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psnet.ahrq.gov/issue/preventing-accidents-and-injuries-mri-suite
July 18, 2024 - Press Release/Announcement
Preventing accidents and injuries in the MRI suite.
Citation Text:
Preventing accidents and injuries in the MRI suite. Sentinel Event Alert. 2008;38(38):1-3.
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psnet.ahrq.gov/issue/preventing-and-managing-impact-anesthesia-awareness
May 27, 2020 - Sentinel Event Alerts
Preventing, and managing the impact of, anesthesia awareness.
Citation Text:
Preventing, and managing the impact of, anesthesia awareness. Sentinel Event Alert. 2004;32:1-3.
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psnet.ahrq.gov/node/43589/psn-pdf
November 17, 2014 - Exploring new avenues to assess the sharp end of patient
safety: an analysis of nationally aggregated peer review
data.
November 17, 2014
Meeks DW, Meyer AND, Rose B, et al. Exploring new avenues to assess the sharp end of patient safety:
an analysis of nationally aggregated peer review data. BMJ Qual Saf. 2014;23…
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psnet.ahrq.gov/issue/jcahos-safety-goals-clock-ticking-will-your-ed-be-compliant
April 10, 2019 - Commentary
JCAHO's safety goals—the clock is ticking, will your ED be compliant?
Citation Text:
JCAHO's safety goals--the clock is ticking, will your ED be compliant? ED Manag. 2005;17(7):73-5.
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psnet.ahrq.gov/perspective/conversation-rebecca-smith-bindman-md
October 01, 2013 - Antonio Pinto, MD, PhD Department of RadiologyCardarelli HospitalNaples, Italy
References
1.
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psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal-mental-health
March 29, 2023 - References Howard LM, Khalifeh H. Perinatal mental health: a review of progress and challenges.
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psnet.ahrq.gov/perspective/safety-radiology
October 01, 2013 - Antonio Pinto, MD, PhD Department of RadiologyCardarelli HospitalNaples, Italy
References
1.
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psnet.ahrq.gov/issue/preventing-adverse-events-caused-emergency-electrical-power-system-failures
July 31, 2023 - Sentinel Event Alerts
Preventing adverse events caused by emergency electrical power system failures.
Citation Text:
Preventing adverse events caused by emergency electrical power system failures. Sentinel Event Alert. 2006;37(37):1-3.
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psnet.ahrq.gov/issue/patient-controlled-analgesia-proxy
March 20, 2019 - Sentinel Event Alerts
Patient controlled analgesia by proxy.
Citation Text:
Patient controlled analgesia by proxy. Sentinel Event Alert. 2004;33(33):1-2.
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Do…
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psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health
March 28, 2023 - References Howard LM, Khalifeh H. Perinatal mental health: a review of progress and challenges.
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psnet.ahrq.gov/perspective/conversation-amy-j-starmer-md-mph
May 31, 2023 - In Conversation With… Amy J. Starmer, MD, MPH
April 1, 2016
Citation Text:
In Conversation With… Amy J. Starmer, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/issue/using-medication-reconciliation-prevent-errors
March 27, 2024 - Sentinel Event Alerts
Using medication reconciliation to prevent errors.
Citation Text:
Using medication reconciliation to prevent errors. Sentinel Event Alert. 2006;35(35):1-4.
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psnet.ahrq.gov/node/840173/psn-pdf
November 16, 2022 - Catching those who fall through the cracks: integrating a
follow-up process for emergency department patients
with incidental radiologic findings.
November 16, 2022
Barrett TW, Garland NM, Freeman CL, et al. Ann Emerg Med. 2022;80(3):235-242.
https://psnet.ahrq.gov/innovation/catching-those-who-fall-thr…
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psnet.ahrq.gov/issue/how-create-my-medicines-list
December 24, 2008 - Tools/Toolkit
How To Create a My Medicines List.
Citation Text:
How To Create a My Medicines List. Rockville, MD: Agency for Healthcare Research and Quality; October 2022.
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psnet.ahrq.gov/submit-innovations-landing
February 26, 2025 - Breadcrumb
Home
Improvement Resources
Innovations
Innovation Submissions
Individuals or organizations are encouraged to submit new or reimagined patient safety innovations that have been implemented, evaluated, sustained, and demonstrate significant improvement to patient safet…
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psnet.ahrq.gov/node/867676/psn-pdf
February 26, 2025 - Responding to Patient Safety Events
February 26, 2025
Shaikh U. Responding to Patient Safety Events. PSNet [internet]. 2025.
https://psnet.ahrq.gov/primer/responding-patient-safety-events
Background
Patient safety events that occur in health care facilities require prompt action to ensure that further harm is
mit…
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psnet.ahrq.gov/issue/autopsy-advocates
October 01, 2014 - Newspaper/Magazine Article
Autopsy advocates.
Citation Text:
Autopsy advocates. Clark C. HealthLeaders Media. April 11, 2014.
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psnet.ahrq.gov/node/33657/psn-pdf
September 01, 2007 - Rediscovering the Power of the Surgical M&M
Conference: The M+M Matrix
September 1, 2007
Gordon LA. Rediscovering the Power of the Surgical M&M Conference: The M+M Matrix. PSNet [internet].
2007.
https://psnet.ahrq.gov/perspective/rediscovering-power-surgical-mm-conference-mm-matrix
Perspective
There is a slumbe…
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psnet.ahrq.gov/issue/follow-report-preventing-suicide-focus-medicalsurgical-units-and-emergency-department
March 25, 2025 - Sentinel Event Alerts
A follow-up report on preventing suicide: focus on medical/surgical units and the emergency department.
Citation Text:
A follow-up report on preventing suicide: focus on medical/surgical units and the emergency department. Sentinel Event Alert. 2010;46(46):1-4.
Co…
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psnet.ahrq.gov/issue/doctors-lawyers-make-deal-medical-malpractice-bill
March 18, 2020 - Newspaper/Magazine Article
Doctors, lawyers make deal on medical-malpractice bill.
Citation Text:
Doctors, lawyers make deal on medical-malpractice bill. Postman D. Seattle Times. Feb 2006.
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