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psnet.ahrq.gov/node/33771/psn-pdf
August 22, 2014 - What evidence supports the use of computerized alerts
and prompts to improve clinicians' prescribing behavior
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psnet.ahrq.gov/web-mm/hidden-mystery
December 01, 2011 - misunderstood and mistreated by medical personnel, resulting in prejudicial and discriminatory attitudes and behavior
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psnet.ahrq.gov/web-mm/snfs-opening-black-box
August 27, 2012 - These fundamental staffing principles are necessary but not sufficient to change behavior and improve
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psnet.ahrq.gov/perspective/conversation-withbarbara-blakeney-ms-rn
August 01, 2005 - Some of that is clearly understandable from an economic perspective and from a human behavior perspective
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psnet.ahrq.gov/Information/Panel
January 01, 2012 - She received a Master of Public Health in health behavior and health education, also from the University
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psnet.ahrq.gov/node/866993/psn-pdf
October 30, 2024 - learned about various technologies, messaging for individuals utilizing the
service, and associated behavior
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psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp-0
March 27, 2024 - the always receding horizon where the crunch actually happens and people are forced to change their behavior
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psnet.ahrq.gov/node/33773/psn-pdf
September 01, 2014 - awareness to action, there are multiple attempts on national and local levels to change
clinician behaviors
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.266_slideshow.ppt
May 01, 2012 - validation of these tools
Direct observation: Handoff CEX—9-item, role-based anchor to assess handoff behaviors
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psnet.ahrq.gov/node/33874/psn-pdf
February 01, 2019 - refer to as being a systems citizen.(6-8) For such a paradigm shift, providers need to
learn certain behaviors
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psnet.ahrq.gov/node/49406/psn-pdf
June 01, 2003 - The Dangerous Detour
June 1, 2003
Gibson J, HTaylor D. The Dangerous Detour. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/dangerous-detour
The Case
Following an overdose of alcohol and Ativan, a 26-year-old woman was admitted to the Medicine service
for observation after being placed on a 72-hour hold by…
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psnet.ahrq.gov/node/49742/psn-pdf
September 01, 2015 - A Fumbled Handoff to Inpatient Rehab
September 1, 2015
Ashcraft LE, Kahn JM. A Fumbled Handoff to Inpatient Rehab. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/fumbled-handoff-inpatient-rehab
The Case
An 18-year-old man with no significant past medical history sustained a traumatic brain injury after a mo…
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psnet.ahrq.gov/node/72837/psn-pdf
September 01, 2022 - Project Nurture Engages Pregnant People with Substance
Use Disorder, Improves Maternal and Infant Outcomes.
Originally published on March 11, 2021
Last updated on March 16, 2021
https://psnet.ahrq.gov/innovation/project-nurture-engages-pregnant-people-substance-use-disorder-
improves-maternal-and
Summary
Project…
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psnet.ahrq.gov/node/49443/psn-pdf
May 01, 2004 - HIPAA reinforces behaviors that should already be
second nature for clinicians.
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psnet.ahrq.gov/node/49803/psn-pdf
January 01, 2018 - Point-of-care Mixup: 1 Shot Turns Into 3
August 1, 2017
Berberich RF. Point-of-care Mixup: 1 Shot Turns Into 3. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/point-care-mixup-1-shot-turns-3
The Case
A 2-month-old boy was brought in for a routine 2-month well-child visit. The exam was completed and the
app…
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psnet.ahrq.gov/curated-article-libraries
March 18, 2025 - Curated Libraries
Curated Libraries are groupings of PSNet content, curated by AHRQ and by other experts in the patient safety field.
Watch the video to learn more about how this new feature works and how it can be of benefit to you.
Latest PSNet…
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psnet.ahrq.gov/node/33736/psn-pdf
September 01, 2012 - The tension
between those two views is interesting and important in understanding the behavior of hospitals
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psnet.ahrq.gov/perspective/unfinished-patient-safety-agenda
August 01, 2005 - Some of that is clearly understandable from an economic perspective and from a human behavior perspective
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psnet.ahrq.gov/node/862983/psn-pdf
February 28, 2024 - Simulation has been shown
to improve knowledge, skill, and behavior of health care professionals.18,19
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psnet.ahrq.gov/perspective/conversation-john-g-reiling-phd
June 01, 2014 - idealized process, and payment reform—if you take all these variables and a deep understanding of cognitive behavior