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psnet.ahrq.gov/issue/national-incidence-medication-error-surgical-patients-and-after-accreditation-council
September 23, 2020 - Study
National incidence of medication error in surgical patients before and after Accreditation Council for Graduate Medical Education duty-hour reform.
Citation Text:
Vadera S, Griffith SD, Rosenbaum BP, et al. National Incidence of Medication Error in Surgical Patients Before and Afte…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.308_slideshow.ppt
October 01, 2013 - PowerPoint Presentation
Spotlight Case
It's Sarah, not Stephen!
1
This presentation is based on the October 2013 AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Urmimala Sarkar, MD, MPH, University of California at San Francisco
Editor, AHRQ WebM&…
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psnet.ahrq.gov/node/33847/psn-pdf
August 01, 2017 - In Conversation With… Karl Bilimoria, MD, MS
August 1, 2017
In Conversation With… Karl Bilimoria, MD, MS. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms-0
Editor's note: Dr. Bilimoria is the Director of the Surgical Outcomes and Quality Improvement Center of
Northwest…
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psnet.ahrq.gov/periodic-issue/periodic-issue-472
February 26, 2025 - February 26, 2025 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, repor…
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psnet.ahrq.gov/about-psnet
September 01, 2015 - About PSNet AHRQ Patient Safety Network (PSNet) is a national web-based resource featuring the latest news and essential resources on patient safety. The site offers weekly updates of patient safety literature, news, tools, and meetings ("Current Issue"), and a vast set of carefully annotated links to important researc…
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psnet.ahrq.gov/perspective/innovations-promoting-hand-hygiene-compliance
May 01, 2014 - Edmond, MD, MPH, MPA Virginia Commonwealth University Medical CenterRichmond, Virginia, USA
References
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psnet.ahrq.gov/perspective/conversation-didier-pittet-md-ms
May 01, 2014 - Edmond, MD, MPH, MPA Virginia Commonwealth University Medical CenterRichmond, Virginia, USA
References
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psnet.ahrq.gov/perspective/conversation-withsteven-j-spear-dba-ms-ms
August 01, 2009 - Tucker, DBA, MS Lumry Family Assistant Professor of Business Administration Harvard Business School
References
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psnet.ahrq.gov/perspective/health-equity-and-maternal-health
October 06, 2021 - Hough, MA
Editor, IMPAQ Health
IMPAQ International
Columbia, MD
References
Primers: Maternal
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psnet.ahrq.gov/perspective/workarounds-and-resiliency-front-lines-health-care
August 01, 2009 - Tucker, DBA, MS Lumry Family Assistant Professor of Business Administration Harvard Business School
References
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psnet.ahrq.gov/perspective/conversation-amy-c-edmondson-phd-am
February 01, 2017 - Chief of Patient Safety and High Reliability Initiatives Defense Health Agency Department of Defense
References
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psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
August 01, 2015 - Innovation Department of Emergency Medicine, Georgetown University School of Medicine Washington, DC
References
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psnet.ahrq.gov/perspective/lesson-vas-team-training-program
November 01, 2011 - Paull, MD Director, Patient Safety CurriculumVHA National Center for Patient Safety
References
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psnet.ahrq.gov/perspective/conversation-robert-m-wachter-md
August 01, 2015 - Innovation Department of Emergency Medicine, Georgetown University School of Medicine Washington, DC
References
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psnet.ahrq.gov/perspective/conversation-enrico-coiera-mb-bs-phd
February 01, 2014 - Suzanne Beyea, RN, PhD Director, Center for Nursing ExcellenceMission Hospital Asheville, NC
References
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psnet.ahrq.gov/perspective/conversation-james-augustine-md
July 28, 2021 - administering medications, placing intravenous lines, and providing advanced airway management. 16
References
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psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
July 01, 2017 - ScD, MPH Professor of Medicine and Law Stanford University School of Medicine Stanford Law School
References
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psnet.ahrq.gov/perspective/conversation-sharon-k-inouye-md-mph
December 01, 2012 - References
1. Ely EW, Inouye SK, Bernard GR, et al.
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psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes
July 01, 2012 - Ross Koppel, PhD Professor, Sociology Department and School of MedicineUniversity of Pennsylvania
References
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psnet.ahrq.gov/perspective/conversation-joel-willis-do-pa-ma-mphil-and-neal-sikka-md
May 14, 2020 - Columbia, MD Bryan Gale, MA Senior Research Analyst, IMPAQ Health IMPAQ International Columbia, MD References