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psnet.ahrq.gov/issue/first-protect-patient-harm-applying-adult-learning-principles-patient-safety
June 09, 2011 - Newspaper/Magazine Article
First, protect the patient from harm: applying adult learning principles to patient safety.
Citation Text:
First, protect the patient from harm: applying adult learning principles to patient safety. Duffy B.
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psnet.ahrq.gov/improvement-tools
February 26, 2025 - Improvement Resources Overview
Patient Safety Innovations highlight important innovations that can lead to improvements in patient safety, while Toolkits provide the practical applications of PSNet research and concepts for front line providers to use in their day to day work. Together these support the implementatio…
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psnet.ahrq.gov/issue/antifatness-surgical-setting
October 12, 2022 - Newspaper/Magazine Article
Antifatness in the surgical setting.
Citation Text:
Antifatness in the surgical setting. Andreou A. Scientific American. May 26, 2022.
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psnet.ahrq.gov/issue/checklist
September 28, 2017 - Newspaper/Magazine Article
Classic
The checklist.
Citation Text:
The checklist. Gawande A. New Yorker. December 10, 2007:86-95.
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psnet.ahrq.gov/issue/cardiovascular-drugs-linked-many-errors
June 07, 2006 - Newspaper/Magazine Article
Cardiovascular drugs: linked to many errors.
Citation Text:
Cardiovascular drugs: linked to many errors. Santell JP. Drug Topics. June 20, 2005.
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psnet.ahrq.gov/issue/misadventures-health-care-inside-stories
July 06, 2011 - Book/Report
Misadventures in Health Care: Inside Stories.
Citation Text:
Misadventures in Health Care: Inside Stories. Bogner MS, ed. New York, NY: Psychology Press; 2013. ISBN: 9780805833775.
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psnet.ahrq.gov/issue/fatal-mistakes
October 19, 2016 - Newspaper/Magazine Article
Fatal mistakes.
Citation Text:
Fatal mistakes. Kliff S. Vox Media. March 15, 2016.
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psnet.ahrq.gov/issue/magnet-support-patient-safety
November 01, 2012 - Special or Theme Issue
Magnet in Support of Patient Safety.
Citation Text:
Magnet in Support of Patient Safety. Lewis L, ed. J Nurs Adm. 2014;44(suppl 10):S1-S53.
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psnet.ahrq.gov/issue/human-error-cause-prediction-and-reduction
July 13, 2016 - Book/Report
Classic
Human Error: Cause, Prediction and Reduction.
Citation Text:
Human Error: Cause, Prediction and Reduction. Senders JW, Morey NP. Hillsdale NJ: L. Erlbaum Associates; 1991. ISBN: 9780898595987.
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psnet.ahrq.gov/issue/dying-waitlist
September 04, 2019 - Newspaper/Magazine Article
Dying on the waitlist.
Citation Text:
Dying on the waitlist. Armstrong D. Allen M. ProPublica. February 18, 2021.
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psnet.ahrq.gov/issue/doctors-diagnosing-gets-technological-boost
May 18, 2005 - Newspaper/Magazine Article
For doctors, diagnosing gets a technological boost.
Citation Text:
For doctors, diagnosing gets a technological boost. Donaghue E. USA Today. September 5, 2007.
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psnet.ahrq.gov/issue/organ-donors-surgery-death-sparks-questions
April 06, 2016 - Newspaper/Magazine Article
Organ donor's surgery death sparks questions.
Citation Text:
Organ donor's surgery death sparks questions. Cohen E. CNN. April 9, 2012.
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psnet.ahrq.gov/issue/second-trial
November 08, 2017 - Multi-use Website
The SECOND Trial
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The SECOND Trial Northwestern University Feinberg School of Medicine
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psnet.ahrq.gov/issue/escape-fire-designs-future-health-care
May 26, 2010 - Book/Report
Escape Fire: Designs for the Future of Health Care.
Citation Text:
Escape Fire: Designs for the Future of Health Care. Berwick DM. San Francisco, CA: John Wiley & Sons; 2004.
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psnet.ahrq.gov/node/33785/psn-pdf
May 01, 2015 - In Conversation With… John D. Birkmeyer, MD
May 1, 2015
In Conversation With… John D. Birkmeyer, MD. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/conversation-john-d-birkmeyer-md
Editor's note: John D. Birkmeyer, MD, is an internationally recognized health services researcher with
expertise in perfo…
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psnet.ahrq.gov/node/50612/psn-pdf
October 30, 2019 - hierarchy has existed historically and may have benefits in terms of clarity of role
definition and decision-making
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psnet.ahrq.gov/node/49672/psn-pdf
January 01, 2013 - intuitively estimate the
probability of malignancy, validated clinical prediction models can help refine decision-making
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psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
September 01, 2004 - SPOTLIGHT CASE
Unintended Consequences of CPOE
Citation Text:
Wears RL. Unintended Consequences of CPOE. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/web-mm/mismanagement-acute-decompensated-heart-failure-hypertensive-emergency
May 01, 2018 - SPOTLIGHT CASE
Mismanagement of Acute Decompensated Heart Failure with Hypertensive Emergency
Citation Text:
Lee J, Fernilius J, Frick W. Mismanagement of Acute Decompensated Heart Failure with Hypertensive Emergency. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, U…
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psnet.ahrq.gov/web-mm/diagnosing-missed-diagnosis
October 26, 2022 - Diagnosing a Missed Diagnosis
Citation Text:
Reilly JB, Webster C. Diagnosing a Missed Diagnosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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