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psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
September 01, 2016 - and Risk Management
Lastly, more robust quality control processes may reduce the likelihood of this type … case, adopting strategies that address system weaknesses will decrease the risk that an error of this type
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psnet.ahrq.gov/issue/diagnosing-overdiagnosis-conceptual-challenges-and-suggested-solutions
September 20, 2023 - Commentary
Diagnosing overdiagnosis: conceptual challenges and suggested solutions.
Citation Text:
Hofmann B. Diagnosing overdiagnosis: conceptual challenges and suggested solutions. Eur J Epidemiol. 2014;29(9):599-604. doi:10.1007/s10654-014-9920-5.
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psnet.ahrq.gov/perspective/conversation-eric-thomas-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - Are there any situations where clinicians might find that type of goal motivating? … Indeed, these kinds of ambitious goals could be thought of as a type of “Big Hairy Audacious Goal,” a
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psnet.ahrq.gov/issue/pain-assessment-and-management-standards-hospitals
September 11, 2019 - Newspaper/Magazine Article
Pain assessment and management standards for hospitals.
Citation Text:
Pain assessment and management standards for hospitals. R3 Report. August 29, 2017;11:1-7.
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psnet.ahrq.gov/issue/no-place-home-advancing-safety-care-home
January 09, 2019 - Book/Report
No Place Like Home: Advancing the Safety of Care in the Home.
Citation Text:
No Place Like Home: Advancing the Safety of Care in the Home. Boston, MA: Institute for Healthcare Improvement; 2018.
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psnet.ahrq.gov/issue/patient-safety-4
September 21, 2022 - Special or Theme Issue
On Patient Safety.
Citation Text:
On Patient Safety. Rickert J, Järvinen TLN, Lee MJ, et al. Clin Orthop Relat Res. 2013-2024.
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psnet.ahrq.gov/issue/hospital-ward-incidents-through-eyes-nurses-thick-description-appeal-and-deadlock-incident
November 15, 2023 - Study
Hospital ward incidents through the eyes of nurses – a thick description on the appeal and deadlock of incident reporting systems.
Citation Text:
Tresfon J, van Winsen R, Brunsveld-Reinders AH, et al. Hospital ward incidents through the eyes of nurses - a thick description on the a…
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psnet.ahrq.gov/issue/patient-empowerment-and-multimodal-hand-hygiene-promotion-win-win-strategy
November 13, 2024 - Review
Patient empowerment and multimodal hand hygiene promotion: a win–win strategy.
Citation Text:
McGuckin M, Storr J, Longtin Y, et al. Patient empowerment and multimodal hand hygiene promotion: a win-win strategy. Am J Med Qual. 2011;26(1):10-7. doi:10.1177/1062860610373138.
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psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
September 01, 2014 - Some clinics and many hospital systems now have financial navigators who can help patients with the type
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psnet.ahrq.gov/web-mm/its-all-syringe
February 01, 2013 - The Case A 33-year-old man with type 2 diabetes presented to his physician's office to discuss his
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psnet.ahrq.gov/curated-library/patient-team-member-clinical-care
March 15, 2025 - observations correlated well to independent direct observations of hand hygiene rates, suggesting that this type
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psnet.ahrq.gov/curated-library/diagnostic-safety-improvement
April 17, 2025 - Breadcrumb
Home
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Curated Libraries
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Diagnostic Safety Improvement
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Created By: Lorri Zipperer, Cybrarian, AHRQ PSNe…
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psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage
August 21, 2024 - First, there never has been a good explanation as to why the type of delivery should affect the definition … other support and tertiary services)
Establish massive and emergency-release transfusion protocols (type-O
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psnet.ahrq.gov/primer/debriefing-clinical-learning
September 15, 2024 - Considerations for the type of debriefing to hold may include the seriousness of the event, the number … Establishing psychological safety for participants is essential, regardless of the type of debriefing
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psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
May 31, 2023 - Existing research, information systems, policies, processes and checklists can provide the basis for this type
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psnet.ahrq.gov/node/33582/psn-pdf
September 15, 2024 - Detection of Safety Hazards
September 15, 2024
Detection of Safety Hazards. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/detection-safety-hazards
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient s…
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psnet.ahrq.gov/primer/systems-approach
June 15, 2024 - Specific solutions thus vary widely depending on the type of latent error, the severity of the error,
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psnet.ahrq.gov/primers-0
March 15, 2025 - Primers
Guides for key topics in patient safety through context, epidemiology, and relevant AHRQ PSNet content. The Patient Safety 101 Primer provides an overview of the patient safety field and covers key definitions and concepts.
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Clinical Decision Support Systems
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psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
September 23, 2024 - Rescue Improvement Conference Innovation Summary
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July 23, 2024
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Innovation
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psnet.ahrq.gov/node/33594/psn-pdf
November 18, 2021 - Considerations for the type of debriefing to hold may include the seriousness
of the event, the number … Establishing psychological safety for participants is
essential, regardless of the type of debriefing