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psnet.ahrq.gov/node/49417/psn-pdf
October 01, 2003 - Lost in the Black Hole
October 1, 2003
Wachter R. Lost in the Black Hole. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/lost-black-hole
The Case
A 38-year-old married, monogamous female came to the emergency department with aseptic meningitis.
She had a remote history of gonorrhea, no environmental exposu…
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psnet.ahrq.gov/node/49495/psn-pdf
December 01, 2005 - Low on the Totem Pole
December 1, 2005
Wachter R. Low on the Totem Pole. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/low-totem-pole
Case Objectives
Understand the concept of authority gradient
List steps that can be taken to increase communication across an authority gradient
Consider the current cultu…
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psnet.ahrq.gov/node/33618/psn-pdf
September 01, 2005 - Playing Well with Others: "Translocational Research" in
Patient Safety
September 1, 2005
Wachter R. Playing Well with Others: "Translocational Research" in Patient Safety. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/playing-well-others-translocational-research-patient-safety
Perspective
Translation…
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psnet.ahrq.gov/node/33660/psn-pdf
December 01, 2007 - But
most of America doesn't look like that, most of it is fragmented.
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psnet.ahrq.gov/web-mm/lost-black-hole
December 01, 2005 - Lost in the Black Hole
Citation Text:
Wachter R. Lost in the Black Hole. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…
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psnet.ahrq.gov/perspective/conversation-michael-l-millenson
April 27, 2022 - Institute of Medicine Committee on Quality of Health Care in America, Kohn LT, Corrigan JM, Donaldson … Institute of Medicine Committee on Quality of Health Care in America .
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psnet.ahrq.gov/perspective/medias-role-patient-safety
April 27, 2022 - Institute of Medicine Committee on Quality of Health Care in America, Kohn LT, Corrigan JM, Donaldson … Institute of Medicine Committee on Quality of Health Care in America .
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psnet.ahrq.gov/perspective/medical-scribes-and-patient-safety
August 01, 2019 - Scribe America, the largest medical scribe staffing agency in the US, has stated that using scribes can … Medical Scribe America. April 12, 2016. [Available at]
23. Guglielmo WJ.
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psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd
May 22, 2017 - We have millions of people in North America who have been on very high-dose opioids for exactly that … I'm fairly confident in the assertion that millions of people in North America take opioids daily and
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psnet.ahrq.gov/perspective/conversation-charles-ornstein
October 01, 2009 - Committee on Quality of Health Care in America, Institute of Medicine.
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psnet.ahrq.gov/perspective/conversation-amy-c-edmondson-phd-am
February 01, 2017 - Since then, we know of similar efforts in Africa, Asia, Europe, South America, and the Middle East. … a TeamSTEPPS pocket guide in Arabic, or hear about efforts to establish a training center in South America
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psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
May 01, 2017 - We have millions of people in North America who have been on very high-dose opioids for exactly that … I'm fairly confident in the assertion that millions of people in North America take opioids daily and
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psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety
August 31, 2020 - Annual Perspective
AHRQ PSNet Annual Perspective: Impact of the COVID-19 Pandemic on Patient Safety
March 30, 2021
View more articles from the same authors.
Citation Text:
Stocking JC, Sandrock C, Fitall E, et al. AHRQ PSNet Annual Perspective: Impact of the…
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psnet.ahrq.gov/perspective/conversation-james-augustine-md
July 28, 2021 - Locally, in America, we don't have one standard of care and one approach to patients. … A typical model for EMS in America at this time is that, when a high-priority call is received at the
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psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
October 01, 2009 - Committee on Quality of Health Care in America, Institute of Medicine.
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psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps
February 01, 2017 - Since then, we know of similar efforts in Africa, Asia, Europe, South America, and the Middle East. … a TeamSTEPPS pocket guide in Arabic, or hear about efforts to establish a training center in South America
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psnet.ahrq.gov/web-mm/other-hand
December 12, 2012 - Committee on Quality Health Care in America, Institute of Medicine.
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psnet.ahrq.gov/node/33622/psn-pdf
November 01, 2005 - you knew absolutely everybody and everybody knew you—in a very tight social system that only rural
America
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psnet.ahrq.gov/issue/incidence-adverse-events-swedish-hospitals-retrospective-medical-record-review-study
August 05, 2009 - Study
The incidence of adverse events in Swedish hospitals: a retrospective medical record review study.
Citation Text:
Soop M, Fryksmark U, Köster M, et al. The incidence of adverse events in Swedish hospitals: a retrospective medical record review study. Int J Qual Health Care. 2009;…
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psnet.ahrq.gov/node/33614/psn-pdf
June 01, 2005 - Interpreting the Patient Safety Literature
June 1, 2005
Shojania KG. Interpreting the Patient Safety Literature. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
Perspective
Five years ago, a widely publicized randomized trial reported a 90% reduction in the inciden…