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psnet.ahrq.gov/node/33886/psn-pdf
August 01, 2019 - The Doctors Company; 2017.
[Available at]
6. Bresnick J.
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psnet.ahrq.gov/node/49459/psn-pdf
September 01, 2004 - thirds of those interruptions lead to a
change in task.(2) Coeira and colleagues observed nurses and doctors
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psnet.ahrq.gov/web-mm/cultural-dimensions-depression
September 01, 2018 - March 1, 2013
Perspective
Doctors With Multiple Malpractice
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psnet.ahrq.gov/web-mm/easily-forgotten-tube
June 01, 2016 - implementation and evaluation of a serious board game 'PlayDecide patient safety' to educate junior doctors
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psnet.ahrq.gov/node/49493/psn-pdf
November 01, 2005 - Nurses, doctors, and pharmacists all want to do the right thing when it comes to
patient care.
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psnet.ahrq.gov/web-mm/inadvertent-castration
October 27, 2010 - October 27, 2010
Patients' and doctors' views and experiences of the patient safety trajectory
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psnet.ahrq.gov/innovation/remote-response-team-and-customized-alert-settings-help-improve-management-sepsis
February 26, 2025 - The WellSpan team theorized that because doctors and other care providers were busy and might have distractions
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psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication
August 31, 2020 - broaden perspectives, provide new information, and reduce persistent emotional impacts and avoidance of doctors
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psnet.ahrq.gov/perspective/rediscovering-power-surgical-mm-conference-mm-matrix
September 01, 2007 - As a teaching institution, we have to end up teaching surgeons and doctors, and we have to be able to … cannot go to the public and say we will have to learn on patients if we don't make that happen to fellow doctors
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psnet.ahrq.gov/perspective/conversation-ellen-deutsch-md-ms-facs-faap-fssh-cpps
December 14, 2022 - In a simulation scenario with real people, in their real roles, such as doctors, nurses, and pharmacists … The efforts of doctors, nurses, and others who interacted directly with patients have been heroic.
-
psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
December 14, 2022 - In a simulation scenario with real people, in their real roles, such as doctors, nurses, and pharmacists … The efforts of doctors, nurses, and others who interacted directly with patients have been heroic.
-
psnet.ahrq.gov/perspective/literature-health-care-simulation-education-what-does-it-show
March 01, 2013 - approximately 6000 hospitals, an equivalent number of standalone surgi-centers, and hundreds of thousands of doctors … theoretically, The Joint Commission tomorrow could say one of the ways that hospitals need to assess that their doctors
-
psnet.ahrq.gov/perspective/conversation-david-m-gaba-md
March 01, 2013 - approximately 6000 hospitals, an equivalent number of standalone surgi-centers, and hundreds of thousands of doctors … theoretically, The Joint Commission tomorrow could say one of the ways that hospitals need to assess that their doctors
-
psnet.ahrq.gov/node/33586/psn-pdf
December 15, 2024 - Alert Fatigue
December 15, 2024
Alert Fatigue. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/alert-fatigue
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in 2024.
Bac…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.227_slideshow.ppt
November 01, 2010 - Spotlight Case [MONTH] 2003
Spotlight Case
Treatment Challenges After Discharge
*
*
Source and Credits
This presentation is based on the November 2010
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Chase Coffey, MD, Henry Ford Health System,…
-
psnet.ahrq.gov/node/33817/psn-pdf
October 01, 2016 - Health Care Data Science for Quality Improvement and
Patient Safety
October 1, 2016
Rajkomar A. Health Care Data Science for Quality Improvement and Patient Safety. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety
Perspective
Background
Ha…
-
psnet.ahrq.gov/node/49800/psn-pdf
July 01, 2017 - The Hidden Harms of Hand Sanitizer
July 1, 2017
Stewart S. The Hidden Harms of Hand Sanitizer. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/hidden-harms-hand-sanitizer
The Case
A 57-year-old woman with a history of alcohol abuse and severe depression was admitted to the hospital
for community-acquired pn…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.95_slideshow.ppt
May 01, 2005 - Spotlight Case [MONTH] 2003
Spotlight Case May 2005
Diagnosing Diagnostic Mistakes
Source and Credits
This presentation is based on the May 2005 AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Robert McNutt, MD; Richard A…
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.434_slideshow.ppt
February 01, 2018 - PowerPoint Presentation
Spotlight
Signout Fallout
1
Source and Credits
This presentation is based on the February 2018
AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Amy J. Starmer, MD, MPH, and Christopher P. Landrigan, MD, MPH, Harvard M…
-
psnet.ahrq.gov/node/49415/psn-pdf
September 01, 2003 - Moreover, isolated training silos (training doctors and nurses about teamwork in
separate rooms) will