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psnet.ahrq.gov/perspective/conversation-withsir-liam-donaldson-md-msc
May 01, 2007 - I felt that the process of medical education and trainingthe so-called socialization process into medicine … The students used to come into the tutorials in the first year very passionate about how medicine shouldn't … They were harder, I guess, as far as the humanity of medicine is concerned. … Some were not really about the system side of medicine, about patient safety. … , even though it's available in the medical literature and in expert reports like the Institute of Medicine
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psnet.ahrq.gov/node/851568/psn-pdf
July 31, 2023 - The Society of Critical Care
Medicine created the “ICU Admission, Discharge, and Triage Guidelines,” … Theresa Duong, MD, FACP
Health Sciences Assistant Clinical Professor
Department Of Internal Medicine … , Division of Hospital Medicine
UC Davis Health
tnduong@ucdavis.edu
Noelle Boctor, MD
Consulting … Editor, AHRQ, Patient Safety Network (PSNet)
Associate Physician Diplomate
Department of Internal Medicine … American Society of Addiction Medicine. Accessed June 5, 2023. [Available at]
37.
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psnet.ahrq.gov/web-mm/complicated-course-severe-alcohol-withdrawal-dexmedetomidine-infusion
June 14, 2023 - The Society of Critical Care Medicine created the “ICU Admission, Discharge, and Triage Guidelines,” … Theresa Duong, MD, FACP Health Sciences Assistant Clinical Professor Department Of Internal Medicine, … , AHRQ, Patient Safety Network (PSNet) Associate Physician Diplomate Department of Internal Medicine, … Division of Hospital Medicine UC Davis Health nboctor@ucdavis.edu James Bourgeois, OD, MD Consulting … American Society of Addiction Medicine.
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psnet.ahrq.gov/node/49440/psn-pdf
March 01, 2004 - diagnostic error rates as a function of time, while controlling for clinical selection,
case-mix (medicine … Shojania, MD Department of Medicine University of California, San Francisco
References
1. … Reducing diagnostic errors in medicine: what's the goal? … Internal bleeding: the truth behind America's terrifying epidemic of medical
mistakes. … Medicine (Baltimore).
1996;75:29-40.[ go to PubMed ]
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?
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psnet.ahrq.gov/issue/safemedicationuseca
October 10, 2012 - Multi-use Website
SafeMedicationUse.ca.
Citation Text:
SafeMedicationUse.ca. Institute for Safe Medication Practices Canada; ISMP Canada.
Copy Citation
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…
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psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
June 01, 2005 - Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes. … Safe but sound: patient safety meets evidence-based medicine. … anesthesiologist and critical care physician, he has appointments in both The Johns Hopkins University School of Medicine … and safety efforts, because these involve not only epidemiology, biostatistics, and evidence-based medicine … interventions but not ensuring patients received those interventions; this work was viewed as the art of medicine
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psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation
September 01, 2006 - Perspective
Five years after the landmark Crossing the Quality Chasm report by the Institute of Medicine … Even when I was a resident and a student, I used to really chafe at the way medicine was run. … But medicine doesn't do that well. It still doesn't do it well. … Even among the internal VA doctors, to think it is command and control from my lips to their ears would … Group Administrators
Quality and Safety Professionals
Organizational Behaviorists
Hospital Medicine
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psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
March 21, 2009 - San Francisco School of Pharmacy
Delani Gunawardena, MD
Associate Physician
Department of Internal … Medicine
University of California, Davis
References
Scholl L, Seth P, Kariisa M, Wilson … New England Journal of Medicine. 2016 Apr 21;374(16):1501-4. … Preventive medicine. 2018 Sep 1;114:79 -87. [Go to PubMed]
Devries J, Rafie S, Polston G. … New England Journal of Medicine. 2019 Jun 13;380(24):2285-7.
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psnet.ahrq.gov/node/49466/psn-pdf
October 14, 2004 - An email alert system for internal medicine physicians. … Crew resource management and its applications in medicine. … Human error in medicine. Hillsdale, NJ: Lawrence Erlbaum
Assoc.; 1994:xiv.
15.
