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psnet.ahrq.gov/node/33594/psn-pdf
November 18, 2021 - The goals of this phase are to explore participants’ rationale for observed behaviors,
identify and
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psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-occult-hemothorax-following-complicated-central-line
April 01, 2008 - In the hospital’s root cause analysis, it would be important to examine the behaviors and actions of
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psnet.ahrq.gov/web-mm/impatient-inpatient-dosing
June 24, 2020 - SPOTLIGHT CASE
Impatient Inpatient Dosing
Citation Text:
White RH. Impatient Inpatient Dosing. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
February 28, 2024 - Chopra to talk about your PICC ordering behavior?
VC: Haha! No, that's not it.
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psnet.ahrq.gov/perspective/conversation-withdonald-m-berwick-md-mpp
November 01, 2005 - defines graciousness, and I have always chosen him as a model of courageous and bold, but respectful, behavior
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psnet.ahrq.gov/perspective/conversation-gregg-s-meyer-md-msc
June 01, 2016 - need folks who can draw on a variety of experiences, like human factors engineering and organizational behavior
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psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience
November 01, 2005 - defines graciousness, and I have always chosen him as a model of courageous and bold, but respectful, behavior
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psnet.ahrq.gov/perspective/conversation-withjoseph-britto-md
February 01, 2007 - Invariants of human behavior. Annu Rev Psychol. 1990;41:1-19.
7.
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psnet.ahrq.gov/perspective/conversation-eric-thomas-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - So you get this gaming behavior that is obviously detrimental to learning and to really improving care
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psnet.ahrq.gov/sites/default/files/2023-07/spotlight_a_complicated_course.pdf
January 01, 2023 - • In either case, there should have been a clear explanation in
the nursing documentation of the behavior
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psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
February 01, 2007 - Invariants of human behavior. Annu Rev Psychol. 1990;41:1-19.
7.
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psnet.ahrq.gov/perspective/conversation-kaveh-shojania-md
February 26, 2025 - we really need to embrace that and think about what interventions will deeply improve those types of behaviors
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psnet.ahrq.gov/web-mm/translating-normal-abnormal
October 02, 2019 - Patient safety event reporting expectation: does it influence residents' attitudes and reporting behaviors
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psnet.ahrq.gov/web-mm/nothing-called-small-surgery
February 01, 2023 - 2024
Focused team engagements to enhance interprofessional collaboration and safety behaviors
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psnet.ahrq.gov/node/49831/psn-pdf
June 01, 2018 - Chest Pain in a Rural Hospital
June 1, 2018
MacKinney CA, Mohr NM. Chest Pain in a Rural Hospital. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/chest-pain-rural-hospital
Case Objectives
Recognize that a significant proportion of the Unites States population receives care in rural safety
net emergency dep…
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psnet.ahrq.gov/node/33759/psn-pdf
October 01, 2012 - Promising Areas for Patient Safety Research
December 1, 2003
Brady JP, Munier WB, Azam I. Promising Areas for Patient Safety Research. PSNet [internet]. 2003.
https://psnet.ahrq.gov/perspective/promising-areas-patient-safety-research
Perspective
Setting a Course for Patient Safety Research
Although patient safety…
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psnet.ahrq.gov/node/837748/psn-pdf
August 05, 2022 - opinion, and available examples to formulate the
MARQUIS toolkit, which emphasized high-performance behaviors
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psnet.ahrq.gov/web-mm/consequences-medical-overuse
May 05, 2021 - SPOTLIGHT CASE
Consequences of Medical Overuse
Citation Text:
Morgan DJ, Foy AJ. Consequences of Medical Overuse. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
September 01, 2016 - SPOTLIGHT CASE
Multifactorial Medication Mishap
Citation Text:
Yang A. Multifactorial Medication Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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psnet.ahrq.gov/node/33833/psn-pdf
May 01, 2017 - In Conversation With… David Juurlink, MD, PhD
May 1, 2017
In Conversation With… David Juurlink, MD, PhD. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd
Editor's note: Dr. Juurlink is professor of medicine, pediatrics, and health policy at the University of
Toronto, w…