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psnet.ahrq.gov/issue/improving-patient-safety-laboratory-medicine
November 16, 2022 - Special or Theme Issue
Improving Patient Safety in Laboratory Medicine.
Citation Text:
Randell E, Schneider W, eds. Clin Biochem. 2013;46:1159-1194.
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psnet.ahrq.gov/periodic-issue/periodic-issue-354
August 05, 2022 - August 10, 2022 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports…
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psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking-and-performance
April 24, 2024 - ABCDEF Bundle + Data Literacy Training, Performance Measurement Tracking, and Performance Feedback
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February 28, 2024
Innovation
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Innovato…
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psnet.ahrq.gov/issue/errors-medicine-and-law
October 10, 2007 - Book/Report
Classic
Merry and McCall Smith's Errors, Medicine, and the Law. 2nd ed.
Citation Text:
Merry A, Brookbanks W. Cambridge, UK: Cambridge University Press; 2017. ISBN: 9781107180499
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psnet.ahrq.gov/issue/pinpoint-beam-strays-invisibly-harming-instead-healing
February 03, 2010 - Newspaper/Magazine Article
A pinpoint beam strays invisibly, harming instead of healing.
Citation Text:
Bogdanich W; Rebelo K.
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psnet.ahrq.gov/issue/disclosing-unanticipated-outcomes-patients-art-and-practice
May 11, 2005 - Commentary
Disclosing unanticipated outcomes to patients: the art and practice.
Citation Text:
Gallagher TH; Denham CR; Leape LL; Amori G; Levinson W.
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psnet.ahrq.gov/issue/radiation-offers-new-cures-and-ways-do-harm
July 28, 2010 - Newspaper/Magazine Article
Radiation offers new cures, and ways to do harm.
Citation Text:
Bogdanich W. New York Times. January 24, 2010:A1.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.179_slideshow.ppt
July 01, 2008 - Spotlight Case July 2008
Spotlight Case July 2008
Dependence vs. Pain
Source and Credits
This presentation is based on the July 2008
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Adam J. Gordon, MD, MPH University of Pittsburgh School of M…
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psnet.ahrq.gov/issue/opioid-addiction-biggest-drug-epidemic-us-history-howd-we-get-here
May 06, 2020 - Audiovisual
Opioid addiction is the biggest drug epidemic in U.S. history. How'd we get here?
Citation Text:
Brangham W. PBS News Hour. September 29, 2017.
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psnet.ahrq.gov/issue/hospital-patient-safety-grades-may-misrepresent-hospital-performance
September 21, 2022 - Study
Hospital patient safety grades may misrepresent hospital performance.
Citation Text:
Hwang W, Derk J, LaClair M, et al. Hospital patient safety grades may misrepresent hospital performance. J Hosp Med. 2014;9(2):111-5. doi:10.1002/jhm.2139.
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psnet.ahrq.gov/issue/origin-adverse-drug-events-us-hospitals-2011
January 11, 2017 - Book/Report
Origin of Adverse Drug Events in US Hospitals, 2011.
Citation Text:
Weiss AJ, Elixhauser A, Bae J, Encinosa W. HCUP Statistical Brief #158. Rockville, MD: Agency for Healthcare Research and Quality; September 2013.
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psnet.ahrq.gov/issue/harm-healing-partnering-patients-who-have-been-harmed
April 02, 2011 - Book/Report
Harm to Healing - Partnering with Patients Who Have Been Harmed.
Citation Text:
Trew M, Nettleton S, Flemons W. Edmonton, AB, Canada: Canadian Patient Safety Institute; June 2012.
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psnet.ahrq.gov/issue/medication-attributed-adverse-effects-placebo-groups-implications-assessment-adverse-effects
November 15, 2017 - Review
Medication-attributed adverse effects in placebo groups: implications for assessment of adverse effects.
Citation Text:
Rief W, Avorn J, Barsky AJ. Medication-attributed adverse effects in placebo groups: implications for assessment of adverse effects. Arch Intern Med. 2006;166(…
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psnet.ahrq.gov/issue/textbook-patient-safety-and-clinical-risk-management
September 11, 2019 - Book/Report
Textbook of Patient Safety and Clinical Risk Management.
Citation Text:
Donaldson L, Ricciardi W, Sheridan S, Tartaglia R, eds. Springer Nature: Cham Switzerland; 2021. ISBN 9783030594022.
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psnet.ahrq.gov/issue/do-doctors-understand-test-results
February 12, 2020 - Newspaper/Magazine Article
Do doctors understand test results?
Citation Text:
Kremer W.
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July 23, 2014
Kremer W.
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psnet.ahrq.gov/issue/untold-story-cyberattack-hospital-and-dying-woman
August 25, 2021 - Newspaper/Magazine Article
The untold story of a cyberattack, a hospital and a dying woman.
Citation Text:
Ralston W. Wired Magazine. November 11, 2020.
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psnet.ahrq.gov/issue/learning-tragedy-julia-berg-story
October 28, 2020 - Commentary
Learning from tragedy: the Julia Berg story.
Citation Text:
Graber ML, Berg D, Jerde W, et al. Learning from tragedy: the Julia Berg story. Diagnosis (Berl). 2018;5(4):257-266. doi:10.1515/dx-2018-0067.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.72_slideshow.ppt
September 01, 2004 - Spotlight Case [MONTH] 2003
Spotlight Case September 2004
Poor Prognosis?
Source and Credits
This presentation is based on the September 2004
AHRQ WebM&M Spotlight Case in Surgery
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Elizabeth B. Lamont, M…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.317_slideshow.ppt
March 01, 2014 - PowerPoint Presentation
Spotlight Case
Tough Call: Addressing Errors From Previous Providers
1
This presentation is based on the March 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: William Martinez, MD, MS, Assistant Professor of Medicine, …
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psnet.ahrq.gov/issue/ahrq-nursing-home-survey-patient-safety-culture-2014-user-comparative-database-report
May 11, 2016 - Book/Report
AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative Database Report.
Citation Text:
Sorra J, Famolaro T, Yount N, Burns W, Liu H, Shyy M. Rockville, MD: Agency for Healthcare Research and Quality; November 2014. AHRQ Publication No. 15-0004-EF.
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