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psnet.ahrq.gov/perspective/conversation-edward-tenner-phd
June 01, 2011 - In Conversation with… Edward Tenner, PhD
June 1, 2011
Also Read an Essay
Citation Text:
In Conversation with… Edward Tenner, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
Cop…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.176_slideshow.ppt
May 01, 2008 - Spotlight Case [MONTH] 2003
Spotlight Case May 2008
Diagnosing HIV: It Doesn’t Take a Brain Surgeon
Source and Credits
This presentation is based on the May 2008
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Roger Chou, MD, Oregon Health &…
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psnet.ahrq.gov/perspective/conversation-alison-holmes-md-mph
March 01, 2014 - That's something that we really need to think about—how to frame that more effectively, nationally and
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psnet.ahrq.gov/node/73379/psn-pdf
June 09, 2021 - How medical jargon can make COVID health disparities
even worse.
June 9, 2021
Kritz F. Health Shots. National Public Radio; May 24, 2021.
https://psnet.ahrq.gov/issue/how-medical-jargon-can-make-covid-health-disparities-even-worse
Health literacy efforts address challenges related to both language and effecti…
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psnet.ahrq.gov/node/45910/psn-pdf
March 08, 2017 - Electronically Generated Medication Administration and
Electronic Medication Administration Records for the
Prevention of Medication Transcription Errors: Review of
Clinical Effectiveness and Safety.
March 8, 2017
Ottawa, ON: Canadian Agency for Drugs and Technologies in Health; 2016.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/34602/psn-pdf
February 17, 2009 - Disclosure of unanticipated events: the next step in better
communication with patients (part 1 of 3).
February 17, 2009
Chicago, IL; American Society of Healthcare Risk Management: 2003.
https://psnet.ahrq.gov/issue/disclosure-unanticipated-events-next-step-better-communication-patients-part-
1-3
The change in t…
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psnet.ahrq.gov/node/35109/psn-pdf
November 03, 2015 - Evaluation of the implementation of the alert issued by
the UK National Patient Safety Agency on the storage and
handling of potassium chloride concentrate solution.
November 3, 2015
Lankshear AJ, Sheldon TA, Lowson K, et al. Evaluation of the implementation of the alert issued by the UK
National Patient Safety Ag…
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psnet.ahrq.gov/node/39374/psn-pdf
March 17, 2010 - Bridging the gap: leveraging business intelligence tools
in support of patient safety and financial effectiveness.
March 17, 2010
Ferranti JM, Langman MK, Tanaka D, et al. Bridging the gap: leveraging business intelligence tools in
support of patient safety and financial effectiveness. J Am Med Inform Assoc. 2010;1…
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psnet.ahrq.gov/node/47353/psn-pdf
October 03, 2018 - The need for cognition and the curse of cognition.
October 3, 2018
Croskerry P. The need for cognition and the curse of cognition. Diagnosis (Berl). 2018;5(3):91-94.
doi:10.1515/dx-2018-0072.
https://psnet.ahrq.gov/issue/need-cognition-and-curse-cognition
Cognitive bias is increasingly receiving recognition as a b…
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psnet.ahrq.gov/node/846455/psn-pdf
March 22, 2023 - Diagnostic Centers of Excellence (X01 Clinical Trial Not
Allowed).
March 22, 2023
PAR-23-120. Bethesda, MD: National Institutes of Health; March 7, 2023
https://psnet.ahrq.gov/issue/diagnostic-centers-excellence-x01-clinical-trial-not-allowed
Approaching diagnosis as a team activity is seen as a key approach to di…
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psnet.ahrq.gov/node/837346/psn-pdf
June 08, 2022 - Decontamination of Surgical Instruments.
June 8, 2022
Farnborough, UK; Healthcare Safety Investigation Branch; May 26, 2022.
https://psnet.ahrq.gov/issue/decontamination-surgical-instruments
Surgical equipment sterilization can be hampered by equipment design, production pressures, process
complexity and policy mi…
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psnet.ahrq.gov/node/844771/psn-pdf
September 11, 2019 - Raising and responding to frontline concerns in
healthcare.
