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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/web-mm/critical-opportunity-lost
February 17, 2017 - Users of electronic health record systems should request that their vendors develop modules for critical
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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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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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psnet.ahrq.gov/issue/thinking-about-our-thinking-physicians
August 24, 2016 - Newspaper/Magazine Article
Thinking about our thinking as physicians.
Citation Text:
Thinking about our thinking as physicians. Groopman J; Hartzband P.
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psnet.ahrq.gov/issue/patient-safety-law-protects-some-documents-court-case
May 30, 2012 - Newspaper/Magazine Article
Patient safety law protects some documents in court case.
Citation Text:
Patient safety law protects some documents in court case. Gallegos A.
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psnet.ahrq.gov/node/33817/psn-pdf
October 01, 2016 - A report
writer without clinical background may not appreciate that a request for heart rate should
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psnet.ahrq.gov/issue/new-mother-number-14
August 18, 2021 - Commentary
New mother number 14.
Citation Text:
New mother number 14. Sangarlangkarn A. Healthc (Amst). 2019;7:31-32.
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psnet.ahrq.gov/web-mm/dropping-ball-despite-integrated-emr
January 07, 2015 - black marks on these 30-day reports and asks the original ordering provider to enter a new consult request … receive an automatic notice of the cancellation, which would then prompt her to enter another referral request
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psnet.ahrq.gov/issue/anesthesiologist-group-says-hospitals-can-prevent-fatal-errors-vanderbilts
June 01, 2022 - Newspaper/Magazine Article
Anesthesiologist group says hospitals can prevent fatal errors like Vanderbilt's.
Citation Text:
Anesthesiologist group says hospitals can prevent fatal errors like Vanderbilt's. Clark C. MedPage Today. June 2, 2022
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psnet.ahrq.gov/issue/hospitals-will-still-have-share-safety-data-publicly-cms-will-publish-scorecard-avoidable
March 27, 2024 - Newspaper/Magazine Article
Hospitals will still have to share safety data publicly—CMS will publish scorecard of avoidable patient harm after all.
Citation Text:
Hospitals will still have to share safety data publicly—CMS will publish scorecard of avoidable patient harm after all. Clark …
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psnet.ahrq.gov/node/49558/psn-pdf
April 01, 2008 - symptoms is frequently driven by a physician's desire to respond to a
patient's explicit (or implied) request … for antibiotics.(16) However, research has shown that even patients
who explicitly request antibiotics
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psnet.ahrq.gov/web-mm/language-barrier
February 28, 2024 - Language Barrier
Citation Text:
Flores G. Language Barrier. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.122_slideshow.ppt
April 01, 2006 - issues, including the degree of chatter in the OR, the failure of the OR staff to anticipate his next request
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psnet.ahrq.gov/issue/why-nurses-make-medication-errors-simulation-study
March 02, 2011 - Study
Why nurses make medication errors: a simulation study.
Citation Text:
Kazaoka T, Ohtsuka K, Ueno K, et al. Why nurses make medication errors: a simulation study. Nurse Educ Today. 2007;27(4):312-7.
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psnet.ahrq.gov/issue/preventing-medication-errors-empowering-patients
September 28, 2016 - Newspaper/Magazine Article
Preventing medication errors by empowering patients.
Citation Text:
Preventing medication errors by empowering patients. Karch AM. Am Nurs Today. September 2015;10:18-22.
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psnet.ahrq.gov/issue/richard-and-hinda-rosenthal-lecture-2011-new-frontiers-patient-safety
July 27, 2011 - Book/Report
The Richard and Hinda Rosenthal Lecture 2011: New Frontiers in Patient Safety.
Citation Text:
The Richard and Hinda Rosenthal Lecture 2011: New Frontiers in Patient Safety. Institute of Medicine. Washington, DC: The National Academies Press; 2011. ISBN: 9780309218030.
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psnet.ahrq.gov/issue/empowering-patients-and-agents-help-prevent-errors-living-wills-dnrs-and-polsts
July 18, 2018 - Newspaper/Magazine Article
Empowering patients and agents to help prevent errors with living wills, DNRs, and POLSTs.
Citation Text:
Empowering patients and agents to help prevent errors with living wills, DNRs, and POLSTs. Hoffman RM, Mirarchi FL. PA-PSRS Patient Saf Advis. June 2018;15…