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psnet.ahrq.gov/node/60897/psn-pdf
January 01, 2022 - Association between surgeon technical skills and patient
outcomes.
September 9, 2020
Stulberg JJ, Huang R, Kreutzer L, et al. Association Between Surgeon Technical Skills and Patient
Outcomes. JAMA Surg. 2022;157(3):219-220. doi:10.1001/jamasurg.2020.3007.
https://psnet.ahrq.gov/issue/association-between-surgeon-t…
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psnet.ahrq.gov/node/45800/psn-pdf
January 18, 2017 - Inpatient Notes: mistakes in the
hospital—communicating, apologizing, and beyond.
January 18, 2017
Kachalia A. Web Exclusives. Annals for Hospitalists Inpatient Notes - Mistakes in the Hospital-
Communicating, Apologizing, and Beyond. Ann Intern Med. 2016;165(12):HO2-HO3. doi:10.7326/M16-
2545.
https://psnet.ahrq…
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psnet.ahrq.gov/node/35672/psn-pdf
June 28, 2010 - How many hospital pharmacy medication dispensing
errors go undetected?
June 28, 2010
Cina J, Gandhi TK, Churchill WW, et al. How many hospital pharmacy medication dispensing errors go
undetected? Jt Comm J Qual Patient Saf. 2006;32(2):73-80.
https://psnet.ahrq.gov/issue/how-many-hospital-pharmacy-medication-dispen…
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psnet.ahrq.gov/node/43244/psn-pdf
June 18, 2014 - A retrospective review of crisis events in diagnostic
radiology: an analysis of frequency, demographics,
etiologies, and outcomes.
June 18, 2014
Tindel MS, Darby JM, Simmons RL. A retrospective review of crisis events in diagnostic radiology: an
analysis of frequency, demographics, etiologies, and outcomes. J Pati…
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psnet.ahrq.gov/node/74108/psn-pdf
January 01, 2022 - 'It depends': The complexity of allowing residents to fail
from the perspective of clinical supervisors.
November 24, 2021
Klasen JM, Teunissen PW, Driessen EW, et al. ‘It depends’: the complexity of allowing residents to fail from
the perspective of clinical supervisors. Med Teach. 2022;44(2):196-205.
doi:10.1080…
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psnet.ahrq.gov/node/47089/psn-pdf
May 09, 2018 - Leadership Survey: Immunization Against Burnout:
Insights Report.
May 9, 2018
Swensen S, Strongwater S, Mohta NS. NEJM Catalyst: Insights Report. April 12, 2018.
https://psnet.ahrq.gov/issue/leadership-survey-immunization-against-burnout-insights-report
Clinician burnout presents challenges to organizational and p…
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psnet.ahrq.gov/node/73585/psn-pdf
August 11, 2021 - Breast cancer screening and overdiagnosis.
August 11, 2021
Bulliard J?L, Beau A?B, Njor S, et al. Breast cancer screening and overdiagnosis. Int J Cancer.
2021;149(4):846-853. doi:10.1002/ijc.33602.
https://psnet.ahrq.gov/issue/breast-cancer-screening-and-overdiagnosis
Overdiagnosis of breast cancer and the result…
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psnet.ahrq.gov/node/46106/psn-pdf
August 15, 2018 - Assumptions of quality medicine: the role of uncertainty.
August 15, 2018
Scott-Wittenborn N, Schneider JS. Assumptions of Quality Medicine: The Role of Uncertainty. JAMA
Otolaryngol Head Neck Surg. 2017;143(8):753-754. doi:10.1001/jamaoto.2017.0257.
https://psnet.ahrq.gov/issue/assumptions-quality-medicine-role-un…
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psnet.ahrq.gov/node/35809/psn-pdf
February 25, 2015 - Stories from the sharp end: case studies in safety
improvement.
February 25, 2015
McCarthy D; Blumenthal D. Milbank Q. 2006;84(1):165-200
https://psnet.ahrq.gov/issue/stories-sharp-end-case-studies-safety-improvement
This study shares the efforts of six different health care organizations in implementing intervent…
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psnet.ahrq.gov/node/33930/psn-pdf
June 23, 2015 - Adverse respiratory events in anesthesia: a closed claims
analysis.
