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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/node/33754/psn-pdf
September 01, 2013 - RW: In some ways there's a tension even in your answers as to whether or not we're talking about an … Yet organizations need to move forward coming up with answers to
complex questions around culpability
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psnet.ahrq.gov/node/33627/psn-pdf
February 01, 2006 - Here are two possible answers—look around to see if anyone else saw
what happened, then rub the scrape
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psnet.ahrq.gov/node/33641/psn-pdf
November 01, 2006 - Would your answers be different if the air embolus occurred when the patient was supine?
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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…
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psnet.ahrq.gov/node/42508/psn-pdf
December 18, 2017 - Watson: Beyond Jeopardy!
December 18, 2017
Ferrucci D, Levas A, Bagchi S, et al. Watson: Beyond Jeopardy!. Artif Intell. 2012;199-200.
doi:10.1016/j.artint.2012.06.009.
https://psnet.ahrq.gov/issue/watson-beyond-jeopardy
This commentary describes how question answering systems can augment evidence-based decision
…
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psnet.ahrq.gov/node/33906/psn-pdf
October 18, 2017 - Your Medicine, Be Smart, Be Safe.
October 18, 2017
Rockville, MD: Agency for Healthcare Research and Quality: 2011. AHRQ publication no. 11-0049-A.
https://psnet.ahrq.gov/issue/your-medicine-be-smart-be-safe
This Web site assists consumers in learning how to take medications safely. The materials answer
common que…
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psnet.ahrq.gov/node/36955/psn-pdf
September 13, 2011 - Patient safety in after-hours telephone medicine.
September 13, 2011
Killip S, Ireson CL, Love MM, et al. Patient safety in after-hours telephone medicine. Fam Med.
2007;39(6):404-9.
https://psnet.ahrq.gov/issue/patient-safety-after-hours-telephone-medicine
The investigators talked with patients who had used a fam…
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psnet.ahrq.gov/node/43204/psn-pdf
May 21, 2014 - Be an Active Member of Your Health Care Team.
May 21, 2014
US Food and Drug Administration; FDA.
https://psnet.ahrq.gov/issue/be-active-member-your-health-care-team
This fact sheet describes five ways patients can contribute to and ensure safe medication use, including
speaking up about medical history, asking que…
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psnet.ahrq.gov/node/42956/psn-pdf
February 19, 2014 - Patient safety: it takes a team.
February 19, 2014
Rosemont, IL: American Academy of Orthopaedic Surgeons.
https://psnet.ahrq.gov/issue/patient-safety-it-takes-team
Patient engagement is a promising strategy for error reduction and has become a priority of influential
regulatory and governmental organizations. Thi…
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psnet.ahrq.gov/node/36359/psn-pdf
October 26, 2010 - How might acknowledging a medical error promote
patient safety?
October 26, 2010
Malaty W, Crane S. How might acknowledging a medical error promote patient safety? J Fam Pract.
2006;55(9):775-80.
https://psnet.ahrq.gov/issue/how-might-acknowledging-medical-error-promote-patient-safety
The authors present a case o…
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psnet.ahrq.gov/node/33817/psn-pdf
October 01, 2016 - Health Care Data Science for Quality Improvement and
Patient Safety
October 1, 2016
Rajkomar A. Health Care Data Science for Quality Improvement and Patient Safety. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety
Perspective
Background
Ha…
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psnet.ahrq.gov/node/838137/psn-pdf
September 21, 2022 - How insight contributes to diagnostic excellence.
September 21, 2022
Shimizu T, Graber ML. How insight contributes to diagnostic excellence. Diagnosis (Berl). 2022;9(3):311-
315. doi:10.1515/dx-2022-0007.
https://psnet.ahrq.gov/issue/how-insight-contributes-diagnostic-excellence
Improving diagnostic reasoning skil…
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psnet.ahrq.gov/node/74042/psn-pdf
November 03, 2021 - An Investigation into the Death of Baby J at University
Hospitals Bristol and Weston NHS Foundation Trust.
November 3, 2021
Manchester, UK: Parliamentary and Health Service Ombudsman; October 2021.
https://psnet.ahrq.gov/issue/investigation-death-baby-j-university-hospitals-bristol-and-weston-nhs-
foundation-trust…
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psnet.ahrq.gov/node/42403/psn-pdf
August 02, 2015 - Encouraging patients to ask questions: how to overcome
"white-coat silence."
August 2, 2015
Judson TJ, Detsky AS, Press MJ. Encouraging patients to ask questions: how to overcome "white-coat
silence". JAMA. 2013;309(22):2325-6. doi:10.1001/jama.2013.5797.
https://psnet.ahrq.gov/issue/encouraging-patients-ask-quest…
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psnet.ahrq.gov/node/867036/psn-pdf
January 01, 2025 - Artificial intelligence-powered chatbots in search
engines: a cross-sectional study on the quality and risks
of drug information for patients.
October 30, 2024
Andrikyan W, Sametinger SM, Kosfeld F, et al. Artificial intelligence-powered chatbots in search engines: a
cross-sectional study on the quality and risks …
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psnet.ahrq.gov/node/73965/psn-pdf
October 13, 2021 - Association of simulation training with rates of medical
malpractice claims among obstetrician-gynecologists.
October 13, 2021
Schaffer AC, Babayan A, Einbinder JS, et al. Association of simulation training with rates of medical
malpractice claims among obstetrician-gynecologists. Obstet Gynecol. 2021;138(2):246-25…
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psnet.ahrq.gov/node/43241/psn-pdf
June 11, 2014 - "It is the left eye, right?"
June 11, 2014
Pikkel D, Sharabi-Nov A, Pikkel J. "It is the left eye, right?". Risk Manag Healthc Policy. 2014;7:77-80.
doi:10.2147/RMHP.S60728.
https://psnet.ahrq.gov/issue/it-left-eye-right
In this study, cataract surgeons were asked to identify the correct eye for surgery when given…
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psnet.ahrq.gov/node/49597/psn-pdf
February 01, 2010 - Part 2
The girl had often been a challenging historian, providing conflicting and sometimes vague answers … above, the case illustrates the disjunctions that may exist
between clinician questions and adolescent answers
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psnet.ahrq.gov/node/47802/psn-pdf
March 04, 2019 - The path to diagnostic excellence includes feedback to
calibrate how clinicians think.
March 4, 2019
Meyer AND, Singh H. The Path to Diagnostic Excellence Includes Feedback to Calibrate How Clinicians
Think. JAMA. 2019;321(8):737-738. doi:10.1001/jama.2019.0113.
https://psnet.ahrq.gov/issue/path-diagnostic-excelle…