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psnet.ahrq.gov/node/39786/psn-pdf
August 25, 2010 - Trend analysis of radiation therapy incidents over seven
years.
August 25, 2010
Bissonnette J-P, Medlam G. Trend analysis of radiation therapy incidents over seven years. Radiother
Oncol. 2010;96(1):139-44. doi:10.1016/j.radonc.2010.05.002.
https://psnet.ahrq.gov/issue/trend-analysis-radiation-therapy-incidents-ov…
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psnet.ahrq.gov/node/849130/psn-pdf
May 17, 2023 - Comparing perspectives on organisational silence: an
analysis of the Gosport inquiry.
May 17, 2023
Powell M. J Health Org Manag. 2023;37(1):67-83.
https://psnet.ahrq.gov/issue/comparing-perspectives-organisational-silence-analysis-gosport-inquiry
Individual, team, and organizational willingness to identify and add…
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psnet.ahrq.gov/node/37276/psn-pdf
December 23, 2011 - Team management training using crisis resource
management results in perceived benefits by healthcare
workers.
December 23, 2011
Rudy SJ, Polomano R, Murray WB, et al. Team management training using crisis resource management
results in perceived benefits by healthcare workers. J Contin Educ Nurs. 2007;38(5):219-2…
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psnet.ahrq.gov/node/36671/psn-pdf
January 18, 2011 - Increasing vigilance on the medical/surgical floor to
improve patient safety.
January 18, 2011
Jacobs JL, Apatov N, Glei M. Increasing vigilance on the medical/surgical floor to improve patient safety. J
Adv Nurs. 2007;57(5). doi:10.1111/j.1365-2648.2006.04161.x.
https://psnet.ahrq.gov/issue/increasing-vigilance-m…
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psnet.ahrq.gov/node/46272/psn-pdf
January 01, 2019 - Deployment of a second victim peer support program: a
replication study.
September 24, 2017
Merandi J, Liao NN, Lewe D, et al. Deployment of a second victim peer support program: a replication
study. Pediatr Qual Saf. 2019;2(4):e031. doi:10.1097/pq9.0000000000000031.
https://psnet.ahrq.gov/issue/deployment-second-…
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psnet.ahrq.gov/node/34820/psn-pdf
February 04, 2010 - Waiting for urgent procedures on the weekend among
emergently hospitalized patients.
February 4, 2010
Bell CM, Redelmeier DA. Waiting for urgent procedures on the weekend among emergently hospitalized
patients. Am J Med. 2004;117(3):175-81.
https://psnet.ahrq.gov/issue/waiting-urgent-procedures-weekend-among-emerg…
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psnet.ahrq.gov/node/837600/psn-pdf
June 29, 2022 - Handoffs and teamwork: a framework for care transition
communication.
June 29, 2022
Webster KLW, Keebler JR, Lazzara EH, et al. Handoffs and teamwork: a framework for care transition
communication. Jt Comm Qual Patient Saf. 2022;48(6-7):343-353. doi:10.1016/j.jcjq.2022.04.001.
https://psnet.ahrq.gov/issue/handoffs…
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psnet.ahrq.gov/node/50594/psn-pdf
October 30, 2019 - Pharmacist linkage in care transitions: from academic
medical center to community.
October 30, 2019
Bloodworth LS, Malinowski SS, Lirette ST, et al. Pharmacist linkage in care transitions: from academic
medical center to community. J Am Pharm Assoc . 2019;59(6):896-904. doi:10.1016/j.japh.2019.08.011.
https://psne…
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psnet.ahrq.gov/node/50894/psn-pdf
February 12, 2020 - A professional development course improves
unprofessional physician behavior.
February 12, 2020
Swiggart WH, Bills JL, Penberthy JK, et al. A professional development course improves unprofessional
physician behavior. Jt Comm J Qual Patient Saf. 2019;46(2). doi:10.1016/j.jcjq.2019.11.004.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/49736/psn-pdf
June 01, 2015 - Inflicting Confusion
June 1, 2015
Scott FI, Lichtenstein GR. Inflicting Confusion. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/inflicting-confusion
The Case
A 26-year-old man with recently diagnosed Crohn disease presented to the emergency department with
acute-onset abdominal pain, nausea, vomiting, an…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.182_slideshow.ppt
September 01, 2008 - Spotlight Case July 2008
Spotlight Case
Empiric Steroids: the Good, the Bad, and the Ugly
Source and Credits
This presentation is based on the September 2008 AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Edward D. Harris, Jr, MD, Stanford U…
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psnet.ahrq.gov/web-mm/when-psychiatric-symptoms-are-not
September 20, 2011 - When "Psychiatric" Symptoms Are Not
Citation Text:
Goldberg RJ. When "Psychiatric" Symptoms Are Not. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNot…
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psnet.ahrq.gov/node/846162/psn-pdf
July 01, 2020 - The effect of virtual nursing and missed nursing care.
July 1, 2020
Schuelke S, Aurit S, Connot N, et al. The effect of virtual nursing and missed nursing care. Nurs Adm Q.
2020;44(3):280-287. doi:10.1097/naq.0000000000000419.
https://psnet.ahrq.gov/issue/effect-virtual-nursing-and-missed-nursing-care
The COVID-19…
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psnet.ahrq.gov/node/40296/psn-pdf
October 01, 2014 - Applying trigger tools to detect adverse events
associated with outpatient surgery.
October 1, 2014
Rosen AK, Mull HJ, Kaafarani HMA, et al. Applying trigger tools to detect adverse events associated with
outpatient surgery. J Patient Saf. 2011;7(1):45-59. doi:10.1097/PTS.0b013e31820d164b.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/34801/psn-pdf
February 10, 2011 - Medication prescribing errors in a teaching hospital.
February 10, 2011
Lesar TS, Briceland LL, Delcoure K, et al. Medication prescribing errors in a teaching hospital. JAMA.
1990;263(17):2329-34.
https://psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospital
This study analyzed nearly 290,000 medica…
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psnet.ahrq.gov/node/43455/psn-pdf
December 15, 2014 - What about doctors? The impact of medical errors.
December 15, 2014
Elwahab SA, Doherty E. What about doctors? The impact of medical errors. Surgeon. 2014;12(6):297-300.
doi:10.1016/j.surge.2014.06.004.
https://psnet.ahrq.gov/issue/what-about-doctors-impact-medical-errors
Patients are the first victims when medica…
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psnet.ahrq.gov/node/42585/psn-pdf
June 17, 2014 - https://psnet.ahrq.gov/issue/safety-subject-science
https://psnet.ahrq.gov/issue/patient-safety-indicators-overview
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psnet.ahrq.gov/node/37142/psn-pdf
August 29, 2007 - psnet.ahrq.gov/issue/patient-safety-canada-update
Using survey data as well as information on patient safety indicators
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psnet.ahrq.gov/issue/factors-associated-hospital-admission-after-outpatient-surgery-veterans-health-administration
August 17, 2018 - detected by the Veterans Health Administration Surgical Quality Improvement Program and the Patient Safety Indicators … June 5, 2013
Validity of selected patient safety indicators: opportunities and concerns
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psnet.ahrq.gov/issue/opportunities-and-challenges-quality-and-safety-applications-icd-11-international-survey
February 17, 2017 - Related Resources From the Same Author(s)
Deriving ICD-10 codes for patient safety indicators … November 30, 2022
Application of patient safety indicators internationally: a pilot study