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psnet.ahrq.gov/node/856640/psn-pdf
November 29, 2023 - Research from webAIRS incident reporting system.
November 29, 2023
Anaesth Intensive Care. 2023;51(6):372-421.
https://psnet.ahrq.gov/issue/research-webairs-incident-reporting-system
Centralized de-identified reports of patient safety events serve a core purpose for learning and
improvement. This article collectio…
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psnet.ahrq.gov/node/866072/psn-pdf
June 05, 2024 - WHO Global Report on Patient Safety.
June 5, 2024
Geneva, Switzerland: World Health Organization; 2024. ISBN 9789240095458.
https://psnet.ahrq.gov/issue/who-global-report-patient-safety
Comparative data can help to inform and motivate patient safety improvement efforts. This report uses the
seven objectives of the…
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psnet.ahrq.gov/node/37419/psn-pdf
December 19, 2007 - Ensuring medication reconciliation.
December 19, 2007
Georgia K, Kinney K, Pace A, Helton K. Patient Saf Qual Healthc. November / December 2007.
https://psnet.ahrq.gov/issue/ensuring-medication-reconciliation
The authors describe the team-based process they used to improve medication management at the
admission, t…
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psnet.ahrq.gov/node/850343/psn-pdf
December 12, 2023 - Challenge Competition: Impact of Patient Safety Tools.
December 12, 2023
Rockville, MD: Agency for Healthcare Research and Quality; 2023.
https://psnet.ahrq.gov/issue/challenge-competition-impact-patient-safety-tools
The Agency for Healthcare Research and Quality (AHRQ) offers many practical tools and resource…
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psnet.ahrq.gov/node/35823/psn-pdf
July 20, 2010 - Renewal of surgical quality and safety initiatives: a
multispecialty challenge.
July 20, 2010
Polk HC. Renewal of surgical quality and safety initiatives: a multispecialty challenge. Mayo Clin Proc.
2006;81(3):345-52.
https://psnet.ahrq.gov/issue/renewal-surgical-quality-and-safety-initiatives-multispecialty-chall…
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psnet.ahrq.gov/node/49403/psn-pdf
June 01, 2003 - https://psnet.ahrq.gov//#references
discomfort migrating from the epigastrium to the periumbilical region … pain
in the right lower quadrant, abdominal rigidity, and migration of pain from the periumbilical region
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psnet.ahrq.gov/node/35001/psn-pdf
May 22, 2009 - 21st Century Health Information Act of 2005.
May 22, 2009
Murphy T; Kennedy P.
https://psnet.ahrq.gov/issue/21st-century-health-information-act-2005
This bill, which garnered bipartisan support, proposes developing health information technology networks
(known as "Regional Health Information Organizations," or RHI…
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psnet.ahrq.gov/node/40572/psn-pdf
June 27, 2018 - Understanding care transitions as a patient safety issue.
June 27, 2018
Butterfield S; Stegel C; Glock S; Tartaglia D.
https://psnet.ahrq.gov/issue/understanding-care-transitions-patient-safety-issue
This article describes a regional collaborative to enhance care transitions of Medicare beneficiaries by
improving …
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psnet.ahrq.gov/node/42576/psn-pdf
September 04, 2013 - Exploring Patient Engagement in Reducing Health-Care-
Related Safety Risks.
September 4, 2013
Copenhagen, Denmark: World Health Organization Regional Office for Europe; 2013. ISBN:
9789289002943.
https://psnet.ahrq.gov/issue/exploring-patient-engagement-reducing-health-care-related-safety-risks
Exploring th…
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psnet.ahrq.gov/node/73973/psn-pdf
October 13, 2021 - Agency information collection activities: National
Healthcare Safety Network (NHSN); comment request.
October 13, 2021
Zirger JM, Centers for Disease Control and Prevention. Fed Register. September 27,
2021;86:53309-53312.
https://psnet.ahrq.gov/issue/agency-information-collection-activities-national-healthca…
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psnet.ahrq.gov/node/37602/psn-pdf
July 03, 2013 - The vanishing nonforensic autopsy.
