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psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
November 11, 2020 - Explaining these aspects of the review process, i.e., the confidentiality requirements of the peer review
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psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
January 01, 2016 - National Board of Medical Examiners starting to ask how can they do a better job assessing the cognitive aspects
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psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety
April 26, 2023 - One of the promising aspects of AI is its ability to improve CDS processes and clinician workflow overall
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psnet.ahrq.gov/web-mm/when-patients-and-providers-speak-different-languages
December 08, 2021 - as in-person interpretation for simple information exchange, but less satisfactory for interpersonal aspects
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psnet.ahrq.gov/sites/default/files/2024-10/The%20Different%20Count%20Contributions%20to%20Retention.pdf
January 01, 2024 - The Different Count Contributions to Retention
Differential Count Contributions in Retained Surgical Sponge Cases: Examination of Administrative Penalty
Cases from the California Department of Public Health (CDPH), Health and Safety Code Section 1280.1
Enforcement Reports from 2007-2014
A NoThing Left Behin…
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psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
August 30, 2023 - Annual Perspective
Impact of System Failures on Healthcare Workers
George Zangaro, PhD, RN, FAAN, Cindy Manaoat Van, MHSA, Sarah Mossburg, RN, PhD
| March 21, 2023
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Citation Text:
Zangaro G, Van CM, Mossburg S. Imp…
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psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
October 01, 2004 - have important health care matters neglected when physicians or nurses shift their attention to those aspects
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psnet.ahrq.gov/perspective/unfinished-patient-safety-agenda
August 01, 2005 - mandates can be implemented without major unintended consequences that adversely affect access and other aspects
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psnet.ahrq.gov/web-mm/suicidal-ideation-family-medicine-clinic
October 01, 2007 - current level of suicide risk and triaging the patient appropriately are two of the most challenging aspects
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psnet.ahrq.gov/node/49801/psn-pdf
August 01, 2017 - Focusing on very detailed,
actionable aspects of teamwork and communication may provide new insight
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psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
November 25, 2020 - Bandemia as a Harbinger of Stercoral Colitis and Impending Perforation
Citation Text:
Flynn S, Barnes DK. Bandemia as a Harbinger of Stercoral Colitis and Impending Perforation.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers
August 05, 2009 - Discharge Instructions in the PACU: Who Remembers?
Citation Text:
Engel KG. Discharge Instructions in the PACU: Who Remembers?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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psnet.ahrq.gov/perspective/conversation-jennifer-schulz-moore-llb-ma-phd
February 26, 2025 - Wachter : What got you interested in the legal aspects of health care?
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psnet.ahrq.gov/primer/maternal-safety
January 10, 2024 - 11 The importance of maternal experiences and emotional harm as a threat to safety during various aspects
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psnet.ahrq.gov/node/33608/psn-pdf
February 01, 2024 - .11 The importance of maternal experiences and
emotional harm as a threat to safety during various aspects
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psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
August 02, 2015 - Focusing on very detailed, actionable aspects of teamwork and communication may provide new insight into
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psnet.ahrq.gov/node/49714/psn-pdf
August 21, 2014 - Clinical and
epidemiological aspects of invasive Streptococcus pyogenes infections in Denmark during
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psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
May 01, 2005 - Notwithstanding the 7-month diagnostic delay in this case, many aspects of the patient’s care went well
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psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
August 01, 2014 - Beyond the Hospital: the New Frontier of Patient Safety
Margaret Plews-Ogan, MD, MS | August 22, 2014
Also Read a Conversation
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Citation Text:
Plews-Ogan M. Beyond the Hospital: the New Frontier of Patient Safety. PSNet …
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psnet.ahrq.gov/primer/nursing-and-patient-safety
September 15, 2024 - Nursing and Patient Safety
Citation Text:
Phillips J, Malliaris AP, Bakerjian D. Nursing and Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
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