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psnet.ahrq.gov/node/34124/psn-pdf
April 16, 2018 - TIPS (Topics in Patient Safety).
April 16, 2018
National Center for Patient Safety.
https://psnet.ahrq.gov/issue/tips-topics-patient-safety
The National Center for Patient Safety provides six issues of this general interest newsletter each year. The
site houses an archive that spans from 2001 to 2019 when it cease…
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psnet.ahrq.gov/node/42126/psn-pdf
November 30, 2016 - 2015 Patient Safety Core Topics and Tips.
November 30, 2016
Chicago, IL: American Society for Healthcare Risk Management; 2015.
https://psnet.ahrq.gov/issue/2015-patient-safety-core-topics-and-tips
This fact sheet lists 10 patient safety concerns such as adverse drug events and offers tips to address
them.
https:…
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psnet.ahrq.gov/issue/improving-patient-safety-through-simulation-research
January 09, 2024 - Intubation Mishap
September 1, 2003
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psnet.ahrq.gov/node/42808/psn-pdf
December 18, 2013 - discusses patient safety education during medical school and describes a framework for
integrating this topic
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psnet.ahrq.gov/node/35460/psn-pdf
June 17, 2014 - psnet.ahrq.gov/issue/medication-safety-issue-brief-look-alike-sound-alike-drugs
This issue brief summarizes the topic
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psnet.ahrq.gov/node/37268/psn-pdf
December 16, 2011 - A prior AHRQ WebM&M commentary also
discussed this topic.
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psnet.ahrq.gov/issue/handbook-perioperative-and-procedural-patient-safety
December 01, 2021 - April 1, 2020
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Outpatient Surgery
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psnet.ahrq.gov/issue/neuromuscular-blocking-agents-reducing-associated-wrong-drug-errors
April 26, 2023 - September 14, 2011
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General Hospitals
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psnet.ahrq.gov/issue/gooddxorg
August 07, 2019 - July 14, 2010
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Health Care Providers
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psnet.ahrq.gov/issue/safe-patient-outcomes-occur-timely-standardized-communication-critical-values
January 15, 2020 - March 18, 2010
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Health Care Providers
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psnet.ahrq.gov/issue/safe-rx-awards
August 02, 2023 - June 11, 2013
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Health Care Providers
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psnet.ahrq.gov/issue/patients-and-providers-perceptions-preventability-hospital-readmission-prospective
September 07, 2016 - Related Resources
An evidence and consensus-based definition of second victim: a strategic topic … September 21, 2016
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Hospitals
Facility
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psnet.ahrq.gov/node/38550/psn-pdf
May 08, 2018 - Fatal outcome after inadvertent injection of topical
epinephrine.
May 8, 2018
ISMP Medication Safety Alert! Acute Care Edition. March 26, 2009;14:1-2.
https://psnet.ahrq.gov/issue/fatal-outcome-after-inadvertent-injection-topical-epinephrine
This article reports on the mistaken administration of a high-alert medic…
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psnet.ahrq.gov/issue/2004-ashp-leadership-conference-pharmacy-practice-management-executive-summary-improving
June 16, 2019 - Promote a Culture of Safety
April 1, 2006
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-24
June 16, 2019 - May 11, 2014
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Pharmacists
Hospital
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psnet.ahrq.gov/issue/patient-safety-tools-improving-safety-point-care-0
September 08, 2021 - May 9, 2013
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Health Care Providers
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psnet.ahrq.gov/issue/when-doctor-too-old-job
March 04, 2020 - March 2, 2011
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Operating Room
Physicians
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psnet.ahrq.gov/patient-safety-101
March 26, 2025 - Patient Safety 101: The Fundamentals
What is Patient Safety?
The breadth of the field of patient safety is captured in various definitions. It has been defined as avoiding harm to patients from care that is intended to help them. 1 It involves the prevention and mitigation of harm caused by err…
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psnet.ahrq.gov/node/865683/psn-pdf
https://psnet.ahrq.gov/issue/our-stubborn-quest-diagnostic-certainty
The topic of uncertainty has been
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psnet.ahrq.gov/node/40522/psn-pdf
June 08, 2011 - criteria for assessing patient safety practices and presents
recommendations for future research on this topic