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psnet.ahrq.gov/perspective/conversation-withwilliam-b-munier-md-mba
July 01, 2011 - These agency representatives work with us to achieve consensus on the Common Formats.
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psnet.ahrq.gov/node/41440/psn-pdf
August 17, 2016 - The Toolkit for Using the AHRQ Quality Indicators: How
To Improve Hospital Quality and Safety.
August 17, 2016
Rockville, MD: Agency for Healthcare Research and Quality; July 2016.
https://psnet.ahrq.gov/issue/toolkit-using-ahrq-quality-indicators-how-improve-hospital-quality-and-safety
This toolkit provides resou…
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psnet.ahrq.gov/node/34778/psn-pdf
December 23, 2008 - Anesthetic mishaps: breaking the chain of accident
evolution.
December 23, 2008
Gaba DM, Maxwell M, DeAnda A. Anesthetic mishaps: breaking the chain of accident evolution.
Anesthesiology. 1987;66(5):670-6.
https://psnet.ahrq.gov/issue/anesthetic-mishaps-breaking-chain-accident-evolution
A review of anesthesia saf…
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psnet.ahrq.gov/node/44946/psn-pdf
February 01, 2017 - Quality gaps identified through mortality review.
February 1, 2017
Kobewka DM, van Walraven C, Turnbull J, et al. Quality gaps identified through mortality review. BMJ Qual
Saf. 2017;26(2):141-149. doi:10.1136/bmjqs-2015-004735.
https://psnet.ahrq.gov/issue/quality-gaps-identified-through-mortality-review
Inpatien…
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psnet.ahrq.gov/node/43952/psn-pdf
March 04, 2015 - Improving resident morning sign-out by use of daily
events reports.
March 4, 2015
Nabors C, Patel D, Khera S, et al. Improving resident morning sign-out by use of daily events reports. J
Patient Saf. 2015;11(1):36-41. doi:10.1097/PTS.0b013e31829e4f56.
https://psnet.ahrq.gov/issue/improving-resident-morning-sign-ou…
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psnet.ahrq.gov/node/41985/psn-pdf
October 26, 2016 - Legislative Report to the General Assembly: Adverse
Event Reporting.
October 26, 2016
Pino R, Furniss WH, Mueller L, Olson JC. Hartford, CT: Connecticut Department of Public Health; October
2016.
https://psnet.ahrq.gov/issue/legislative-report-general-assembly-adverse-event-reporting
This annual publication provi…
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psnet.ahrq.gov/node/45221/psn-pdf
July 18, 2016 - When less is better, but physicians are afraid not to
intervene.
July 18, 2016
Esserman L. When Less Is Better, but Physicians Are Afraid Not to Intervene. JAMA Intern Med.
2016;176(7):888-9. doi:10.1001/jamainternmed.2016.2257.
https://psnet.ahrq.gov/issue/when-less-better-physicians-are-afraid-not-intervene
Bia…
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psnet.ahrq.gov/node/35672/psn-pdf
June 28, 2010 - How many hospital pharmacy medication dispensing
errors go undetected?
June 28, 2010
Cina J, Gandhi TK, Churchill WW, et al. How many hospital pharmacy medication dispensing errors go
undetected? Jt Comm J Qual Patient Saf. 2006;32(2):73-80.
https://psnet.ahrq.gov/issue/how-many-hospital-pharmacy-medication-dispen…
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psnet.ahrq.gov/node/40011/psn-pdf
November 17, 2010 - Quality of traditional surveillance for public reporting of
nosocomial bloodstream infection rates.
November 17, 2010
Lin MY, Hota B, Khan YM, et al. Quality of traditional surveillance for public reporting of nosocomial
bloodstream infection rates. JAMA. 2010;304(18):2035-41. doi:10.1001/jama.2010.1637.
https://p…
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psnet.ahrq.gov/node/46628/psn-pdf
December 18, 2017 - Residency evaluations—where is the patient voice?
December 18, 2017
Tummalapalli SL. Residency Evaluations-Where Is the Patient Voice? JAMA Intern Med.
