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psnet.ahrq.gov/node/46108/psn-pdf
December 21, 2017 - Speaking up about traditional and professionalism-related
patient safety threats: a national survey of interns and
residents.
December 21, 2017
Martinez W, Lehmann LS, Thomas EJ, et al. Speaking up about traditional and professionalism-related
patient safety threats: a national survey of interns and residents. BMJ…
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psnet.ahrq.gov/print/pdf/node/865308
January 01, 2024 - Health technology has improved many aspects of care, but can also introduce new safety concerns that … Health technology has improved many aspects of care, but can also introduce new safety concerns that
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psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
March 27, 2024 - Patrick Tighe: One of the most exciting aspects of AI is the ability to access more data. … It’s a really exciting opportunity to not just keep an eye on the patient, but quantify certain aspects … entering into the system, but drift can also result from changes to diagnostics, treatments, and other aspects … Sarah Mossburg: What aspects of healthcare would you say cannot be replaced with AI?
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psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence
March 27, 2024 - Patrick Tighe: One of the most exciting aspects of AI is the ability to access more data. … It’s a really exciting opportunity to not just keep an eye on the patient, but quantify certain aspects … entering into the system, but drift can also result from changes to diagnostics, treatments, and other aspects … Sarah Mossburg: What aspects of healthcare would you say cannot be replaced with AI?
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psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety
June 15, 2024 - Strategies and Approaches for Tracking Improvements in Patient Safety
Citation Text:
Shaikh U. Strategies and Approaches for Tracking Improvements in Patient Safety . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
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psnet.ahrq.gov/web-mm/watch-warfarin
December 01, 2013 - In the presented case, it is worth noting several aspects of warfarin care that were appropriately managed … excessively high INR and elevated bleeding risk in this case do, however, highlight several important aspects
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psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
August 01, 2017 - The bigger thing to keep in mind is that this is one piece, and it shouldn't be overshadowed by other aspects … therapy afterward or recommend that they go meet with the medical oncologist… There are so many other aspects … individual surgeon performance measures be available to the public as well as transparency around all aspects
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psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices
June 15, 2024 - Focusing on these aspects enables hospitals to elevate safety and quality of care, particularly during
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psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
September 25, 2024 - increased utilization of simulation may enhance patient safety by improving not only the technical aspects … of endoscopy and resuscitation, but also the non-technical aspects such as communication.
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psnet.ahrq.gov/perspective/pharmacist-role-patient-safety
June 29, 2020 - of Technology While some technology has enabled pharmacists to expand their roles and has improved aspects
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psnet.ahrq.gov/issue/your-safety-our-hands-hospital
July 07, 2021 - Book/Report
Your Safety in our Hands in Hospital.
Citation Text:
Your Safety in our Hands in Hospital. Patient Safety Surveillance Unit. Department of Health, Perth: Western Australia.
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psnet.ahrq.gov/print/pdf/node/866100
August 30, 2023 - labor and delivery nurses from 253 hospitals across the United States found an
average of 11 of 25 aspects … labor and delivery nurses from 253 hospitals across the United States found an
average of 11 of 25 aspects
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psnet.ahrq.gov/curated-library/value-and-patient-safety
October 30, 2019 - This commentary proposes that the integration of three aspects of value-based care (personal, technical … This commentary proposes that the integration of three aspects of value-based care (personal, technical
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psnet.ahrq.gov/issue/exploring-relationship-between-contact-frequency-leader-member-relationships-and-patient
February 10, 2021 - Study
Exploring the relationship between contact frequency, leader-member relationships, and patient safety culture
Citation Text:
Anderson AD, Floegel TA, Hofler L, et al. Exploring the Relationship Between Contact Frequency, Leader-Member Relationships, and Patient Safety Culture. J Nu…
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psnet.ahrq.gov/print/pdf/node/848754
January 01, 2025 - This systematic review examined which aspects of new safety practice
implementations led to actual improvement … This systematic review examined which aspects of new safety practice
implementations led to actual improvement
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psnet.ahrq.gov/issue/adverse-events-hospitals-quarter-medicare-patients-experienced-harm-october-2018
February 01, 2023 - Book/Report
Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018.
Citation Text:
Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018. Grimm CA. Washington DC: Office of the Inspector General; May 2022. Repor…
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psnet.ahrq.gov/print/pdf/node/845971
January 01, 2024 - This commentary proposes that the integration of three aspects of value-based care (personal, technical … This commentary proposes that the integration of three aspects of value-based care (personal, technical
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psnet.ahrq.gov/issue/speaking-behaviours-safety-voices-healthcare-workers-metasynthesis-qualitative-research
June 23, 2021 - Review
Speaking up behaviours (safety voices) of healthcare workers: a metasynthesis of qualitative research studies.
Citation Text:
Morrow KJ, Gustavson AM, Jones J. Speaking up behaviours (safety voices) of healthcare workers: a metasynthesis of qualitative research studies. Int J Nurs…
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psnet.ahrq.gov/primer/root-cause-analysis
March 30, 2022 - specific "holes in the cheese" and obscure the overall relationships between different layers and other aspects
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psnet.ahrq.gov/issue/guilty-afraid-and-alone-struggling-medical-error
July 01, 2020 - Commentary
Classic
Guilty, afraid, and alone — struggling with medical error.
Citation Text:
Delbanco T, Bell SK. Guilty, afraid, and alone--struggling with medical error. N Engl J Med. 2007;357(17):1682-3.
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