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psnet.ahrq.gov/innovation/michigan-hospital-medicine-safety-consortium-hms-finds-infectious-diseases-id-physician
July 23, 2024 - The Michigan Hospital Medicine Safety Consortium (HMS) Finds Infectious Diseases (ID) Physician Approval for Placement of Peripherally Inserted Central Catheters (PICCs) Prevents Unnecessary PICC Use and Reduces Complications
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psnet.ahrq.gov/node/33568/psn-pdf
June 15, 2024 - Root Cause Analysis
June 15, 2024
Root Cause Analysis. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/root-cause-analysis
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed…
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psnet.ahrq.gov/issue/screen-savers-adjunct-medical-education-patient-safety
March 03, 2010 - Study
Screen savers as an adjunct to medical education on patient safety.
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Screen savers as an adjunct to medical education on patient safety. Coil CJ; Kaji AH; Crevensten H; Aaron KE; Lewis RJ; Coates WC.
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psnet.ahrq.gov/issue/mismatch-made-america
December 31, 2018 - Newspaper/Magazine Article
A mismatch made in America.
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A mismatch made in America. Butcher L. Managed Care. June 2019;28:37-39.
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psnet.ahrq.gov/issue/medical-research-and-institutional-review-board-librarians-role-human-subject-testing
June 01, 2022 - Commentary
Medical research and the Institutional Review Board: the librarian's role in human subject testing.
Citation Text:
Medical research and the Institutional Review Board: the librarian's role in human subject testing. Robinson JG; Gehle JL. Reference Services Review. 2005;33(…
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psnet.ahrq.gov/issue/focusing-health-care-safety
January 16, 2008 - Special or Theme Issue
Focusing on Health Care Safety.
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Focusing on Health Care Safety. IEEE Transactions on Systems, Man, and Cybernetics, Part A: Systems and Humans. 2004;34(601):689-778.
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psnet.ahrq.gov/issue/quality-and-patient-safety-engaging-your-board-take-lead
April 21, 2015 - Newspaper/Magazine Article
Quality and patient safety. Engaging your board to take the lead.
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Bader BS. Quality and patient safety. Engaging your board to take the lead. Healthcare executive. 2006;21(2):64, 66-7.
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psnet.ahrq.gov/issue/american-hospital-association-mckesson-quest-quality-prize-0
March 28, 2018 - Award Recipient
American Hospital Association-McKesson Quest for Quality Prize.
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American Hospital Association-McKesson Quest for Quality Prize. Jt Comm J Qual Patient Saf. 2007;33(10):592-604.
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psnet.ahrq.gov/issue/patient-safety-and-health-information-technology-conference-newsmaker-interview-carolyn-m
August 31, 2022 - Newspaper/Magazine Article
Patient safety and health information technology conference: A newsmaker interview with Carolyn M. Clancy, MD.
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Patient safety and health information technology conference: A newsmaker interview with Carolyn M. Clancy, MD. Barclay L.
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psnet.ahrq.gov/issue/importance-simulation-preventing-hand-mistakes
May 20, 2009 - Commentary
The importance of simulation: preventing hand-off mistakes.
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Clancy CM. The importance of simulation: preventing hand-off mistakes. AORN J. 2008;88(4):625-627. doi:10.1016/j.aorn.2008.09.007.
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psnet.ahrq.gov/issue/when-incidents-happen
January 14, 2011 - Commentary
When incidents happen.
Citation Text:
Newfield JS. When Incidents Happen. Home Health Care Manag Pract. 2006;18(5). doi:10.1177/1084822306287998.
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psnet.ahrq.gov/issue/interdisciplinary-perspectives-medical-error
September 27, 2023 - Special or Theme Issue
Interdisciplinary Perspectives on Medical Error.
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Interdisciplinary Perspectives on Medical Error. J Public Health Res. 2013;2:e22-e33.
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psnet.ahrq.gov/issue/profiles-patient-safety-confirmation-bias-emergency-medicine
November 23, 2016 - Commentary
Profiles in patient safety: confirmation bias in emergency medicine.
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Pines JM. Profiles in patient safety: confirmation bias in emergency medicine. Acad Emerg Med. 2006;13(1):90-4.
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psnet.ahrq.gov/issue/non-operating-room-anesthesia-challenges
November 28, 2018 - Newspaper/Magazine Article
Non–operating room anesthesia challenges.
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Non–operating room anesthesia challenges. Smith MJ. Anesthesiology News. June 6, 2023.
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psnet.ahrq.gov/issue/how-stay-safe-when-entering-healthcare-system-physician-walks-across-country-raise-awareness
January 01, 2019 - Book/Report
How to Stay Safe When Entering the Healthcare System: A Physician Walks across the Country to Raise Awareness of the Need to Improve Healthcare Safety.
Citation Text:
How to Stay Safe When Entering the Healthcare System: A Physician Walks across the Country to Raise Awareness…
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psnet.ahrq.gov/issue/bringing-diagnosis-quality-and-safety-equations
October 10, 2018 - Commentary
Bringing diagnosis into the quality and safety equations.
Citation Text:
Graber ML, Wachter R, Cassel C. Bringing diagnosis into the quality and safety equations. JAMA. 2012;308(12):1211-2.
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psnet.ahrq.gov/issue/hospital-preparedness-covid-19-surge-assessment-tool
September 16, 2020 - Tools/Toolkit
Hospital Preparedness for a COVID-19 Surge: Assessment Tool.
Citation Text:
Hospital Preparedness for a COVID-19 Surge: Assessment Tool. Boston, MA: Institute for Healthcare Improvement; 2020.
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psnet.ahrq.gov/issue/competitive-imperative-learning
September 25, 2024 - Commentary
The competitive imperative of learning.
Citation Text:
Edmondson A. The competitive imperative of learning. Harv Bus Rev. 2008;86(7-8):60-7, 160.
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psnet.ahrq.gov/issue/profiles-patient-safety-authority-gradients-medical-error
August 28, 2019 - Review
Profiles in patient safety: authority gradients in medical error.
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Cosby K, Croskerry P. Profiles in patient safety: authority gradients in medical error. Acad Emerg Med. 2004;11(12):1341-5.
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psnet.ahrq.gov/issue/adaptive-expertise-medical-decision-making
September 18, 2024 - Commentary
Emerging Classic
Adaptive expertise in medical decision making.
Citation Text:
Croskerry P. Adaptive expertise in medical decision making. Med Teach. 2018;40(8):803-808. doi:10.1080/0142159X.2018.1484898.
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