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psnet.ahrq.gov/issue/walkrounds-practice-corrupting-or-enhancing-quality-improvement-intervention-qualitative
December 30, 2014 - November 2, 2016
How not to waste a crisis: a qualitative study of problem definition
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psnet.ahrq.gov/issue/target-focused-medical-emergency-team-training-using-human-patient-simulator-effects
May 23, 2013 - December 30, 2008
Toward a definition of teamwork in emergency medicine.
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psnet.ahrq.gov/issue/explaining-organisational-responses-board-level-quality-improvement-intervention-findings
November 21, 2017 - March 3, 2021
How not to waste a crisis: a qualitative study of problem definition and
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psnet.ahrq.gov/issue/explaining-matching-michigan-ethnographic-study-patient-safety-program
August 20, 2018 - January 23, 2019
How not to waste a crisis: a qualitative study of problem definition
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psnet.ahrq.gov/issue/effect-point-care-computer-reminders-physician-behaviour-systematic-review
September 02, 2009 - September 29, 2017
The many faces of error disclosure: a common set of elements and a definition
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psnet.ahrq.gov/issue/interprofessional-handover-and-patient-safety-anaesthesia-observational-study-handovers
April 18, 2011 - From the Same Author(s)
Adverse events in anaesthetic practice: qualitative study of definition
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psnet.ahrq.gov/issue/improving-quality-and-safety-care-using-technovigilance-ethnographic-case-study-secondary-use
March 05, 2014 - December 30, 2014
How not to waste a crisis: a qualitative study of problem definition
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psnet.ahrq.gov/issue/application-trigger-tool-near-real-time-inform-quality-improvement-activities-prospective
September 26, 2012 - July 31, 2019
How not to waste a crisis: a qualitative study of problem definition and
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psnet.ahrq.gov/web-mm/missing-trauma
March 03, 2011 - Missing Trauma
Citation Text:
Jurkovich GJ. Missing Trauma. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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Format:
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psnet.ahrq.gov/node/866848/psn-pdf
September 25, 2024 - In Conversation with Eric Thomas about Zero Harm:
Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement
September 25, 2024
Thomas E, Mossburg S, Lee M. In Conversation with Eric Thomas about Zero Harm: Striving to Reduce
Preventable Harms – Point, Counterpoint, and Areas of Agreement. …
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psnet.ahrq.gov/web-mm/written-signout-it-only-works-if-you-use-right-one
April 24, 2018 - Written Signout: It Only Works If You Use The Right One
Citation Text:
Lewis K, Rosenbluth G. Written Signout: It Only Works If You Use The Right One. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/node/49399/psn-pdf
May 01, 2003 - Ectopic or Not?
May 1, 2003
Givens VM, Lipscomb GH. Ectopic or Not? PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/ectopic-or-not
The Case
The patient is a 24-year-old woman, gravida 4, para 1, ectopic 1, at 6 weeks from her last menstrual period.
She presents to the emergency department with a 3-day histo…
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psnet.ahrq.gov/perspective/conversation-kathleen-sutcliffe-mn-phd
April 26, 2023 - In Conversation With… Kathleen Sutcliffe, MN, PhD
April 1, 2017
Citation Text:
In Conversation With… Kathleen Sutcliffe, MN, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/node/33816/psn-pdf
October 01, 2016 - This has been replaced
by a definition that depends on fully objective, routinely recorded, electronic
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psnet.ahrq.gov/issue/what-do-family-physicians-consider-error-comparison-definitions-and-physician-perception
February 15, 2011 - Study
What do family physicians consider an error? A comparison of definitions and physician perception.
Citation Text:
Elder NC, Pallerla H, Regan S. What do family physicians consider an error? A comparison of definitions and physician perception. BMC Fam Pract. 2006;7:73.
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psnet.ahrq.gov/node/40369/psn-pdf
April 13, 2011 - Safety culture in healthcare: a review of concepts,
dimensions, measures and progress.
April 13, 2011
Halligan M, Zecevic A. Safety culture in healthcare: a review of concepts, dimensions, measures and
progress. BMJ Qual Saf. 2011;20(4):338-43. doi:10.1136/bmjqs.2010.040964.
https://psnet.ahrq.gov/issue/safety-cul…
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psnet.ahrq.gov/issue/frequent-diagnostic-errors-cardiac-petct-due-misregistration-ct-attenuation-and-emission-pet
December 22, 2018 - Study
Frequent diagnostic errors in cardiac PET/CT due to misregistration of CT attenuation and emission PET images: a definitive analysis of causes, consequences, and corrections.
Citation Text:
Gould L, Pan T, Loghin C, et al. Frequent diagnostic errors in cardiac PET/CT due to misre…
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psnet.ahrq.gov/node/39845/psn-pdf
November 02, 2010 - Incidence of medication errors and adverse drug events
in the ICU: a systematic review.
November 2, 2010
Wilmer A, Louie K, Dodek P, et al. Incidence of medication errors and adverse drug events in the ICU: a
systematic review. Qual Saf Health Care. 2010;19(5):e7. doi:10.1136/qshc.2008.030783.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/37183/psn-pdf
October 06, 2011 - Frequent diagnostic errors in cardiac PET/CT due to
misregistration of CT attenuation and emission PET
images: a definitive analysis of causes, consequences,
and corrections.
October 6, 2011
Gould L, Pan T, Loghin C, et al. Frequent diagnostic errors in cardiac PET/CT due to misregistration of CT
attenuation and …
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psnet.ahrq.gov/node/838190/psn-pdf
September 28, 2015 - Use of an expedited review tool to screen for prior
diagnostic error in emergency department patients.
September 28, 2015
Hudspeth J, El-Kareh R, Schiff G. Use of an expedited review tool to screen for prior diagnostic error in
emergency department patients. Appl Clin Inform. 2015;06(04):619-628. doi:10.4338/aci-20…