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psnet.ahrq.gov/periodic-issue/periodic-issue-353
August 05, 2022 - When faced with a patient safety concern, staff need to decide whether to speak up or remain silent. … When faced with a patient safety concern, staff need to decide whether to speak up or remain silent.
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psnet.ahrq.gov/node/836749/psn-pdf
March 16, 2022 - Comparison of a focused family cancer history
questionnaire to family history documentation in the
electronic medical record.
March 16, 2022
Clift K, Macklin-Mantia S, Barnhorst M, et al. Comparison of a focused family cancer history questionnaire
to family history documentation in the electronic medical record. J…
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psnet.ahrq.gov/node/34749/psn-pdf
January 09, 2017 - Patient Safety and the "Just Culture": A Primer for Health
Care Executives.
January 9, 2017
Marx DA. Patient Safety And The "Just Culture": A Primer For Health Care Executives. New York, NY:
Trustees of Columbia University; 2001.
https://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-execu…
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psnet.ahrq.gov/node/46398/psn-pdf
June 25, 2018 - Challenges in health care simulation: are we learning
anything new?
June 25, 2018
Henriksen K, Rodrick D, Grace EN, et al. Challenges in Health Care Simulation: Are We Learning Anything
New? Acad Med. 2018;93(5):705-708. doi:10.1097/ACM.0000000000001891.
https://psnet.ahrq.gov/issue/challenges-health-care-simulati…
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psnet.ahrq.gov/node/39922/psn-pdf
October 13, 2010 - What’s past is prologue: organizational learning from a
serious patient injury.
October 13, 2010
Tamuz M, Franchois KE, Thomas EJ. What’s past is prologue: Organizational learning from a serious
patient injury. Saf Sci. 2010;49(1). doi:10.1016/j.ssci.2010.06.005.
https://psnet.ahrq.gov/issue/whats-past-prologue-or…
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psnet.ahrq.gov/node/45154/psn-pdf
May 25, 2016 - The effect of a program to shorten the decision-to-
delivery interval for emergent cesarean section on
maternal and neonatal outcome.
May 25, 2016
Weiner E, Bar J, Fainstein N, et al. The effect of a program to shorten the decision-to-delivery interval for
emergent cesarean section on maternal and neonatal outcome…
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psnet.ahrq.gov/node/74260/psn-pdf
January 19, 2022 - What counts as a voiceable concern in decisions about
speaking out in hospitals: a qualitative study.
January 19, 2022
Dixon-Woods M, Aveling EL, Campbell A, et al. What counts as a voiceable concern in decisions about
speaking out in hospitals: a qualitative study. J Health Serv Res Policy. 2022;27(2):88-95.
doi:…
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psnet.ahrq.gov/node/33863/psn-pdf
August 01, 2018 - MW: In an optimal world of value-based care, you would see at least some organizations decide that
simulation … For example, the FDA [Food and Drug Administration] may decide that new,
complex, and high-risk procedures … The Joint Commission
may also decide to step in.
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psnet.ahrq.gov/node/33765/psn-pdf
April 01, 2014 - RW: How do you decide how edgy to be? … Then we
decide how we can best do that. That requires some edginess.
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psnet.ahrq.gov/node/49646/psn-pdf
February 01, 2012 - Poorly Advanced Directives
February 1, 2012
Anderson WG. Poorly Advanced Directives. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/poorly-advanced-directives
The Case
Cared for at home by his wife and family, an 82-year-old man with multiple chronic medical conditions
described his overall health as decli…
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psnet.ahrq.gov/node/60278/psn-pdf
April 29, 2020 - Assessing patient safety in a pediatric telemedicine
setting: a multi-methods study.
April 29, 2020
Haimi M, Brammli-Greenberg S, Baron-Epel O, et al. Assessing patient safety in a pediatric telemedicine
setting: a multi-methods study. BMC Med Inform Decis Mak. 2020;20(1). doi:10.1186/s12911-020-1074-7.
https://ps…
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psnet.ahrq.gov/node/840139/psn-pdf
November 16, 2022 - CDC Clinical Practice Guideline for Prescribing Opioids
for Pain - United States, 2022.
November 16, 2022
Dowell D, Ragan KR, Jones CM, et al. CDC Clinical Practice Guideline for Prescribing Opioids for Pain —
United States, 2022. MMWR Recomm Rep. 2022;71(3):1-95. doi:10.15585/mmwr.rr7103a1.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/curated-library/artificial-intelligence-system-level-considerations
March 27, 2024 - Read More
How health systems decide to use artificial intelligence for … Study
How health systems decide to use artificial intelligence for clinical decision
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psnet.ahrq.gov/curated-library/diagnostic-error
March 10, 2025 - Diagnosis (1)
How much diagnostic safety can we afford, and how should we decide … Commentary
How much diagnostic safety can we afford, and how should we decide?
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psnet.ahrq.gov/node/33728/psn-pdf
May 01, 2012 - How do you decide where to set that bar? … psnet.ahrq.gov/primer/never-events
http://oig.hhs.gov/oei/reports/oei-06-09-00090.pdf
RW: How do you decide … Would you favor public reporting of comparative data that allows patients to decide to go to
hospital
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psnet.ahrq.gov/node/45252/psn-pdf
September 04, 2016 - Pediatric airway management and prehospital patient
safety: results of a national Delphi survey by the
Children's Safety Initiative-Emergency Medical Services
for Children.
September 4, 2016
Hansen M, Meckler G, O?Brien K, et al. Pediatric Airway Management and Prehospital Patient Safety:
Results of a National De…
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psnet.ahrq.gov/node/49621/psn-pdf
March 01, 2011 - four adult colleagues sitting together in a room all simultaneously suffer from a
headache and all decide … As each of you pulls out your pills or 'dose,' four of you decide
to each take between 200 mg and 800
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psnet.ahrq.gov/perspective/conversation-leah-binder-ma-mga
February 26, 2025 - RW : How do you decide how edgy to be? … Then we decide how we can best do that. That requires some edginess.
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psnet.ahrq.gov/node/41898/psn-pdf
December 05, 2012 - Pharmacy dispensing of electronically discontinued
medications.
December 5, 2012
Allen AS, Sequist TD. Pharmacy dispensing of electronically discontinued medications. Ann Intern Med.
2012;157(10):700-705. doi:10.7326/0003-4819-157-10-201211200-00006.
https://psnet.ahrq.gov/issue/pharmacy-dispensing-electronically-…
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psnet.ahrq.gov/web-mm/poorly-advanced-directives
August 01, 2018 - Poorly Advanced Directives
Citation Text:
Anderson WG. Poorly Advanced Directives. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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