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psnet.ahrq.gov/issue/fentanyl-patch-can-be-deadly-children
January 13, 2021 - Available at
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Information for providers
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psnet.ahrq.gov/issue/mha-keystone-center-patient-safety-and-quality
May 01, 2023 - January 30, 2019
TeamSTEPPS Video Toolkit.
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psnet.ahrq.gov/issue/deadly-deliveries
March 30, 2022 - Free full text
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psnet.ahrq.gov/issue/2008-recommendations-pre-anesthesia-checkout-procedures
April 22, 2020 - December 17, 2008
TeamSTEPPS Video Toolkit.
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psnet.ahrq.gov/issue/condition-help
October 04, 2023 - , 2017
Patients' and families' perspectives of patient safety at the end of life: a video-reflexive
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psnet.ahrq.gov/issue/nam-scholars-diagnostic-excellence-program
April 28, 2021 - Perspective: Topics in Medication Safety
March 31, 2022
Diagnostic Excellence Video
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psnet.ahrq.gov/issue/how-implicit-bias-harm-patient-care
December 04, 2019 - March 18, 2010
Video games can help cut surgical errors.
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psnet.ahrq.gov/issue/joint-commission-center-transforming-healthcare
February 28, 2018 - This video set provides information about the Center and its goals.
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psnet.ahrq.gov/node/48190/psn-pdf
June 17, 2024 - APSF Stoelting Conference.
June 17, 2024
Anesthesia Patient Safety Foundation. Markell Conference Center, Somerville, MA, September 4–5, 2024.
https://psnet.ahrq.gov/issue/apsf-stoelting-conference
Anesthesia is a high-risk activity that has achieved safety successes. This hybrid conference explored
topics related…
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psnet.ahrq.gov/issue/eliminating-dangerous-abbreviations-acronyms-and-symbols
June 17, 2014 - April 15, 2021
- April 15, 2021
TeamSTEPPS Video Toolkit.
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psnet.ahrq.gov/node/41811/psn-pdf
October 31, 2012 - SAFE CARE Patient Safety Education Program.
October 31, 2012
https://psnet.ahrq.gov/issue/safe-care-patient-safety-education-program
This Web site provides patient safety resources, including posters and videos with information on hand
hygiene, infection prevention, and medication errors.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/issue/kentucky-first-state-decriminalize-medical-errors
March 13, 2024 - Free full text
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psnet.ahrq.gov/node/860400/psn-pdf
January 10, 2024 - AHA Patient Safety Initiative.
January 10, 2024
American Hospital Association.
https://psnet.ahrq.gov/issue/aha-patient-safety-initiative
Leadership at the organization and system level is crucial to gaining improvement traction and
sustainability. This initiative centers on safety culture, care inequities, and wo…
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psnet.ahrq.gov/node/847547/psn-pdf
March 12, 2025 - National Action Alliance to Advance Patient and
Workforce Safety Webinar Series.
March 12, 2025
US Department of Health and Human Services. 2023-2025.
https://psnet.ahrq.gov/issue/national-action-alliance-advance-patient-safety-webinar-series
Work toward zero harm in health care is gaining national attention…
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psnet.ahrq.gov/issue/safety-management-systems-introduction-healthcare
February 14, 2024 - Summary
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psnet.ahrq.gov/node/34114/psn-pdf
September 20, 2023 - Speak Up Initiative.
September 20, 2023
Joint Commission.
https://psnet.ahrq.gov/issue/speak-initiative
The Speak Up campaign provides sets of materials to enable patients and families to engage in making
their health care experiences as safe as possible. Topics covered include safe surgery, pain management,
medi…
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psnet.ahrq.gov/node/40505/psn-pdf
January 27, 2012 - AHRQ 2011 Annual Conference.
January 27, 2012
Agency for Healthcare Research and Quality. Bethesda, MD, September 18-19, 2011.
https://psnet.ahrq.gov/issue/ahrq-2011-annual-conference
This conference featured leading authorities in health care research and policy. Sessions focused on
addressing challenges in impr…
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psnet.ahrq.gov/node/40042/psn-pdf
June 09, 2015 - AHRQ 2010 Annual Conference.
June 9, 2015
Agency for Healthcare Research and Quality; AHRQ.
https://psnet.ahrq.gov/issue/ahrq-2010-annual-conference
This Web site provides videos of plenary addresses from the 2010 AHRQ Annual Conference, including
presentations by Carolyn Clancy, MD, and Atul Gawande, MD.
https:/…
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psnet.ahrq.gov/issue/protecting-patients-unsafe-system-etiology-and-recovery-intraoperative-deviations-care
October 19, 2012 - Analysis of video recordings of 10 complex surgical procedures identified an average of 3 deviations
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psnet.ahrq.gov/issue/disclosure-unanticipated-outcomes-care-and-medical-errors-what-does-mean-anesthesiologists
August 21, 2024 - August 21, 2024
Video-based communication assessment of physician error disclosure skills