2017;177(12):1722-1723. doi:10.1001/jamainternmed.2017.6029.
https://psnet.ahrq.gov/issue/residency-evaluations-where-patient-voice
Residents rarely receive feedba…
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psnet.ahrq.gov/node/46244/psn-pdf
June 28, 2017 - Changing the narratives for patient safety.
June 28, 2017
Pronovost P, Sutcliffe K, Basu L, et al. Changing the narratives for patient safety. Bull World Health Organ.
2017;95(6):478-480. doi:10.2471/BLT.16.178392.
https://psnet.ahrq.gov/issue/changing-narratives-patient-safety
Mental models represent established …
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psnet.ahrq.gov/node/34981/psn-pdf
July 14, 2010 - Child-specific risk factors and patient safety.
July 14, 2010
Woods DM, Holl JL, Shonkoff JP, et al. J Patient Saf. 2005;1(1):17-22.
https://psnet.ahrq.gov/issue/child-specific-risk-factors-and-patient-safety
To discover factors that may contribute to a child’s risk for error during hospitalization, this study iden…
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psnet.ahrq.gov/node/42436/psn-pdf
August 07, 2013 - Office-based physicians are responding to incentives and
assistance by adopting and using electronic health
records.
August 7, 2013
Hsiao C-J, Jha AK, King J, et al. Office-based physicians are responding to incentives and assistance by
adopting and using electronic health records. Health Aff (Millwood). 2013;32(8…
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psnet.ahrq.gov/node/43910/psn-pdf
November 23, 2016 - Error disclosure and family members' reactions: does the
type of error really matter?
November 23, 2016
Leone D, Lamiani G, Vegni E, et al. Error disclosure and family members' reactions: does the type of error
really matter? Patient Educ Couns. 2015;98(4):446-52. doi:10.1016/j.pec.2014.12.011.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/34809/psn-pdf
February 18, 2011 - Iatrogenic illness on a general medical service at a
university hospital.
February 18, 2011
Steel K, Gertman PM, Crescenzi C, et al. Iatrogenic illness on a general medical service at a university
hospital. N Engl J Med. 1981;304(11):638-42.
https://psnet.ahrq.gov/issue/iatrogenic-illness-general-medical-service-u…
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psnet.ahrq.gov/node/46742/psn-pdf
March 14, 2018 - Evidence-based guidelines for fatigue risk management in
emergency medical services.
March 14, 2018
Patterson D, Higgins S, Van Dongen HPA, et al. Evidence-Based Guidelines for Fatigue Risk Management
in Emergency Medical Services. Prehosp Emerg Care. 2018;22(sup1):89-101.
doi:10.1080/10903127.2017.1376137.
https…
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psnet.ahrq.gov/node/853427/psn-pdf
January 01, 2024 - Patient and family contributions to improve the diagnostic
process through the OurDX electronic health record tool:
a mixed method analysis.
September 13, 2023
Bell SK, Harcourt K, Dong J, et al. Patient and family contributions to improve the diagnostic process
through the OurDX electronic health record tool: a m…
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psnet.ahrq.gov/node/49421/psn-pdf
October 01, 2003 - Urine a Tough Position
October 1, 2003
Gandhi TK. Urine a Tough Position. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/urine-tough-position
The Case
A 22-year-old unmarried woman came to her doctor’s office worried that she might be pregnant. Although
she did not want to have a baby at that time, she sta…
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psnet.ahrq.gov/node/49692/psn-pdf
September 01, 2013 - A Picture Speaks 1000 Words
September 1, 2013
Hemphill RR. A Picture Speaks 1000 Words. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/picture-speaks-1000-words
The Case
A 62-year-old man with a past medical history of hypertension, hyperlipidemia, and type A aortic dissection
repair presented with chest p…
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psnet.ahrq.gov/perspective/update-patient-engagement-safety
January 01, 2017 - Annual Perspective
Update: Patient Engagement in Safety
Rachel J. Stern, MD, and Urmimala Sarkar, MD | January 1, 2018
View more articles from the same authors.
Citation Text:
Stern RJ, Sarkar U. Update: Patient Engagement in Safety. PSNet [internet]. Rockvi…