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psnet.ahrq.gov/node/49550/psn-pdf
December 01, 2007 - Alan Forster and I have considered the features listed in Table 2 as a framework for
evaluating the
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psnet.ahrq.gov/node/49501/psn-pdf
February 03, 2006 - Certain features are common to most ED handoffs.
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psnet.ahrq.gov/node/49828/psn-pdf
May 01, 2018 - clinical practice using clinical decision
support systems: a systematic review of trials to identify features
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psnet.ahrq.gov/node/33662/psn-pdf
January 01, 2008 - You could never trace it to any
particular hospital, but it captured all the salient features of some
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psnet.ahrq.gov/node/49859/psn-pdf
April 01, 2019 - Their features
also vary.
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psnet.ahrq.gov/node/49497/psn-pdf
December 01, 2005 - simulator available on the market; all “infant” simulators are just that, designed with a size and features
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psnet.ahrq.gov/node/50614/psn-pdf
October 30, 2019 - In Conversation With… Vineet Chopra, MD, MSc
October 30, 2019
In Conversation With… Vineet Chopra, MD, MSc. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
Editor's note: Dr. Chopra is Chief of the Division of Hospital Medicine and Associate Professor of
Medicine at the…
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psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer
June 24, 2020 - SPOTLIGHT CASE
Fatal Error in Neonate: Does "Just Culture" Provide an Answer?
Citation Text:
Dekker SWA. Fatal Error in Neonate: Does "Just Culture" Provide an Answer?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. …
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psnet.ahrq.gov/node/33870/psn-pdf
November 01, 2018 - The Comprehensivist Model of Care: A Hospitalist's View
November 1, 2018
Wachter R. The Comprehensivist Model of Care: A Hospitalist's View. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/comprehensivist-model-care-hospitalists-view
Perspective
In this month's PSNet perspective, I interview Dr. David M…
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psnet.ahrq.gov/node/49463/psn-pdf
October 14, 2004 - Moved Too Soon
October 1, 2004
Lindenauer PK. Moved Too Soon. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/moved-too-soon
The Case
A 67-year-old man was admitted to a general hospital ward after undergoing a laminectomy. Two hours
after arriving, while the patient was still groggy from anesthesia, a nurs…
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psnet.ahrq.gov/node/33623/psn-pdf
December 01, 2005 - The Unintended Consequences of Florida Medical
Liability Legislation
December 1, 2005
Barach P. The Unintended Consequences of Florida Medical Liability Legislation. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/unintended-consequences-florida-medical-liability-legislation
Perspective
Quality health …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.266_slideshow.ppt
May 01, 2012 - Spotlight Case July 2008
Spotlight Case
The Perils of Cross Coverage
*
*
Source and Credits
This presentation is based on the May 2012
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Jeanne M. Farnan, MD, MHPE, and Vineet M. Arora, MD, MAPP, …
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psnet.ahrq.gov/node/33738/psn-pdf
December 01, 2012 - We used this matrix exercise to try to get a series of
design features at the front end. … You need to decide what the best
features are that will match the safety needs for the amount of capital
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psnet.ahrq.gov/youtube
Introducing Curated Libraries
Curated Libraries are groupings of PSNet content, curated by AHRQ and by other experts in the patient safety field. Watch the video below to learn more about how this new feature works and how it can be of benefit to you.
Visit Curated Libraries
Audio-Described Version (…
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psnet.ahrq.gov/node/39271/psn-pdf
February 03, 2010 - The antidote to medical errors.
February 3, 2010
Price M.
https://psnet.ahrq.gov/issue/antidote-medical-errors
This feature article explains how cognitive errors contribute to medical mistakes and describes ways to
lessen their occurrence.
https://psnet.ahrq.gov/issue/antidote-medical-errors
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psnet.ahrq.gov/node/41263/psn-pdf
March 29, 2012 - Diagnosis: doubled over in pain.
March 29, 2012
Sanders L.
https://psnet.ahrq.gov/issue/diagnosis-doubled-over-pain
This interactive magazine feature takes readers through the decision-making process in a case involving
diagnostic error.
https://psnet.ahrq.gov/issue/diagnosis-doubled-over-pain
https://psnet.ahrq.…
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psnet.ahrq.gov/node/40505/psn-pdf
January 27, 2012 - AHRQ 2011 Annual Conference.
January 27, 2012
Agency for Healthcare Research and Quality. Bethesda, MD, September 18-19, 2011.
https://psnet.ahrq.gov/issue/ahrq-2011-annual-conference
This conference featured leading authorities in health care research and policy. Sessions focused on
addressing challenges in impr…
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psnet.ahrq.gov/node/37252/psn-pdf
August 06, 2016 - Safety and Ethics in Healthcare: A Guide to Getting it
Right.
August 6, 2016
Runciman B, Merry A, Walton M. London, UK: CRC Press; 2017. ISBN: 9781315607443.
https://psnet.ahrq.gov/issue/safety-and-ethics-healthcare-guide-getting-it-right
This book provides a four-part treatment on improving health care safety, fe…
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psnet.ahrq.gov/node/41874/psn-pdf
November 21, 2012 - Reducing Diagnostic Errors.
November 21, 2012
Boston, MA: National Patient Safety Foundation; 2011.
https://psnet.ahrq.gov/issue/reducing-diagnostic-errors
This online continuing education module will educate participants on diagnostic errors, including
contributing factors and prevention strategies. Dr. Mark Grab…
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psnet.ahrq.gov/node/39279/psn-pdf
February 10, 2010 - "I'm sorry": Why is that so hard for doctors to say?
February 10, 2010
O'Reilly KB.
https://psnet.ahrq.gov/issue/im-sorry-why-so-hard-doctors-say
This feature article emphasizes efforts in health care to formalize disclosure following medical errors.
https://psnet.ahrq.gov/issue/im-sorry-why-so-hard-doctors-say
ht…