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psnet.ahrq.gov/issue/developing-open-disclosure-strategies-medical-error-using-simulation-final-year-medical
September 29, 2018 - Study
Developing open disclosure strategies to medical error using simulation in final-year medical students: linking mindset and experiential learning to lifelong reflective practice.
Citation Text:
Lane AS, Roberts C. Developing open disclosure strategies to medical error using simulat…
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psnet.ahrq.gov/issue/empowering-telemetry-technicians-and-enhancing-communication-improve-hospital-cardiac-arrest
April 12, 2023 - Study
Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival.
Citation Text:
McCoy C, Keshvani N, Warsi M, et al. Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. BMJ Open Qua…
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psnet.ahrq.gov/issue/use-recalled-devices-new-device-authorizations-under-us-food-and-drug-administrations-510k
April 13, 2022 - Study
Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) pathway and risk of subsequent recalls.
Citation Text:
Kramer DB, Yeh RW. Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) …
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psnet.ahrq.gov/issue/promoting-medication-safety-older-adults-upon-hospital-discharge-guiding-principles
July 31, 2019 - Study
Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan.
Citation Text:
Zhang FH, Lauzon J, Payette J, et al. Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication d…
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psnet.ahrq.gov/issue/using-coworker-observations-promote-accountability-disrespectful-and-unsafe-behaviors
June 27, 2018 - Study
Using coworker observations to promote accountability for disrespectful and unsafe behaviors by physicians and advanced practice professionals.
Citation Text:
Webb LE, Dmochowski RR, Moore IN, et al. Using Coworker Observations to Promote Accountability for Disrespectful and Unsafe…
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psnet.ahrq.gov/issue/optimization-drug-drug-interaction-alert-rules-pediatric-hospitals-electronic-health-record
May 20, 2019 - Study
Optimization of drug–drug interaction alert rules in a pediatric hospital's electronic health record system using a visual analytics dashboard.
Citation Text:
Simpao AF, Ahumada LM, Desai BR, et al. Optimization of drug-drug interaction alert rules in a pediatric hospital's electro…
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psnet.ahrq.gov/issue/impact-covid-19-pandemic-emergency-department-visits-and-patient-safety-united-states
July 14, 2021 - Study
The impact of the COVID-19 pandemic on Emergency Department visits and patient safety in the United States.
Citation Text:
Boserup B, McKenney M, Elkbuli A. The impact of the COVID-19 pandemic on emergency department visits and patient safety in the United States. Am J Emerg Med. 2…
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psnet.ahrq.gov/issue/community-pharmacy-medication-review-death-and-re-admission-after-hospital-discharge
July 08, 2008 - Study
Community pharmacy medication review, death and re-admission after hospital discharge: a propensity score-matched cohort study.
Citation Text:
Lapointe-Shaw L, Bell CM, Austin PC, et al. Community pharmacy medication review, death and re-admission after hospital discharge: a propen…
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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_hindsight_is_2020_slides_final_revised_05.03.2024.pdf
January 01, 2024 - Editor: Meghan Weyrich, MPH
2
https://psnet.ahrq.gov/webmm
Objectives
At the conclusion of this educational
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psnet.ahrq.gov/perspective/conversation-withjohn-banja-phd
February 01, 2006 - We have produced a 25-minute educational video that features the vignettes mentioned above and describes
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psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events
February 01, 2006 - We have produced a 25-minute educational video that features the vignettes mentioned above and describes
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psnet.ahrq.gov/sites/default/files/2021-02/final_feb_2021_spotlight_delay_in_appropriate_dx.pdf
January 01, 2021 - Patricia Poole,
PharmD
o Managing Editor: Meghan Weyrich, MPH
2
Objectives
At the conclusion of this educational
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psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail-community-dwelling
September 13, 2023 - July 1, 2020
Oral chemotherapy: a home safety educational framework for healthcare providers
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psnet.ahrq.gov/node/851971/psn-pdf
July 31, 2023 - requires practice; it has been proposed that clinical
handover skills should be taught formally in educational
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psnet.ahrq.gov/perspective/conversation-maureen-bisognano
February 26, 2025 - Perspective
Video to Improve Patient Safety: Clinical and Educational
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psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
September 27, 2023 - disclose relevant financial relationships with ineligible companies related to the subject matter of this educational
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psnet.ahrq.gov/perspective/role-fda-ensuring-device-safety
May 28, 2020 - voluntarily reporting of “close-calls” with devices that had the potential for harm. [9] The FDA provides educational
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psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
February 10, 2021 - disclose relevant financial relationships with commercial interests related to the subject matter of this educational
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psnet.ahrq.gov/node/33633/psn-pdf
May 01, 2006 - Patient Safety in the Physician Office Setting
May 1, 2006
Elder NC. Patient Safety in the Physician Office Setting. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/patient-safety-physician-office-setting
Perspective
Dr. Jones was sure he had increased Mr. H's cholesterol-lowering medication to 80 mg 6 …
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psnet.ahrq.gov/node/33813/psn-pdf
August 01, 2016 - Safety In Dentistry
August 1, 2016
Ramoni R, Walji MF, Kalenderian E. Safety In Dentistry. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/safety-dentistry
Perspective
In a famous scene from the 1976 film, Marathon Man, Laurence Olivier, playing dentist Dr. Christian Szell
tortures Babe Levy (played by…