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psnet.ahrq.gov/node/33607/psn-pdf
September 27, 2022 - Death by 1000 Cuts: Medscape National Physician Burnout & Suicide Report 2021.
Medscape.
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psnet.ahrq.gov/perspective/evolution-root-cause-analysis
February 26, 2025 - that we conduct root cause analysis on sentinel events , which are serious events that cause harm or death … could be secretive and confidential because we are dealing with sensitive events, like causing harm or death
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psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
February 26, 2025 - that we conduct root cause analysis on sentinel events , which are serious events that cause harm or death … could be secretive and confidential because we are dealing with sensitive events, like causing harm or death
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psnet.ahrq.gov/issue/apology-medical-practice-emerging-clinical-skill
October 25, 2006 - Commentary
Apology in medical practice: an emerging clinical skill.
Citation Text:
Lazare A. Apology in medical practice: an emerging clinical skill. JAMA. 2006;296(11):1401-4.
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psnet.ahrq.gov/issue/origin-and-uses-primum-non-nocere-above-all-do-no-harm
January 09, 2019 - Commentary
Origin and uses of primum non nocere—above all, do no harm!
Citation Text:
Smith CM. Origin and uses of primum non nocere--above all, do no harm!. J Clin Pharmacol. 2005;45(4):371-7.
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psnet.ahrq.gov/issue/five-pitfalls-decisions-about-diagnosis-and-prescribing
April 26, 2017 - Commentary
Five pitfalls in decisions about diagnosis and prescribing.
Citation Text:
Klein JG. Five pitfalls in decisions about diagnosis and prescribing. BMJ. 2005;330(7494):781-3.
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psnet.ahrq.gov/issue/fall-related-injuries-acute-care-reducing-risk-harm
March 28, 2018 - Review
Fall-related injuries in acute care: reducing the risk of harm.
Citation Text:
Hook ML, Winchel S. Fall-related injuries in acute care: reducing the risk of harm. Medsurg Nurs. 2006;15(6):370-7, 381.
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psnet.ahrq.gov/issue/improving-teamwork-healthcare-current-approaches-and-path-forward
February 12, 2020 - Commentary
Improving teamwork in healthcare: current approaches and the path forward.
Citation Text:
Thomas EJ. Improving teamwork in healthcare: current approaches and the path forward. BMJ Qual Saf. 2011;20(8):647-50. doi:10.1136/bmjqs-2011-000117.
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psnet.ahrq.gov/issue/are-long-physician-working-hours-harmful-patient-safety
June 24, 2020 - Review
Are long physician working hours harmful to patient safety?
Citation Text:
Ehara A. Pediatr Int. 2008;50:175-178.
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psnet.ahrq.gov/issue/patient-safety-and-surgeons-why-resistance
September 23, 2020 - Commentary
Patient safety and surgeons: why the resistance?
Citation Text:
Hoover EL. Patient safety and surgeons: why the resistance? Arch Surg. 2007;142(12):1127-8.
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psnet.ahrq.gov/issue/patient-safety-mindful-meaningful-and-fulfilling
October 20, 2021 - Commentary
Patient safety: mindful, meaningful, and fulfilling.
Citation Text:
Winokur SC, Beauregard KJ. Patient safety: mindful, meaningful, and fulfilling. Front Health Serv Manage. 2005;22(1):17-32.
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psnet.ahrq.gov/issue/systems-approach-reduce-errors-surgery
August 10, 2016 - Commentary
Systems approach to reduce errors in surgery.
Citation Text:
Dankelman J, Grimbergen CA. Systems approach to reduce errors in surgery. Surg Endosc. 2005;19(8):1017-21.
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psnet.ahrq.gov/issue/addressing-structural-racism-pediatric-clinical-practice
November 16, 2022 - Commentary
Addressing structural racism in pediatric clinical practice.
Citation Text:
Laster M, Kozman D, Norris KC. Addressing structural racism in pediatric clinical practice. Pediatr Clin North Am. 2023;70(4):725-743. doi:10.1016/j.pcl.2023.03.010.
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psnet.ahrq.gov/issue/cultural-transformation-toward-patient-safety-one-conversation-time
November 16, 2022 - Commentary
Cultural transformation toward patient safety: one conversation at a time.
Citation Text:
Moore ML, Putman PA. Cultural transformation toward patient safety: one conversation at a time. Nurs Admin Q. 2008;32(2):102-108. doi:10.1097/01.NAQ.0000314538.36865.09.
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psnet.ahrq.gov/issue/engineering-risk-analysis-hospital-oxygen-supply-system
July 23, 2014 - Commentary
Engineering risk analysis of a hospital oxygen supply system.
Citation Text:
Deleris LA, Yeo GL, Seiver A, et al. Engineering risk analysis of a hospital oxygen supply system. Med Decis Making. 2006;26(2):162-72.
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psnet.ahrq.gov/periodic-issue/periodic-issue-464
October 30, 2024 - November 13, 2024 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, repor…
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psnet.ahrq.gov/periodic-issue/periodic-issue-436
April 10, 2024 - April 17, 2024 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports,…
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psnet.ahrq.gov/node/49583/psn-pdf
April 01, 2009 - Eptifibatide Epilogue
April 1, 2009
Churchill WW, Fiumara K. Eptifibatide Epilogue. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/eptifibatide-epilogue
The Case
A 62-year-old man was admitted at 11:00 PM on a Saturday night with the provisional diagnosis of acute
coronary syndrome. Serial testing for mark…
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psnet.ahrq.gov/web-mm/forgotten-med
July 01, 2006 - The Forgotten Med
Citation Text:
Cucina R. The Forgotten Med. 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/web-mm/mid-summer-fog
September 29, 2017 - A Mid-Summer Fog
Citation Text:
Braddock CH. A Mid-Summer Fog. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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