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psnet.ahrq.gov/issue/diagnostic-discordance-uncertainty-and-treatment-ambiguity-community-acquired-pneumonia
June 07, 2023 - Study
Diagnostic discordance, uncertainty, and treatment ambiguity in community-acquired pneumonia: a national cohort study of 115 U.S. Veterans Affairs hospitals.
Citation Text:
Jones BE, Chapman AB, Ying J, et al. Diagnostic discordance, uncertainty, and treatment ambiguity in communit…
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psnet.ahrq.gov/web-mm/medication-mix-bad-worse
March 01, 2018 - Proprietary Name Review: Concept Paper.
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psnet.ahrq.gov/node/60269/psn-pdf
April 29, 2020 - transitioned to more
group coverage with shared call responsibilities and cross coverage, this ‘ownership’ concept
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psnet.ahrq.gov/web-mm/transfer-or-not-transfer
November 23, 2016 - Emergency department crowding, part 1-concept, causes, and moral consequences.
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psnet.ahrq.gov/node/853773/psn-pdf
September 27, 2023 - errors, but any healthcare provider involved in
the event may become a “second victim”.17 Although this concept
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psnet.ahrq.gov/node/49864/psn-pdf
June 01, 2019 - We have expanded the concept of appropriate
feedback to include the following behaviors by local leadership
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psnet.ahrq.gov/node/49480/psn-pdf
May 01, 2005 - We believe that diagnostic error may be a misused concept when
outcomes of care are considered, and
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psnet.ahrq.gov/node/49573/psn-pdf
January 01, 2009 - functions in
necessarily distributed work.(12-13)
"Failure to communicate" is not a useful diagnostic
concept
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psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error
August 02, 2015 - Changes in inpatient medicine over the past 10 years challenge the concept of remote supervision.
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psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
January 01, 2022 - timing of patient reassessment and additional
dose administration, which could further prevent this concept
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psnet.ahrq.gov/perspective/conversation-gregg-s-meyer-md-msc
June 01, 2016 - In Conversation With… Gregg S. Meyer, MD, MSc
June 1, 2016
Also Read an Essay
Also Read an Essay
Citation Text:
In Conversation With… Gregg S. Meyer, MD, MSc. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health…
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psnet.ahrq.gov/issue/teaching-quality-improvement-and-patient-safety-trainees-systematic-review
June 09, 2015 - Review
Classic
Teaching quality improvement and patient safety to trainees: a systematic review.
Citation Text:
Wong BM, Etchells E, Kuper A, et al. Teaching quality improvement and patient safety to trainees: a systematic review. Acad Med. 2010;85(9):1425-39. d…
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psnet.ahrq.gov/issue/tale-two-stories-contrasting-views-patient-safety
March 27, 2005 - Book/Report
Classic
A Tale of Two Stories: Contrasting Views of Patient Safety.
Citation Text:
A Tale of Two Stories: Contrasting Views of Patient Safety. Cook RI, Woods DD, Miller C. Chicago, IL: National Patient Safety Foundation; 1997.
Copy Citation
…
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psnet.ahrq.gov/issue/using-objective-structured-clinical-examination-test-adherence-joint-commission-national
September 26, 2012 - Study
Using an objective structured clinical examination to test adherence to Joint Commission National Patient Safety Goal–associated behaviors.
Citation Text:
Pernar LIM, Shaw T, Pozner CN, et al. Using an Objective Structured Clinical Examination to test adherence to Joint Commissio…
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psnet.ahrq.gov/node/38281/psn-pdf
May 24, 2015 - Patient Safety Curriculum.
May 24, 2015
Ann Arbor, MI: National Center for Patient Safety.
https://psnet.ahrq.gov/issue/patient-safety-curriculum
This curriculum introduces basic patient safety concepts and provides materials to support students,
instructors, and faculty educators.
https://psnet.ahrq.gov/issue/pa…
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psnet.ahrq.gov/node/40827/psn-pdf
October 05, 2011 - Educating for Safety.
October 5, 2011
Am J Pharm Edu. 2011;75(7):e140-e143.
https://psnet.ahrq.gov/issue/educating-safety
This special section discusses strategies for integrating safety concepts into pharmacy curricula to promote
safe medication practice.
https://psnet.ahrq.gov/issue/educating-safety
http…
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psnet.ahrq.gov/perspective/wild-west-patient-safety-office-based-anesthesia
April 01, 2003 - The Wild West: Patient Safety in Office-Based Anesthesia
Rainu Kaushal, MD MPH; Sekhar Upadhyayula, MD; David M. Gaba, MD; Lucian L. Leape, MD | May 1, 2006
View more articles from the same authors.
Citation Text:
Kaushal R, Upadhyayula S, Gaba DM, et al. The Wild…
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psnet.ahrq.gov/sites/default/files/2020-11/final_nov_spotlight_case_premature_closing-snycope_11.20.2020-revised.pdf
January 01, 2020 - Microsoft PowerPoint - FINAL Nov_Spotlight Case_Premature Closing-Snycope_11.20.2020-revised.pptx
Spotlight
Premature Closure: Was it Just Syncope?
Source and Credits
• This presentation is based on the November 2020 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit i…
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psnet.ahrq.gov/node/33810/psn-pdf
June 01, 2016 - Becoming a Certified Professional in Patient Safety—A
Registered Nurse's Perspective
June 1, 2016
Frank K. Becoming a Certified Professional in Patient Safety—A Registered Nurse's Perspective. PSNet
[internet]. 2016.
https://psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-registered-nurse…
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psnet.ahrq.gov/node/40862/psn-pdf
October 19, 2011 - Thinking about our thinking as physicians.
October 19, 2011
Groopman J; Hartzband P.
https://psnet.ahrq.gov/issue/thinking-about-our-thinking-physicians
Exploring concepts such as anchoring error, availability bias, and confirmation bias, this piece describes
tactics to help recognize and manage errors in thinking…