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psnet.ahrq.gov/node/837791/psn-pdf
August 05, 2022 - Patient Safety in the Ambulatory Care Setting
August 5, 2022
Schiff G, Mossburg SE, Dowell P, et al. Patient Safety in the Ambulatory Care Setting. PSNet [internet].
2022.
https://psnet.ahrq.gov/perspective/patient-safety-ambulatory-care-setting
Introduction
There is no way to review the year 2021 in quality and …
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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/node/840174/psn-pdf
August 28, 2024 - Missed CANDOR Implementation Opportunities.
November 16, 2022
Schweitzer L. Missed CANDOR Implementation Opportunities. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
The Case
A 58-year-old man with a history of type 2 diabetes mellitus, hypertension, morbid obesit…
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psnet.ahrq.gov/node/49651/psn-pdf
May 01, 2012 - The Perils of Cross Coverage
May 1, 2012
Farnan JM, Arora V. The Perils of Cross Coverage. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/perils-cross-coverage
Case Objectives
Explain the recently instituted ACGME duty hour regulations for 2011 as they pertain to handoffs and
care transitions.
Describe ed…
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psnet.ahrq.gov/node/49777/psn-pdf
December 01, 2016 - Suicidal Ideation in the Family Medicine Clinic
December 1, 2016
Moutier C. Suicidal Ideation in the Family Medicine Clinic. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/suicidal-ideation-family-medicine-clinic
Case Objectives
Recognize suicide as a major public health problem and the critical role of pri…
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psnet.ahrq.gov/node/49648/psn-pdf
March 01, 2012 - Postdischarge Follow-Up Phone Call
March 1, 2012
Mourad M, Rennke S. Postdischarge Follow-Up Phone Call. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/postdischarge-follow-phone-call
Case Objectives
Understand why preventing readmissions through postdischarge phone calls is important.
Describe evidence su…
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psnet.ahrq.gov/node/49684/psn-pdf
May 01, 2013 - Right Regimen, Wrong Cancer: Patient Catches Medical
Error
May 1, 2013
Weingart SN, Jacobson J. Right Regimen, Wrong Cancer: Patient Catches Medical Error. PSNet [internet].
2013.
https://psnet.ahrq.gov/web-mm/right-regimen-wrong-cancer-patient-catches-medical-error
Case Objectives
Appreciate that chemotherapy a…
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psnet.ahrq.gov/perspective/conversation-shantanu-agrawal-md-mphil
February 26, 2025 - In Conversation With… Shantanu Agrawal, MD, MPhil
September 1, 2019
Citation Text:
In Conversation With… Shantanu Agrawal, MD, MPhil. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Co…
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psnet.ahrq.gov/node/49810/psn-pdf
November 01, 2017 - Palliative Care: Comfort vs. Harm
November 1, 2017
Jox RJ. Palliative Care: Comfort vs. Harm. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/palliative-care-comfort-vs-harm
Case Objectives
Recognize errors may be difficult to identify in palliative care.
State that medication errors and errors in communica…
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psnet.ahrq.gov/curated-library/nurse-wellbeing-and-patient-safety
August 30, 2023 - Breadcrumb
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Curated Libraries
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Nurse Wellbeing and Patient Safety
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Created By: Lorri Zipperer, Cybrarian, AHRQ…
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psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
November 11, 2020 - Missed CANDOR Implementation Opportunities.
Citation Text:
Schweitzer L. Missed CANDOR Implementation Opportunities.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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Format:
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psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
January 01, 2016 - errors, these areas include clarifying responsibilities for follow-up of abnormal clinical findings, identifying … with further refinement, a single clinician could use the recently developed Safer Dx instrument for identifying
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psnet.ahrq.gov/perspective/conversation-connor-wesley-rn-bsn-patient-safety-concerns-and-lgbtq-population
February 01, 2023 - There are other challenges in accessing healthcare and identifying providers. … Sharing sexual and gender history and personal health information is important in identifying, treating
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psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
January 01, 2016 - errors, these areas include clarifying responsibilities for follow-up of abnormal clinical findings, identifying … with further refinement, a single clinician could use the recently developed Safer Dx instrument for identifying
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psnet.ahrq.gov/perspective/ems-patient-safety-field
July 28, 2021 - compliance with medical protocols. 9 The process can also serve to support quality improvement efforts by identifying … And then, how does the service itself perform in identifying critical patients and moving them to the
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psnet.ahrq.gov/perspective/patient-safety-concerns-and-lgbtq-population
February 01, 2023 - Sharing sexual and gender history and personal health information is important in identifying, treating … There are other challenges in accessing healthcare and identifying providers.
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psnet.ahrq.gov/perspective/conversation-withjanet-corrigan-phd-mba
April 01, 2010 - would be responsible for (i) implementing a comprehensive plan for measurement and reporting, (ii) identifying
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psnet.ahrq.gov/node/60843/psn-pdf
August 26, 2020 - Scoping review of patients' attitudes about their role and
behaviours to ensure safe care at the direct care level.
August 26, 2020
Duhn L, Godfrey C, Medves J. Scoping review of patients’ attitudes about their role and behaviours to
ensure safe care at the direct care level. Health Expect. 2020;23(5):979-991. doi:…
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psnet.ahrq.gov/node/841483/psn-pdf
December 14, 2022 - What do patients and their carers do to support the safety
of cancer treatment and care? A scoping review.
December 14, 2022
Tillbrook D, Absolom K, Sheard L, et al. What do patients and their carers do to support the safety of
cancer treatment and care? A scoping review. J Patient Saf. 2022;18(8):779-787.
doi:10.…
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psnet.ahrq.gov/node/60826/psn-pdf
August 19, 2020 - Variation in electronic test results management and its
implications for patient safety: a multisite investigation.
August 19, 2020
Thomas J, Dahm MR, Li J, et al. Variation in electronic test results management and its implications for
patient safety: a multisite investigation. J Am Med Inform Assoc. 2020;27(8):12…