June 23, 2015
Caplan RA, Posner KL, Ward RJ, et al. Adverse respiratory events in anesthesia: a closed claims analysis.
Anesthesiology. 1990;72(5):828-33.
https://psnet.ahrq.gov/issue/adverse-respiratory-events-anesthesia-closed-claims-analysis
A…
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psnet.ahrq.gov/node/38177/psn-pdf
March 02, 2011 - Violations of behavioral practices revealed in closed
claims reviews.
March 2, 2011
Griffen FD, Stephens LS, Alexander JB, et al. Violations of behavioral practices revealed in closed claims
reviews. Ann Surg. 2008;248(3):468-474. doi:10.1097/sla.0b013e318185e196.
https://psnet.ahrq.gov/issue/violations-behavioral…
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psnet.ahrq.gov/node/43882/psn-pdf
February 18, 2015 - Case Studies in Patient Safety: Foundations for Core
Competencies.
February 18, 2015
Johnson JK, Haskell HW, Barach PR. Burlington, MA: Jones and Bartlett Learning; 2015. ISBN:
9781449681548.
https://psnet.ahrq.gov/issue/case-studies-patient-safety-foundations-core-competencies
Patient stories can help illustrate…
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psnet.ahrq.gov/node/838031/psn-pdf
September 13, 2022 - Addressing the Loss of Trust in Safety Culture.
September 7, 2022
Philadelphia, PA: Building Trust and the ABIM Foundation; September 13, 2022.
https://psnet.ahrq.gov/issue/addressing-loss-trust-safety-culture
Trust in patient safety processes encourages reporting of concerns, learning from error, and develop…
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psnet.ahrq.gov/issue/association-2011-acgme-resident-duty-hour-reform-general-surgery-patient-outcomes-and
September 09, 2015 - Study
Classic
Association of the 2011 ACGME resident duty hour reform with general surgery patient outcomes and with resident examination performance.
Citation Text:
Rajaram R, Chung JW, Jones AT, et al. Association of the 2011 ACGME resident duty hour reform wi…
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psnet.ahrq.gov/issue/impact-inpatient-harms-hospital-finances-and-patient-clinical-outcomes
February 28, 2018 - Study
Classic
Impact of inpatient harms on hospital finances and patient clinical outcomes.
Citation Text:
Adler L, Yi D, Li M, et al. Impact of Inpatient Harms on Hospital Finances and Patient Clinical Outcomes. J Patient Saf. 2018;14(2):67-73. doi:10.1097/PTS.…
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psnet.ahrq.gov/node/49460/psn-pdf
September 01, 2004 - During the
student's Health Insurance Portability and Accountability Act (HIPAA) training, he again
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psnet.ahrq.gov/node/49656/psn-pdf
June 01, 2012 - comanagement gives
the nonsurgical provider (often a hospitalist) increased authority, responsibility, and accountability
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psnet.ahrq.gov/node/73387/psn-pdf
March 17, 2021 - have adequate space
available for the expansion of more permanent Health Insurance Portability and Accountability
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psnet.ahrq.gov/node/40942/psn-pdf
November 23, 2011 - Vital signs: overdoses of prescription opioid pain
relievers- United States, 1999-2008.
November 23, 2011
Prevention C for DC and. Vital signs: overdoses of prescription opioid pain relievers---United States, 1999--
2008. MMWR Morb Mortal Wkly Rep. 2011;60(43):1487-92.
https://psnet.ahrq.gov/issue/vital-signs-over…
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psnet.ahrq.gov/node/42881/psn-pdf
January 22, 2014 - Speaking up about the dangers of the hidden curriculum.
January 22, 2014
Liao JM, Thomas EJ, Bell SK. Speaking up about the dangers of the hidden curriculum. Health Aff
(Millwood). 2014;33(1):168-171. doi:10.1377/hlthaff.2013.1073.
https://psnet.ahrq.gov/issue/speaking-about-dangers-hidden-curriculum
Relating an a…