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psnet.ahrq.gov/node/37063/psn-pdf
January 02, 2017 - Housestaff and medical student attitudes toward medical
errors and adverse events.
January 2, 2017
Vohra PD, Johnson J, Daugherty CK, et al. Housestaff and medical student attitudes toward medical errors
and adverse events. Jt Comm J Qual Patient Saf. 2007;33(8):493-501.
https://psnet.ahrq.gov/issue/housestaff-and…
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psnet.ahrq.gov/node/50384/psn-pdf
September 25, 2019 - Safety and communication in the operating room: a safety
questionnaire after the implementation of a blood-borne
pathogen exposure checkpoint in the surgical safety
checklist preprocedure time-out.
September 25, 2019
Kane P, Marley R, Daney B, et al. Safety and Communication in the Operating Room: A Safety
Questi…
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psnet.ahrq.gov/node/43262/psn-pdf
April 06, 2015 - Escalation of care in surgery: a systematic risk
assessment to prevent avoidable harm in hospitalized
patients.
April 6, 2015
Johnston MJ, Arora S, Anderson O, et al. Escalation of care in surgery: a systematic risk assessment to
prevent avoidable harm in hospitalized patients. Ann Surg. 2015;261(5):831-838.
doi:…
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psnet.ahrq.gov/node/764396/psn-pdf
March 02, 2022 - Family Input for Quality and Safety (FIQS): using mobile
technology for in-hospital reporting from families and
patients.
March 2, 2022
Bardach NS, Stotts JR, Fiore DM, et al. Family Input for Quality and Safety (FIQS): Using mobile
technology for in?hospital reporting from families and patients. J Hosp Med. 2022;…
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psnet.ahrq.gov/node/38206/psn-pdf
January 15, 2009 - The medical emergency team system and not-for-
resuscitation orders: results from the MERIT Study.
January 15, 2009
Chen J, Flabouris A, Bellomo R, et al. The Medical Emergency Team System and not-for-resuscitation
orders: results from the MERIT study. Resuscitation. 2008;79(3):391-7.
doi:10.1016/j.resuscitation.2…
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psnet.ahrq.gov/node/45180/psn-pdf
May 05, 2017 - Investigating adverse event free admissions in Medicare
inpatients as a patient safety indicator.
May 5, 2017
King A, Bottle A, Faiz O, et al. Investigating Adverse Event Free Admissions in Medicare Inpatients as a
Patient Safety Indicator. Ann Surg. 2017;265(5):910-915. doi:10.1097/SLA.0000000000001792.
https://p…
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psnet.ahrq.gov/node/43301/psn-pdf
May 01, 2015 - Walkrounds in practice: corrupting or enhancing a quality
improvement intervention? A qualitative study.
May 1, 2015
Martin G, Ozieranski P, Willars J, et al. Walkrounds in practice: corrupting or enhancing a quality
improvement intervention? A qualitative study. Jt Comm J Qual Patient Saf. 2014;40(7):303-310.
htt…
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psnet.ahrq.gov/node/43851/psn-pdf
March 13, 2015 - Systematic review of the effectiveness of strategies to
encourage patients to remind healthcare professionals
about their hand hygiene.
March 13, 2015
Davis R, Parand A, Pinto A, et al. Systematic review of the effectiveness of strategies to encourage
patients to remind healthcare professionals about their hand hy…
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psnet.ahrq.gov/node/44081/psn-pdf
April 22, 2015 - Accuracy of harm scores entered into an event reporting
system.
April 22, 2015
Abbasi T, Adornetto-Garcia D, Johnston PA, et al. Accuracy of harm scores entered into an event reporting
system. J Nurs Adm. 2015;45(4):218-225. doi:10.1097/NNA.0000000000000188.
https://psnet.ahrq.gov/issue/accuracy-harm-scores-entere…
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psnet.ahrq.gov/node/852746/psn-pdf
August 23, 2023 - Common contributing factors of diagnostic error: a
retrospective analysis of 109 serious adverse event
reports from Dutch hospitals.
August 23, 2023
Hooftman J, Dijkstra AC, Suurmeijer I, et al. Common contributing factors of diagnostic error: a
retrospective analysis of 109 serious adverse event reports from Dutc…
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psnet.ahrq.gov/perspective/integrating-multiple-medication-decision-support-systems-how-will-we-make-it-all-work
May 01, 2008 - Integrating Multiple Medication Decision Support Systems: How Will We Make It All Work?
Josh Peterson, MD, MPH | May 1, 2018
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Peterson JF. Integrating Multiple Medication Decision …
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psnet.ahrq.gov/perspective/safety-and-medical-education
December 01, 2013 - Annual Perspective
Safety and Medical Education
Sumant Ranji, MD | January 1, 2014
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Ranji SR. Safety and Medical Education. PSNet [internet]. Rockville (MD): Agency for Healt…
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psnet.ahrq.gov/node/865419/psn-pdf
March 27, 2024 - Do Not Miss Sepsis Needles in Viral Haystacks!
March 27, 2024
Hamline M, Shaikh U. Do Not Miss Sepsis Needles in Viral Haystacks!. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks
Disclosure of Relevant Financial Relationships: As a provider accredited by the Accredit…
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psnet.ahrq.gov/node/33785/psn-pdf
May 01, 2015 - No matter how we measured skill on the front
end or which outcome or aspect of quality we evaluated
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psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
July 22, 2020 - Syringe Swap During Regional Block: A Case of Medication Error and Recovery
Citation Text:
Beres K, Gutierrez MC. Syringe Swap During Regional Block: A Case of Medication Error and Recovery.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Serv…
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psnet.ahrq.gov/node/49822/psn-pdf
March 01, 2018 - Isolated Clot, Real Error
March 1, 2018
Parks A, Fang MC. Isolated Clot, Real Error. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/isolated-clot-real-error
Case Objectives
Appreciate that errors are common in the management of venous thromboembolism disease.
Describe patients with venous thromboembolism i…
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psnet.ahrq.gov/web-mm/aspergillus-mediastinitis-endocarditis-pediatric-patient-complicating-cardiac-surgery-and
November 16, 2022 - Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient Complicating Cardiac Surgery and Bedside Chest Closure.
Citation Text:
Partridge E, Dodson D, Reilly M, et al. Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient Complicating Cardiac Surgery and Bedside Chest Closure.. PSNet [inter…
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psnet.ahrq.gov/node/49786/psn-pdf
March 01, 2017 - Consequences of Medical Overuse
March 1, 2017
Morgan DJ, Foy AJ. Consequences of Medical Overuse. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/consequences-medical-overuse
Case Objectives
Define overuse and overdiagnosis.
State how much of all care is estimated to be overuse.
Describe why the likelihood…
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psnet.ahrq.gov/node/72835/psn-pdf
March 10, 2021 - In Conversation With... Libby Hoy and Stephen Hoy
March 10, 2021
In Conversation With.. Libby Hoy and Stephen Hoy. PSNet [internet]. 2021.
https://psnet.ahrq.gov/perspective/conversation-libby-hoy-and-stephen-hoy
Editor’s Note: Libby Hoy, Patient Family Advisor (PFA), is the Founder and CEO of Patient Family
Cente…
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psnet.ahrq.gov/node/49546/psn-pdf
October 17, 2007 - Do Not Disturb!
October 1, 2007
Duffy DF, Cassel C. Do Not Disturb!. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/do-not-disturb
Case Objectives
Define professionalism.
Discuss behaviors associated with lack of professionalism.
Outline steps one should take if a significant breach of professionalism is …