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psnet.ahrq.gov/node/50887/psn-pdf
February 12, 2020 - Lessons learned from a systems approach to engaging
patients and families in patient safety transformation.
February 12, 2020
Hatlie MJ, Nahum A, Leonard R, et al. Lessons Learned from a Systems Approach to Engaging Patients
and Families in Patient Safety Transformation. Jt Comm J Qual Patient Saf. 2020;46(3):158-1…
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psnet.ahrq.gov/node/44547/psn-pdf
November 25, 2015 - Monitoring patient safety in primary care: an exploratory
study using in-depth semistructured interviews.
November 25, 2015
Samra R, Bottle A, Aylin PP. Monitoring patient safety in primary care: an exploratory study using in-depth
semistructured interviews. BMJ Open. 2015;5(9):e008128. doi:10.1136/bmjopen-2015-008…
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psnet.ahrq.gov/node/37597/psn-pdf
February 15, 2010 - Accuracy of send-out test ordering: a College of
American Pathologists Q-Probes study of ordering
accuracy in 97 clinical laboratories.
February 15, 2010
Valenstein PN, Walsh MK, Stankovic AK. Accuracy of send-out test ordering: a College of American
Pathologists Q-Probes study of ordering accuracy in 97 clinical …
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psnet.ahrq.gov/node/34594/psn-pdf
January 04, 2017 - John M. Eisenberg Patient Safety Awards. The Leapfrog
Group for Patient Safety: rewarding higher standards.
January 4, 2017
Eikel C, Delbanco S. John M. Eisenberg Patient Safety Awards. The Leapfrog Group for Patient Safety:
rewarding higher standards. Jt Comm J Qual Saf. 2003;29(12):634-9.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/50866/psn-pdf
February 05, 2020 - Effectiveness of acute care remote triage systems: a
systematic review.
February 5, 2020
Boggan JC, Shoup JP, Whited JD, et al. Effectiveness of acute care remote triage systems: a systematic
review. J Gen Intern Med. 2020;35(7):2136-2145. doi:10.1007/s11606-019-05585-4.
https://psnet.ahrq.gov/issue/effectiveness-…
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psnet.ahrq.gov/node/73155/psn-pdf
April 22, 2021 - Identifying errors and safety considerations in patients
undergoing thrombolysis for acute ischemic stroke.
April 22, 2021
Dancsecs KA, Nestor M, Bailey A, et al. Identifying errors and safety considerations in patients undergoing
thrombolysis for acute ischemic stroke. Am J Emerg Med. 2021;47:90-94. doi:10.1016/j.…
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psnet.ahrq.gov/issue/limiting-medical-mistakes
May 03, 2006 - Audiovisual
Limiting medical mistakes.
Citation Text:
Maminta J.
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February 15, 2012
Maminta J.
This news video highl…
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psnet.ahrq.gov/node/37429/psn-pdf
February 17, 2011 - Outcomes of care by hospitalists, general internists, and
family physicians.
February 17, 2011
Lindenauer PK, Rothberg MB, Pekow PS, et al. Outcomes of Care by Hospitalists, General Internists, and
Family Physicians. New Engl J Med. 2007;357(25):2589-2600. doi:10.1056/nejmsa067735.
https://psnet.ahrq.gov/issue/ou…
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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/40394/psn-pdf
January 01, 2019 - Partnership for Patients.
October 6, 2016
Washington, DC: US Department of Health and Human Services.
https://psnet.ahrq.gov/issue/partnership-patients
Launched in 2011, the Partnership for Patients plans to invest approximately $1 billion total in an effort to
decrease preventable harm in United States hospitals.…
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psnet.ahrq.gov/node/72469/psn-pdf
November 18, 2020 - Weekend effect on in-hospital mortality for ischemic and
hemorrhagic stroke in US rural and urban hospitals.