July 3, 2013
Shojania KG, Burton EC. The vanishing nonforensic autopsy. N Engl J Med. 2008;358(9):873-5.
doi:10.1056/NEJMp0707996.
https://psnet.ahrq.gov/issue/vanishing-nonforensic-autopsy
Autopsies are rarely performed, despite a wealth of literature demonstrating that diagnost…
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psnet.ahrq.gov/node/35545/psn-pdf
August 11, 2010 - Bullying of junior doctors prevails in Irish health system:
a bitter reality.
August 11, 2010
Cheema S, Ahmad K, Giri SK, et al. Bullying of junior doctors prevails in Irish health system: a bitter reality.
Ir Med J. 2005;98(9):274-275.
https://psnet.ahrq.gov/issue/bullying-junior-doctors-prevails-irish-health-s…
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psnet.ahrq.gov/node/50610/psn-pdf
October 30, 2019 - First, Do No Harm: Value-driven Patient Safety in the
Neonatal Intensive Care Unit
October 30, 2019
Profit J, Scheid A, Ridout E. First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care
Unit. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safe…
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psnet.ahrq.gov/node/851917/psn-pdf
January 01, 2024 - Incivility in healthcare: the impact of poor
communication.
August 2, 2023
Guppy JH, Widlund H, Munro R, et al. Incivility in healthcare: the impact of poor communication. BMJ Lead.
2024;8(1):83-87. doi:10.1136/leader-2022-000717.
https://psnet.ahrq.gov/issue/incivility-healthcare-impact-poor-communication
Incivi…
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psnet.ahrq.gov/node/864847/psn-pdf
March 20, 2024 - Inter-hospital transfer is an independent risk factor for
hospital-associated infection.
March 20, 2024
Gardner C, Rubinfeld IS, Gupta AH, et al. Inter-hospital transfer is an independent risk factor for hospital-
associated infection. Surg Infect (Larchmt). 2024;25(2):125-132. doi:10.1089/sur.2023.077.
https://ps…
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psnet.ahrq.gov/node/867015/psn-pdf
October 23, 2024 - Supporting perioperative safety during a disaster through
clinical crisis education.
October 23, 2024
Kirkman A, Tripp H, Ward L, et al. Supporting perioperative safety during a disaster through clinical crisis
education. AORN J. 2024;120(4):226-237. doi:10.1002/aorn.14217.
https://psnet.ahrq.gov/issue/supporting-…
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psnet.ahrq.gov/node/37713/psn-pdf
June 07, 2008 - Giving back the pen: disclosure, apology and early
compensation discussions after harm in the healthcare
setting.
June 7, 2008
Pelletier E, Robson. Healthc Q. 2008;11(3 Spec No):85-90.
https://psnet.ahrq.gov/issue/giving-back-pen-disclosure-apology-and-early-compensation-discussions-after-
harm-healthcare
This c…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.311_slideshow.ppt
December 01, 2013 - PowerPoint Presentation
Spotlight Case
New Oral Anticoagulants
1
This presentation is based on the December 2013
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Margaret C. Fang, MD, MPH, University of California, San Francisco
Editor, AHRQ WebM&M…
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psnet.ahrq.gov/node/41161/psn-pdf
February 22, 2012 - An education-service partnership to achieve safety and
quality improvement competencies in nursing.
February 22, 2012
Fater KH, Ready R. An Education-Service Partnership to Achieve Safety and Quality Improvement
Competencies in Nursing. Journal of Nursing Education. 2011;50(12). doi:10.3928/01484834-20110916-
02.
…
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psnet.ahrq.gov/node/841479/psn-pdf
December 14, 2022 - Fast does not imply flawed: analyzing emergency
physician productivity and medical errors.
December 14, 2022
Hoot NR, Barbosa TJ, Chan HK, et al. Fast does not imply flawed: analyzing emergency physician
productivity and medical errors. J Am Coll Emerg Physicians Open. 2022;3(6):e12849.
doi:10.1002/emp2.12849.
ht…