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psnet.ahrq.gov/issue/im-sorry-why-so-hard-doctors-say
November 10, 2010 - Newspaper/Magazine Article
"I'm sorry": Why is that so hard for doctors to say?
Citation Text:
"I'm sorry": Why is that so hard for doctors to say? O'Reilly KB.
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psnet.ahrq.gov/issue/learning-management-system
April 30, 2024 - Multi-use Website
Learning Management System.
Citation Text:
Learning Management System. Patient Safety Authority.
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psnet.ahrq.gov/issue/hospitals-target-risks-color-wristbands
August 17, 2016 - Newspaper/Magazine Article
Hospitals target risks of color wristbands.
Citation Text:
Hospitals target risks of color wristbands. Landro L.
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psnet.ahrq.gov/node/46499/psn-pdf
May 17, 2018 - Evaluation of the association between Nursing Home
Survey on Patient Safety culture (NHSOPS) measures and
catheter-associated urinary tract infections: results of a
national collaborative.
May 17, 2018
Smith SN, Greene MT, Mody L, et al. Evaluation of the association between Nursing Home Survey on
Patient Safety …
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psnet.ahrq.gov/submit-your-toolkit-landing
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/issue/best-medicine-fixing-modern-hospital
February 06, 2008 - Newspaper/Magazine Article
The best medicine for fixing the modern hospital.
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December 12, 2012
View more articles from the same auth…
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psnet.ahrq.gov/web-mm/missed-opportunities-suicide-risk-assessment
September 27, 2023 - been resolved through UC Davis Health, Office of Continuing Medical Education procedures to meet ACCME standards
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psnet.ahrq.gov/node/33830/psn-pdf
March 22, 2016 - Measuring and Responding to Deaths From Medical
Errors
March 22, 2016
Ranji SR. Measuring and Responding to Deaths From Medical Errors. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/measuring-and-responding-deaths-medical-errors
Annual Perspective 2016
The Prevalence of Deaths Due to Preventable Adve…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.155_slideshow.ppt
July 01, 2007 - Spotlight Case [MONTH] 2003
Spotlight Case July 2007
Resuscitation Errors:
A Shocking Problem
Source and Credits
This presentation is based on the July 2007
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available online
Commentary by: Benjamin Abella, MD, MPhil, …
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psnet.ahrq.gov/node/33884/psn-pdf
July 01, 2019 - Emerging Safety Issues in Artificial Intelligence
July 1, 2019
Challen R. Emerging Safety Issues in Artificial Intelligence. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/emerging-safety-issues-artificial-intelligence
Perspective
Background
Since the beginning of digital health records, there has bee…
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psnet.ahrq.gov/node/33881/psn-pdf
August 01, 2019 - In Conversation With… Erik Hollnagel, PhD
June 1, 2019
In Conversation With… Erik Hollnagel, PhD. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/conversation-erik-hollnagel-phd
Editor's note: Dr. Hollnagel is Senior Professor of Patient Safety at the University of Jönköping (Sweden)
as well as Visiting…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.317_slideshow.ppt
March 01, 2014 - PowerPoint Presentation
Spotlight Case
Tough Call: Addressing Errors From Previous Providers
1
This presentation is based on the March 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: William Martinez, MD, MS, Assistant Professor of Medicine, …
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psnet.ahrq.gov/innovation/behavioral-health-vital-signs-initiative-increases-patient-education-and-disclosure
February 26, 2025 - “Behavioral Health Vital Signs” Initiative Increases Patient Education and Disclosure about Interpersonal Violence (IPV)
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June 30, 2021
Innovat…
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psnet.ahrq.gov/perspective/innovations-promoting-hand-hygiene-compliance
May 01, 2014 - identification devices use ZigBee technology (wireless communication protocol based on IEEE 802.15.3 standards
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psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
January 04, 2024 - surgical sponges (gauze sponges with a radiopaque marker) are supposed to be in each pack by industry standards
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psnet.ahrq.gov/node/33708/psn-pdf
March 01, 2011 - that work best are when you have the sender and the receiver in the same place, overlapping
shifts, standardization
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psnet.ahrq.gov/web-mm/navigating-chaos-fatal-iatrogenic-liver-injury-patient-admitted-leg-fractures
November 27, 2019 - been established to triage patients of this type to hospitals (i.e., trauma centers) that meet defined standards
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psnet.ahrq.gov/node/49863/psn-pdf
May 01, 2019 - Commander's Aviation Training and Standardization Program. August 2016. TC 3-04.11
12.
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psnet.ahrq.gov/issue/many-mass-hospitals-will-pay-errors
August 24, 2016 - Newspaper/Magazine Article
Many Mass. hospitals will pay for errors.
Citation Text:
Many Mass. hospitals will pay for errors. Kowalczyk L.
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psnet.ahrq.gov/issue/life-error-little-slips-big-disasters
October 04, 2017 - Book/Report
A Life in Error: From Little Slips to Big Disasters.
Citation Text:
A Life in Error: From Little Slips to Big Disasters. Reason J. Farnham Surrey, UK: Ashgate Publishing; 2013. ISBN: 9781472418418.
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