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psnet.ahrq.gov/node/47144/psn-pdf
June 13, 2018 - Canadian Anesthesia Incident Reporting System.
June 13, 2018
Canadian Anaesthesiologists Society.
https://psnet.ahrq.gov/issue/canadian-anesthesia-incident-reporting-system
Reporting mistakes in anesthesiology practice can motivate and inform error reduction work. This website
provides a secure tool for submitting…
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psnet.ahrq.gov/node/60927/psn-pdf
September 16, 2020 - Amid COVID-19, discipline against bad doctors plummets;
more medical errors may slip through cracks.
September 16, 2020
O'Donnell J. USA Today. September 8, 2020
https://psnet.ahrq.gov/issue/amid-covid-19-discipline-against-bad-doctors-plummets-more-medical-errors-
may-slip-through
Management and clinical functio…
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psnet.ahrq.gov/node/72644/psn-pdf
February 01, 2021 - Best Practices in Developing Proprietary Names for
Human Nonprescription Drug Products.
January 13, 2021
Rockville, MD: US Department of Health and Human Services, Food and Drug Administration, Center for
Drug Evaluation and Research; December 7, 2020.
https://psnet.ahrq.gov/issue/best-practices-developing-p…
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psnet.ahrq.gov/node/867044/psn-pdf
October 30, 2024 - "Near miss": a mixed-methods analysis of medical
student assignments in patient safety.
October 30, 2024
Plugge T, Breviu A, Lappé K, et al. "Near miss": a mixed-methods analysis of medical student assignments
in patient safety. Am J Med Qual. 2024;39(4):168-173. doi:10.1097/jmq.0000000000000196.
https://psnet.ahr…
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psnet.ahrq.gov/node/49531/psn-pdf
March 01, 2007 - For example, in the 2 years following addition of a 24-hour call center, incident reports submitted … 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/node/47185/psn-pdf
June 27, 2018 - Why we need a single definition of disruptive behavior.
June 27, 2018
Petrovic MA, Scholl AT. Why We Need a Single Definition of Disruptive Behavior. Cureus.
2018;10(3):e2339. doi:10.7759/cureus.2339.
https://psnet.ahrq.gov/issue/why-we-need-single-definition-disruptive-behavior
Disruptive behavior affects patient…
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psnet.ahrq.gov/node/35042/psn-pdf
November 05, 2015 - Adherence to simple and effective measures reduces the
incidence of ventilator-associated pneumonia:
[L'observation de mesures simples et efficaces reduit
l'incidence de pneumonie associee a la ventilation
mecanique].
November 5, 2015
Baxter AD, Allan J, Bedard J, et al. Adherence to simple and effective measures…
-
psnet.ahrq.gov/node/42602/psn-pdf
October 16, 2013 - Solicitation for written comments on draft National Action
Plan for Adverse Drug Event Prevention.
October 16, 2013
Federal Register. Washington, DC: Office of Disease Prevention and Health Promotion. September 4,
2013;78:54469-54470.
https://psnet.ahrq.gov/issue/solicitation-written-comments-draft-national-action…
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psnet.ahrq.gov/node/854985/psn-pdf
November 01, 2023 - A systematic narrative review of coroners’ Prevention of
Future Deaths reports (PFDs): a tool for patient safety in
hospitals.
November 1, 2023
Bremner BT, Heneghan CJ, Aronson JK, et al. A systematic narrative review of coroners’ Prevention of
Future Deaths reports (PFDs): a tool for patient safety in hospitals. …
-
psnet.ahrq.gov/node/837890/psn-pdf
August 24, 2022 - Accuracy of pressure ulcer events in US nursing home
ratings.
August 24, 2022
Chen Z, Gleason LJ, Sanghavi P. Accuracy of pressure ulcer events in US nursing home ratings. Med
Care. 2022;60(10):775-783. doi:10.1097/mlr.0000000000001763.
https://psnet.ahrq.gov/issue/accuracy-pressure-ulcer-events-us-nursing-home-ra…
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psnet.ahrq.gov/node/33657/psn-pdf
September 01, 2007 - Here's how it works:
Cases are submitted to and are screened by a dedicated Matrix moderator.
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psnet.ahrq.gov/node/866315/psn-pdf
July 17, 2024 - Physician specialty differences in unprofessional
behaviors observed and reported by coworkers.
July 17, 2024
Cooper WO, Hickson GB, Dmochowski RR, et al. Physician specialty differences in unprofessional
behaviors observed and reported by coworkers. JAMA Netw Open. 2024;7(6):e2415331.
doi:10.1001/jamanetworkopen.…
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psnet.ahrq.gov/node/867082/psn-pdf
November 06, 2024 - Learning in radiation oncology: 12-month experience with
a new incident learning system.
November 6, 2024
Crouch K, Adamson L, Beldham?Collins R, et al. Learning in radiation oncology: 12?month experience with
a new incident learning system. J Med Radiat Sci. 2024;Epub Sep 15. doi:10.1002/jmrs.823.
https://psnet.a…
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psnet.ahrq.gov/node/41573/psn-pdf
October 30, 2013 - The medical student as a patient: attitudes towards
involvement in the quality and safety of health care.
October 30, 2013
Davis R, Joshi D, Patel K, et al. The medical student as a patient: attitudes towards involvement in the
quality and safety of health care. J Eval Clin Pract. 2013;19(5):812-8. doi:10.1111/j.13…
-
psnet.ahrq.gov/node/60361/psn-pdf
May 20, 2020 - Novel, High-Impact Studies Evaluating Health System and
Healthcare Professional Responsiveness to COVID-19
(R01).
May 20, 2020
Rockville, MD: Agency for Healthcare Research and Quality; May 14, 2020.
https://psnet.ahrq.gov/issue/novel-high-impact-studies-evaluating-health-system-and-healthcare-
professional-respo…
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psnet.ahrq.gov/issue/aacn-standards-establishing-and-sustaining-healthy-work-environments-journey-excellence
January 27, 2021 - Organizational Policy/Guidelines
AACN Standards for Establishing and Sustaining Healthy Work Environments: A Journey to Excellence.
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psnet.ahrq.gov/node/73650/psn-pdf
August 25, 2021 - Coming up for Err: Missed Diagnosis in a Patient with
Recurrent Pneumothorax
August 25, 2021
Carlile N, El-Chemaly S, Schiff G. Coming up for Err – Missed Diagnosis in a Patient with Recurrent
Pneumothorax. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumoth…
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psnet.ahrq.gov/node/841469/psn-pdf
December 14, 2022 - Strongyloides: A Hidden Traveler and Potentially Lethal
Missed Diagnosis.
December 14, 2022
Carlile N, Smith CL, Maguire JH, et al. Strongyloides: A Hidden Traveler and Potentially Lethal Missed
Diagnosis. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-mi…
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psnet.ahrq.gov/node/47002/psn-pdf
April 25, 2018 - Making Health Care Safer in Ambulatory Care Settings
and Long Term Care Facilities (R18).
April 25, 2018
Rockville, MD: Agency for Healthcare Research and Quality; April 10, 2018. PA-18-750.
https://psnet.ahrq.gov/issue/making-health-care-safer-ambulatory-care-settings-and-long-term-care-
facilities-r18
Research …
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psnet.ahrq.gov/node/44351/psn-pdf
October 21, 2015 - Heparin-containing medical devices and combination
products: recommendations for labeling and safety
testing. Draft guidance for industry and Food and Drug
Administration staff.
October 21, 2015
Federal Register. Washington, DC: US Department of Health and Human Services. Baltimore, MD: Food
and Drug Administrati…