- 
                                        
psnet.ahrq.gov/node/865570/psn-pdf
April 10, 2024 - strategies, and that implementation
of the Anesthesia Risk Alert program caused a change in staff behaviors
                                     
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psnet.ahrq.gov/periodic-issue/periodic-issue-473
March 25, 2025 - March 5, 2025 Weekly Issue 
 
            PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
            Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
            safety literature, news, conferences, reports, … 
                                     
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psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph
April 01, 2009 - In Conversation with...Mark Chassin, MD, MPP, MPH   
 April 1, 2009 
                       
 
 
 
 Also Read an Essay  
 
 
 
 
 
 
 
 
 
 Citation Text: 
 In Conversation with..Mark Chassin, MD, MPP, MPH  . PSNet [internet]. 2009.In Conversation with...Mark Chassin, MD, MPP, MPH  . PSNet [internet]. Rockville (MD): A… 
                                     
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psnet.ahrq.gov/perspective/conversation-susan-haas-md-msc
March 01, 2019 - Such efforts normalize safety behaviors and actions over time. … Fair and just culture, team behavior, and leadership engagement: the tools to achieve high reliability
                                     
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psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
August 01, 2006 - form of high malpractice premiums), the availability of some key technologies to enable better safety behaviors … ashamed, and too busy every moment to fix our microsystems, and we're unwilling or unable to change our behaviors
                                     
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psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph-0
March 24, 2025 - Development of a professionalism committee approach to address unprofessional medical staff behavior
                                     
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psnet.ahrq.gov/node/33764/psn-pdf
April 01, 2014 - programs to measure is important but also
having real intervention tools to try to get at disruptive behavior
                                     
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psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
May 01, 2005 - We know that patient behavior may contribute to diagnostic delays.
                                     
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psnet.ahrq.gov/web-mm/airway-obstruction-during-anterior-cervical-spine-surgery
January 29, 2021 - Simulation has been shown to improve knowledge, skill, and behavior of health care professionals. 18,19
                                     
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psnet.ahrq.gov/node/867022/psn-pdf
October 30, 2024 - in this case:
suspected skull fracture; scalp hematoma; any neurologic deficit; GCS < 15; abnormal behavior
                                     
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psnet.ahrq.gov/node/865466/psn-pdf
March 27, 2024 - implicit
biases, or negative attitudes toward groups based on race or ethnicity that unconsciously affect behavior
                                     
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psnet.ahrq.gov/perspective/overuse-patient-safety-problem
September 01, 2014 - from awareness to action, there are multiple attempts on national and local levels to change clinician behaviors
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/49707/psn-pdf
April 01, 2014 - This case illustrates a confluence of epidemiological, clinician practice behaviors, knowledge deficits
                                     
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psnet.ahrq.gov/print/pdf/node/74277
January 01, 2021 - This study explored medication safety behaviors among young-old (65-74
years), middle-old (75-84 years
                                     
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psnet.ahrq.gov/web-mm/when-psychiatric-symptoms-are-not
September 20, 2011 - When "Psychiatric" Symptoms Are Not 
 
 
 
 
 Citation Text: 
 Goldberg RJ. When "Psychiatric" Symptoms Are Not. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. 
 Copy Citation 
 
 Format: 
 
 
 
 Google Scholar BibTeX EndNote X3 XML EndNot… 
                                     
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psnet.ahrq.gov/web-mm/dangerous-detour
November 28, 2018 - The Dangerous Detour 
 
 
 
 
 Citation Text: 
 Gibson J, HTaylor D. The Dangerous Detour. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. 
 Copy Citation 
 
 Format: 
 
 
 
 Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged… 
                                     
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psnet.ahrq.gov/node/49604/psn-pdf
June 01, 2010 - tools in general and to any changes
from existing cultural norms is also a strong barrier to changing behaviors
                                     
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.88_slideshow.ppt
March 01, 2005 - Spotlight Case [MONTH] 2003
Spotlight Case March 2005
The Hidden Mystery
Source and Credits
	This presentation is based on the March 2005 
AHRQ WebM&M Spotlight Case in Hospital Medicine 
	See the full article at http://webmm.ahrq.gov  
	CME credit is available through the Web site
	Commentary by: Douglas D. Br… 
                                     
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psnet.ahrq.gov/node/49397/psn-pdf
May 01, 2003 - The Dropped Lung
May 1, 2003
Heffner JR. The Dropped Lung. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/dropped-lung
The Case
A 79-year-old woman was admitted for hypoxia and shortness of breath. Two weeks prior she had been
hospitalized for dyspnea and was found to have multiple bilateral pulmonary nodu… 
                                     
                                                                    - 
                                        
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.85_slideshow.ppt
March 01, 2005 - Spotlight Case [MONTH] 2003
Spotlight Case March 2005
The Hidden Mystery
Source and Credits
	This presentation is based on the March 2005 
AHRQ WebM&M Spotlight Case in Hospital Medicine 
	See the full article at http://webmm.ahrq.gov  
	CME credit is available through the Web site
	Commentary by: Douglas D. Br…