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psnet.ahrq.gov/issue/government-response-investigation-death-elizabeth-dixon
February 19, 2020 - Book/Report
Government Response to the Investigation into the Death of Elizabeth Dixon.
Citation Text:
Government Response to the Investigation into the Death of Elizabeth Dixon. Department of Health and Social Care. London, England: Crown Copyright; 2023
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psnet.ahrq.gov/issue/identifying-risks-and-monitoring-safety-role-patients-and-citizens
May 08, 2013 - Book/Report
Identifying Risks and Monitoring Safety: the Role of Patients and Citizens.
Citation Text:
Identifying Risks and Monitoring Safety: the Role of Patients and Citizens. O'Hara J, Isden R. London, UK: Health Foundation; October 2013.
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psnet.ahrq.gov/issue/sentinel-event-alert
May 30, 2012 - Newsletter/Journal
Sentinel Event Alert.
Citation Text:
Sentinel Event Alert. Oakbrook Terrace, IL: The Joint Commission.
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psnet.ahrq.gov/issue/scanner-beep-only-means-barcode-has-been-scanned
June 10, 2018 - Newspaper/Magazine Article
Scanner beep only means the barcode has been scanned.
Citation Text:
Scanner beep only means the barcode has been scanned. ISMP Medication Safety Alert! Acute Care Edition. June 30, 2011;16:1-2.
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psnet.ahrq.gov/issue/fatal-drug-mix-exposes-hospital-flaws
March 02, 2016 - Newspaper/Magazine Article
Fatal drug mix-up exposes hospital flaws.
Citation Text:
Fatal drug mix-up exposes hospital flaws. Davies T.
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psnet.ahrq.gov/issue/errors-laboratory-medicine-and-patient-safety
November 10, 2010 - Meeting/Conference Proceedings
Errors in Laboratory Medicine and Patient Safety.
Citation Text:
Errors in Laboratory Medicine and Patient Safety. Plebani M, ed. Clinica Chimica Acta. 2009;404(1):1-86.
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psnet.ahrq.gov/issue/when-doctors-get-it-wrong-misdiagnoses-are-getting-closer-look
October 24, 2012 - Newspaper/Magazine Article
When doctors get it wrong: misdiagnoses are getting a closer look.
Citation Text:
When doctors get it wrong: misdiagnoses are getting a closer look. Olsen J. Star Tribune. August 30, 2015.
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psnet.ahrq.gov/issue/department-defense-dod-patient-safety-program
December 27, 2018 - Government Resource
Department of Defense (DoD) Patient Safety Program.
Citation Text:
Department of Defense (DoD) Patient Safety Program. US Department of Defense; DOD
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psnet.ahrq.gov/issue/prisoner
March 29, 2023 - Newspaper/Magazine Article
The prisoner.
Citation Text:
The prisoner. Kent S. NJ.com. March 12, 2023.
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Mar…
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psnet.ahrq.gov/issue/improving-patient-safety-through-teamwork-and-team-training
November 13, 2018 - Book/Report
Improving Patient Safety Through Teamwork and Team Training.
Citation Text:
Improving Patient Safety Through Teamwork and Team Training. Salas E, Frush K, eds. Oxford, UK: Oxford University Press; 2013. ISBN: 9780195399097.
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psnet.ahrq.gov/innovation/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads-improved-outcomes
July 23, 2024 - Rehearsing Team Care for Relatively Rare Obstetric Emergencies Leads to Improved Outcomes
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December 22, 2020
Innovation
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psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
September 27, 2023 - SPOTLIGHT CASE
Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery
Citation Text:
Curtin A, Schloemerkemper N. Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery.. PSNet [internet]…
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psnet.ahrq.gov/web-mm/empty-bag
June 01, 2018 - The Empty Bag
Citation Text:
Vincent C. The Empty Bag. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest
February 01, 2023 - SPOTLIGHT CASE
When the Lytes Go Out: A Case of Inpatient Cardiac Arrest
Citation Text:
Stripe B, Zuidema D. When the Lytes Go Out: A Case of Inpatient Cardiac Arrest . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.…
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psnet.ahrq.gov/node/49840/psn-pdf
September 01, 2018 - Steroids and Safety: Preventing Medication Adverse
Events During Transitions of Care
September 1, 2018
Lucier DJ, Greenwald JL. Steroids and Safety: Preventing Medication Adverse Events During Transitions of
Care. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/steroids-and-safety-preventing-medication-adver…
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psnet.ahrq.gov/node/33784/psn-pdf
April 01, 2015 - In Conversation With… David Urbach, MD, MSc
April 1, 2015
In Conversation With… David Urbach, MD, MSc. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/conversation-david-urbach-md-msc
Editor's note: Dr. David Urbach is Professor of Surgery and Health Policy, Management, and Evaluation
at the University…
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psnet.ahrq.gov/node/33803/psn-pdf
January 01, 2015 - In Conversation With… Richard Kronick, PhD
February 1, 2014
In Conversation With… Richard Kronick, PhD. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/conversation-richard-kronick-phd
Editor's note: Dr. Kronick has served as director of the Agency for Healthcare Research and Quality since
August 2013 …
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psnet.ahrq.gov/perspective/communication-during-transitions-care
July 10, 2024 - Annual Perspective
Communication During Transitions of Care
Ayse P. Gurses; Sarah Mossburg; Zoe Sousane
| March 27, 2024
View more articles from the same authors.
Citation Text:
Gurses AP, Sousane Z, Mossburg S. Communication During Transitions of Care. PS…
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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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psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
May 31, 2023 - Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors
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March 3, 2021
Innovation…