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psnet.ahrq.gov/issue/why-do-we-still-page-each-other-examining-frequency-types-and-senders-pages-academic-medical
September 11, 2019 - Study
Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services.
Citation Text:
Carlile N, Rhatigan JJ, Bates DW. Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services. BMJ…
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psnet.ahrq.gov/node/45189/psn-pdf
February 19, 2019 - SaferCare Texas
February 19, 2019
UNT Health Science Center; University of North Texas Health Science Center; UNTHSC.
https://psnet.ahrq.gov/issue/safercare-texas
Regional programs for patient safety seek to provide communities with resources targeted to distinct needs
and populations while addressing key areas of…
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psnet.ahrq.gov/node/861760/psn-pdf
January 31, 2024 - Syringe Swap During Regional Block: A Case of
Medication Error and Recovery
January 31, 2024
Beres K, Gutierrez MC. Syringe Swap During Regional Block: A Case of Medication Error and Recovery.
PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recover…
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psnet.ahrq.gov/node/74142/psn-pdf
January 02, 2024 - Robert L. Wears Patient Safety Leadership Award.
November 1, 2023
Regional Center at Jacksonville University, University of Florida College of Medicine – Jacksonville, FL.
https://psnet.ahrq.gov/issue/robert-l-wears-patient-safety-leadership-award
Inspired by the research and leadership of Dr. Robert Wears, this aw…
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psnet.ahrq.gov/node/837324/psn-pdf
July 08, 2022 - and around the world.9,10 In the United
States the rate of cesarean deliveries varies greatly across regions
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psnet.ahrq.gov/node/50787/psn-pdf
January 08, 2020 - Q3 Health Innovation Partners.
January 8, 2020
New Jersey Hospital Association, the Ohio Hospital Association and The Hospital and Healthsystem
Association of Pennsylvania.
https://psnet.ahrq.gov/issue/q3-health-innovation-partners
Local efforts that draw from the experience of its leaders serve an important role …
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psnet.ahrq.gov/web-mm/endotracheal-tube-fallout-patient-severe-obesity-during-eye-surgery
January 29, 2021 - Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery.
Citation Text:
Bohringer C. Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services.…
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psnet.ahrq.gov/node/846768/psn-pdf
March 29, 2023 - Endotracheal Tube Fallout in a Patient with Severe
Obesity During Eye Surgery.
March 29, 2023
Bohringer C. Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery. PSNet
[internet]. 2023.
https://psnet.ahrq.gov/web-mm/endotracheal-tube-fallout-patient-severe-obesity-during-eye-surgery
The Ca…
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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/35987/psn-pdf
June 07, 2006 - RHIOs aim to transform quality of care and patient safety.
June 7, 2006
van der Grinten P.
https://psnet.ahrq.gov/issue/rhios-aim-transform-quality-care-and-patient-safety
This article reports on how regional health information organizations (RHIOs) increase access to patient
information and benefit patient safety…
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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/37407/psn-pdf
September 02, 2014 - HSMR: A New Approach for Measuring Hospital Mortality
Trends in Canada.
September 2, 2014
Ottowa, Ontario, CA: Canadian Institute for Health Information; 2007. ISBN 9781554651832.
https://psnet.ahrq.gov/issue/hsmr-new-approach-measuring-hospital-mortality-trends-canada
This report describes a new metric used to an…
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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/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/40848/psn-pdf
October 12, 2011 - IBEAS: A Pioneer Study on Patient Safety in Latin
America: Towards Safer Hospital Care.
October 12, 2011
Geneva, Switzerland: World Health Organization; 2011.
https://psnet.ahrq.gov/issue/ibeas-pioneer-study-patient-safety-latin-america-towards-safer-hospital-care
This publication reports on the findings of…
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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/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/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/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…