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psnet.ahrq.gov/node/33691/psn-pdf
December 01, 2009 - Sample Assessment Questions
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(Go to citation in perspective)
View/download PDF file
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psnet.ahrq.gov/node/33820/psn-pdf
December 01, 2016 - When the rank and file see that when they identify
a problem, they work on it, and it gets fixed and
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psnet.ahrq.gov/perspective/methicillin-resistant-staphylococcus-aureus
June 24, 2010 - one study, patients isolated for MRSA were twice as likely to suffer an adverse event, more likely to file
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psnet.ahrq.gov/node/74253/psn-pdf
January 12, 2022 - Patient Safety Events and the Role of Patient Safety
Organizations During the COVID-19 Pandemic
January 12, 2022
Dickman R, Sharma P, Higgins D, et al. Patient Safety Events and the Role of Patient Safety Organizations
During the COVID-19 Pandemic. PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/patient…
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psnet.ahrq.gov/node/49396/psn-pdf
April 01, 2003 - The 2-Week Itch
April 1, 2003
Cohen MR. The 2-Week Itch. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/2-week-itch
The Case
A 40-year-old woman with bipolar disorder (on trazodone) came to her primary care physician with new
urticaria. She received a handwritten prescription for Zyrtec and Atarax.
The ha…
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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…
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psnet.ahrq.gov/node/49796/psn-pdf
June 01, 2017 - Chest Tube Complications
June 1, 2017
Santhosh L, Broaddus C. Chest Tube Complications. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/chest-tube-complications
The Case
A 30-year-old woman with a history of cystic fibrosis was admitted to the hospital for management of a
spontaneous left pneumothorax (coll…
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psnet.ahrq.gov/node/49655/psn-pdf
June 01, 2012 - A Painful Dilemma
June 1, 2012
Davison SN. A Painful Dilemma. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/painful-dilemma
The Case
A 47-year-old woman with end-stage renal disease due to polycystic kidney disease was admitted with
fever. She was taking propoxyphene or hydrocodone at home for pain. She h…
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psnet.ahrq.gov/perspective/conversation-james-p-bagian-md-pe
February 26, 2025 - When the rank and file see that when they identify a problem, they work on it, and it gets fixed and
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psnet.ahrq.gov/innovation/missouri-quality-initiative-moqi-reduces-hospitalizations-among-nursing-home-residents
July 23, 2024 - Missouri Quality Initiative (MOQI) Reduces Hospitalizations Among Nursing Home Residents
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July 28, 2021
Innovation
Contact
…
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psnet.ahrq.gov/node/854849/psn-pdf
October 31, 2023 - clinic staff gathered the necessary information, and before
providing it to the patient, left the file
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psnet.ahrq.gov/node/72811/psn-pdf
September 01, 2022 - Electronic patient file: All information entered into the system is integrated via the TR&R®
system
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psnet.ahrq.gov/perspective/conversation-amy-c-edmondson-phd-am
February 01, 2017 - the important information, and that information was limited to some number of pieces of paper in a file … In those days in health care, the medical chart was a file, a set of pieces of paper, and it lived in
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psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps
February 01, 2017 - the important information, and that information was limited to some number of pieces of paper in a file … In those days in health care, the medical chart was a file, a set of pieces of paper, and it lived in
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psnet.ahrq.gov/perspective/conversation-andrew-gettinger-md
September 01, 2017 - Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncrasy … In Conversation With… Susan Smith, MD
August 1, 2019
Orders on file
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psnet.ahrq.gov/perspective/patient-safety-medical-nursing-and-other-clinical-education
January 31, 2020 - Annual Perspective
Patient Safety in Medical, Nursing, and Other Clinical Education
March 16, 2020
View more articles from the same authors.
Citation Text:
Howley LD, Hall KK, Fitall E. Patient Safety in Medical, Nursing, and Other Clinical Education . PSNe…
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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/perspective/assessing-safety-electronic-health-records-what-have-we-learned
September 01, 2017 - Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncrasy … Medical Scribes and Patient Safety
August 1, 2019
Orders on file
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psnet.ahrq.gov/node/49627/psn-pdf
June 01, 2011 - I opened the file and sure enough—it was the ECG I looked at, but it was not my daughter's.
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psnet.ahrq.gov/web-mm/wrong-shot-error-disclosure
May 01, 2011 - For some patients, anger following a medical error leads them to file a malpractice claim.