November 18, 2020
Mekonnen B, Wang G, Rajbhandari-Thapa J, et al. Weekend effect on in-hospital mortality for ischemic
and hemorrhagic stroke in US rural and urban hospitals. J Stroke Cerebrovasc Dis. 2020;2…
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psnet.ahrq.gov/node/73120/psn-pdf
April 07, 2021 - Medication reconciliation during hospitalization and in
hospital-home interface: an observational retrospective
study.
April 7, 2021
Volpi E, Giannelli A, Toccafondi G, et al. Medication reconciliation during hospitalization and in hospital-
home interface: an observational retrospective study. J Patient Saf. 2021…
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psnet.ahrq.gov/node/43779/psn-pdf
May 28, 2015 - Debriefing in the emergency department after clinical
events: a practical guide.
May 28, 2015
Kessler DO, Cheng A, Mullan PC. Debriefing in the Emergency Department After Clinical Events: A
Practical Guide. Ann Emerg Med. 2015;65(6):690-698. doi:10.1016/j.annemergmed.2014.10.019.
https://psnet.ahrq.gov/issue/debri…
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psnet.ahrq.gov/node/45989/psn-pdf
June 07, 2017 - Radiologic safety events within a pediatric emergency
medicine network.
June 7, 2017
Blumberg SM, Mahajan P, O?Connell KJ, et al. Radiologic Safety Events Within a Pediatric Emergency
Medicine Network. Pediatr Emerg Care. 2017;33(2):92-96. doi:10.1097/PEC.0000000000000684.
https://psnet.ahrq.gov/issue/radiologic-s…
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psnet.ahrq.gov/node/44373/psn-pdf
August 12, 2015 - Healthcare Utilizing Deliberate Discussion Linking Events
(HUDDLE): a systematic review.
August 12, 2015
Glymph DC, Olenick M, Barbera S, et al. Healthcare Utilizing Deliberate Discussion Linking Events
(HUDDLE): A Systematic Review. AANA J. 2015;83(3):183-188.
https://psnet.ahrq.gov/issue/healthcare-utilizing-del…
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psnet.ahrq.gov/node/35703/psn-pdf
July 13, 2010 - Injury and liability associated with monitored anesthesia
care: a closed claims analysis.
July 13, 2010
Bhananker SM, Posner KL, Cheney FW, et al. Injury and liability associated with monitored anesthesia
care: a closed claims analysis. Anesthesiology. 2006;104(2):228-234.
https://psnet.ahrq.gov/issue/injury-and-l…
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psnet.ahrq.gov/node/37686/psn-pdf
November 30, 2016 - Hospital Survey on Patient Safety Culture: 2008
Comparative Database Report.
November 30, 2016
Sorra J, Famolaro T, Dyer N, Nelson D, Khanna K. Rockville, MD: Agency for Healthcare Research and
Quality; March 2008. AHRQ Publication No. 08-0039.
https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-20…
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psnet.ahrq.gov/node/43147/psn-pdf
July 19, 2017 - ACOG Committee Opinion #590: preparing for clinical
emergencies in obstetrics and gynecology.
July 19, 2017
Improvement AC of O and GC on PS and Q. Committee opinion no. 590: preparing for clinical emergencies
in obstetrics and gynecology. Obstet Gynecol. 2014;123(3):722-5.
doi:10.1097/01.AOG.0000444442.04111.c6.
…
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psnet.ahrq.gov/node/49831/psn-pdf
June 01, 2018 - hospitals, emergency medical services, and other agencies provide emergency
care to everyone in that region … Ideally, patients should be taken to the optimal facility within the region
based on their condition
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psnet.ahrq.gov/node/39893/psn-pdf
November 02, 2010 - Surgical safety and hospital volume across a wide range
of interventions.
November 2, 2010
Eggli Y, Halfon P, Meylan D, et al. Surgical safety and hospital volume across a wide range of
interventions. Med Care. 2010;48(11):962-71. doi:10.1097/MLR.0b013e3181eaf9f6.
https://psnet.ahrq.gov/issue/surgical-safety-and-h…