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psnet.ahrq.gov/node/60754/psn-pdf
August 05, 2020 - COVID blindness.
August 5, 2020
Brown L. COVID blindness. Diagnosis (Berl). 2020;7(2):83-84. doi:10.1515/dx-2020-0042.
https://psnet.ahrq.gov/issue/covid-blindness
This editorial describes one clinician’s experience treating a patient during the early stages of the COVID-
19 pandemic, and the impacts of “COVID bli…
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psnet.ahrq.gov/issue/characterising-complexity-medication-safety-using-human-factors-approach-observational-study
March 15, 2017 - Study
Classic
Characterising the complexity of medication safety using a human factors approach: an observational study in two intensive care units.
Citation Text:
Carayon P, Wetterneck TB, Cartmill R, et al. Characterising the complexity of medication safety us…
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psnet.ahrq.gov/node/33646/psn-pdf
February 01, 2007 - Simply
because the first stage in any diagnosis process is taking a good history. … It's that second stage, when we
say? … It's that
stage where I think systems like ours can alleviate the burden of memory, if you like.
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psnet.ahrq.gov/node/863220/psn-pdf
February 28, 2024 - Second-victim phenomenon.
February 28, 2024
New L, Lambeth T. Second-victim phenomenon. Nurs Clin North Am. 2024;59(1):141-152.
doi:10.1016/j.cnur.2023.11.011.
https://psnet.ahrq.gov/issue/second-victim-phenomenon
The second victim phenomenon (SVP) refers to clinicians who experience continued psychological harm
…
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psnet.ahrq.gov/issue/reducing-drug-prescription-errors-and-adverse-drug-events-application-probabilistic-machine
March 12, 2025 - WebM&M Cases
Overdose of Gabapentin and Oxycodone in a Patient with End-Stage
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psnet.ahrq.gov/issue/healthcare-staff-wellbeing-burnout-and-patient-safety-systematic-review
November 13, 2024 - July 1, 2016
Guidance for health care leaders during the recovery stage of the COVID-
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psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications
January 29, 2020 - The Case
A 69-year-old man with End-Stage Kidney Disease (ESKD) secondary to diabetes mellitus and
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psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
December 15, 2024 - Stages of Recovery for Second Victims Stage of Recovery Summary Chaos and Accident Response Clinician
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psnet.ahrq.gov/node/37419/psn-pdf
December 19, 2007 - Ensuring medication reconciliation.
December 19, 2007
Georgia K, Kinney K, Pace A, Helton K. Patient Saf Qual Healthc. November / December 2007.
https://psnet.ahrq.gov/issue/ensuring-medication-reconciliation
The authors describe the team-based process they used to improve medication management at the
admission, t…
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psnet.ahrq.gov/issue/patient-education-materials-assessment-tool-pemat-and-users-guide-instrument-assess
December 24, 2008 - January 4, 2017
AHRQ Safety Program for End-Stage Renal Disease Facilities—Toolkit.
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psnet.ahrq.gov/issue/pathways-patient-safety
May 06, 2015 - September 4, 2018
AHRQ Safety Program for End-Stage Renal Disease Facilities—Toolkit.
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psnet.ahrq.gov/issue/habits-improver-thinking-about-learning-improvement-health-care
November 25, 2015 - June 17, 2014
High Quality Care for All: NHS Next Stage Review Final Report.
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psnet.ahrq.gov/issue/learning-serious-failings-care-main-report
August 23, 2017 - November 5, 2014
High Quality Care for All: NHS Next Stage Review Final Report.
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psnet.ahrq.gov/issue/patient-safety-committing-learn-and-acting-improve
June 09, 2009 - Improving inpatient mental health medication safety through the process of obtaining HIMSS Stage
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psnet.ahrq.gov/issue/check-safety-culture-my-patient-care-area
December 22, 2010 - September 28, 2010
A morning briefing: setting the stage for a clinically and operationally
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psnet.ahrq.gov/issue/rise-patient-safety-organizations
September 29, 2017 - September 29, 2017
High Quality Care for All: NHS Next Stage Review Final Report.
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psnet.ahrq.gov/issue/medical-liability-new-ideals-making-system-work-better-patients
May 18, 2011 - December 23, 2012
Hearing on Patient Safety and Quality Issues in End Stage Renal Disease
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psnet.ahrq.gov/issue/attacking-opioid-crisis-head-health-it
November 30, 2016 - WebM&M Cases
Overdose of Gabapentin and Oxycodone in a Patient with End-Stage
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psnet.ahrq.gov/issue/medication-safety-issues-newly-authorized-paxlovid
May 07, 2018 - Related Resources From the Same Author(s)
Anticoagulant safety takes center stage
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psnet.ahrq.gov/issue/wall-silence-untold-story-medical-mistakes-kill-and-injure-millions-americans
January 30, 2003 - November 26, 2014
High Quality Care for All: NHS Next Stage Review Final Report.