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psnet.ahrq.gov/node/837784/psn-pdf
August 05, 2022 - So, I think there are at least four main issues
when we are considering safety and implementing health … patients to take a critical look at
the background of the apps they want to use or the devices they are considering
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psnet.ahrq.gov/node/73387/psn-pdf
March 17, 2021 - COVID-19 and the Built Environment
June 30, 2021
Joseph A, Scanlon MM, Fitall E, et al. COVID-19 and the Built Environment. PSNet [internet]. 2021.
https://psnet.ahrq.gov/perspective/covid-19-and-built-environment
Introduction
The “built environment” in healthcare refers to the hospital structure and any other fix…
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psnet.ahrq.gov/node/41876/psn-pdf
December 04, 2016 - Errors in palliative care: kinds, causes, and
consequences: a pilot survey of experiences and
attitudes of palliative care professionals.
December 4, 2016
Dietz I, Borasio GD, Molnar C, et al. Errors in palliative care: kinds, causes, and consequences: a pilot
survey of experiences and attitudes of palliative care…
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psnet.ahrq.gov/node/44743/psn-pdf
December 22, 2017 - Patients' and providers' perceptions of the preventability
of hospital readmission: a prospective, observational
study in four European countries.
December 22, 2017
van Galen LS, Brabrand M, Cooksley T, et al. Patients' and providers' perceptions of the preventability of
hospital readmission: a prospective, observ…
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psnet.ahrq.gov/node/49431/psn-pdf
January 01, 2004 - Crushing Chest Pain: A Missed Opportunity
January 1, 2004
Graber ML. Crushing Chest Pain: A Missed Opportunity. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/crushing-chest-pain-missed-opportunity
Case Objectives
Appreciate the challenges of diagnosing aortic dissection
Describe a Bayesian approach to dia…
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psnet.ahrq.gov/web-mm/crushing-chest-pain-missed-opportunity
February 01, 2007 - SPOTLIGHT CASE
Crushing Chest Pain: A Missed Opportunity
Citation Text:
Graber ML. Crushing Chest Pain: A Missed Opportunity. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Format:
Google …
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psnet.ahrq.gov/perspective/patient-safety-medical-nursing-and-other-clinical-education
January 31, 2020 - curricula for ways the competencies are already being taught and assessed is a good first step before considering
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psnet.ahrq.gov/web-mm/liver-failure-after-chemotherapy-did-we-forget-something
May 01, 2019 - Moreover, the admitting team erred by not considering the possibility of hepatitis as the cause of the
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psnet.ahrq.gov/web-mm/premature-or-overdue
December 23, 2020 - Instead of considering induction, the physicians now weighed options of either proceeding with an amniocentesis
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psnet.ahrq.gov/node/846125/psn-pdf
March 15, 2023 - After gathering information, considering
occasionally disparate opinions, and drawing on multidisciplinary
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psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
January 01, 2020 - include ruling out the
worst-case scenario, accepting that the first assumption or plan may
be wrong, considering
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psnet.ahrq.gov/node/72587/psn-pdf
December 23, 2020 - benefits of the diagnostic or
therapeutic intervention requiring intrahospital transport while also considering
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psnet.ahrq.gov/node/60044/psn-pdf
March 16, 2020 - curricula for ways the
competencies are already being taught and assessed is a good first step before considering
-
psnet.ahrq.gov/web-mm/home-medications-contribute-unique-opportunity-error-discharge-hospital
May 16, 2022 - of medications that are effective for treating the conditions commonly seen at that facility while considering
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psnet.ahrq.gov/perspective/conversation-withjoseph-britto-md
February 01, 2007 - known to affect subconscious processing, such as advice to offset the availability heuristic by always considering
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psnet.ahrq.gov/web-mm/anticoagulation-held-too-long
April 01, 2008 - Anticoagulation: Held Too Long
Citation Text:
Dunn AS. Anticoagulation: Held Too Long. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnot…
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psnet.ahrq.gov/node/46700/psn-pdf
November 19, 2018 - Promising practices for improving hospital patient safety
culture.
November 19, 2018
Campione J, Famolaro T. Promising Practices for Improving Hospital Patient Safety Culture. Jt Comm J
Qual Patient Saf. 2018;44(1):23-32. doi:10.1016/j.jcjq.2017.09.001.
https://psnet.ahrq.gov/issue/promising-practices-improving-ho…
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psnet.ahrq.gov/node/36907/psn-pdf
September 14, 2012 - Serious Reportable Events in Healthcare—2011 Update.
September 14, 2012
Washington DC: National Quality Forum; December 2011.
https://psnet.ahrq.gov/issue/serious-reportable-events-healthcare-2011-update
The National Quality Forum originally defined 27 health care "never events"—patient safety events that
pose ser…
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psnet.ahrq.gov/node/40692/psn-pdf
October 04, 2011 - Patient safety incidents associated with obesity: a review
of reports to the National Patient Safety Agency and
recommendations for hospital practice.
October 4, 2011
Booth CMA, Moore CE, Eddleston J, et al. Patient safety incidents associated with obesity: a review of
reports to the National Patient Safety Agency…
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psnet.ahrq.gov/node/33659/psn-pdf
October 01, 2007 - Making Just Culture a Reality: One Organization's
Approach
October 1, 2007
Page AH. Making Just Culture a Reality: One Organization's Approach. PSNet [internet]. 2007.
https://psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
Perspective
We've all been there...something goes wrong,…