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psnet.ahrq.gov/issue/drug-shortages-set-reach-record-levels
May 18, 2011 - Newspaper/Magazine Article
Drug shortages set to reach record levels.
Citation Text:
Szabo L.
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August 24, 2011
Szabo L.
This news…
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psnet.ahrq.gov/node/44345/psn-pdf
October 05, 2015 - Apologies following an adverse medical event: the
importance of focusing on the consumer's needs.
October 5, 2015
Allan A, McKillop D, Dooley J, et al. Apologies following an adverse medical event: The importance of
focusing on the consumer's needs. Patient Educ Couns. 2015;98(9):1058-62.
doi:10.1016/j.pec.2015.06…
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psnet.ahrq.gov/issue/avoiding-accidental-overdoses-when-methadone-prescribed-pain
July 10, 2015 - Government Resource
Avoiding accidental overdoses when methadone is prescribed for pain.
Citation Text:
Food and Drug Administration; FDA
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psnet.ahrq.gov/issue/notre-dame-students-design-save-lives
February 05, 2014 - Audiovisual
Notre Dame students design to save lives.
Citation Text:
McFadden M. WNDU. February 21, 2012.
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March 7, 2012
McF…
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psnet.ahrq.gov/node/60877/psn-pdf
September 02, 2020 - When bad things happen: training medical students to
anticipate the aftermath of medical errors.
September 2, 2020
Musunur S, Waineo E, Walton E, et al. When bad things happen: training medical students to anticipate the
aftermath of medical errors. Acad Psychiatry. 2020;44(5):586-591. doi:10.1007/s40596-020-01278-…
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psnet.ahrq.gov/node/60047/psn-pdf
March 18, 2020 - A systematic review exploring the content and outcomes
of interventions to improve psychological safety,
speaking up and voice behaviour.
March 18, 2020
O’Donovan R, McAuliffe E. A systematic review exploring the content and outcomes of interventions to
improve psychological safety, speaking up and voice behaviour…
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psnet.ahrq.gov/
March 25, 2025 - This website is up to date as of March 24, 2025. You will not be able to register for an account and will no longer be able to obtain Continuing Medical Education (CME), Maintenance of Certification (MOC), or Continuing Pharmacy Education (CPE) credits. We are not taking submissions for WebM&M cases, Innovations, Train…
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psnet.ahrq.gov/node/43792/psn-pdf
January 07, 2015 - Patient safety risks associated with telecare: a systematic
review and narrative synthesis of the literature.
January 7, 2015
Guise V, Anderson JE, Wiig S. Patient safety risks associated with telecare: a systematic review and
narrative synthesis of the literature. BMC Health Serv Res. 2014;14:588. doi:10.1186/s129…
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psnet.ahrq.gov/node/45670/psn-pdf
November 16, 2016 - Not thinking clearly? Play a game, seriously!
November 16, 2016
Mohan D, Schell J, Angus DC. Not Thinking Clearly? Play a Game, Seriously!. JAMA. 2016;316(18):1867-
1868. doi:10.1001/jama.2016.14174.
https://psnet.ahrq.gov/issue/not-thinking-clearly-play-game-seriously
Heuristics enable experts to build off their …
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psnet.ahrq.gov/node/46629/psn-pdf
November 22, 2017 - A piece of my mind. Despite my best intentions.
November 22, 2017
Kahn JS. Despite My Best Intentions. JAMA. 2017;318(17). doi:10.1001/jama.2017.6123.
https://psnet.ahrq.gov/issue/piece-my-mind-despite-my-best-intentions
End-of-life care can be difficult for patients, families, and the care team. This commentary of…
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psnet.ahrq.gov/node/49491/psn-pdf
September 01, 2005 - references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#videos
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psnet.ahrq.gov/node/44730/psn-pdf
December 08, 2015 - Why studying human behavior is a critical component of
patient safety.
December 8, 2015
Su L. Why Studying Human Behavior is a Critical Component of Patient Safety. Curr Probl Pediatr Adolesc
Health Care. 2015;45(12):367-9. doi:10.1016/j.cppeds.2015.10.004.
https://psnet.ahrq.gov/issue/why-studying-human-behavior-…
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psnet.ahrq.gov/node/846449/psn-pdf
March 22, 2023 - Healthcare professionals' perception of safety culture and
the Operating Room (OR) Black Box technology before
clinical implementation: a cross-sectional survey.
March 22, 2023
Strandbygaard J, Dose N, Moeller KE, et al. Healthcare professionals’ perception of safety culture and the
Operating Room (OR) Black Box t…
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psnet.ahrq.gov/node/73698/psn-pdf
September 15, 2021 - Effect of a mobile app on prehospital medication errors
during simulated pediatric resuscitation: a randomized
clinical trial.
September 15, 2021
Siebert JN, Bloudeau L, Combescure C, et al. Effect of a mobile app on prehospital medication errors
during simulated pediatric resuscitation: a randomized clinical tria…
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psnet.ahrq.gov/node/73704/psn-pdf
September 15, 2021 - TRIAD IX: can a patient testimonial safely help ensure
prehospital appropriate critical versus end-of-life care?
September 15, 2021
Mirarchi FL, Cammarata C, Cooney TE, et al. TRIAD IX: can a patient testimonial safely help ensure
prehospital appropriate critical versus end-of-life care? J Patient Saf. 2021;17(6):4…
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psnet.ahrq.gov/sites/default/files/2021-09/Roll-out%20diagram%20generic.pdf
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How to roll out the Battle Buddy program as part of a psychological resilience intervention
Can stand alone*
Specific nursing unit le…
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psnet.ahrq.gov/node/60278/psn-pdf
April 29, 2020 - Assessing patient safety in a pediatric telemedicine
setting: a multi-methods study.
April 29, 2020
Haimi M, Brammli-Greenberg S, Baron-Epel O, et al. Assessing patient safety in a pediatric telemedicine
setting: a multi-methods study. BMC Med Inform Decis Mak. 2020;20(1). doi:10.1186/s12911-020-1074-7.
https://ps…
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psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia
January 29, 2021 - Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia
Citation Text:
Bohringer C. Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and…
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psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
January 29, 2021 - Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation.
Citation Text:
Bohringer C, Godoy L. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation.. PSNet [internet]. Rockville (MD): Ag…
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psnet.ahrq.gov/issue/posters-medication-safety-topics
March 27, 2005 - Audiovisual
Image/Poster
Published March 27, 2005
Posters on Medication Safety Topics.
Institute for Safe Medication Practices; ISMP
Topics
Resource Type
Image/Poster
Target Audience
Health Care Providers
Error Types
Active Errors
Origin/Sponsor
United States of America
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Institute for Safe Medication…