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psnet.ahrq.gov/issue/forgive-and-remember-managing-medical-failure-2nd-ed
March 27, 2005 - Book/Report
Classic
Forgive and Remember: Managing Medical Failure. 2nd ed.
Citation Text:
Forgive and Remember: Managing Medical Failure. 2nd ed. Bosk CL.Chicago, IL: University of Chicago Press; 2003. ISBN: 9780226066783.
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psnet.ahrq.gov/issue/failure-safety-critical-systems-handbook-accident-and-incident-reporting
November 23, 2016 - Book/Report
Failure in Safety-Critical Systems: A Handbook of Accident and Incident Reporting.
Citation Text:
Failure in Safety-Critical Systems: A Handbook of Accident and Incident Reporting. Johnson CW. Glasgow, Scotland: University of Glasgow Press; 2003. ISBN 0852617844.
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psnet.ahrq.gov/issue/medical-errors-and-medical-narcissism
August 03, 2005 - Book/Report
Medical Errors and Medical Narcissism.
Citation Text:
Medical Errors and Medical Narcissism. Banja JD. Sudbury MA: Jones and Bartlett, 2005. ISBN: 0763783617.
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psnet.ahrq.gov/issue/leadership-guide-patient-safety-resources-and-tools-establishing-and-maintaining-patient
November 18, 2011 - Book/Report
Leadership Guide to Patient Safety: Resources and Tools for Establishing and Maintaining Patient Safety.
Citation Text:
Leadership Guide to Patient Safety: Resources and Tools for Establishing and Maintaining Patient Safety. Botwinick L, Bisognano M, Haraden C. Cambr…
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psnet.ahrq.gov/issue/patient-safety-handbook-second-edition
March 27, 2005 - Book/Report
Patient Safety Handbook, Second Edition.
Citation Text:
Patient Safety Handbook, Second Edition. Youngberg B. ed. Sudbury, MA: Jones and Bartlett; 2013. ISBN 9780763774042
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psnet.ahrq.gov/issue/leapfrog-annual-meeting-and-awards-dinner
August 05, 2024 - International Meeting/Conference
Leapfrog Annual Meeting and Awards Dinner.
Citation Text:
Leapfrog Annual Meeting and Awards Dinner. Leapfrog Group. Gaylord Hotel, National Harbor, MD; December 17, 2024.
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psnet.ahrq.gov/issue/teamstepps-core-curriculum
August 01, 2012 - Course Material/Curriculum
TeamSTEPPS Core Curriculum.
Citation Text:
TeamSTEPPS Core Curriculum. Rockville, MD: Agency for Healthcare Research and Quality; July 2023.
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psnet.ahrq.gov/issue/surgeon-heal-thyself-optimising-surgical-performance-managing-stress
November 10, 2017 - Book/Report
Surgeon, Heal Thyself: Optimising Surgical Performance by Managing Stress.
Citation Text:
Surgeon, Heal Thyself: Optimising Surgical Performance by Managing Stress. Shiralkar U. Boca Raton, FL: CRC Press; 2017. ISBN: 9781498724036.
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psnet.ahrq.gov/issue/conversation-patient-safety-officers
April 30, 2024 - Book/Report
A Conversation with Patient Safety Officers.
Citation Text:
A Conversation with Patient Safety Officers. Harrisburg, PA: Patient Safety Authority; 2007.
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psnet.ahrq.gov/issue/medical-team-training
December 17, 2008 - Book/Report
Medical Team Training.
Citation Text:
Medical Team Training. Oakbrook, IL: Joint Commission Resources; 2008. ISBN: 9781599400921.
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psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
March 01, 2007 - Perspective
Related Resources From the Same Author(s)
WebM&M Cases
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psnet.ahrq.gov/perspective/conversation-paul-g-shekelle-md-mph-phd
February 26, 2025 - readers to understand what kind of situation the patient safety evaluation was done in, and then in some cases
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psnet.ahrq.gov/node/841493/psn-pdf
December 14, 2022 - Research has shown that patient satisfaction with telehealth encounters is similar
to, and in some cases
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psnet.ahrq.gov/node/33779/psn-pdf
March 01, 2015 - this one found discrepancies
between hospital discharge and home medication lists in nearly 90% of cases
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psnet.ahrq.gov/node/33808/psn-pdf
May 01, 2016 - In other cases, the default settings may not be appropriate for a
given patient population, such as
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psnet.ahrq.gov/node/33634/psn-pdf
May 04, 2006 - that take in room air and concentrate the oxygen portion to
concentrations as high as 90%.(9) In some cases
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psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety
June 15, 2024 - for Investigating Patient Safety Events
March 30, 2022
WebM&M Cases
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psnet.ahrq.gov/node/849598/psn-pdf
May 31, 2023 - clinicians benefit from the assistance of
the remote team)
Planning for scalability for times of increased cases
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psnet.ahrq.gov/perspective/conversation-withtroyen-brennan-md-jd-mph
December 21, 2022 - In Conversation with…Troyen A. Brennan, MD, JD, MPH
December 1, 2005
Citation Text:
In Conversation with…Troyen A. Brennan, MD, JD, MPH. 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/node/49545/psn-pdf
September 01, 2007 - Coming Undone: Failure of Closure Device
September 1, 2007
Baez-Escudero JL, Levine GN. Coming Undone: Failure of Closure Device. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/coming-undone-failure-closure-device
The Case
A 65-year-old man underwent coronary angiography because of atypical exertional chest…