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psnet.ahrq.gov/web-mm/do-not-disturb
February 03, 2011 - specialty, or the system may fail to design call or duty schedules that ensure accurate night-time decision-making
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psnet.ahrq.gov/node/33610/psn-pdf
April 01, 2005 - Introducing the New AHRQ WebM&M and AHRQ Patient
Safety Network (PSNet)
April 1, 2005
Wachter R. Introducing the New AHRQ WebM&M and AHRQ Patient Safety Network (PSNet). PSNet
[internet]. 2005.
https://psnet.ahrq.gov/perspective/introducing-new-ahrq-webmm-and-ahrq-patient-safety-network-psnet
Editorial
Five year…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.37_slideshow.ppt
November 01, 2003 - Spotlight Case [MONTH] 2003
Spotlight Case November 2003
The Missing Suction Tip
Source and Credits
This presentation is based on the Nov. 2003
AHRQ WebM&M Spotlight Case in Surgery
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Eric J. Thomas, MD,…
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psnet.ahrq.gov/node/44592/psn-pdf
December 02, 2015 - Power and conflict: the effect of a superior's interpersonal
behaviour on trainees' ability to challenge authority
during a simulated airway emergency.
December 2, 2015
Friedman Z, Hayter MA, Everett TC, et al. Power and conflict: the effect of a superior's interpersonal
behaviour on trainees' ability to challenge…
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psnet.ahrq.gov/node/852459/psn-pdf
August 16, 2023 - Reimagining Healthcare Teams: Leveraging the Patient-
Clinician-AI Triad To Improve Diagnostic Safety.
August 16, 2023
James C, Singh K, Valley TS, et al. Rockville, MD; Agency for Healthcare Research and Quality; July 2023.
AHRQ Publication No. 23-0040-4-EF.
https://psnet.ahrq.gov/issue/reimagining-healthcare-tea…
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psnet.ahrq.gov/node/837674/psn-pdf
July 13, 2022 - Differences between managers’ and safety professionals’
perceptions of upwards influence attempts within safety
practice.
July 13, 2022
Madigan C, Way KA, Johnstone K, et al. Differences between managers’ and safety professionals’
perceptions of upwards influence attempts within safety practice. J Safety Res. 2022…
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psnet.ahrq.gov/node/837059/psn-pdf
May 11, 2022 - Anti-black racism as a chronic condition.
May 11, 2022
Sederstrom N, Lasege T. Anti-black racism as a chronic condition. Hastings Cent Rep. 2022;52(S1):s24-
s29. doi:10.1002/hast.1364.
https://psnet.ahrq.gov/issue/anti-black-racism-chronic-condition
Racial bias and systemic racism in healthcare are increasingly se…
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psnet.ahrq.gov/perspective/conversation-jack-westfall-md-mph
September 28, 2022 - Patient and family engagement Use of shared decision making Providing most patients’ healthcare needs
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psnet.ahrq.gov/issue/information-distortion-physicians-diagnostic-judgments
April 07, 2021 - Study
Information distortion in physicians' diagnostic judgments.
Citation Text:
Kostopoulou O, Russo E, Keenan G, et al. Information distortion in physicians' diagnostic judgments. Med Decis Making. 2012;32(6):831-9. doi:10.1177/0272989X12447241.
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Format:
DO…
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psnet.ahrq.gov/issue/jcaho-tightens-leash-medication-reconciliation
April 12, 2006 - Newspaper/Magazine Article
JCAHO tightens leash on medication reconciliation.
Citation Text:
JCAHO tightens leash on medication reconciliation. Perry LE. Drug Topics. March 20, 2006.
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S…
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psnet.ahrq.gov/issue/strategies-hospitals-improve-patient-safety-review-literature
May 20, 2020 - Book/Report
Strategies for Hospitals to Improve Patient Safety: A Review of the Literature.
Citation Text:
Strategies for Hospitals to Improve Patient Safety: A Review of the Literature. Wong J, Beglaryan H. Toronto, ON: The Change Foundation; February 2004.
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…
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psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
August 01, 2015 - New Insights on Safety and Health IT
A. Zach Hettinger, MD, MS; Raj Ratwani, PhD; Rollin J. (Terry) Fairbanks, MD, MS | August 1, 2015
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Hettinger ZA, Ratwani RM, Fairbanks RJ. New …
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psnet.ahrq.gov/perspective/conversation-robert-m-wachter-md
August 01, 2015 - In Conversation With… Robert M. Wachter, MD
August 1, 2015
Also Read an Essay
Citation Text:
In Conversation With… Robert M. Wachter, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 201…
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psnet.ahrq.gov/issue/medical-disrespect
September 27, 2023 - Newspaper/Magazine Article
Medical disrespect.
Citation Text:
Medical disrespect. Yurkiewicz I. Aeon Magazine. January 29, 2014.
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…
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psnet.ahrq.gov/issue/six-ways-lower-errors-and-unnecessary-surgeries-radiology-exams
February 10, 2021 - Newspaper/Magazine Article
Six ways to lower errors—and unnecessary surgeries—in radiology exams.
Citation Text:
Six ways to lower errors—and unnecessary surgeries—in radiology exams. Panner M. Forbes. August 12, 2019.
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…
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psnet.ahrq.gov/issue/reused-devices-surgerys-deadly-suspects
January 04, 2006 - Newspaper/Magazine Article
Reused devices, surgery's deadly suspects.
Citation Text:
Reused devices, surgery's deadly suspects. Klein A. Washington Post. December 30, 2005
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Shar…
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psnet.ahrq.gov/node/60722/psn-pdf
February 06, 2023 - Biases in the Diagnostic Process
Clinician decision-making often relies on cognitive thought processes—called … However, these same heuristics that support “fast
and frugal” decision-making can lead to diagnostic … Diagnostic testing and decision-making: beauty is not just in the
eye of the beholder.
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psnet.ahrq.gov/issue/repeat-prescribing-medications-system-centred-risk-management-model-primary-care
January 20, 2016 - Study
Repeat prescribing of medications: a system-centred risk management model for primary care organisations.
Citation Text:
Price J, Man SL, Bartlett S, et al. Repeat prescribing of medications: A system-centred risk management model for primary care organisations. J Eval Clin Pract. …
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psnet.ahrq.gov/issue/systemic-defenses-prevent-intravenous-medication-errors-hospitals-systematic-review
March 04, 2020 - Review
Systemic defenses to prevent intravenous medication errors in hospitals: a systematic review.
Citation Text:
Kuitunen SK, Niittynen I, Airaksinen M, et al. Systemic Defenses to Prevent Intravenous Medication Errors in Hospitals. J Patient Saf. 2021;17(8):e1669-e1680. doi:10.1097/p…
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psnet.ahrq.gov/issue/what-counts-voiceable-concern-decisions-about-speaking-out-hospitals-qualitative-study
June 16, 2021 - Study
What counts as a voiceable concern in decisions about speaking out in hospitals: a qualitative study.
Citation Text:
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…