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psnet.ahrq.gov/web-mm/over-not-so-easy
April 01, 2005 - Over Not So Easy
Citation Text:
Cucina R. Over Not So Easy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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psnet.ahrq.gov/node/73999/psn-pdf
October 27, 2021 - To Dilute or Not Dilute: Drug Errors and Consequences in
the Operating Room
October 27, 2021
Aldwinckle R, Florendo E. To Dilute or Not Dilute: Drug Errors and Consequences in the Operating Room.
PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
…
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psnet.ahrq.gov/training-catalog
June 01, 2025 - Training Catalog
The AHRQ PSNet Training Catalog is an easy to use resource for healthcare professionals across all settings of care and specialties looking for education opportunities to further their knowledge of patient safety practices and principles. Some training opportunities are available as in-person meeting…
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psnet.ahrq.gov/node/49646/psn-pdf
February 01, 2012 - Poorly Advanced Directives
February 1, 2012
Anderson WG. Poorly Advanced Directives. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/poorly-advanced-directives
The Case
Cared for at home by his wife and family, an 82-year-old man with multiple chronic medical conditions
described his overall health as decli…
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psnet.ahrq.gov/node/33699/psn-pdf
August 01, 2010 - Operationalizing Patient Safety at Academic Medical
Centers
August 1, 2010
Chakraborti C, Kahn MJ, Krane K. Operationalizing Patient Safety at Academic Medical Centers. PSNet
[internet]. 2010.
https://psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers
Perspective
Academic medical…
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psnet.ahrq.gov/node/49625/psn-pdf
May 01, 2011 - Pocket Syringe Swap
May 1, 2011
Kulli JC. Pocket Syringe Swap. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/pocket-syringe-swap
The Case
A 58-year-old man, scheduled for aortoiliac artery bypass graft, had an epidural catheter placed for
postoperative pain management. Surgery proceeded uneventfully under…
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psnet.ahrq.gov/node/33665/psn-pdf
March 01, 2008 - Creation of a Medical Procedure Service to Improve
Patient Safety
March 1, 2008
Smith CC, CHuang G. Creation of a Medical Procedure Service to Improve Patient Safety. PSNet [internet].
2008.
https://psnet.ahrq.gov/perspective/creation-medical-procedure-service-improve-patient-safety
Perspective
Introduction and …
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psnet.ahrq.gov/primer/culture-safety
September 15, 2024 - determining the values, beliefs, norms, and behaviors related to patient safety that are rewarded, supported
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psnet.ahrq.gov/node/33588/psn-pdf
March 15, 2025 - In the study, most clinicians felt unsupported or
under-supported, partly due to ambiguity around whom
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psnet.ahrq.gov/web-mm/transfusion-thresholds-gastrointestinal-bleeding
November 26, 2014 - hemoglobin was still above the restrictive hemoglobin transfusion threshold of 7.0 g/dL (which has been supported … While restricted transfusion is supported by the literature and has been incorporated into guidelines
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psnet.ahrq.gov/web-mm/speaking-patient-safety-what-they-dont-tell-you-training-about-feedback-and-burnout
January 22, 2020 - Strategic decisions, supported by resources, must then follow this belief. … Organizational resources should be focused on ensuring that work settings are supported in these efforts
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psnet.ahrq.gov/node/49588/psn-pdf
August 01, 2009 - psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
supported … In this specific case, it appears that the nursing staff members were not supported in making difficult
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psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
August 21, 2016 - A consensus statement supported by multiple international professional societies including the American … June 29, 2011
Risks in the analogue and digitally-supported medication process and potential
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psnet.ahrq.gov/node/50610/psn-pdf
October 30, 2019 - Despite being an expected part of NICU care, such routine interventions may not be
supported by evidence
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psnet.ahrq.gov/node/72616/psn-pdf
December 22, 2020 - patient errors, hard tissue damage, and soft
tissue damage.7 As noted in the study conclusions and supported
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.185_slideshow.ppt
October 01, 2008 - migrant and farm workers to the health system through a personal health record and identification system supported
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psnet.ahrq.gov/perspective/conversation-withchristine-sinsky-md
February 26, 2025 - If physicians are really happy about their work, enjoying their work, and well supported in their work … study " In Search of Joy in Practice ," because I wasn't certain whether we would find things that supported
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psnet.ahrq.gov/node/33801/psn-pdf
February 01, 2016 - If
physicians are really happy about their work, enjoying their work, and well supported in their work … that study "In Search of Joy in Practice," because I wasn't certain whether we would
find things that supported
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psnet.ahrq.gov/node/33830/psn-pdf
March 22, 2016 - every year in the US due to medical errors, these estimates rely
on flawed methodology and are not supported
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.143_slideshow.ppt
January 01, 2015 - Provider-Centered Care
Many current systems seem designed to meet needs of providers rather than patients, supported