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psnet.ahrq.gov/issue/defining-technical-skills-teamwork-surgery
October 26, 2010 - Commentary
Defining the technical skills of teamwork in surgery.
Citation Text:
Healey A, Undre S, Vincent C. Defining the technical skills of teamwork in surgery. Qual Saf Health Care. 2006;15(4):231-4.
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psnet.ahrq.gov/issue/human-factors-subsystems-approach-trauma-care
October 08, 2013 - Study
A human factors subsystems approach to trauma care.
Citation Text:
Catchpole K, Ley EJ, Wiegmann D, et al. A human factors subsystems approach to trauma care. JAMA Surg. 2014;149(9):962-8.
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psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients-time-professional-action
June 01, 2004 - Commentary
Disclosing harmful medical errors to patients: a time for professional action.
Citation Text:
Gallagher TH, Levinson W. Disclosing Harmful Medical Errors to Patients. Arch Intern Med. 2005;165(16). doi:10.1001/archinte.165.16.1819.
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psnet.ahrq.gov/issue/review-article-influence-psychology-and-human-factors-education-anesthesiology
January 13, 2010 - Review
Review article: the influence of psychology and human factors on education in anesthesiology.
Citation Text:
Glavin R, Flin R. Review article: the influence of psychology and human factors on education in anesthesiology. Can J Anaesth. 2012;59(2):151-8. doi:10.1007/s12630-011-96…
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psnet.ahrq.gov/web-mm/hemolysis-holdup
July 03, 2016 - Consequently, manufacturers have incorporated automated methods into chemistry analyzers to detect even
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psnet.ahrq.gov/issue/ambulatory-safety-and-quality-program-health-it-portfolio-2007-2013
August 01, 2012 - Grant Recipient
Ambulatory Safety and Quality Program: Health IT Portfolio.
Citation Text:
Ambulatory Safety and Quality Program: Health IT Portfolio. Rockville,MD: Agency for Healthcare Research and Quality; July 2010. AHRQ Pub. No. 10-P004.
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psnet.ahrq.gov/issue/preventing-falls-hospitals-toolkit-improving-quality-care
December 24, 2008 - Toolkit
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care.
Citation Text:
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care. Ganz DA, Huang C, Saliba D, et al. Rockville, MD: Agency for Healthcare Research and Quality; January 2013. AHRQ Publicat…
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psnet.ahrq.gov/issue/mistake-proofing-design-health-care-processes
December 18, 2008 - Book/Report
Mistake-Proofing the Design of Health Care Processes.
Citation Text:
Mistake-Proofing the Design of Health Care Processes. Grout JR. Rockville, MD: Agency for Healthcare Research and Quality; May 2007. AHRQ Publication No. 07-0020.
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psnet.ahrq.gov/issue/taking-care-myself-guide-when-i-leave-hospital
November 17, 2010 - Tools/Toolkit
Taking Care of Myself: A Guide for When I Leave the Hospital.
Citation Text:
Taking Care of Myself: A Guide for When I Leave the Hospital. Rockville, MD: Agency for Healthcare Research and Quality; April 2010. AHRQ Publication No. 10-0059.
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psnet.ahrq.gov/issue/selecting-quality-and-resource-use-measures-decision-guide-community-quality-collaboratives
November 17, 2010 - Government Resource
Selecting Quality and Resource Use Measures: A Decision Guide for Community Quality Collaboratives.
Citation Text:
Selecting Quality and Resource Use Measures: A Decision Guide for Community Quality Collaboratives. Romano PS, Hussey P, Ritley D. Rockville, MD:…
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psnet.ahrq.gov/issue/piece-my-mind-snakes-dock
March 15, 2016 - Commentary
A piece of my mind. Snakes on a dock.
Citation Text:
Detsky AS. Snakes on a Dock. JAMA. 2016;316(10):1043-4. doi:10.1001/jama.2016.5179.
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psnet.ahrq.gov/issue/geisinger-health-systems-plan-fix-americas-health-care
October 18, 2017 - Newspaper/Magazine Article
Geisinger Health System's plan to fix America's health care.
Citation Text:
Geisinger Health System's plan to fix America's health care. Carbonara P. Fast Company. October 2008.
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psnet.ahrq.gov/issue/documenting-diagnosis-exploring-impact-electronic-health-records-diagnostic-safety
August 16, 2023 - Book/Report
Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety.
Citation Text:
Miller K, Ratwani R, Hose B-Z, et al. Documenting Diagnosis: Exploring The Impact Of Electronic Health Records On Diagnostic Safety. Rockville, MD: Agency for Healthc…
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psnet.ahrq.gov/node/49658/psn-pdf
July 01, 2012 - Misleading Complaint
July 1, 2012
Soni K, Dhaliwal G. Misleading Complaint. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/misleading-complaint
The Case
A 54-year-old homeless man with a history of alcoholism presented to the emergency department (ED) with
complaints of knee problems. The triage nurse docu…
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psnet.ahrq.gov/node/49541/psn-pdf
August 21, 2007 - Mark My Tooth
August 21, 2007
Smith RA. Mark My Tooth. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/mark-my-tooth
The Case
A 45-year-old healthy man was scheduled to have two teeth extracted for progressive dental caries. The
patient underwent the extractions, awoke from the anesthesia, and then realized…
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psnet.ahrq.gov/issue/how-communication-among-members-health-care-team-affects-maternal-morbidity-and-mortality
November 12, 2014 - Commentary
How communication among members of the health care team affects maternal morbidity and mortality.
Citation Text:
Brennan RA, Keohane CA. How Communication Among Members of the Health Care Team Affects Maternal Morbidity and Mortality. J Obstet Gynecol Neonatal Nurs. 2016;45(6)…
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psnet.ahrq.gov/issue/engineering-patient-safety-radiation-oncology-university-north-carolinas-pursuit-high
May 04, 2016 - Book/Report
Engineering Patient Safety in Radiation Oncology: University of North Carolina's Pursuit for High Reliability and Value Creation.
Citation Text:
Engineering Patient Safety in Radiation Oncology: University of North Carolina's Pursuit for High Reliability and Value Creation. M…
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psnet.ahrq.gov/issue/saving-without-compromising-teaching-trainees-safely-provide-high-value-care
August 02, 2015 - Commentary
Saving without compromising: teaching trainees to safely provide high value care.
Citation Text:
Judson TJ, Press MJ, Detsky AS. Saving without compromising: Teaching trainees to safely provide high value care. Healthc (Amst). 2019;7(1):4-6. doi:10.1016/j.hjdsi.2018.05.003.
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psnet.ahrq.gov/issue/sepsis-recognizing-next-event
July 13, 2010 - Commentary
Sepsis: recognizing the next event.
Citation Text:
Kilburn FL, Bailey P, Price D. Sepsis: recognizing the next event. Nursing (Brux). 2013;43(10):14-6. doi:10.1097/01.NURSE.0000434320.25397.53.
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psnet.ahrq.gov/issue/human-factors-and-systems-engineering-approach-patient-safety-radiotherapy
August 07, 2013 - Commentary
Human factors and systems engineering approach to patient safety for radiotherapy.
Citation Text:
Human factors and systems engineering approach to patient safety for radiotherapy. Rivera AJ, Karsh B-T. Int J Radiat Oncol Biol Phys. 2008;71:S174-S177.
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