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psnet.ahrq.gov/web-mm/listen-family
April 15, 2015 - He was unaware of any request for dialysis catheter placement in this patient. … Upon further review, the catheter placement request was for another patient on the same floor with the
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psnet.ahrq.gov/issue/what-did-doctor-say-improving-health-literacy-protect-patient-safety
September 28, 2005 - Book/Report
"What Did the Doctor Say?" Improving Health Literacy to Protect Patient Safety.
Citation Text:
Oakbrook Terrace, IL: Joint Commission; 2007.
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psnet.ahrq.gov/node/45435/psn-pdf
August 24, 2016 - Pharmacist–physician communications in a highly
computerised hospital: sign-off and action of electronic
review messages.
August 24, 2016
Pontefract SK, Hodson J, Marriott JF, et al. Pharmacist-Physician Communications in a Highly
Computerised Hospital: Sign-Off and Action of Electronic Review Messages. PLoS One.
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psnet.ahrq.gov/node/45541/psn-pdf
September 28, 2016 - Is there evidence for a better health care for cancer
patients after a second opinion? A systematic review.
September 28, 2016
Ruetters D, Keinki C, Schroth S, et al. Is there evidence for a better health care for cancer patients after a
second opinion? A systematic review. J Cancer Res Clin Oncol. 2016;142(7):1521…
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psnet.ahrq.gov/submit-your-training-landing
January 01, 2025 - Breadcrumb
Home
Training and Education
Training Catalog
Training Submissions
PSNet encourages organizations to help improve our training catalog by submitting related trainings to help our users expand their knowledge in the field of patient safety. We welcome contributions of both…
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psnet.ahrq.gov/submit-your-toolkit-landing
April 20, 2025 - Breadcrumb
Home
Improvement Resources
Toolkits
Toolkit Submissions
PSNet encourages healthcare-related organizations to help make care safer by submitting a Patient Safety Toolkit to support the implementation of products, services, processes, systems, policies, organizational stru…
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psnet.ahrq.gov/node/43323/psn-pdf
January 07, 2015 - Unrealized potential and residual consequences of
electronic prescribing on pharmacy workflow in the
outpatient pharmacy.
January 7, 2015
Nanji KC, Rothschild JM, Boehne JJ, et al. Unrealized potential and residual consequences of electronic
prescribing on pharmacy workflow in the outpatient pharmacy. J Am Med Inf…
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psnet.ahrq.gov/node/43253/psn-pdf
May 01, 2015 - Interim Report: Review of VHA's Patient Wait Times,
Scheduling Practices, and Alleged Patient Deaths at the
Phoenix Health Care System.
May 1, 2015
Washington, DC: VA Office of the Inspector General; May 28, 2014. Report No. 14-02603-178.
https://psnet.ahrq.gov/issue/interim-report-review-vhas-patient-wait-times-s…
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psnet.ahrq.gov/node/49727/psn-pdf
March 01, 2015 - Users of electronic health record systems should request that their vendors develop modules for
critical
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psnet.ahrq.gov/web-mm/allergy-holter
May 01, 2008 - He was handed a "Request for Consultation" form, on which there was only one word: "Holter." … Standardized procedure request forms that require patient identification and travel with the patient
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psnet.ahrq.gov/node/40232/psn-pdf
February 23, 2011 - Large scale organisational intervention to improve patient
safety in four UK hospitals: mixed method evaluation.
February 23, 2011
Benning A, Ghaleb M, Suokas A, et al. Large scale organisational intervention to improve patient safety in
four UK hospitals: mixed method evaluation. BMJ. 2011;342(feb03 1):d195. doi:1…
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psnet.ahrq.gov/node/43817/psn-pdf
November 23, 2016 - Developing and evaluating the success of a family
activated medical emergency team: a quality
improvement report.
November 23, 2016
Brady PW, Zix J, Brilli RJ, et al. Developing and evaluating the success of a family activated medical
emergency team: a quality improvement report. BMJ Qual Saf. 2015;24(3):203-211. …
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psnet.ahrq.gov/periodic-issue/periodic-issue-332
March 31, 2022 - Act mandates that most health care organizations provide patients access to their health record upon request
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psnet.ahrq.gov/web-mm/missed-opportunities-suicide-risk-assessment
September 27, 2023 - It is not clear whether the timing of this patient’s request to leave against medical advice influenced … staff was attempting to contact the primary medical team (i.e. eloped), there would be little time to request
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psnet.ahrq.gov/node/49576/psn-pdf
January 01, 2009 - Stable patients may request transfer to a particular in-zone hospital (consideration is given to where … But when there is a request or indication to transfer outside the zone, EMS providers
must contact a
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psnet.ahrq.gov/node/861838/psn-pdf
January 31, 2024 - not
provide a positive response to at least one of the symptom questions were given the option to request
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psnet.ahrq.gov/innovation/adverse-drug-event-ade-surveillance-and-pharmacist-counseling
June 28, 2023 - did not provide a positive response to at least one of the symptom questions were given the option to request
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psnet.ahrq.gov/issue/when-were-all-responsible-patients-death-no-one
December 09, 2020 - Newspaper/Magazine Article
When we're all responsible for a patient's death, no one is.
Citation Text:
When we're all responsible for a patient's death, no one is. Prasad V, Medpage Today. November 16, 2021.
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psnet.ahrq.gov/issue/ucsd-doc-who-overdosed-hospital-bathroom-face-lawsuits
March 27, 2024 - Newspaper/Magazine Article
UCSD, doc who overdosed in hospital bathroom face lawsuits.
Citation Text:
UCSD, doc who overdosed in hospital bathroom face lawsuits. Clark C. MedPage Today. February 10, 2020.
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psnet.ahrq.gov/issue/healthcare-industry-representatives-maximizing-benefits-and-reducing-risks
March 18, 2010 - Newspaper/Magazine Article
Healthcare industry representatives: maximizing benefits and reducing risks.
Citation Text:
Healthcare industry representatives: maximizing benefits and reducing risks. PA PSRS Patient Saf Advis 2006 Mar;3(1):13-19.
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