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psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
October 01, 2009 - dies of a medical mistake, partly due to lax resident supervision
New York Hospital
1984
Public discussion
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psnet.ahrq.gov/web-mm/palliative-care-comfort-vs-harm
December 04, 2016 - SPOTLIGHT CASE
Palliative Care: Comfort vs. Harm
Citation Text:
Jox RJ. Palliative Care: Comfort vs. Harm. 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/perspective/operationalizing-patient-safety-academic-medical-centers
August 01, 2010 - Second, trainees must improve their communication skills as they relate to discussion of medical mistakes
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psnet.ahrq.gov/node/38981/psn-pdf
September 30, 2009 - Computerized decision support to reduce potentially
inappropriate prescribing to older emergency department
patients: a randomized, controlled trial.
September 30, 2009
Terrell KM, Perkins AJ, Dexter P, et al. Computerized decision support to reduce potentially inappropriate
prescribing to older emergency departme…
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psnet.ahrq.gov/perspective/lesson-vas-team-training-program
November 01, 2011 - This provides some structure to the debriefing discussion that follows each and every simulation scenario … and use the model described by Fanning and Gaba.( 17 ) Instructors serve as facilitators to guide the discussion
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psnet.ahrq.gov/web-mm/isolated-clot-real-error
December 01, 2013 - high-quality evidence in specific situations as well as variation in patient preference, we hope this discussion
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psnet.ahrq.gov/web-mm/cognitive-overload-icu
June 01, 2005 - so that team-based care is better understood as a cognitive collaboration, one that requires joint discussion
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-41
December 30, 2014 - Commentary
ISMP medication error report analysis.
Citation Text:
ISMP medication error report analysis. Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:1062-1065.
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psnet.ahrq.gov/issue/patient-safety-papers-4
November 10, 2010 - Special or Theme Issue
Patient Safety Papers 4.
Citation Text:
Patient Safety Papers 4. Baker GR, ed. Healthc Q. 2009;12(Spec No Patient):1-198.
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psnet.ahrq.gov/issue/patient-safety-papers-3
November 10, 2010 - Special or Theme Issue
Patient Safety Papers 3.
Citation Text:
Patient Safety Papers 3. Baker GR, ed. Healthc Q. 2008;11:1-144.
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psnet.ahrq.gov/issue/failure-and-rescue
September 28, 2017 - Newspaper/Magazine Article
Failure and rescue.
Citation Text:
Failure and rescue. Gawande A. The New Yorker: News Desk. June 4, 2012.
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psnet.ahrq.gov/issue/duke-center-healthcare-safety-and-quality
June 01, 2016 - Multi-use Website
Duke Center for Healthcare Safety and Quality.
Citation Text:
Duke Center for Healthcare Safety and Quality. Duke University Health System.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-40
January 17, 2018 - Commentary
ISMP medication error report analysis.
Citation Text:
ISMP medication error report analysis. Cohen MR; Smetzer JL.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-17
January 17, 2018 - Commentary
ISMP medication error report analysis.
Citation Text:
ISMP medication error report analysis. Cohen MR; Smetzer JL.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-13
January 17, 2018 - Commentary
ISMP medication error report analysis.
Citation Text:
ISMP medication error report analysis. Cohen MR; Smetzer JL.
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psnet.ahrq.gov/issue/fixing-healthcare-delivery
February 05, 2014 - Audiovisual Presentation
Fixing Healthcare Delivery.
Citation Text:
Fixing Healthcare Delivery. University of Florida, Institute for Healthcare Improvement, Coursera.
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psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia
November 01, 2016 - SPOTLIGHT CASE
Dying in the Hospital With Advanced Dementia
Citation Text:
Umscheid CA, McGreevey JD, Greysen RS. Dying in the Hospital With Advanced Dementia. 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/web-mm/good-catch-operating-room
August 27, 2017 - First, she opened the discussion with her CUS statement.
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psnet.ahrq.gov/web-mm/who-nose-where-airway
May 01, 2016 - Nonetheless, some discussion regarding the NPA should have occurred prior to intubation, since the anesthesiologist
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psnet.ahrq.gov/web-mm/missed-appendicitis
March 13, 2013 - A nonspecific diagnosis of “abdominal pain” can be appropriately followed by a discussion with the patient