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psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
March 01, 2015 - tagged PubMedId RIS
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Perspective
Much attention is being focused
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psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events
February 01, 2006 - around in his or her head, who—and this is a great tragedy—is immensely self-preoccupied or internally focused
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psnet.ahrq.gov/node/867850/psn-pdf
February 26, 2025 - I work with some people in that domain and see that they are focused on readiness
for change.
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psnet.ahrq.gov/perspective/conversation-withjohn-banja-phd
February 01, 2006 - around in his or her head, who—and this is a great tragedy—is immensely self-preoccupied or internally focused
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psnet.ahrq.gov/issue/2016-john-m-eisenberg-patient-safety-and-quality-award-recipients-announced
April 13, 2016 - Award Recipient
2016 John M. Eisenberg Patient Safety and Quality Award Recipients Announced.
Citation Text:
Joint Commission. April 4, 2017.
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psnet.ahrq.gov/issue/diagnostic-error-medicine-16th-international-conference
October 12, 2018 - Press Release/Announcement
Diagnostic Error in Medicine 16th International Conference.
Citation Text:
Society to Improve Diagnosis in Medicine. Cleveland, Ohio, October 8-11, 2023.
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psnet.ahrq.gov/perspectives
May 01, 2021 - Perspectives on Safety
Our Perspectives on Safety section features expert viewpoints on current themes in patient safety, including interviews and written essays published monthly. Annual Perspectives highlight vital and emerging patient safety topics.
Pod…
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psnet.ahrq.gov/issue/international-forum-quality-and-safety-healthcare
September 10, 2024 - Meeting/Conference Proceedings
The International Forum on Quality and Safety in Healthcare.
Citation Text:
Institute for Healthcare Improvement and British Medical Journal. ExCeL London, London, UK, April 10-12, 2024.
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psnet.ahrq.gov/issue/clinical-alarms-complexity-and-common-sense
September 23, 2020 - Commentary
Clinical alarms: complexity and common sense.
Citation Text:
Phillips J.
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June 21, 2006
Phillips J.
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psnet.ahrq.gov/issue/mandatory-error-reporting-discourages-disclosure-information
October 26, 2011 - Newspaper/Magazine Article
Mandatory error reporting discourages disclosure of information.
Citation Text:
Tokarski C
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April …
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psnet.ahrq.gov/issue/junior-medics-bullied-lie-about-hours-doctors-ordered-work-without-proper-training
April 27, 2016 - Newspaper/Magazine Article
Junior medics bullied to lie about hours: doctors ordered to work without proper training.
Citation Text:
Revill J.
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psnet.ahrq.gov/issue/medical-errors-introduction-concepts
March 06, 2005 - Review
Medical errors: an introduction to concepts.
Citation Text:
Kalra J.
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March 6, 2005
Kalra J.
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psnet.ahrq.gov/issue/why-doctors-so-often-get-it-wrong
October 03, 2007 - Newspaper/Magazine Article
Why doctors so often get it wrong.
Citation Text:
Leonhardt D.
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March 8, 2006
Leonhardt D.
V…
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psnet.ahrq.gov/issue/state-starts-project-track-serious-hospital-mistakes
May 10, 2006 - Newspaper/Magazine Article
State starts project to track serious hospital mistakes.
Citation Text:
Colburn D.
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February 15, 20…
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psnet.ahrq.gov/issue/state-nurse-error-caused-death
May 10, 2006 - Newspaper/Magazine Article
State: nurse error caused death.
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August 2, 2006
View more articles from the same authors.
This article reports on a fe…
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psnet.ahrq.gov/issue/do-no-harm-promoting-patient-safety
September 27, 2006 - Newspaper/Magazine Article
Do no harm: promoting patient safety.
Citation Text:
Ellis K.
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September 28, 2005
Ellis K.
Vie…
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psnet.ahrq.gov/issue/ihi-fellowship-program
December 13, 2017 - Press Release/Announcement
IHI Fellowship Program.
Citation Text:
Institute for Healthcare Improvement.
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June 3, 2024
Instit…
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psnet.ahrq.gov/node/49515/psn-pdf
July 01, 2006 - Over Not So Easy
July 1, 2006
Cucina R. Over Not So Easy. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/over-not-so-easy
The Case
A 62-year-old woman with end-stage liver disease was hospitalized for recurrent variceal bleeding. On
admission, she reported allergies to a number of medications as well as a …
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psnet.ahrq.gov/node/49406/psn-pdf
June 01, 2003 - The Dangerous Detour
June 1, 2003
Gibson J, HTaylor D. The Dangerous Detour. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/dangerous-detour
The Case
Following an overdose of alcohol and Ativan, a 26-year-old woman was admitted to the Medicine service
for observation after being placed on a 72-hour hold by…
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psnet.ahrq.gov/node/49623/psn-pdf
March 01, 2011 - Are We Pushing Graduate Nurses Too Fast?
March 1, 2011
Spector ND. Are We Pushing Graduate Nurses Too Fast? . PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/are-we-pushing-graduate-nurses-too-fast
The Case
A middle-aged man was admitted to the surgical intensive care unit (SICU) following a complex surgical…