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psnet.ahrq.gov/web-mm/preventable-rash
October 01, 2012 - Data from disease case reports (with personal identifiers removed) are also submitted to the CDC, which … April 29, 2020
Differences in safety report event types submitted by graduate medical
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psnet.ahrq.gov/node/33610/psn-pdf
April 01, 2005 - Introducing the New AHRQ WebM&M and AHRQ Patient
Safety Network (PSNet)
April 1, 2005
Wachter R. Introducing the New AHRQ WebM&M and AHRQ Patient Safety Network (PSNet). PSNet
[internet]. 2005.
https://psnet.ahrq.gov/perspective/introducing-new-ahrq-webmm-and-ahrq-patient-safety-network-psnet
Editorial
Five year…
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psnet.ahrq.gov/node/60610/psn-pdf
June 24, 2020 - The case was submitted by
Madalene Zale, MPH and Allyson Bontempo, MA PhD candidate.
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psnet.ahrq.gov/submit-user-feedback
May 23, 2025 - Provide Feedback
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psnet.ahrq.gov/web-mm/failure-report
July 01, 2008 - For example, in the 2 years following addition of a 24-hour call center, incident reports submitted to … In the first 5 years since its inception, more than 140,000 incident reports were submitted.( 20 ) Availability
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psnet.ahrq.gov/toolkits
March 01, 2025 - Falls, wrong surgery and unintended retained foreign bodies were among the most frequently submitted
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psnet.ahrq.gov/node/35239/psn-pdf
August 02, 2023 - American Hospital Association–McKesson Quest for
Quality Prize.
August 2, 2023
American Hospital Association.
https://psnet.ahrq.gov/issue/american-hospital-association-mckesson-quest-quality-prize-1
This award program recognizes organization-wide commitment to five key goals that support high-quality
health care…
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psnet.ahrq.gov/node/35632/psn-pdf
February 03, 2025 - Anesthesia Patient Safety Foundation (APSF) Grant
Program.
February 3, 2025
Anesthesia Patient Safety Foundation.
https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-apsf-grant-program
This grant program supports research that seeks to improve anesthesia safety and the development of
researchers in …
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psnet.ahrq.gov/web-mm/endometriosis-common-and-commonly-missed-and-delayed-diagnosis
May 26, 2021 - The case was submitted by Madalene Zale, MPH and Allyson Bontempo, MA PhD candidate.
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psnet.ahrq.gov/node/60162/psn-pdf
March 25, 2020 - Patient Safety Improvement Act of 2020.
March 25, 2020
SB 3380. 116th Congress (2020).
https://psnet.ahrq.gov/issue/patient-safety-improvement-act-2020
This bill submits amendments to existing US federal law to strengthen state-organized efforts to improve
health care-associated infection control efforts, pediatri…
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psnet.ahrq.gov/node/72862/psn-pdf
March 17, 2021 - Cutaneous Procedures Adverse Events Reporting
(CAPER).
March 17, 2021
The American Society for Dermatologic Surgery Association and the Northwestern University Department
of Dermatology.
https://psnet.ahrq.gov/issue/cutaneous-procedures-adverse-events-reporting-caper
Voluntary reporting systems collect adverse ev…
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psnet.ahrq.gov/node/46708/psn-pdf
February 08, 2023 - FDA/ISMP Safe Medication Management Fellowship
Program.
February 8, 2023
Food and Drug Administration, Institute for Safe Medication Practices.
https://psnet.ahrq.gov/issue/fdaismp-safe-medication-management-fellowship-program
This fellowship program provides clinicians with learning opportunities at the Institute…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.110_slideshow.ppt
December 01, 2005 - .): Low on the Totem Pole
Shortly after this incident, the student submitted a report outlining the
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psnet.ahrq.gov/node/60745/psn-pdf
October 01, 2020 - The submitted case highlights how a variety of factors and quality gaps may
contribute to errors during … with regulatory requirements while also employing the above-mentioned safety strategies.15 In
our submitted
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psnet.ahrq.gov/node/43202/psn-pdf
September 11, 2023 - ISMP Survey on High-Alert Medications in Acute Care
Settings.
September 11, 2023
Plymouth Meeting, PA: Institute for Safe Medication Practices; 2023.
https://psnet.ahrq.gov/issue/ismp-survey-high-alert-medications-acute-care-settings
Experience from the sharp end helps to inform safety improvement initiatives. The…
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psnet.ahrq.gov/node/864385/psn-pdf
April 05, 2024 - Common Formats for Patient Safety Data Collection.
March 13, 2024
Agency for Healthcare Research and Quality. Fed Register. Mar 6, 2024;89(45);15992.
https://psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection
A standard system for voluntary reporting to patient safety organizations improves measurem…
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psnet.ahrq.gov/node/864352/psn-pdf
March 13, 2024 - Creating a just culture in the perioperative setting.
March 13, 2024
Hooven K, Altmiller G. Creating a just culture in the perioperative setting. AORN J. 2024;119(2):152-160.
doi:10.1002/aorn.14074.
https://psnet.ahrq.gov/issue/creating-just-culture-perioperative-setting
Fear of retaliation by leaders or colleague…
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psnet.ahrq.gov/node/866169/psn-pdf
June 19, 2024 - Safe and equitable pediatric clinical use of AI.
June 19, 2024
Handley JL, Lehmann CU, Ratwani RM. Safe and equitable pediatric clinical use of AI. JAMA Pediatr.
2024;178(7):637-638. doi:10.1001/jamapediatrics.2024.0897.
https://psnet.ahrq.gov/issue/safe-and-equitable-pediatric-clinical-use-ai
Accepting shared res…
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psnet.ahrq.gov/node/38788/psn-pdf
July 15, 2009 - Breaking the mould in patient safety.
July 15, 2009
Degos L, Amalberti R, Bacou J, et al. Breaking the mould in patient safety. BMJ. 2009;338:b2585.
doi:10.1136/bmj.b2585.
https://psnet.ahrq.gov/issue/breaking-mould-patient-safety
The authors submit that a broader approach to patient safety would better improve th…
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psnet.ahrq.gov/node/40833/psn-pdf
October 05, 2011 - Personal best.
October 5, 2011
Gawande A. New Yorker. October 3, 2011.
https://psnet.ahrq.gov/issue/personal-best
This magazine article explores the role of coaches in helping high-performing professionals, such as
musicians and athletes, improve their performance. By submitting to observation in the operating roo…