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psnet.ahrq.gov/issue/teaching-diagnostic-process-model-improve-medical-education
September 20, 2012 - Commentary
Teaching the diagnostic process as a model to improve medical education.
Citation Text:
Sklar DP. Teaching the Diagnostic Process as a Model to Improve Medical Education. Acad Med. 2017;92(1):1-4. doi:10.1097/ACM.0000000000001481.
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psnet.ahrq.gov/issue/roundtable-public-policy-affecting-patient-safety
June 15, 2016 - Commentary
Roundtable on public policy affecting patient safety.
Citation Text:
Crane RM, Raymond B. Roundtable on Public Policy Affecting Patient Safety. J Patient Saf. 2011;7(1):5-10. doi:10.1097/pts.0b013e31820c98cd.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/116-cusp-premortem-project-assessment.docx
January 01, 2007 - AHRQ Safety Program for MRSA Prevention
Comprehensive Unit-based Safety Program (CUSP) Premortem Project Assessment
ICU & Non-ICU
Projects often fail, and many factors may contribute to this failure. Understanding potential implementation barriers and challenges before launching a project can help the team mitigate the…
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psnet.ahrq.gov/issue/probability-error-diagnosis-conjunction-fallacy-among-beginning-medical-students
June 21, 2017 - Study
Probability error in diagnosis: the conjunction fallacy among beginning medical students.
Citation Text:
Rao G. Probability error in diagnosis: the conjunction fallacy among beginning medical students. Fam Med. 2009;41(4):262-5.
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psnet.ahrq.gov/issue/review-educational-philosophies-applied-radiation-safety-training-medical-institutions
May 31, 2017 - Commentary
A review of educational philosophies as applied to radiation safety training at medical institutions.
Citation Text:
Dauer LT, St Germain J. A review of educational philosophies as applied to radiation safety training at medical institutions. Health Phys. 2006;90(5 Suppl):S6…
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psnet.ahrq.gov/issue/are-you-listeningare-you-really-listening
December 04, 2016 - Commentary
Are you listening...Are you really listening?
Citation Text:
Denham CR, Dingman J, Foley M, et al. Are You Listening…Are You Really Listening? J Patient Saf. 2008;4(3):148-161. doi:10.1097/pts.0b013e318184db52.
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psnet.ahrq.gov/issue/time-prefilled-syringes-everywhere
July 13, 2010 - Commentary
Time for prefilled syringes - everywhere.
Citation Text:
Whitaker DK, Lomas JP. Time for prefilled syringes – everywhere. Anaesthesia. 2024;79(2):119-122. doi:10.1111/anae.16181.
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psnet.ahrq.gov/issue/barbers-civility
October 07, 2015 - Commentary
Barbers of civility.
Citation Text:
Klein AS, Forni PM. Barbers of civility. Arch Surg. 2011;146(7):774-7. doi:10.1001/archsurg.2011.150.
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D…
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psnet.ahrq.gov/issue/improving-patient-safety-radiation-oncology
September 23, 2020 - Meeting/Conference Proceedings
Improving patient safety in radiation oncology.
Citation Text:
Hendee WR, Herman MG. Improving patient safety in radiation oncology.
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psnet.ahrq.gov/issue/hazards-diagnosis
April 06, 2022 - Commentary
The hazards of diagnosis.
Citation Text:
Schattner A, Magazanik N, Haran M. The hazards of diagnosis. QJM. 2010;103(8):583-7. doi:10.1093/qjmed/hcq080.
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psnet.ahrq.gov/issue/event-reporting-value-nonpunitive-approach
June 16, 2011 - Commentary
Event reporting: the value of a nonpunitive approach.
Citation Text:
Youngberg BJ. Event reporting: the value of a nonpunitive approach. Clin Obstet Gynecol. 2008;51(4):647-55. doi:10.1097/GRF.0b013e3181899a05.
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psnet.ahrq.gov/issue/communicative-competence-international-nurses-and-patient-safety-and-quality-care
March 24, 2019 - Commentary
Communicative competence of international nurses and patient safety and quality of care.
Citation Text:
Xu Y. Communicative Competence of International Nurses and Patient Safety and Quality of Care. Home Health Care Manag Pract. 2008;20(5). doi:10.1177/1084822308316162.
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psnet.ahrq.gov/issue/effectiveness-community-collaborative-eliminating-use-high-risk-abbreviations-written
May 25, 2010 - Study
Effectiveness of a community collaborative for eliminating the use of high-risk abbreviations written by physicians.
Citation Text:
Leonhardt KK, Botticelli J. Effectiveness of a Community Collaborative for Eliminating the Use of High-risk Abbreviations Written by Physicians. J P…
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psnet.ahrq.gov/issue/how-reliable-your-hospital-qualitative-framework-analysing-reliability-levels
October 19, 2022 - Commentary
How reliable is your hospital? A qualitative framework for analysing reliability levels.
Citation Text:
Ikkersheim DE, Berg M. How reliable is your hospital? A qualitative framework for analysing reliability levels. BMJ Qual Saf. 2011;20(9):785-790.
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psnet.ahrq.gov/issue/manic-medication-safety-bar-codes-and-drug-information-databases-are-helping-reduce
October 19, 2010 - Newspaper/Magazine Article
Manic for medication safety: bar codes and drug information databases are helping to reduce medication errors.
Citation Text:
Rogoski RR. Manic for medication safety. Health management technology. 2007;28(2):14, 16-8.
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psnet.ahrq.gov/issue/implementation-patient-safety-rounds-childrens-hospital
October 19, 2022 - Commentary
Implementation of patient safety rounds in a children's hospital.
Citation Text:
Yee PL, Edwards ML, Dixon JL, et al. Implementation of patient safety rounds in a children's hospital. Nurs Adm Q. 2009;33(1):48-53. doi:10.1097/01.NAQ.0000343348.93537.41.
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psnet.ahrq.gov/issue/public-health-notification-fda-vail-products-enclosed-bed-systems
December 16, 2020 - Press Release/Announcement
Public Health Notification from FDA: Vail Products Enclosed Bed Systems.
Citation Text:
Public Health Notification from FDA: Vail Products Enclosed Bed Systems. MedWatch Safety Alert. Rockville, MD: US Food and Drug Administration; December 4, 2007.
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psnet.ahrq.gov/issue/commonly-used-easily-confused-lets-eliminate-hyper-and-hypo
April 18, 2018 - Commentary
Commonly used, easily confused: let's eliminate hyper and hypo.
Citation Text:
Frankel A, Vecchio P. Commonly used, easily confused: let's eliminate hyper and hypo. BMJ. 2010;341:c5867. doi:10.1136/bmj.c5867.
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psnet.ahrq.gov/issue/aspen-parenteral-nutrition-safety-consensus-recommendations-translation-practice
February 17, 2015 - Commentary
ASPEN parenteral nutrition safety consensus recommendations: translation into practice.
Citation Text:
Ayers P, Adams S, Boullata JI, et al. A.S.P.E.N. parenteral nutrition safety consensus recommendations: translation into practice. Nutr Clin Pract. 2014;29(3):277-82. doi:10.…
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psnet.ahrq.gov/issue/british-nurse-was-found-guilty-killing-seven-babies-did-she-do-it
July 28, 2021 - Newspaper/Magazine Article
British nurse was found guilty of killing seven babies. Did she do it?
Citation Text:
British nurse was found guilty of killing seven babies. Did she do it? Aviv R. New Yorker. May 20, 2024.
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