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psnet.ahrq.gov/issue/good-bad-and-ugly-patient-experiences-crps
February 28, 2024 - Webinar
The Good, The Bad, and The Ugly: Patient Experiences with CRPs.
Citation Text:
The Good, The Bad, and The Ugly: Patient Experiences with CRPs. Collaborative for Accountability and Improvement. October 21, 2021.
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psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters
October 04, 2023 - The type of surgical procedure may alter options for safe venous cannulation. … anticipated blood loss and triggered a discussion between the anesthesiologist and the surgeon regarding the type
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psnet.ahrq.gov/issue/frequency-diagnostic-errors-outpatient-care-estimations-three-large-observational-studies
April 09, 2013 - Study
Classic
The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult populations.
Citation Text:
Singh H, Meyer AND, Thomas EJ. The frequency of diagnostic errors in outpatient care: estimatio…
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psnet.ahrq.gov/issue/patient-feedback-reporting-tool-opennotes-implications-patient-clinician-safety-and-quality
June 06, 2018 - Study
A patient feedback reporting tool for OpenNotes: implications for patient–clinician safety and quality partnerships.
Citation Text:
Bell SK, Gerard M, Fossa A, et al. A patient feedback reporting tool for OpenNotes: implications for patient-clinician safety and quality partnerships…
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psnet.ahrq.gov/issue/errors-palliative-care-kinds-causes-and-consequences-pilot-survey-experiences-and-attitudes
December 04, 2016 - Study
Errors in palliative care: kinds, causes, and consequences: a pilot survey of experiences and attitudes of palliative care professionals.
Citation Text:
Dietz I, Borasio GD, Molnar C, et al. Errors in palliative care: kinds, causes, and consequences: a pilot survey of experiences a…
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psnet.ahrq.gov/issue/electronic-health-record-based-surveillance-diagnostic-errors-primary-care
April 09, 2013 - Study
Electronic health record-based surveillance of diagnostic errors in primary care.
Citation Text:
Singh H, Giardina TD, Forjuoh SN, et al. Electronic health record-based surveillance of diagnostic errors in primary care. BMJ Qual Saf. 2012;21(2):93-100. doi:10.1136/bmjqs-2011-0003…
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psnet.ahrq.gov/glossary/latent-error-or-latent-condition
September 13, 2021 - Latent Error (or Latent Condition)
September 13, 2021
Anonymous (not verified)
The terms active and latent as applied to errors were coined by Reason . Latent errors (or latent conditions) refer to less apparent failures of organization or design that contributed to the occurrence of errors or allowed them…
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psnet.ahrq.gov/curated-library/opioid-stewardship
December 15, 2024 - Library Organization
Content Type - This library is organized by the PSNet default organization
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psnet.ahrq.gov/node/47913/psn-pdf
April 10, 2019 - Improving standardization of paging communication
using quality improvement methodology.
April 10, 2019
Weigert RM, Schmitz AH, Soung PJ, et al. Improving Standardization of Paging Communication Using
Quality Improvement Methodology. Pediatrics. 2019;143(4). doi:10.1542/peds.2018-1362.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/issue/working-conditions-primary-care-physician-reactions-and-care-quality
July 13, 2010 - September 1, 2021
Safety climate and its association with office type and team involvement
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psnet.ahrq.gov/issue/effect-patient-and-medication-related-factors-inpatient-medication-reconciliation-errors
May 08, 2017 - Medication-related hospital readmissions within 30 days of discharge: prevalence, preventability, type
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psnet.ahrq.gov/issue/large-scale-implementation-i-pass-handover-system-academic-medical-centre
March 27, 2018 - perspectives of residency holdover handoffs: a qualitative study to understand an increasingly important type
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psnet.ahrq.gov/issue/variation-printed-handoff-documents-results-and-recommendations-multicenter-needs-assessment
June 25, 2014 - perspectives of residency holdover handoffs: a qualitative study to understand an increasingly important type
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psnet.ahrq.gov/web-mm/falling-between-cracks-software
March 09, 2011 - e-prescribing), it has been challenging to get all stakeholders to agree on a single standard for a given type … patient consent requirements for health information sharing vary from state to state and based on the type
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psnet.ahrq.gov/issue/tutorial-ahrq-sopsr-data-entry-and-analysis-tool
December 10, 2024 - Audiovisual Presentation
AHRQ’s Surveys on Patient Safety Culture® Program: An Overview for New Users.
Citation Text:
AHRQ’s Surveys on Patient Safety Culture® Program: An Overview for New Users. Rockville, MD: Agency for Healthcare Research and Quality. January 15, 2025.
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psnet.ahrq.gov/print/pdf/node/854855
January 01, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Patient as a Team Member in Clinical Care
Curated Library
Foundations
Patient Engagement for Patient Safety: The Why, What, and How of Patient Engagement for Improving
Patient Safety.
Kendir C, Fujisawa R, Brito Fernandes O, et al. Paris, F…
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psnet.ahrq.gov/primer/long-term-care-and-patient-safety
February 24, 2022 - Each type of long-term care setting provides different services and is suitable for different types of … Adverse drug events were the most common type of adverse event in the 2014 OIG study as well as in other
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psnet.ahrq.gov/web-mm/x-ray-flip
August 10, 2019 - is difficult to determine based on available epidemiologic studies.( 1-3 ) Wrong site surgery, one type
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psnet.ahrq.gov/curated-library/medicationdrug-errors
March 12, 2021 - Library Organization
Content Type - This library is organized by the PSNet default organization
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psnet.ahrq.gov/perspective/emergence-application-based-healthcare
August 05, 2022 - Healthcare apps are personalized for the type of end-user. … You might also have an iPad or some other type of tablet that can similarly run these apps. … nonclinical teams who are creating these medical apps, that presents a patient safety challenge because that type