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psnet.ahrq.gov/issue/socio-cultural-perspective-patient-safety
August 06, 2016 - Book/Report
A Socio-cultural Perspective on Patient Safety.
Citation Text:
A Socio-cultural Perspective on Patient Safety. Rowley E, Waring J, eds. Farnham Surrey, UK: Ashgate Publishing Limited; 2011. ISBN: 9781409408628.
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psnet.ahrq.gov/issue/machine-learning-medicine
March 13, 2024 - Commentary
Classic
Machine learning in medicine.
Citation Text:
Rajkomar A, Dean J, Kohane IS. Machine Learning in Medicine. New Engl J Med. 2019;380(14):1347-1358. doi:10.1056/NEJMra1814259.
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psnet.ahrq.gov/issue/improving-your-office-testing-process-step-step-guide-rapid-cycle-patient-safety-and-quality
October 23, 2019 - Toolkit
Improving Your Office Testing Process: A Step by Step Guide for Rapid-Cycle Patient Safety and Quality Improvement.
Citation Text:
Improving Your Office Testing Process: A Step by Step Guide for Rapid-Cycle Patient Safety and Quality Improvement. Rockville, MD: Agency for Healthc…
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psnet.ahrq.gov/issue/supplementary-advisory-results-pa-psrs-workgroup-pharmacy-computer-system-safety
October 21, 2020 - Government Resource
Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety.
Citation Text:
Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety. Patient Safety Advisory
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psnet.ahrq.gov/issue/independent-review-gross-negligence-manslaughter-and-culpable-homicide
July 08, 2019 - Book/Report
Independent Review of Gross Negligence Manslaughter and Culpable Homicide.
Citation Text:
Independent Review of Gross Negligence Manslaughter and Culpable Homicide. Manchester, UK: General Medical Council; June 2019.
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psnet.ahrq.gov/issue/call-change-2011-commonwealth-fund-survey-public-views-us-health-system
May 04, 2022 - Book/Report
A Call for Change: The 2011 Commonwealth Fund Survey of Public Views of the U.S. Health System.
Citation Text:
A Call for Change: The 2011 Commonwealth Fund Survey of Public Views of the U.S. Health System. Stremikis K, Schoen C, Fryer AK. Issue Brief. Washington DC: The …
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psnet.ahrq.gov/issue/system-need-repair-addressing-organizational-failures-uss-organ-procurement-and
August 10, 2022 - Congressional Testimony
A System in Need of Repair: Addressing Organizational Failures of the U.S.’s Organ Procurement and Transplantation Network.
Citation Text:
A System in Need of Repair: Addressing Organizational Failures of the U.S.’s Organ Procurement and Transplantation Network. U…
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psnet.ahrq.gov/issue/safe-practices-reduce-cpoe-alert-fatigue-through-monitoring-analysis-and-optimization
February 17, 2021 - Book/Report
Safe Practices to Reduce CPOE Alert Fatigue through Monitoring, Analysis, and Optimization.
Citation Text:
Safe Practices to Reduce CPOE Alert Fatigue through Monitoring, Analysis, and Optimization. Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institut…
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psnet.ahrq.gov/issue/multiple-accountabilities-incident-reporting-and-management
August 28, 2024 - Slideset
Multiple accountabilities in incident reporting and management.
Citation Text:
Hor S-Y, Iedema R, Williams K, et al. Multiple accountabilities in incident reporting and management. Qual Health Res. 2010;20(8):1091-100. doi:10.1177/1049732310369232.
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psnet.ahrq.gov/node/49478/psn-pdf
April 01, 2005 - necessary when comparing a patient’s estimated GFR to
normal values, or to the levels defining the stages
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psnet.ahrq.gov/web-mm/palliative-care-comfort-vs-harm
December 04, 2016 - SPOTLIGHT CASE
Palliative Care: Comfort vs. Harm
Citation Text:
Jox RJ. Palliative Care: Comfort vs. Harm. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/sites/default/files/2024-03/uterine_artery_injury.pdf
January 01, 2024 - Microsoft PowerPoint - Spotlight Case_Uterine Artery Injury during Cesarean Delivery - FINAL.pptx
Spotlight
Uterine Artery Injury during Cesarean Delivery Leads to
Cardiac Arrests and Emergency Hysterectomy
Source and Credits
• This presentation is based on the March 2024 AHRQ WebM&M
Spotlight Case
o See the ful…
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psnet.ahrq.gov/issue/peripheral-vision-expertise-real-world-contexts
April 24, 2018 - Commentary
Peripheral vision: expertise in real world contexts.
Citation Text:
Dreyfus HL, Dreyfus SE. Peripheral Vision. Organization Studies. 2005;26(5). doi:10.1177/0170840605053102.
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psnet.ahrq.gov/issue/mobilising-team-who-surgical-safety-checklist-qualitative-video-study
September 29, 2017 - Study
Mobilising a team for the WHO Surgical Safety Checklist: a qualitative video study.
Citation Text:
Korkiakangas T. Mobilising a team for the WHO Surgical Safety Checklist: a qualitative video study. BMJ Qual Saf. 2017;26(3):177-188. doi:10.1136/bmjqs-2015-004887.
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psnet.ahrq.gov/issue/progress-preventing-name-confusion-errors
May 07, 2018 - Newspaper/Magazine Article
Progress with preventing name confusion errors.
Citation Text:
Progress with preventing name confusion errors. ISMP Medication Safety Alert! Acute Care Edition. August 9, 2007;12:1-3.
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psnet.ahrq.gov/issue/habits-improver-thinking-about-learning-improvement-health-care
November 25, 2015 - Book/Report
The Habits of an Improver. Thinking About Learning for Improvement in Health Care.
Citation Text:
The Habits of an Improver. Thinking About Learning for Improvement in Health Care. Lucas B, Nacer H. London, UK: Health Foundation; October 2015. ISBN: 9781906461676.
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psnet.ahrq.gov/issue/each-baby-counts-key-messages-2015
July 26, 2017 - Multi-use Website
Each Baby Counts.
Citation Text:
Each Baby Counts. Royal College of Obstetricians and Gynaecologists.
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psnet.ahrq.gov/issue/health-care-facility-design-safety-risk-assessment-toolkit
May 01, 2017 - Toolkit
Health Care Facility Design Safety Risk Assessment Toolkit.
Citation Text:
Health Care Facility Design Safety Risk Assessment Toolkit. Rockville, MD: Agency for Healthcare Research and Quality; 2017.
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psnet.ahrq.gov/issue/attacking-opioid-crisis-head-health-it
November 30, 2016 - Government Resource
Opioid Epidemic & Health IT
Citation Text:
Opioid Epidemic & Health IT Section 4. Health IT Playbook. Office of the National Coordinator for Health Information Technology.
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psnet.ahrq.gov/issue/global-patient-safety-law-policy-and-practice
August 01, 2012 - Book/Report
Global Patient Safety: Law, Policy and Practice.
Citation Text:
Global Patient Safety: Law, Policy and Practice. Tingle J, O'Neill C, Shimwell M. New York, NY: Routledge; 2019. ISBN: 9781138052789.
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