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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-transcript-508-compliant.pdf
June 01, 2017 - Another common problem is having your computer freeze during the presentation, and if that does happen
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www.ahrq.gov/patient-safety/reports/liability/corbett.html
August 01, 2017 - Pharmacists noted that patients often retain old medicines and do not fill new prescriptions if they happen … thoroughly discuss discharge paperwork with patients, and consequently, important patient education may not happen
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psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-patient-safety
May 01, 2012 - The Emergence of the Trigger Tool as the Premier Measurement Strategy for Patient Safety
Paul J. Sharek, MD, MPH | May 1, 2012
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Sharek PJ. The Emergence of the Trigger Tool as the …
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psnet.ahrq.gov/perspective/conversation-withdavid-c-classen-md-ms
May 01, 2012 - In Conversation With…David C. Classen, MD, MS
May 1, 2012
Also Read an Essay
Citation Text:
In Conversation With…David C. Classen, MD, MS. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…
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psnet.ahrq.gov/node/33615/psn-pdf
June 01, 2005 - by a blend of methodologic sophistication and practical attention to the
details of making change happen
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psnet.ahrq.gov/node/49387/psn-pdf
February 01, 2003 - It
is also important to remember that these 'flukes' do happen, and the thousands of medication
administrations
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.html
August 01, 2022 - This model describes what must happen to achieve system-wide change; it also reinforces the vital role
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psnet.ahrq.gov/node/49420/psn-pdf
October 01, 2003 - psychologists have long known that errors in the completion of routine tasks
are particularly likely to happen
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psnet.ahrq.gov/node/33808/psn-pdf
May 01, 2016 - education for patients so that they
understand the rationale for the adjustments and what is likely to happen
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psnet.ahrq.gov/issue/recognizing-excellence-diagnosis
November 03, 2023 - Multi-use Website
Recognizing Excellence in Diagnosis.
Citation Text:
Recognizing Excellence in Diagnosis. The Leapfrog Group.
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psnet.ahrq.gov/node/33849/psn-pdf
January 01, 2018 - We are testifying to things
that didn't actually happen, physical exam findings that we didn't do, or
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psnet.ahrq.gov/node/33877/psn-pdf
April 01, 2019 - It has
moved to include supporting physicians when mistakes happen but way beyond that.
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psnet.ahrq.gov/node/33791/psn-pdf
September 01, 2015 - have
this great EHR, you should be harnessing it for safety, but these transcription errors still happen
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psnet.ahrq.gov/issue/wrong-goodbye
October 05, 2022 - Newspaper/Magazine Article
The wrong goodbye.
Citation Text:
The wrong goodbye. Sexton J, Schweber N. ProPublica. October 31, 2019.
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psnet.ahrq.gov/issue/uncovering-shocking-dangers-misdiagnosis
May 13, 2020 - Audiovisual
Uncovering the shocking dangers of misdiagnosis.
Citation Text:
Uncovering the shocking dangers of misdiagnosis. Graedon T. People’s Pharmacy. Show 1355. September 8, 2023.
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digital.ahrq.gov/principal-investigator/nahm-eun-shim
January 01, 2023 - Nahm, Eun-Shim
A Theory-Based Patient Portal eLearning Program for Older Adults With Chronic Illnesses - Final Report
Citation
Nahm E. A Theory-Based Patient Portal eLearning Program for Older Adults With Chronic Illnesses - Final Report. (Prepared by the University of Marylan…
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psnet.ahrq.gov/node/33855/psn-pdf
April 01, 2018 - Every patient
is different and things happen in the hospitalization, so to get the acute situation under
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psnet.ahrq.gov/issue/when-surgeon-too-old-operate
February 12, 2016 - Newspaper/Magazine Article
When is the surgeon too old to operate?
Citation Text:
When is the surgeon too old to operate? Span P. New York Times. February 1, 2019.
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psnet.ahrq.gov/issue/patient-safety-article-collection
December 19, 2012 - Multi-use Website
Patient Safety Article Collection.
Citation Text:
Patient Safety Article Collection. American Patient Rights Association. 2012-2022.
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psnet.ahrq.gov/issue/mistaking-error
July 06, 2011 - Book/Report
Mistaking error.
Citation Text:
Mistaking error. Cook RI, Woods DD. Chapter in: Youngberg BJ, Hatlie, MJ, ed. Patient Safety Handbook, Sudbury, MA: Jones and Bartlett; 2004.
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