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psnet.ahrq.gov/node/49526/psn-pdf
December 01, 2006 - Crossing the Borderline
December 1, 2006
Oldham JM. Crossing the Borderline. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/crossing-borderline
The Case
A 24-year-old woman with borderline personality disorder was admitted to an inpatient psychiatry unit
following a failed suicide attempt with excess doses…
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psnet.ahrq.gov/web-mm/critical-opportunity-lost
February 17, 2017 - Critical Opportunity Lost
Citation Text:
Genzen JR, Signorelli HN. Critical Opportunity Lost. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/issue/confronting-colleague-who-covers-medical-error
September 16, 2020 - Commentary
Confronting a colleague who covers up a medical error.
Citation Text:
Brody H. Confronting a colleague who covers up a medical error. Am Fam Physician. 2006;73(7):1272, 1274.
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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/issue/making-health-care-safer-protect-patients-antibiotic-resistance
September 07, 2016 - Image/Poster
Making health care safer: protect patients from antibiotic resistance.
Citation Text:
Making health care safer: protect patients from antibiotic resistance. CDC; Centers for Disease Control and Prevention.
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psnet.ahrq.gov/issue/human-factors-and-ergonomics-patient-safety
June 21, 2006 - Special or Theme Issue
Human Factors and Ergonomics in Patient Safety.
Citation Text:
Human Factors and Ergonomics in Patient Safety. Carayon P, Buckle P, eds. App Ergon. 2010:41(5):643-718.
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psnet.ahrq.gov/issue/medical-liability-reform-patient-safety-initiative
December 24, 2008 - Government Resource
Medical Liability Reform & Patient Safety Initiative.
Citation Text:
Medical Liability Reform & Patient Safety Initiative. Agency for Healthcare Research and Quality; AHRQ.
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psnet.ahrq.gov/issue/national-healthcare-system-action-alliance-advance-patient-safety
April 01, 2024 - Multi-use Website
The National Healthcare System Action Alliance for Patient and Workforce Safety.
Citation Text:
The National Healthcare System Action Alliance for Patient and Workforce Safety. US Department of Health and Human Services.
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psnet.ahrq.gov/issue/diagnostic-excellence-age-friendly-health-systems-dxex-afhs-seed-grant-program-improving
September 16, 2020 - Grant Announcement
Diagnostic Excellence– Age-Friendly Health Systems (DxEx–AFHS) Seed Grant Program Improving Diagnosis for Older Adults.
Citation Text:
Diagnostic Excellence– Age-Friendly Health Systems (DxEx–AFHS) Seed Grant Program Improving Diagnosis for Older Adults. Boston, MA: In…
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psnet.ahrq.gov/issue/mri-suites-safety-outside-bore
April 28, 2021 - Commentary
MRI suites: safety outside the bore.
Citation Text:
MRI suites: safety outside the bore. Gilk T. Patient Safety and Quality Healthcare. September/October 2006:1-8.
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psnet.ahrq.gov/issue/doctors-turned-my-sister-away-less-two-years-later-she-died-cervical-cancer
September 09, 2020 - Newspaper/Magazine Article
Doctors turned my sister away; less than two years later she died of cervical cancer.
Citation Text:
Doctors turned my sister away; less than two years later she died of cervical cancer. Harvey-Jenner C. Cosmopolitan. August 27, 2020.
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psnet.ahrq.gov/issue/10-state-project-study-methods-reduce-central-line-associated-bloodstream-infections-hospital
October 23, 2019 - Press Release/Announcement
10-State project to study methods to reduce central line-associated bloodstream infections in hospital ICUs.
Citation Text:
10-State project to study methods to reduce central line-associated bloodstream infections in hospital ICUs. Rockville, MD: Agency for He…
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psnet.ahrq.gov/issue/correlates-medication-error-hospitals
August 24, 2022 - Book/Report
Correlates of Medication Error in Hospitals.
Citation Text:
Correlates Of Medication Error In Hospitals.
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psnet.ahrq.gov/issue/diagnostic-excellence-improving-experience-and-outcomes-patient-care
October 06, 2022 - Multi-use Website
Diagnostic Excellence Initiative.
Citation Text:
Diagnostic Excellence Initiative. Gordon and Betty Moore Foundation.
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psnet.ahrq.gov/issue/20-years-after-err-human-leapfrog-hospital-safety-grades-prove-transparency-can-save-lives
December 11, 2019 - Press Release/Announcement
20 Years After “To Err is Human”, Leapfrog Hospital Safety Grades Prove Transparency Can Save Lives.
Citation Text:
20 Years After “To Err is Human”, Leapfrog Hospital Safety Grades Prove Transparency Can Save Lives. Washington DC; National Quality Forum: 2019.…
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psnet.ahrq.gov/issue/patient-safety-leader-reflects-err-human-report
April 15, 2021 - Audiovisual
Patient safety leader reflects on ‘To Err is Human’ report
Citation Text:
Patient safety leader reflects on ‘To Err is Human’ report Chassin M, Foster N. Chicago, IL: American Hospital Association; November 13, 2019.
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psnet.ahrq.gov/node/33817/psn-pdf
October 01, 2016 - Health Care Data Science for Quality Improvement and
Patient Safety
October 1, 2016
Rajkomar A. Health Care Data Science for Quality Improvement and Patient Safety. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety
Perspective
Background
Ha…
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psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults-risk-hospital
October 30, 2024 - The virtual quality nurse consultant requests prompt evaluation of the patient by the physician.
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psnet.ahrq.gov/node/33796/psn-pdf
January 01, 2016 - You have to petition the Institute of Medicine, requests are reviewed
by their board, and if approved
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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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