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psnet.ahrq.gov/node/42151/psn-pdf
December 21, 2014 - Effect of the 2011 vs 2003 duty hour regulation-compliant
models on sleep duration, trainee education, and
continuity of patient care among internal medicine house
staff: a randomized trial.
December 21, 2014
Desai SV, Feldman LS, Brown L, et al. Effect of the 2011 vs 2003 Duty Hour Regulation–Compliant Models
on…
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psnet.ahrq.gov/node/45183/psn-pdf
July 20, 2016 - Assessing the relationship between patient safety culture
and EHR strategy.
July 20, 2016
Ford E, Silvera GA, Kazley AS, et al. Assessing the relationship between patient safety culture and EHR
strategy. Int J Health Care Qual Assur. 2016;29(6):614-27. doi:10.1108/IJHCQA-10-2015-0125.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/44342/psn-pdf
November 03, 2015 - How effective are patient safety initiatives? A
retrospective patient record review study of changes to
patient safety over time.
November 3, 2015
Baines RJ, Langelaan M, de Bruijne M, et al. How effective are patient safety initiatives? A retrospective
patient record review study of changes to patient safety over…
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psnet.ahrq.gov/node/45293/psn-pdf
February 01, 2017 - Patient safety incidents involving sick children in primary
care in England and Wales: a mixed methods analysis.
February 1, 2017
Rees P, Edwards A, Powell C, et al. Patient Safety Incidents Involving Sick Children in Primary Care in
England and Wales: A Mixed Methods Analysis. PLoS Med. 2017;14(1):e1002217.
doi:1…
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psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
March 01, 2004 - Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals?
Citation Text:
Shojania KG. Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
C…
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psnet.ahrq.gov/node/45222/psn-pdf
June 08, 2016 - A program to prevent catheter-associated urinary tract
infection in acute care.
June 8, 2016
Saint S, Greene T, Krein SL, et al. A Program to Prevent Catheter-Associated Urinary Tract Infection in
Acute Care. New Engl J Med. 2016;374(22):2111-2119. doi:10.1056/NEJMoa1504906.
https://psnet.ahrq.gov/issue/program-pr…
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psnet.ahrq.gov/node/47750/psn-pdf
January 30, 2019 - Association of adverse effects of medical treatment with
mortality in the United States: a secondary analysis of the
Global Burden of Diseases, Injuries, and Risk Factors
study.
January 30, 2019
Sunshine JE, Meo N, Kassebaum NJ, et al. Association of Adverse Effects of Medical Treatment With
Mortality in the Unit…
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psnet.ahrq.gov/issue/crisis-do-not-revive-requests-dont-always-work
December 16, 2015 - Newspaper/Magazine Article
In a crisis, do-not-revive requests don't always work.
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January 3, 2007
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psnet.ahrq.gov/node/33800/psn-pdf
January 01, 2015 - Computerized Provider Order Entry and Patient Safety
January 1, 2015
Sarkar U, Shojania KG. Computerized Provider Order Entry and Patient Safety. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
Annual Perspective 2015
Computerized provider order entry…
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psnet.ahrq.gov/perspective/safety-retail-pharmacy
May 11, 2016 - Safety in the Retail Pharmacy
Michelle A. Chui, PharmD, PhD | October 1, 2018
View more articles from the same authors.
Citation Text:
Chui MA. Safety in the Retail Pharmacy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departme…
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psnet.ahrq.gov/node/49493/psn-pdf
November 01, 2005 - Infused, Not Ingested
November 1, 2005
Foley M. Infused, Not Ingested. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/infused-not-ingested
The Case
A patient in the ICU was scheduled for a CT scan. The nurse prepared the patient by administering
contrast, an unfamiliar task for this particular nurse. Rathe…
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psnet.ahrq.gov/node/49472/psn-pdf
March 01, 2005 - Preventable Rash
March 1, 2005
McLean C. Preventable Rash. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/preventable-rash
The Case
A 35-year-old man with HIV was being followed in an outpatient internal medicine clinic. At a routine visit,
screening laboratories were checked. The clinic never contacted th…
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psnet.ahrq.gov/node/49434/psn-pdf
February 01, 2004 - Undiagnosed Vaginal Bleeding
February 1, 2004
Mandelblatt J. Undiagnosed Vaginal Bleeding . PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/undiagnosed-vaginal-bleeding
The Case
The patient is a 34-year-old gravida 3, para 3 woman with a 2-year history of increasingly profuse vaginal
bleeding. Over the past…
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psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
March 01, 2015 - Missing ECG and Missed Diagnosis Lead to Dangerous Delay
Citation Text:
O'Connor RE. Missing ECG and Missed Diagnosis Lead to Dangerous Delay. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/web-mm/lethal-vertigo
September 20, 2011 - Lethal Vertigo
Citation Text:
Furman JM. Lethal Vertigo. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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psnet.ahrq.gov/perspective/becoming-patient-safety-organization
July 01, 2011 - Becoming a Patient Safety Organization
Rory Jaffe, MD, MBA | July 1, 2011
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Citation Text:
Jaffe R. Becoming a Patient Safety Organization. PSNet [internet]. Rockville (MD): Agency for Healthcare …
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psnet.ahrq.gov/issue/anger-management-courses-are-new-tool-dealing-out-control-doctors
May 22, 2013 - Newspaper/Magazine Article
Anger management courses are a new tool for dealing with out-of-control doctors.
Citation Text:
Anger management courses are a new tool for dealing with out-of-control doctors. Boodman SG. Washington Post. March 4, 2013.
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psnet.ahrq.gov/issue/improving-safety-telephone-or-verbal-orders
March 18, 2010 - Newspaper/Magazine Article
Improving the safety of telephone or verbal orders.
Citation Text:
Improving the safety of telephone or verbal orders. PA-PSRS Patient Saf Advis. 2006 Jun;3(2):1,3-7.
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psnet.ahrq.gov/issue/skin-tears-clinical-challenge
March 18, 2010 - Newspaper/Magazine Article
Skin tears: the clinical challenge.
Citation Text:
Skin tears: the clinical challenge. PA PSRS Patient Saf Advis 2006 Sep;3(3):1,5-10.
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psnet.ahrq.gov/issue/hospitals-save-money-safety-questioned
January 18, 2006 - Newspaper/Magazine Article
Hospitals save money, but safety is questioned.
Citation Text:
Hospitals save money, but safety is questioned. Klein A. Washington Post. December 11, 2005.
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