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psnet.ahrq.gov/perspective/conversation-christopher-p-landrigan-md-mph
April 01, 2013 - The second problem is that realistically when you look at workforce trends in the United States, with … My suspicion would be that in the States things are more likely to go that way than mandated work hours … Accreditation Council for Graduate Medical Education (ACGME) oversees all graduate medical education in the United … States, including all accredited residency and fellowship programs. … laparoscopic surgery skills (measured via simulation) have been shown to be worse in sleep-deprived states
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psnet.ahrq.gov/node/49408/psn-pdf
July 01, 2003 - James Reason, who has studied a wide range of human errors and systems
factors that can reduce them, states
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psnet.ahrq.gov/web-mm/right-regimen-wrong-cancer-patient-catches-medical-error
August 01, 2006 - In a more recent study of nearly 1400 adult and pediatric patient visits to four United States cancer
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psnet.ahrq.gov/perspective/harm-reduction-strategies-improve-safety-people-who-use-substances
October 30, 2024 - Drug overdose deaths in the United States, 2002-2022. NCHS Data Brief, No. 491. March 2024. … Systematic review of the emerging literature on the effectiveness of naloxone access laws in the United … States. … In many states, Medicaid covers naloxone, often with no copay. … We've seen some states change legislation to make drug-checking legal.
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psnet.ahrq.gov/perspective/conversation-elizabeth-salisbury-afshar-about-harm-reduction-strategies-improve-safety
October 30, 2024 - In many states, Medicaid covers naloxone, often with no copay. … We've seen some states change legislation to make drug-checking legal. … Drug overdose deaths in the United States, 2002-2022. NCHS Data Brief, No. 491. March 2024. … Systematic review of the emerging literature on the effectiveness of naloxone access laws in the United … States.
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psnet.ahrq.gov/node/49510/psn-pdf
May 01, 2006 - Regulations of nursing education in most states require a lower ratio for
students in their initial
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psnet.ahrq.gov/node/60519/psn-pdf
May 27, 2020 - Reducing the risk of diagnostic error in the COVID-19 era.
May 27, 2020
Gandhi TK, Singh H. Reducing the risk of diagnostic error in the COVID-19 era. J. Hosp Med.
2020;15(6):363-366. doi:10.12788/jhm.3461.
https://psnet.ahrq.gov/issue/reducing-risk-diagnostic-error-covid-19-era
The authors present a nomenclature …
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psnet.ahrq.gov/node/47729/psn-pdf
April 10, 2019 - This
commentary summarizes the current state of pediatric patient safety improvement efforts in the United
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psnet.ahrq.gov/node/35726/psn-pdf
February 09, 2011 - greater attention to fatigue in clinical settings and the importance of
physicians' acknowledging such states
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psnet.ahrq.gov/node/49424/psn-pdf
November 01, 2003 - Waiting Too Long
November 1, 2003
Rosen MA. Waiting Too Long. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/waiting-too-long
The Case
A 31-year-old gravida 1, para 1 woman presented at 40 weeks in the early stages of labor having received
limited prenatal care at an outside clinic. Physical exam performed…
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psnet.ahrq.gov/web-mm/home-medications-contribute-unique-opportunity-error-discharge-hospital
May 16, 2022 - or if there was an imbalance of authority. 4 Home medication storage during hospitalization In the United … States, each health care system has its own Pharmacy and Therapeutics Committee responsible for formulary
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psnet.ahrq.gov/issue/amc-pso-resource-center
November 17, 2021 - Multi-use Website
AMC PSO Resource Center.
Citation Text:
AMC PSO Resource Center. Academic Medical Center Patient Safety Organization.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-43
September 26, 2017 - Safer Connectors in the United Kingdom; Value of the Independent Double-Check; Medication Errors Column … Safer Connectors in the United Kingdom; Value of the Independent Double-Check; Medication Errors Column
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psnet.ahrq.gov/issue/improving-patient-safety-team-coordination-challenges-and-strategies-implementation
February 12, 2020 - Commentary
Improving patient safety with team coordination: challenges and strategies of implementation.
Citation Text:
Improving patient safety with team coordination: challenges and strategies of implementation. Harris KT; Treanor CM; Salisbury ML.
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psnet.ahrq.gov/issue/health-it-implementation-stories-hands-care-plan-tool-seeks-improve-nurse-communication
December 24, 2008 - Newspaper/Magazine Article
Health IT implementation stories: HANDS care plan tool seeks to improve nurse communication at handoff in AHRQ-funded study.
Citation Text:
Health IT implementation stories: HANDS care plan tool seeks to improve nurse communication at handoff in AHRQ-funde…
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psnet.ahrq.gov/issue/toolkit-reducing-cauti-hospitals
June 21, 2016 - Toolkit
Toolkit for Reducing CAUTI in Hospitals.
Citation Text:
Toolkit for Reducing CAUTI in Hospitals. Rockville, MD: Agency for Healthcare Research and Quality; October 2015.
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psnet.ahrq.gov/issue/safer-clinical-systems-evaluation-findings
March 03, 2025 - This report discusses the results of a United Kingdom initiative exploring how safety strategies from … Identifying safety practices perceived as low value: an exploratory survey of healthcare staff in the United
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psnet.ahrq.gov/issue/understanding-models-error-and-how-they-apply-clinical-practice
October 11, 2016 - June 27, 2016
Analysis of pharmacist-identified medication-related problems at two United
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psnet.ahrq.gov/node/42055/psn-pdf
April 24, 2013 - https://psnet.ahrq.gov/issue/report-mid-staffordshire-nhs-foundation-trust-public-inquiry
In 2010 the United
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psnet.ahrq.gov/node/36186/psn-pdf
September 30, 2010 - Findings of the first consensus conference on medical
emergency teams.
September 30, 2010
DeVita MA, Bellomo R, Hillman KM, et al. Findings of the First Consensus Conference on Medical
Emergency Teams*. Crit Care Med. 2006;34(9). doi:10.1097/01.ccm.0000235743.38172.6e.
https://psnet.ahrq.gov/issue/findings-first-c…