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psnet.ahrq.gov/node/49687/psn-pdf
August 21, 2013 - up around 50% of the general surgery workload but accounts for
80%–90% of all deaths.(1) This case describes
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psnet.ahrq.gov/web-mm/suicidal-man-gun
May 01, 2005 - The Commentary This case describes a severely depressed patient, who admits to possessing a handgun
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psnet.ahrq.gov/node/49470/psn-pdf
December 01, 2004 - psnet.ahrq.gov/web-mm/discharge-fumbles
https://psnet.ahrq.gov//#references
The following discussion describes
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psnet.ahrq.gov/node/33820/psn-pdf
December 01, 2016 - analysis as if it is one specific process, in fact the way one organization uses the RCA term
seldom describes
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psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering
August 21, 2007 - Limited evidence describes what specifically motivates patients to wander while in an acute care hospital
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psnet.ahrq.gov/continuing-education
February 26, 2025 - The commentary describes the appropriate evaluation for acute abdominal pain, the importance of imaging
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psnet.ahrq.gov/node/49582/psn-pdf
April 01, 2009 - placement of PICCs may be related to an increased risk of complications.(8)
The case presented here describes
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psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
March 25, 2020 - The Commentary
By Christian Bohringer MD
This incident describes a common type of adverse drug
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psnet.ahrq.gov/issue/development-national-reporting-and-learning-system-england-and-wales-2001-2005
September 14, 2022 - Commentary
The development of the National Reporting and Learning System in England and Wales, 2001-2005.
Citation Text:
Williams SK, Osborn SS. The development of the National Reporting and Learning System in England and Wales, 2001–2005. Med J Aust. 2019;184(S10) (S10):s65-s68. doi:1…
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psnet.ahrq.gov/issue/using-automated-risk-assessment-report-identify-patients-risk-clinical-deterioration
February 15, 2017 - Commentary
Using an automated risk assessment report to identify patients at risk for clinical deterioration.
Citation Text:
Whittington J, White R, Haig KM, et al. Using an automated risk assessment report to identify patients at risk for clinical deterioration. Jt Comm J Qual Patient S…
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psnet.ahrq.gov/issue/ethical-imperative-think-about-thinking
June 27, 2018 - Commentary
The ethical imperative to think about thinking.
Citation Text:
Stark M, Fins JJ. The ethical imperative to think about thinking - diagnostics, metacognition, and medical professionalism. Camb Q Healthc Ethics. 2014;23(4):386-96. doi:10.1017/S0963180114000061.
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…
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psnet.ahrq.gov/issue/factors-influencing-perioperative-nurses-error-reporting-preferences
June 23, 2010 - Study
Factors influencing perioperative nurses' error reporting preferences.
Citation Text:
Espin S, Regehr G, Levinson W, et al. Factors influencing perioperative nurses' error reporting preferences. AORN J. 2007;85(3):527-43.
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Google Scholar PubMed …
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psnet.ahrq.gov/issue/using-multi-method-user-centred-prospective-hazard-analysis-assess-care-quality-and-patient
May 27, 2011 - Study
Using a multi-method, user centred, prospective hazard analysis to assess care quality and patient safety in a care pathway.
Citation Text:
Dean JE, Hutchinson A, Escoto KH, et al. Using a multi-method, user centred, prospective hazard analysis to assess care quality and patient …
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psnet.ahrq.gov/issue/explicitly-addressing-implicit-bias-inpatient-rounds-student-and-faculty-reflections
November 11, 2020 - Commentary
Explicitly addressing implicit bias on inpatient rounds: student and faculty reflections.
Citation Text:
Carter RG, Lake S. Explicitly addressing implicit bias on inpatient rounds: student and faculty reflections. Pediatrics. 2023;151(5). doi:10.1542/peds.2023-061585.
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psnet.ahrq.gov/issue/statewide-voluntary-patient-safety-initiative-georgia-experience
October 04, 2011 - Commentary
A statewide voluntary patient safety initiative: the Georgia experience.
Citation Text:
Rask KJ, Schuessler LD, Naylor DV. A statewide voluntary patient safety initiative: the Georgia experiene. Jt Comm J Qual Patient Saf. 2006;32(10):564-72.
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…
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psnet.ahrq.gov/issue/diagnostic-reasoning-and-cognitive-biases-nurse-practitioners
October 19, 2022 - Review
Diagnostic reasoning and cognitive biases of nurse practitioners.
Citation Text:
Lawson TN. Diagnostic Reasoning and Cognitive Biases of Nurse Practitioners. J Nurs Educ. 2018;57(4):203-208. doi:10.3928/01484834-20180322-03.
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DOI Google Scholar P…
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psnet.ahrq.gov/issue/why-talking-not-cheap-adverse-events-and-informal-communication
September 24, 2014 - Commentary
Why talking is not cheap: adverse events and informal communication.
Citation Text:
Montgomery A, Lainidi O, Georganta K. Why talking is not cheap: adverse events and informal communication. Healthcare (Basel). 2024;12(6):635. doi:10.3390/healthcare12060635.
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…
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psnet.ahrq.gov/issue/pursuit-endpoint-diagnoses-cognitive-forcing-strategy-avoid-premature-diagnostic-closure
November 02, 2022 - Commentary
Pursuit of "endpoint diagnoses" as a cognitive forcing strategy to avoid premature diagnostic closure.
Citation Text:
Kaplan HM, Birnbaum JF, Kulkarni PA. Pursuit of “endpoint diagnoses” as a cognitive forcing strategy to avoid premature diagnostic closure. Diagnosis (Berl). 2…
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psnet.ahrq.gov/issue/how-trainees-would-disclose-medical-errors-educational-implications-training-programmes
February 16, 2011 - Study
How trainees would disclose medical errors: educational implications for training programmes.
Citation Text:
White AA, Bell SK, Krauss MJ, et al. How trainees would disclose medical errors: educational implications for training programmes. Med Educ. 2011;45(4):372-80. doi:10.1111…
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psnet.ahrq.gov/issue/road-zero-preventable-birth-injuries
January 05, 2012 - Commentary
The road to zero preventable birth injuries.
Citation Text:
Mazza F, Kitchens J, Akin M, et al. The road to zero preventable birth injuries. Jt Comm J Qual Patient Saf. 2008;34(4):201-205.
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