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psnet.ahrq.gov/innovation/behavioral-health-vital-signs-initiative-increases-patient-education-and-disclosure
February 26, 2025 - Contact the Innovator
Leigh.kimberg@ucsf.edu
Professor of Medicine, UCSF
Division of General … Internal Medicine, SFGH
Interpersonal Violence Prevention Coordinator, SFDPH
Director, ARISE … Department of Veterans Affairs Medical Center, Houston, TX, and Baylor College of Medicine Revised Safer
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psnet.ahrq.gov/node/857259/psn-pdf
November 30, 2023 - Even as modern medicine has continued to evolve and improve its
processes since the publication of To … ratio, California implemented a 1:2 (or fewer)
https://psnet.ahrq.gov/issue/cognitive-bias-clinical-medicine … Romano, MD, MPH
Co-Editor-in-Chief, AHRQ’s Patient Safety Network (PSNet)
Professor
Department of Internal … Medicine, Division of General Medicine
UC Davis Health
psromano@ucdavis.edu
Editor’s Note: this case … Institute of Medicine (US) Committee on Quality of Health Care in America, Kohn LT, Corrigan JM,
Donaldson
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psnet.ahrq.gov/sites/default/files/2023-08/spotlight_case_prolonged_dka_in_pregnancy_-_slides_-_revised.pdf
January 01, 2023 - • Maternal Fetal Medicine (MFM), endocrinology, and gastroenterology were
consulted.
5
Case … Details (2)
• The patient was admitted to the inpatient internal medicine unit with a
diagnosis of … hospitalized with acute medical illnesses, primary
providers can include midwives, obstetricians, family medicine … Obstetrics, Gynaecology & Reproductive Medicine.
2020;30(4):126-129. [Free full text]
7. … Washington, DC: National Academy of
Medicine; 2012.
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psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
August 21, 2015 - Evidence-based medicine among internal medicine residents in a community hospital program using smart
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psnet.ahrq.gov/web-mm/steroids-and-safety-preventing-medication-adverse-events-during-transitions-care
September 09, 2013 - Lucier, MD, MBA, MPH Director of Quality Improvement and Patient Safety Hospital Medicine Unit Department … of Medicine Massachusetts General Hospital Boston, MA
Jeffrey L. … Greenwald, MD Core Educator Faculty Department of Medicine Massachusetts General Hospital Boston, MA … Medicine (Baltimore). 2018;97:e9865. [go to PubMed]
25. Kraus SK, Sen S, Murphy M, Pontiggia L. … 2014
Results of a medication reconciliation survey from the 2006 Society of Hospital Medicine
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.158_slideshow.ppt
September 01, 2007 - Operational track lecture presented at: Annual Meeting of the Society of Hospital Medicine; April 19- … The patient told the nurse that the amount of medicine seemed more than usual.
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psnet.ahrq.gov/primer/personal-health-literacy
October 31, 2023 - the Institute of Medicine or IOM) published a landmark report calling for action to address health … Washington, DC: The National Academies Press; 2009. [ Free full text ] Institute of Medicine. … Washington, DC: The National Academies Press; 2011. [ Free full text ] Institute of Medicine. … Washington, DC: The National Academies Press; 2011. [ Free full text ] Institute of Medicine. … November 26, 2014
Buying the wrong medicine overseas.
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psnet.ahrq.gov/node/33599/psn-pdf
August 30, 2023 - Background
In 2004, The National Academies of Science, Engineering, and Medicine (NASEM, then known … Institute of Medicine. Measures of Health Literacy: Workshop Summary. … Institute of Medicine. Innovations in Health Literacy Research: Workshop Summary. … Institute of Medicine. Health Literacy Implications for Health Care Reform: Workshop Summary. … Institute of Medicine. Health Literacy and Numeracy: Workshop Summary.
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psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
March 07, 2018 - The Nephrology, Cardiology, and General Internal Medicine services were involved, but, as per routine … Anesthesia Partners
Adjunct Professor, Department of Anesthesiology
Texas A&M University College of Medicine … Annals of Internal Medicine. 2011;154:523-8. doi: 10.7326/0003-4819-154-8-201104190-00003.
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psnet.ahrq.gov/web-mm/lung-nodule-refused-grow
March 01, 2004 - In lung nodule evaluation, as in other areas of medicine, a bad outcome does not necessarily mean that … Balekian, MD, MSHS Assistant Professor of Clinical Medicine Keck School of Medicine of USC … Crossing the Line
March 1, 2004
Clinical communities at Johns Hopkins Medicine
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psnet.ahrq.gov/node/49840/psn-pdf
September 01, 2018 - Lucier, MD, MBA, MPH Director of Quality Improvement and Patient Safety Hospital Medicine
Unit Department … of Medicine Massachusetts General Hospital Boston, MA
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov … Greenwald, MD Core Educator Faculty Department of Medicine Massachusetts General
Hospital Boston, MA … Medicine (Baltimore). 2018;97:e9865. [go to PubMed]
25. Kraus SK, Sen S, Murphy M, Pontiggia L.