, MA; CRICO Strategies: July 14, 2020.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.146_slideshow.ppt
March 01, 2007 - Spotlight Case [MONTH] 2003
Spotlight Case March 2007
Failure to Report
Source and Credits
This presentation is based on the March 2007
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Patrice L. Spath, BA, RHIT, Brown-Sp…