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psnet.ahrq.gov/node/47354/psn-pdf
November 21, 2018 - Improving Diagnosis in Medicine Change Package.
November 21, 2018
Chicago, IL: Health Research & Educational Trust; 2018.
https://psnet.ahrq.gov/issue/improving-diagnosis-medicine-change-package
Proactive identification of conditions that degrade the diagnostic process can drive improvement. This
toolkit provides …
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psnet.ahrq.gov/node/47621/psn-pdf
May 11, 2019 - 2018 update on pediatric medical overuse: a review.
May 11, 2019
Coon ER, Quinonez RA, Morgan DJ, et al. 2018 Update on Pediatric Medical Overuse: A Review. JAMA
Pediatr. 2019;173(4):379-384. doi:10.1001/jamapediatrics.2018.5550.
https://psnet.ahrq.gov/issue/2018-update-pediatric-medical-overuse-review
Overuse of …
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psnet.ahrq.gov/node/836788/psn-pdf
March 23, 2022 - A widow’s mission to change NC dental sedation rules.
March 23, 2022
Blythe A. NC Health News. March 10, 2022
https://psnet.ahrq.gov/issue/widows-mission-change-nc-dental-sedation-rules
Patient harm in dentistry is receiving increased attention and scrutiny. This story covers a medication
incident and the lack of …
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psnet.ahrq.gov/node/60563/psn-pdf
June 03, 2020 - ‘Last responders’ seek to expand postmortem COVID
testing In unexplained deaths.
June 3, 2020
Andrews M. Kaiser News Network. May 19, 2020.
https://psnet.ahrq.gov/issue/last-responders-seek-expand-postmortem-covid-testing-unexplained-deaths
Post-mortem examination is an important tool for determining if misdiagnos…
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psnet.ahrq.gov/node/44880/psn-pdf
September 06, 2016 - Drug shortages forcing hard decisions on rationing
treatments.
September 6, 2016
Fink S. New York Times. January 29, 2016.
https://psnet.ahrq.gov/issue/drug-shortages-forcing-hard-decisions-rationing-treatments
Drug shortages have become a routine challenge in medicine. Reporting on the impact of medication
short…
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psnet.ahrq.gov/node/42197/psn-pdf
September 24, 2016 - Interruptions during nurses' work: a state-of-the-science
review.
September 24, 2016
Hopkinson SG, Jennings BM. Interruptions during nurses' work: A state-of-the-science review. Res Nurs
Health. 2013;36(1):38-53. doi:10.1002/nur.21515.
https://psnet.ahrq.gov/issue/interruptions-during-nurses-work-state-science-rev…
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psnet.ahrq.gov/node/43411/psn-pdf
October 01, 2014 - Analysis of medication errors in simulated pediatric
resuscitation by residents.
October 1, 2014
Porter E, Barcega B, Kim TY. Analysis of medication errors in simulated pediatric resuscitation by
residents. West J Emerg Med. 2014;15(4):486-90. doi:10.5811/westjem.2014.2.17922.
https://psnet.ahrq.gov/issue/analysis…
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psnet.ahrq.gov/node/36976/psn-pdf
June 15, 2011 - Evaluation of an intervention aimed at improving
voluntary incident reporting in hospitals.
June 15, 2011
Evans S, Smith B, Esterman A, et al. Evaluation of an intervention aimed at improving voluntary incident
reporting in hospitals. Qual Saf Health Care. 2007;16(3):169-75.
https://psnet.ahrq.gov/issue/evaluation…
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psnet.ahrq.gov/node/44678/psn-pdf
July 05, 2017 - Patient Safety Risk Management Playbook.
July 5, 2017
Chicago, IL: American Society for Healthcare Risk Management; 2015.
https://psnet.ahrq.gov/issue/patient-safety-risk-management-playbook
Proactive risk management is an important component to improving the safety of care. Exploring principles
of high reliabilit…
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psnet.ahrq.gov/node/36387/psn-pdf
July 14, 2010 - Effectiveness of a community collaborative for
eliminating the use of high-risk abbreviations written by
physicians.
