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psnet.ahrq.gov/topics-0
March 03, 2025 - topic
Wrong Patient Go to this topic
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psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-summary
February 26, 2025 - Analysis), and combine them with reactive risk assessments (e.g., Root Cause Analysis) on a single topic … In step 1, CPRA combines proactive risk assessments on a specific health topic (i.e., outpatient blood … reveal system breakdowns and categorize harm. 2 This allows for further failure modes to be noted and topic … Design a project management structure with the following steps: (1) pick a topic (2) choose your team … Improve Health Outcomes
March 29, 2023
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psnet.ahrq.gov/issue/tips-topics-patient-safety
May 24, 2017 - March 5, 2008
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Health Care Providers
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psnet.ahrq.gov/issue/college-american-pathologists-special-topic-symposium-error-pathology-and-laboratory-medicine
May 31, 2006 - Special or Theme Issue
College of American Pathologists Special Topic Symposium on … Citation Text:
College of American Pathologists Special Topic Symposium on Error in Pathology and Laboratory … Cite
Citation
Citation Text:
College of American Pathologists Special Topic … May 31, 2006
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Physicians
Pathology
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psnet.ahrq.gov/issue/wrong-administration-route-medications-domestic-setting-review-underestimated-public-health
December 15, 2021 - administration route of medications in the domestic setting: a review of an underestimated public health topic … administration route of medications in the domestic setting: a review of an underestimated public health topic … administration route of medications in the domestic setting: a review of an underestimated public health topic … July 10, 2008
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Home Care
Pharmacists
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psnet.ahrq.gov/issue/society-improve-diagnosis-medicine
March 27, 2019 - awareness of diagnostic error across the health care industry, and an annual conference devoted to the topic … August 8, 2013
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Physicians
Safety
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psnet.ahrq.gov/perspective/annual-perspective-topics-medication-safety
April 27, 2022 - June 16, 2019
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Researchers
Hospital
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psnet.ahrq.gov/issue/evidence-and-consensus-based-definition-second-victim-strategic-topic-healthcare-quality
September 13, 2023 - Commentary
An evidence and consensus-based definition of second victim: a strategic topic … An evidence and consensus-based definition of second victim: a strategic topic in healthcare quality, … An evidence and consensus-based definition of second victim: a strategic topic in healthcare quality, … July 31, 2019
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Researchers
Hospitals
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psnet.ahrq.gov/issue/trust-5-rights-second-victim
September 12, 2012 - impact of medical error on clinicians and shares interviews with several patient safety experts on this topic … Related Resources
An evidence and consensus-based definition of second victim: a strategic topic … September 19, 2016
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Facility and Group
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psnet.ahrq.gov/issue/simulation-articles-influence
April 20, 2022 - been curated by experts in the simulation field from a set of four primary journals covering the topic … March 17, 2011
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Hospitals
Ambulatory
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psnet.ahrq.gov/issue/icd-11-quality-and-safety-overview-who-quality-and-safety-topic-advisory-group
February 17, 2017 - Commentary
ICD-11 for quality and safety: overview of the WHO Quality and Safety Topic … ICD-11 for quality and safety: overview of the WHO Quality and Safety Topic Advisory Group. … ICD-11 for quality and safety: overview of the WHO Quality and Safety Topic Advisory Group. … May 21, 2014
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Health Care Providers
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psnet.ahrq.gov/issue/wrong-foot-and-other-tales-surgical-error
January 18, 2023 - describes efforts to prevent surgical errors following a Joint Commission sentinel event alert on the topic … July 10, 2008
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Operating Room
Patients
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psnet.ahrq.gov/issue/governing-safety-artificial-intelligence-healthcare
February 28, 2024 - risks associated with integrating artificial intelligence (AI) systems into health care are a popular topic … February 14, 2007
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Risk Managers
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psnet.ahrq.gov/node/844547/psn-pdf
February 15, 2023 - An evidence and consensus-based definition of second
victim: a strategic topic in healthcare quality … An evidence and consensus-based definition of second victim: a
strategic topic in healthcare quality … https://psnet.ahrq.gov/issue/evidence-and-consensus-based-definition-second-victim-strategic-topic- … https://psnet.ahrq.gov/issue/evidence-and-consensus-based-definition-second-victim-strategic-topic-healthcare-quality … https://psnet.ahrq.gov/issue/evidence-and-consensus-based-definition-second-victim-strategic-topic-healthcare-quality
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psnet.ahrq.gov/issue/transformational-effort-patient-safety
October 05, 2022 - The President’s Council of Advisors on Science and Technology brings together topic experts to summarize … October 7, 2020
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Hospitals
Long-Term
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psnet.ahrq.gov/issue/patient-safety-education-what-was-what-and-what-will-be
April 10, 2019 - discusses patient safety education during medical school and describes a framework for integrating this topic … July 14, 2010
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Quality and Safety Professionals
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psnet.ahrq.gov/issue/patient-safety-and-quality-evidence-based-handbook-nurses
May 29, 2024 - Experts in each topic area reviewed the latest published evidence to assemble sections on providing patient-centered … December 14, 2007
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Nurses
Nurse Managers
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psnet.ahrq.gov/issue/appeal-evidence-based-resident-duty-hours-reform
August 09, 2023 - The impact of reductions in resident duty hours has been a topic of debate for decades . … May 20, 2009
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Hospitals
Health Care
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psnet.ahrq.gov/issue/interventions-promote-safety-culture-cancer-care-systematic-review
August 09, 2023 - This review summarizes findings from 18 articles on the topic of safety culture in radiation , medical … December 1, 2011
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Ambulatory Clinic
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psnet.ahrq.gov/issue/unexpected-intraoperative-patient-death-imperatives-family-and-surgeon-centered-care
August 04, 2021 - Also discussed are key aspects of physician self-care following errors, a topic highlighted in a recent … April 19, 2011
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Physicians
Family