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psnet.ahrq.gov/perspective/conversation-jane-brice-md-mph
May 01, 2019 - In Conversation With… Jane Brice, MD, MPH
May 1, 2019
Also Read an Essay
Citation Text:
In Conversation With… Jane Brice, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Co…
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psnet.ahrq.gov/sites/default/files/2023-11/spotlight_case_the_risk_of_malpositioned.pdf
January 01, 2023 - Microsoft PowerPoint - Spotlight Case_The Risks of a Malpositioned Gastrostomy Tube_FINAL.pptx
Spotlight
The Risks of a Malpositioned Gastrostomy Tube and
Poor Communication
Source and Credits
• This presentation is based on the November 2023 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahr…
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psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
January 01, 2008 - Implementing a Patient Safety Program at a Large National Health System
Loran Hauck, MD, and Jan Jacob, MBA, RN | January 1, 2008
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Hauck LD, Jacob J. Implementing a Patient Safety …
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psnet.ahrq.gov/perspective/conversation-richard-hoppmann-md
June 01, 2018 - In Conversation With… Richard Hoppmann, MD
June 1, 2018
Also Read an Essay
Citation Text:
In Conversation With… Richard Hoppmann, MD. 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/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cybersecurity
March 27, 2024 - In Conversation with...Barbara Pelletreau and John Riggi about Cybersecurity
Barbara Pelletreau, RN; John Riggi | March 27, 2024
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View more articles from the same authors.
Citation Text:
Pelletreau B, Riggi J. In Conversation with..Barbara Pe…
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psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps
February 01, 2017 - New Insights About Team Training From a Decade of TeamSTEPPS
David P. Baker, PhD; James B. Battles, PhD; Heidi B. King, MS | February 1, 2017
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Baker DP, King HB, Battles J. New Ins…
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psnet.ahrq.gov/web-mm/errors-managing-open-wound-elbow-leading-multiple-complications-and-operations
September 27, 2023 - SPOTLIGHT CASE
Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations
Citation Text:
Barnes DK, Utter GH. Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations. PSNet [internet]. Agency for Healthcare Research and Qu…
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psnet.ahrq.gov/node/44507/psn-pdf
July 18, 2016 - Six habits to enhance MET performance under stress: a
discussion paper reviewing team mechanisms for
improved patient outcomes.
July 18, 2016
Fein EC, Mackie B, Chernyak-Hai L, et al. Six habits to enhance MET performance under stress: A
discussion paper reviewing team mechanisms for improved patient outcomes. Aus…
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psnet.ahrq.gov/node/40351/psn-pdf
April 06, 2011 - Acute care patients discuss the patient role in patient
safety.
April 6, 2011
Rathert C, Huddleston N, Pak Y. Acute care patients discuss the patient role in patient safety. Health Care
Manage Rev. 2011;36(2):134-144. doi:10.1097/HMR.0b013e318208cd31.
https://psnet.ahrq.gov/issue/acute-care-patients-discuss-patien…
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psnet.ahrq.gov/node/42021/psn-pdf
February 13, 2013 - Nurses discuss bedside handover and using written
handover sheets.
February 13, 2013
Johnson M, Cowin LS. Nurses discuss bedside handover and using written handover sheets. J Nurs
Manag. 2013;21(1):121-9. doi:10.1111/j.1365-2834.2012.01438.x.
https://psnet.ahrq.gov/issue/nurses-discuss-bedside-handover-and-using-w…
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psnet.ahrq.gov/node/46613/psn-pdf
May 17, 2018 - Dynamics of dignity and safety: a discussion.
May 17, 2018
Goodwin D, Mesman J, Verkerk M, et al. Dynamics of dignity and safety: a discussion. BMJ Qual Saf.
2018;27(6):488-491. doi:10.1136/bmjqs-2017-007159.
https://psnet.ahrq.gov/issue/dynamics-dignity-and-safety-discussion
Patient engagement is predicated on re…
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psnet.ahrq.gov/node/43240/psn-pdf
February 21, 2015 - Discussing harm-causing errors with patients: an ethics
primer for plastic surgeons.
February 21, 2015
Vercler CJ, Buchman SR, Chung KC. Discussing harm-causing errors with patients: an ethics primer for
plastic surgeons. Ann Plast Surg. 2015;74(2):140-144. doi:10.1097/SAP.0000000000000217.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/43478/psn-pdf
August 27, 2014 - Is it time to move beyond errors in clinical reasoning and
discuss accuracy?
August 27, 2014
Wood TJ. Is it time to move beyond errors in clinical reasoning and discuss accuracy? Adv Health Sci Educ
Theory Pract. 2014;19(3):403-407. doi:10.1007/s10459-014-9498-4.
https://psnet.ahrq.gov/issue/it-time-move-beyond-er…
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psnet.ahrq.gov/node/35934/psn-pdf
February 24, 2011 - Learning from mistakes: factors that influence how
students and residents learn from medical errors.
February 24, 2011
Fischer M, Mazor KM, Baril JL, et al. Learning from mistakes. Factors that influence how students and
residents learn from medical errors. J Gen Intern Med. 2006;21(5):419-23.
https://psnet.ahrq.g…
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psnet.ahrq.gov/perspective/what-does-simulation-add-teamwork-training
October 01, 2004 - allow team members to adjust their knowledge
Feedback is provided during group-work exercises and discussions
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psnet.ahrq.gov/web-mm/autopsy-revelation
December 01, 2007 - after you have received some guidance from a more experienced clinician and participated in a few such discussions
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psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn
June 17, 2010 - In addition, although it is common in patient safety discussions to focus on errors of omission ( 9 )
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psnet.ahrq.gov/web-mm/suicidal-man-gun
May 01, 2005 - Discussions with other faculty and the clinic’s risk manager ensued in an effort to delineate the resident
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psnet.ahrq.gov/node/33767/psn-pdf
May 01, 2014 - We have used
the Five Moments during discussions with HCWs about how many opportunities there are in
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psnet.ahrq.gov/node/39213/psn-pdf
October 03, 2017 - Using patient safety morbidity and mortality conferences
to promote transparency and a culture of safety.
October 3, 2017
Szekendi MK, Barnard C, Creamer J, et al. Using patient safety morbidity and mortality conferences to
promote transparency and a culture of safety. Jt Comm J Qual Patient Saf. 2010;36(1):3-9.
h…