July 14, 2010
Leonhardt KK, Botticelli J. Effectiveness of a Community Collaborative for Eliminating the Use of High-risk
Abbreviations Written by Physicians. J Patient Saf. 2008;2(3). doi:10.1097/0…
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psnet.ahrq.gov/node/43748/psn-pdf
December 03, 2014 - New enteral connectors: raising awareness.
December 3, 2014
Guenter P. New Enteral Connectors. Nutrition in Clinical Practice. 2014;29(5).
doi:10.1177/0884533614543330.
https://psnet.ahrq.gov/issue/new-enteral-connectors-raising-awareness
Redesigning tubing connectors according to new ISO standards has the potenti…
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psnet.ahrq.gov/node/42160/psn-pdf
April 03, 2013 - The perianesthesia nurse's role in the prevention of
opioid-related sentinel events.
April 3, 2013
Pasero C. The perianesthesia nurse's role in the prevention of opioid-related sentinel events. J Perianesth
Nurs. 2013;28(1):31-7. doi:10.1016/j.jopan.2012.11.001.
https://psnet.ahrq.gov/issue/perianesthesia-nurses-r…
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psnet.ahrq.gov/node/41334/psn-pdf
April 25, 2012 - Understanding the role of non-technical skills in patient
safety.
April 25, 2012
White N. Understanding the role of non-technical skills in patient safety. Nurs Stand. 2012;26(26):43-8.
https://psnet.ahrq.gov/issue/understanding-role-non-technical-skills-patient-safety
Examining a case study in which a patient die…
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psnet.ahrq.gov/node/43151/psn-pdf
April 30, 2014 - Open for Better Care.
April 30, 2014
Health Quality & Safety Commission New Zealand.
https://psnet.ahrq.gov/issue/open-better-care
This Web site hosts tools and resources associated with a national campaign to augment patient care. The
initiative aims to build collaborative programs across New Zealand to reduce fa…
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psnet.ahrq.gov/node/60042/psn-pdf
March 11, 2020 - At Walgreens, complaints of medication errors go
missing.
March 11, 2020
Gabler E. New York Times. February 23, 2020.
https://psnet.ahrq.gov/issue/walgreens-complaints-medication-errors-go-missing
Response to reported safety concerns is a primary indicator of an organizational commitment to reducing
and lear…
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psnet.ahrq.gov/node/837679/psn-pdf
July 13, 2022 - Provider implicit bias: bringing awareness to clinical
practice.
July 13, 2022
Moss LD. Clinical Advisor. June 29, 2022.
https://psnet.ahrq.gov/issue/provider-implicit-bias-bringing-awareness-clinical-practice
Health disparities perpetuated by structural racism degrade patient safety. This article discusses the
i…
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psnet.ahrq.gov/node/43941/psn-pdf
February 25, 2015 - How to make surgery safer.
February 25, 2015
https://psnet.ahrq.gov/issue/how-make-surgery-safer
This newspaper article reports on various ways hospitals are working to make surgical care safer and
reduce readmissions due to surgical complications, including checklists, teamwork training courses for
surgeons, preo…
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psnet.ahrq.gov/node/45336/psn-pdf
September 21, 2016 - Medical misdiagnoses put pressure on patients to stay
engaged.
September 21, 2016
Innes S. Arizona Daily Star. September 12, 2016.
https://psnet.ahrq.gov/issue/medical-misdiagnoses-put-pressure-patients-stay-engaged
Delayed diagnoses can have serious consequences. This news article reviews several examples of
mis…
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psnet.ahrq.gov/node/39626/psn-pdf
June 23, 2010 - The Medication Manager: results of a medication at the
bedside pilot in a pediatric teaching institution.
June 23, 2010
Wagner D, Pasko D, Glenn D, et al. The Medication Manager. J Patient Saf. 2010;6(2).
doi:10.1097/pts.0b013e3181cb43b4.
https://psnet.ahrq.gov/issue/medication-manager-results-medication-bedside-p…
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psnet.ahrq.gov/node/867699/psn-pdf
June 01, 2023 - Toolkit for Improving Surgical Care and Recovery.
June 1, 2023
Agency for Healthcare Research and Quality. Toolkit for Improving Surgical Care and Recovery. June
2023.
https://psnet.ahrq.gov/issue/toolkit-improving-surgical-care-and-recovery
Improving patient experience fosters better communication, trust, and col…