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psnet.ahrq.gov/issue/challenges-and-opportunities-patient-safety-event-reporting
June 23, 2021 - Commentary
Challenges and opportunities of patient safety event reporting.
Citation Text:
Gong Y. Challenges and opportunities of patient safety event reporting. Stud Health Technol Inform. 2022;291:133-150. doi:10.3233/shti220014.
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psnet.ahrq.gov/issue/patient-safety-lessons-learned
October 18, 2017 - Commentary
Patient safety: lessons learned.
Citation Text:
Bagian JP. Patient safety: lessons learned. Pediatr Radiol. 2006;36(4):287-90.
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psnet.ahrq.gov/issue/philosophy-science-and-diagnostic-process
April 24, 2018 - Commentary
Philosophy of science and the diagnostic process.
Citation Text:
Willis BH, Beebee H, Lasserson DS. Philosophy of science and the diagnostic process. Fam Pract. 2013;30(5):501-5. doi:10.1093/fampra/cmt031.
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psnet.ahrq.gov/issue/skin-deep-diagnosis-affective-bias-and-zebra-retreat-complicating-diagnosis-systemic
July 29, 2020 - Commentary
Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis.
Citation Text:
Miller CS. Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis. Am J Med Sci. 2013;345(1):53-6. doi:10.1…
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psnet.ahrq.gov/issue/unsuspected-mr-projectile-wooden-chair-metal-bracing
August 03, 2022 - Commentary
An unsuspected MR projectile: a "wooden" chair with metal bracing.
Citation Text:
Ulaner GA, Colletti PM. An unsuspected MR projectile: A “wooden” chair with metal bracing. Journal of Magnetic Resonance Imaging. 2006;23(5). doi:10.1002/jmri.20573.
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psnet.ahrq.gov/issue/medicare-penalizes-dozens-hospitals-it-also-gives-five-stars
March 03, 2021 - Newspaper/Magazine Article
Medicare penalizes dozens of hospitals it also gives five stars.
Citation Text:
Medicare penalizes dozens of hospitals it also gives five stars. Rau J. Kaiser Health News. February 8, 2022.
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psnet.ahrq.gov/issue/interdisciplinary-communication-intensive-care-unit
April 18, 2011 - Study
Interdisciplinary communication in the intensive care unit.
Citation Text:
Reader TW, Flin R, Mearns K, et al. Interdisciplinary communication in the intensive care unit. Br J Anaesth. 2007;98(3):347-52.
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psnet.ahrq.gov/issue/preventing-home-medication-errors
September 15, 2021 - Audiovisual Presentation
Preventing home medication errors.
Citation Text:
Preventing home medication errors. Shaikh U, van der List L, Blumberg D. Kids Considered. March 27, 2023.
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psnet.ahrq.gov/issue/high-reliability-excellent-care-every-time
July 19, 2018 - Newspaper/Magazine Article
High reliability: excellent care every time.
Citation Text:
Saver C. High reliability: Excellent care every time. OR manager. 2016;32(3):22-6.
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psnet.ahrq.gov/issue/reducing-medical-errors-and-adverse-events
March 21, 2012 - Review
Reducing medical errors and adverse events.
Citation Text:
Pham JC, Aswani MS, Rosen MA, et al. Reducing medical errors and adverse events. Annu Rev Med. 2012;63:447-63. doi:10.1146/annurev-med-061410-121352.
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psnet.ahrq.gov/issue/aftermath-adverse-event-supporting-health-care-professionals-meet-patient-expectations
May 29, 2013 - Review
Aftermath of an adverse event: supporting health care professionals to meet patient expectations through open disclosure.
Citation Text:
Manser T, Staender S. Aftermath of an adverse event: supporting health care professionals to meet patient expectations through open disclosure…
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psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients-time-professional-action
June 01, 2004 - Commentary
Disclosing harmful medical errors to patients: a time for professional action.
Citation Text:
Gallagher TH, Levinson W. Disclosing Harmful Medical Errors to Patients. Arch Intern Med. 2005;165(16). doi:10.1001/archinte.165.16.1819.
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psnet.ahrq.gov/issue/improving-patient-safety-practicing-just-culture
June 14, 2017 - Commentary
Improving patient safety by practicing in a just culture.
Citation Text:
Duffy W. Improving Patient Safety by Practicing in a Just Culture. AORN J. 2017;106(1):66-68. doi:10.1016/j.aorn.2017.05.005.
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www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module4-speaker-notes.html
February 01, 2023 - Preventing CAUTI in the ICU Setting
Module 4: Summary and Next Steps Facilitator Notes
Slide 1
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Slide 2
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You’ve now seen three modules on how to stop catheter-associated urinary tract infections, or CAUTI, in your intensive care unit, or ICU. In Module 1, you learned th…
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psnet.ahrq.gov/issue/disclosure-after-adverse-medical-outcomes-multidimensional-challenge
October 12, 2005 - Study
Emerging Classic
Disclosure after adverse medical outcomes: a multidimensional challenge.
Citation Text:
Disclosure after adverse medical outcomes: a multidimensional challenge. O’Connell D. J Clin Outcomes Manag. 2019;26(5):213-218.
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psnet.ahrq.gov/issue/infants-risk-when-nurse-fatigue-jeopardizes-quality-care
September 13, 2006 - Study
Infants at risk: when nurse fatigue jeopardizes quality care.
Citation Text:
Infants at risk: when nurse fatigue jeopardizes quality care. Dean GE; Scott LD; Rogers AE.
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psnet.ahrq.gov/issue/full-disclosure-and-apology-idea-whose-time-has-come
November 02, 2014 - Newspaper/Magazine Article
Full disclosure and apology—an idea whose time has come.
Citation Text:
Leape L. Full disclosure and apology--an idea whose time has come. Physician Exec. 2006;32(2):16-18.
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psnet.ahrq.gov/issue/science-based-training-patient-safety-and-quality
May 06, 2009 - Commentary
Science-based training in patient safety and quality.
Citation Text:
Pronovost P, Weisfeldt ML. Science-based training in patient safety and quality. Ann Intern Med. 2012;157(2):141-3. doi:10.7326/0003-4819-157-2-201207170-00457.
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psnet.ahrq.gov/issue/organizational-framework-reduce-professional-burnout-and-bring-back-joy-practice
February 03, 2016 - Commentary
An organizational framework to reduce professional burnout and bring back joy in practice.
Citation Text:
Swensen S, Shanafelt TD. An Organizational Framework to Reduce Professional Burnout and Bring Back Joy in Practice. Jt Comm J Qual Patient Saf. 2017;43(6):308-313. 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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