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psnet.ahrq.gov/node/33867/psn-pdf
October 01, 2018 - still have punishment doled out to
pharmacists who made an error—an error that didn't involve reckless behavior
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psnet.ahrq.gov/perspective/annual-perspective-topics-medication-safety
April 27, 2022 - In addition to state regulations and guidelines targeting opioid prescribing behavior, other interventions
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psnet.ahrq.gov/perspective/equity-patient-safety
September 24, 2024 - implicit biases, or negative attitudes toward groups based on race or ethnicity that unconsciously affect behavior
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psnet.ahrq.gov/node/846171/psn-pdf
July 26, 2022 - delirium often presents with symptoms of acute confusion,
agitation, hallucinations, or combative behavior
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psnet.ahrq.gov/web-mm/delayed-symptomatic-subdural-hematoma-following-initially-normal-ct-head
March 27, 2024 - in this case: suspected skull fracture; scalp hematoma; any neurologic deficit; GCS < 15; abnormal behavior
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psnet.ahrq.gov/perspective/patient-safety-medical-nursing-and-other-clinical-education
January 31, 2020 - causes of errors and how to avoid them, attitudes towards collaboration and a culture of safety, and behaviors
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psnet.ahrq.gov/innovation/risk-mitigation-using-anesthesia-risk-alert-program-applying-proactive-approach-data
February 26, 2025 - mitigation strategies, and that implementation of the Anesthesia Risk Alert program caused a change in staff behaviors
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psnet.ahrq.gov/node/838972/psn-pdf
October 27, 2022 - Avoid defensive or argumentative behaviors that further escalates the situation.
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psnet.ahrq.gov/web-mm/privacy-gone-awry
February 24, 2011 - HIPAA reinforces behaviors that should already be second nature for clinicians.
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psnet.ahrq.gov/web-mm/40-k
January 12, 2011 - Behaviors that inhibit communication place patients at greater risk for an adverse drug event (ADE).
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psnet.ahrq.gov/web-mm/baffled-botulinum-toxin
July 17, 2024 - May 8, 2024
Physician behaviors associated with increased physician and nurse communication
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psnet.ahrq.gov/perspective/pharmacist-role-patient-safety
June 29, 2020 - Say It Again
June 1, 2011
The state of health, burnout, healthy behaviors
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psnet.ahrq.gov/web-mm/raise-bar
May 29, 2024 - Increasing safety stewardship requires a culture that discourages behaviors based on hierarchy and consistently
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psnet.ahrq.gov/web-mm/dropping-ball-despite-integrated-emr
January 07, 2015 - Their decision, though, had direct consequences for behaviors and decisions of people at lower levels
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psnet.ahrq.gov/web-mm/deciphering-code
November 16, 2022 - Deciphering the Code
Citation Text:
Goldstein MK. Deciphering the Code. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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psnet.ahrq.gov/web-mm/dropped-lung
February 06, 2012 - The Dropped Lung
Citation Text:
Heffner JR. The Dropped Lung. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication
January 24, 2018 - Commentary by Deborah Debono, PhD, RN, and Tracy Levett-Jones, PhD, RN
Workarounds are defined as behaviors
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psnet.ahrq.gov/web-mm/fumbled-handoff-inpatient-rehab
December 21, 2018 - A Fumbled Handoff to Inpatient Rehab
Citation Text:
Ashcraft LE, Kahn JM. A Fumbled Handoff to Inpatient Rehab. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/perspective/safety-prehospital-emergency-medical-services-setting
May 01, 2019 - make a positive impact on workers and outcomes.( 19 ) Targeting teamwork and promoting better team behavior … shift of prior work.( 11 ) Poor familiarity among partners may have a negative impact on select team behaviors
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psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
July 01, 2017 - complementary approach to promoting professionalism: identifying, measuring, and addressing unprofessional behaviors … It also tempts users to engage in behaviors that are not great from a malpractice perspective, like cutting