September 11, 2019
Mannion R, Davies H. Raising and responding to frontline concerns in healthcare. BMJ. 2019;366:l4944.
doi:10.1136/bmj.l4944.
https://psnet.ahrq.gov/issue/raising-and-responding-frontline-concerns-healthcare
Psychological safety empower…
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psnet.ahrq.gov/node/41324/psn-pdf
June 27, 2012 - Towards an understanding of the information dynamics of
the handover process in aged care settings—a
prerequisite for the safe and effective use of ICT.
June 27, 2012
Lyhne S, Georgiou A, Marks A, et al. Towards an understanding of the information dynamics of the
handover process in aged care settings--a prerequis…
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psnet.ahrq.gov/node/47925/psn-pdf
August 21, 2019 - Second victims and mindfulness: a systematic review.
August 21, 2019
S Miller C, Scott SD, Beck M. Second victims and mindfulness: a systematic review. J Patient Saf Risk
Manag. 2019;24(3):108-117. doi:10.1177/2516043519838176.
https://psnet.ahrq.gov/issue/second-victims-and-mindfulness-systematic-review
The secon…
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psnet.ahrq.gov/node/45158/psn-pdf
June 01, 2016 - Simulation techniques for teaching time-outs: a
controlled trial.
June 1, 2016
Paull DE, Williams L, Sine DM. Patient Saf Qual Healthc. March/April 2016;13:28-37.
https://psnet.ahrq.gov/issue/simulation-techniques-teaching-time-outs-controlled-trial
Simulation is widely used in medical education, but controversy c…
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psnet.ahrq.gov/node/41849/psn-pdf
December 05, 2012 - Improving care transitions: current practice and future
opportunities for pharmacists.
December 5, 2012
Pharmacy AC of C, Hume AL, Kirwin J, et al. Improving care transitions: current practice and future
opportunities for pharmacists. Pharmacotherapy. 2012;32(11):e326-37. doi:10.1002/phar.1215.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/72522/psn-pdf
December 02, 2020 - Errors in nurse-led triage: an observational study.
December 2, 2020
Ausserhofer D, Zaboli A, Pfeifer N, et al. Errors in nurse-led triage: an observational study. Int J Nurs Stud.
2020;113:103788. doi:10.1016/j.ijnurstu.2020.103788.
https://psnet.ahrq.gov/issue/errors-nurse-led-triage-observational-study
Emergenc…
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psnet.ahrq.gov/node/42446/psn-pdf
May 19, 2014 - The Human Factors Analysis Classification System
(HFACS) applied to health care.
May 19, 2014
Diller T, Helmrich G, Dunning S, et al. The Human Factors Analysis Classification System (HFACS) applied
to health care. Am J Med Qual. 2014;29(3):181-190. doi:10.1177/1062860613491623.
https://psnet.ahrq.gov/issue/human-…
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psnet.ahrq.gov/node/35022/psn-pdf
June 22, 2009 - The investigation and analysis of critical incidents and
adverse events in healthcare.
June 22, 2009
Woloshynowych M, Rogers S, Taylor-Adams S, et al. The investigation and analysis of critical incidents
and adverse events in healthcare. Health Technol Assess. 2005;9(19):1-143, iii.
https://psnet.ahrq.gov/issue/in…
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psnet.ahrq.gov/node/858323/psn-pdf
December 13, 2023 - Some doctors are ditching the scale, saying focusing on
weight drives misdiagnoses.
December 13, 2023
O'Neill E. Health Shots. National Public Radio. December 2, 2023.
https://psnet.ahrq.gov/issue/some-doctors-are-ditching-scale-saying-focusing-weight-drives-misdiagnoses
Inordinate focus on one element o…