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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.290_slideshow.ppt
February 01, 2013 - Spotlight Case July 2008
Spotlight Case
Delay in Treatment:
Failure to Contact Patient Leads to Significant Complications
*
*
Source and Credits
This presentation is based on the February 2013
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: …
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psnet.ahrq.gov/perspective/conversation-withsorrel-king
March 01, 2007 - And we hired a lawyer; we wanted answers. … Not all the answers are on your computer screen or on your clipboard.
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psnet.ahrq.gov/node/33702/psn-pdf
November 01, 2010 - The only way you know the answers
to those questions is by measuring the phenomenon that you're concerned … If it provides a foundation for accountability, for intelligent
discussion, questions and answers, then
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psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
February 01, 2007 - Simon popularized the phrase "satisficing" to describe the cognitive events that serve up satisfactory answers … system, if you put rubbish into itfor example, if you put the wrong numbers into a calculatoryour answers … If a digital resource answers questions more quickly in their workflow, they're much more interested
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psnet.ahrq.gov/perspective/conversation-withatul-gawande-md-ma-mph
September 01, 2007 - The moderator grades the exam and subsequently sits down with each resident to review the answers.
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psnet.ahrq.gov/web-mm/stroke-error
February 01, 2016 - answer be graded and that the examiner not "help" the patient with verbal or non-verbal cues. 0 = Answers … both questions correctly. 1 = Answers one question correctly. 2 = Answers neither question correctly
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psnet.ahrq.gov/node/33862/psn-pdf
July 01, 2018 - In Conversation With… Shantanu Nundy, MD
July 1, 2018
In Conversation With… Shantanu Nundy, MD. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/conversation-shantanu-nundy-md
Editor's note: Dr. Nundy is the Director of the nonprofit organization called the Human Diagnosis Project, a
unique effort to cro…
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psnet.ahrq.gov/node/33749/psn-pdf
April 01, 2013 - tremendous cost of these reforms.(16) Getting the questions right will hopefully also help us get
the answers
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psnet.ahrq.gov/issue/patient-and-consumer-safety-risks-when-using-conversational-assistants-medical-information
December 15, 2021 - Study
Patient and consumer safety risks when using conversational assistants for medical information: an observational study of Siri, Alexa, and Google Assistant.
Citation Text:
Bickmore TW, Trinh H, Olafsson S, et al. Patient and consumer safety risks when using conversational assistant…
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psnet.ahrq.gov/node/73174/psn-pdf
April 21, 2021 - Take Charge: 5 Steps to Safer Healthcare.
April 21, 2021
Wantagh, NY; Pulse Center for Patient Safety, Education & Advocacy.
https://psnet.ahrq.gov/issue/take-charge-5-steps-safer-healthcare
Patients can be active partners in their own safe care. This five-step program provides information and
education for pa…
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psnet.ahrq.gov/innovation/adverse-drug-event-ade-surveillance-and-pharmacist-counseling
June 28, 2023 - Adverse Drug Event (ADE) Surveillance and Pharmacist Counseling
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January 31, 2024
Innovation
Contact
…
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psnet.ahrq.gov/training-catalog/patient-safety-evaluation-system-2022-virtual-summit
January 01, 2022 - Patient Safety Evaluation System: 2022 Virtual Summit
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Organization:
Organization
Hospital Quality Institute
Event Descrip…
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psnet.ahrq.gov/training-catalog/patient-safety-evaluation-system-2023-virtual-summit
January 01, 2023 - Patient Safety Evaluation System — 2023 Virtual Summit
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Organization:
Organization
Hospital Quality Institute
Event Descri…
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psnet.ahrq.gov/issue/intimidation-practitioners-speak-about-unresolved-problem
September 26, 2017 - Study
Intimidation: practitioners speak up about this unresolved problem.
Citation Text:
Smetzer JL, Cohen MR. Intimidation: Practitioners Speak Up About This Unresolved Problem. Jt Comm J Qual Patient Saf. 2016;31(10):594-599. doi:10.1016/s1553-7250(05)31077-4.
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Forma…
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psnet.ahrq.gov/issue/etiology-diagnostic-errors-controlled-trial-system-1-versus-system-2-reasoning
July 02, 2014 - Study
The etiology of diagnostic errors: a controlled trial of System 1 versus System 2 reasoning.
Citation Text:
Norman GR, Sherbino J, Dore KL, et al. The etiology of diagnostic errors: a controlled trial of system 1 versus system 2 reasoning. Acad Med. 2014;89(2):277-84. doi:10.1097…
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psnet.ahrq.gov/node/33714/psn-pdf
July 01, 2011 - We're defining clinical questions for which we want answers, and then we're stipulating
how the data
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psnet.ahrq.gov/issue/rounding-influence
February 22, 2010 - Newspaper/Magazine Article
Rounding to influence.
Citation Text:
Reinertsen JL, Johnson KM. Rounding to influence. Leadership method helps executives answer the "hows" in patient safety initiatives. Healthcare executive. 2010;25(5):72-5.
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Format:
Google Schol…
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psnet.ahrq.gov/node/33802/psn-pdf
February 01, 2016 - When the answers to these questions
suggest that problems are present in patient care delivery, the
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psnet.ahrq.gov/perspective/rediscovering-power-surgical-mm-conference-mm-matrix
September 01, 2007 - The moderator grades the exam and subsequently sits down with each resident to review the answers.
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psnet.ahrq.gov/node/39883/psn-pdf
August 22, 2011 - Rounding to influence.
August 22, 2011
Reinertsen JL, Johnson KM. Rounding to influence. Leadership method helps executives answer the
"hows" in patient safety initiatives. Healthcare executive. 2010;25(5):72-5.
https://psnet.ahrq.gov/issue/rounding-influence
This newsletter piece describes a strategy for health c…