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psnet.ahrq.gov/node/33667/psn-pdf
April 01, 2008 - Connie's Story: A Nurse's Personal Experience with
MRSA
April 1, 2008
Lehfeldt C. Connie's Story: A Nurse's Personal Experience with MRSA. PSNet [internet]. 2008.
https://psnet.ahrq.gov/perspective/connies-story-nurses-personal-experience-mrsa
Perspective
The voices of patients are often missing from discussions …
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psnet.ahrq.gov/issue/patient-safety-authority-pennsylvania-patient-safety-summit-p2s2
April 29, 2020 - Meeting/Conference
Pennsylvania Meeting/Conference
Published April 29, 2020
Patient Safety Authority Pennsylvania Patient Safety Summit (P2S2)
Patient Safety Authority Pennsylvania Patient Safety Summit (P2S2). Double…
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psnet.ahrq.gov/web-mm/around-block
March 04, 2020 - Around the Block
Citation Text:
Minichiello T. Around the Block. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
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psnet.ahrq.gov/node/49696/psn-pdf
December 01, 2013 - New Oral Anticoagulants
December 1, 2013
Fang MC. New Oral Anticoagulants. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/new-oral-anticoagulants
Case Objectives
Review properties of newer target-specific oral anticoagulants (TSOACs) such as dabigatran,
rivaroxaban, and apixaban.
State key perioperative c…
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psnet.ahrq.gov/node/39336/psn-pdf
March 21, 2017 - Does teamwork improve performance in the operating
room? A multilevel evaluation.
March 21, 2017
Weaver SJ, Rosen MA, DiazGranados D, et al. Does teamwork improve performance in the operating
room? A multilevel evaluation. Jt Comm J Qual Patient Saf. 2010;36(3):133-42.
https://psnet.ahrq.gov/issue/does-teamwork-im…
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psnet.ahrq.gov/node/40978/psn-pdf
March 21, 2012 - Relationship between patient safety and hospital surgical
volume.
March 21, 2012
Hernandez-Boussard T, Downey JR, McDonald KM, et al. Relationship between Patient Safety and
Hospital Surgical Volume. Health Serv Res. 2011;47(2). doi:10.1111/j.1475-6773.2011.01310.x.
https://psnet.ahrq.gov/issue/relationship-betwee…
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psnet.ahrq.gov/node/49449/psn-pdf
June 01, 2004 - , a
focused neurologic examination can successfully uncover a central abnormality, since the brain regions
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psnet.ahrq.gov/web-mm/chest-pain-rural-hospital
June 02, 2021 - SPOTLIGHT CASE
Chest Pain in a Rural Hospital
Citation Text:
MacKinney CA, Mohr NM. Chest Pain in a Rural Hospital. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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Google Scholar Bi…
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psnet.ahrq.gov/sites/default/files/2023-06/hurried_huddle_0.pdf
January 01, 2023 - Microsoft PowerPoint - Spotlight Case_Anesthesia Error During Cesarean_06.22.2023 - Final.pptx
Spotlight
Hurried Team Huddle and Poor Communication: Unsafe
Practice During Anesthesia for Emergency Cesarean
Delivery
Source and Credits
• This presentation is based on the June 2023 AHRQ WebM&M
Spotlight Case
o See…
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psnet.ahrq.gov/issue/safercare-texas
November 26, 2018 - Multi-use Website
SaferCare Texas
Citation Text:
SaferCare Texas UNT Health Science Center; University of North Texas Health Science Center; UNTHSC.
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psnet.ahrq.gov/node/39016/psn-pdf
April 04, 2011 - Variation in hospital mortality associated with inpatient
surgery.
April 4, 2011
Ghaferi AA, Birkmeyer JD, Dimick JB. Variation in hospital mortality associated with inpatient surgery. N
Engl J Med. 2009;361(14):1368-75. doi:10.1056/NEJMsa0903048.
https://psnet.ahrq.gov/issue/variation-hospital-mortality-associate…
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psnet.ahrq.gov/node/37327/psn-pdf
March 03, 2011 - Patterns of technical error among surgical malpractice
claims: an analysis of strategies to prevent injury to
surgical patients.
March 3, 2011
Regenbogen SE, Greenberg CC, Studdert DM, et al. Patterns of technical error among surgical malpractice
claims: an analysis of strategies to prevent injury to surgical pati…
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psnet.ahrq.gov/node/42606/psn-pdf
September 25, 2013 - Health economic evaluation of an infection prevention
and control program: are quality and patient safety
programs worth the investment?
September 25, 2013
Raschka S, Dempster L, Bryce E. Health economic evaluation of an infection prevention and control
program: are quality and patient safety programs worth the in…
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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/46411/psn-pdf
April 12, 2019 - Effect of health information exchange on recognition of
medication discrepancies is interrupted when data
charges are introduced: results of a cluster-randomized
controlled trial.
April 12, 2019
Boockvar K, Ho W, Pruskowski J, et al. Effect of health information exchange on recognition of medication
discrepancies…
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psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
March 27, 2024 - Cybersecurity and How to Maintain Patient Safety
Barbara Pelletreau, RN; John Riggi; Bryan M. Gale, MA; Sarah E. Mossburg, RN, PhD | March 27, 2024
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Pelletreau B, Riggi J, Gale B…
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psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cybersecurity
March 27, 2024 - In Conversation with...Barbara Pelletreau and John Riggi about Cybersecurity
Barbara Pelletreau, RN; John Riggi | March 27, 2024
Also Read the Essay
View more articles from the same authors.
Citation Text:
Pelletreau B, Riggi J. In Conversation with..Barbara Pe…
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psnet.ahrq.gov/node/42969/psn-pdf
October 31, 2014 - Reducing the burden of surgical harm: a systematic
review of the interventions used to reduce adverse events
in surgery.
October 31, 2014
Howell A-M, Panesar S, Burns EM, et al. Reducing the burden of surgical harm: a systematic review of the
interventions used to reduce adverse events in surgery. Ann Surg. 2014;2…
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psnet.ahrq.gov/node/849661/psn-pdf
June 28, 2023 - Hurried Team Huddle and Poor Communication: Unsafe
Practice During Anesthesia for Emergency Cesarean
Delivery
June 28, 2023
Curtin A, Schloemerkemper N. Hurried Team Huddle and Poor Communication: Unsafe Practice During
Anesthesia for Emergency Cesarean Delivery. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web…
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psnet.ahrq.gov/issue/critical-supply
June 16, 2019 - Audiovisual
Critical supply.
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April 3, 2013
View more articles from the same authors.
This news series reports on the drug shor…