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psnet.ahrq.gov/issue/psychology-error-relation-medical-practice
January 11, 2006 - Review
Psychology of error in relation to medical practice.
Citation Text:
Pani JR, Chariker JH. The psychology of error in relation to medical practice. J Surg Oncol. 2004;88(3):130-42.
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psnet.ahrq.gov/issue/patient-safety-and-surgeons-why-resistance
September 23, 2020 - Commentary
Patient safety and surgeons: why the resistance?
Citation Text:
Hoover EL. Patient safety and surgeons: why the resistance? Arch Surg. 2007;142(12):1127-8.
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psnet.ahrq.gov/issue/collaborating-manage-vendor-interactions-and-protect-quality-care-or
October 14, 2020 - Commentary
Collaborating to manage vendor interactions and protect quality of care in the OR.
Citation Text:
Gutman ME. Collaborating to manage vendor interactions and protect quality of care in the OR. Journal of Healthcare Risk Management. 2009;25(3). doi:10.1002/jhrm.5600250306.
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psnet.ahrq.gov/issue/communication-medical-product-risk-how-effective-effective-enough
January 17, 2007 - Review
Communication of medical product risk: how effective is effective enough?
Citation Text:
Goldman SA. Communication of medical product risk: how effective is effective enough? Drug Saf. 2004;27(8):519-34.
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psnet.ahrq.gov/issue/medical-device-associated-safety-and-risk-surveillance-and-stratagems
March 06, 2005 - Commentary
Medical device-associated safety and risk: surveillance and stratagems.
Citation Text:
Small SD. Medical device-associated safety and risk: surveillance and stratagems. JAMA. 2004;291(3):367-70.
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psnet.ahrq.gov/issue/evaluating-service-delivery-interventions-enhance-patient-safety
June 18, 2008 - Study
Evaluating service delivery interventions to enhance patient safety.
Citation Text:
Brown C, Lilford RJ. Evaluating service delivery interventions to enhance patient safety. BMJ. 2008;337:a2764. doi:10.1136/bmj.a2764.
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DOI Google Scholar PubMed …
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psnet.ahrq.gov/issue/safety-culture-indian-hospitals-cultural-adaptation-safety-attitudes-questionnaire
July 29, 2020 - Study
Safety culture in Indian hospitals: a cultural adaptation of the Safety Attitudes Questionnaire.
Citation Text:
Patel S, Wu AW. Safety Culture in Indian Hospitals: A Cultural Adaptation of the Safety Attitudes Questionnaire. J Patient Saf. 2016;12(2):75-81. doi:10.1097/PTS.00000000…
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psnet.ahrq.gov/issue/managing-risk-systems-approach-versus-personal-responsibility-hospital-incidents
November 25, 2015 - Commentary
Managing risk: systems approach versus personal responsibility for hospital incidents.
Citation Text:
Steiner JL. Managing risk: systems approach versus personal responsibility for hospital incidents. J Am Acad Psychiatry Law. 2006;34(1):96-8.
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psnet.ahrq.gov/periodic-issue/periodic-issue-449
July 10, 2024 - July 24, 2024 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports, …
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psnet.ahrq.gov/periodic-issue/periodic-issue-434
April 10, 2024 - April 3, 2024 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports, …
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psnet.ahrq.gov/periodic-issue/periodic-issue-437
April 10, 2024 - April 24, 2024 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports,…
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psnet.ahrq.gov/node/49583/psn-pdf
April 01, 2009 - Eptifibatide Epilogue
April 1, 2009
Churchill WW, Fiumara K. Eptifibatide Epilogue. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/eptifibatide-epilogue
The Case
A 62-year-old man was admitted at 11:00 PM on a Saturday night with the provisional diagnosis of acute
coronary syndrome. Serial testing for mark…
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psnet.ahrq.gov/node/49512/psn-pdf
May 01, 2006 - Right? Left? Neither!
May 1, 2006
Chassin MR, Howell EA. Right? Left? Neither!. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/right-left-neither
Case Objectives
Appreciate the role of Reason's Swiss Cheese Model in medical errors
Understand the process of analyzing a single error
Provide suggestions for …
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psnet.ahrq.gov/node/49458/psn-pdf
September 01, 2004 - Poor Prognosis
September 1, 2004
Lamont EB. Poor Prognosis. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/poor-prognosis
Case Objectives
Understand the current limitations of physicians' ability to provide prognoses.
List the variables that can be used to guide treatment decisions and prognostication in e…
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psnet.ahrq.gov/web-mm/raise-bar
May 29, 2024 - Raise the Bar
Citation Text:
Stotts J, Lyndon A. Raise the Bar. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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…
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psnet.ahrq.gov/web-mm/2-week-itch
June 16, 2019 - The 2-Week Itch
Citation Text:
Cohen MR. The 2-Week Itch. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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psnet.ahrq.gov/node/49403/psn-pdf
June 01, 2003 - Missed Appendicitis
June 1, 2003
Adams JG. Missed Appendicitis. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/missed-appendicitis
Case Objectives
Appreciate the variable presentations of appendicitis
List complications of missed appendicitis
Understand the advantages and disadvantages of CT in diagnosing…
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psnet.ahrq.gov/web-mm/bloody-bp-cuff
June 21, 2016 - Bloody BP Cuff
Citation Text:
Madan AK. Bloody BP Cuff. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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psnet.ahrq.gov/web-mm/patient-safety-and-adherence-self-administered-medications
September 29, 2011 - Patient Safety and Adherence to Self-Administered Medications
Citation Text:
Spall H, Van-Spall C, Nieuwlaat R, et al. Patient Safety and Adherence to Self-Administered Medications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011…
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psnet.ahrq.gov/web-mm/deciphering-code
November 16, 2022 - Deciphering the Code
Citation Text:
Goldstein MK. Deciphering the Code. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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