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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…
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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/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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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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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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psnet.ahrq.gov/node/862615/psn-pdf
August 12, 2019 - Information and power: women of color's experiences
interacting with health care providers in pregnancy and
birth.
August 12, 2019
Altman MR, Oseguera T, McLemore MR, et al. Information and power: women of color's experiences
interacting with health care providers in pregnancy and birth. Soc Sci Med. 2019;238:1124…
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psnet.ahrq.gov/node/837588/psn-pdf
June 29, 2022 - Does racism impact healthcare quality? Perspectives of
Black and Hispanic/Latino patients.
June 29, 2022
Findling MG, Zephyrin L, Bleich SN, et al. Does racism impact healthcare quality? Perspectives of Black
and Hispanic/Latino patients. Healthc (Amst). 2022;10(2):100630. doi:10.1016/j.hjdsi.2022.100630.
https://…
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psnet.ahrq.gov/node/36324/psn-pdf
December 10, 2008 - 2006 Update on Consumers' Views of Patient Safety and
Quality Information.
December 10, 2008
Washington DC: Kaiser Family Foundation; 2006.
https://psnet.ahrq.gov/issue/2006-update-consumers-views-patient-safety-and-quality-information
This survey follows up on a prior study from 2004, asking patients about their…
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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/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/web-mm/difficult-encounters-cmo-and-cno-respond
March 01, 2018 - Management/Engagement, Engaging in Collaborative Practice, Difficult Conversations, and Teamwork and Decision-Making … Challenges
August 30, 2023
Measuring team hierarchy during high-stakes clinical decision … making: development and validation of a new behavioral observation method.
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psnet.ahrq.gov/node/49669/psn-pdf
November 01, 2012 - Transfusion Overload
November 1, 2012
Patel MS, Carson JL. Transfusion Overload. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/transfusion-overload
Case Objectives
Understand that the traditional transfusion thresholds of hemoglobin below 10 g/dL and hematocrit
below 30% are not supported by the evidence.…
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psnet.ahrq.gov/node/49799/psn-pdf
July 01, 2017 - The threshold approach to clinical decision making. N Engl J Med.
1980;302:1109-1117.
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psnet.ahrq.gov/issue/feedback-loop-failure-modes-medical-diagnosis-how-biases-can-emerge-and-be-reinforced
November 01, 2023 - Study
Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced.
Citation Text:
Aikens RC, Chen JH, Baiocchi M, et al. Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced. Med Decis Making. 2024;44(5):481-496. doi:10.1…
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psnet.ahrq.gov/web-mm/elopement
July 14, 2010 - Keeping the patient safe is the primary goal and should guide all decision making.
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psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
November 30, 2021 - cognitive errors ignores the reality that heuristics are a powerful and useful component of clinical decision-making … of this technique comes from framing the conversation so that critical information intended to spur decision-making
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psnet.ahrq.gov/sites/default/files/2021-09/Battle%20Buddy%20Pocket%20Card%20-%20final%20(1).pdf
January 01, 2021 - COVID 19 Battle Buddy Support Program
Background: COVID-19 is a pandemic that threatens not only our patients but
ourselves and our sense of safety and control. Like soldiers on a battlefield, our
front line staff are coping with ongoing uncertainty about the scope of the
threat, concerns about adequate PPE, …
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psnet.ahrq.gov/node/33567/psn-pdf
June 15, 2024 - post-acute-transitional-services-safety-home-based-care-programs
https://psnet.ahrq.gov/issue/multitasking-clinician-decision-making-and-cognitive-demand-during-and-after-team-handoffs