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psnet.ahrq.gov/issue/perceived-causes-prescribing-errors-junior-doctors-hospital-inpatients-study-protect
April 19, 2011 - Study
Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programme.
Citation Text:
Ross S, Ryan C, Duncan EM, et al. Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programm…
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psnet.ahrq.gov/issue/enhancing-effectiveness-team-debriefings-medical-simulation-more-best-practices
March 17, 2021 - Commentary
Enhancing the effectiveness of team debriefings in medical simulation: more best practices.
Citation Text:
Lyons R, Lazzara EH, Benishek LE, et al. Enhancing the effectiveness of team debriefings in medical simulation: more best practices. Jt Comm J Qual Patient Saf. 2015;41(3…
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psnet.ahrq.gov/issue/critical-conversations-call-nonprocedural-time-out
February 18, 2011 - Commentary
Critical conversations: a call for a nonprocedural "time out."
Citation Text:
Sehgal NL, Fox M, Sharpe B, et al. Critical conversations: a call for a nonprocedural "time out". J Hosp Med. 2011;6(4):225-30. doi:10.1002/jhm.853.
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psnet.ahrq.gov/issue/narrativizing-nursing-students-experiences-medical-errors-during-clinicals
September 28, 2010 - Study
Narrativizing nursing students' experiences with medical errors during clinicals.
Citation Text:
Noland CM, Carmack HJ. Narrativizing Nursing Students' Experiences With Medical Errors During Clinicals. Qual Health Res. 2015;25(10):1423-34. doi:10.1177/1049732314562892.
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psnet.ahrq.gov/issue/vital-signs-core-metrics-health-and-health-care-progress
November 24, 2021 - Book/Report
Vital Signs: Core Metrics for Health and Health Care Progress.
Citation Text:
Vital Signs: Core Metrics for Health and Health Care Progress. Blumenthal D, Malphrus E, McGinnis JM, eds. Committee on Core Metrics for Better Health at Lower Cost, Institute of Medicine. Washingto…
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psnet.ahrq.gov/issue/reducing-risks-wrong-site-surgery-safety-practices-joint-commission-center-transforming
October 19, 2016 - Book/Report
Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project.
Citation Text:
Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. Chi…
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psnet.ahrq.gov/issue/measurement-and-monitoring-safety
October 01, 2024 - Book/Report
The Measurement and Monitoring of Safety.
Citation Text:
The Measurement and Monitoring of Safety. Vincent C, Burnett S, Carthey J. London, UK: Health Foundation; April 2013. ISBN: 9781906461447.
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psnet.ahrq.gov/issue/clinician-factors-associated-delayed-diagnosis-appendicitis
October 26, 2022 - Study
Clinician factors associated with delayed diagnosis of appendicitis.
Citation Text:
Michelson KA, McGarghan FLE, Patterson EE, et al. Clinician factors associated with delayed diagnosis of appendicitis. Diagnosis (Berl). 2023;10(2):183-186. doi:10.1515/dx-2022-0119.
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psnet.ahrq.gov/issue/standardized-competencies-parenteral-nutrition-administration-aspen-model
June 12, 2018 - Organizational Policy/Guidelines
Standardized Competencies for Parenteral Nutrition Administration: the ASPEN Model.
Citation Text:
Guenter P, Worthington P, Ayers P, et al. Standardized Competencies for Parenteral Nutrition Administration: The ASPEN Model. Nutr Clin Pract. 2018;33(2):29…
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psnet.ahrq.gov/issue/diagnostic-reasoning-cardiovascular-medicine
October 27, 2021 - Review
Diagnostic reasoning in cardiovascular medicine.
Citation Text:
Brush JE, Sherbino J, Norman GR. Diagnostic reasoning in cardiovascular medicine. BMJ. 2022;376:e064389. doi:10.1136/bmj-2021-064389.
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psnet.ahrq.gov/issue/failing-wisely-can-promote-safer-healthcare-system
April 30, 2014 - Newspaper/Magazine Article
'Failing wisely' can promote a safer healthcare system.
Citation Text:
Fleisher LA, Edmondson AC. 'Failing wisely' can promote a safer healthcare system. MedPage Today. September 17, 2024;
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psnet.ahrq.gov/issue/undiagnosed-and-rare-diseases-critical-care-role-diagnostic-access
April 20, 2022 - Commentary
Undiagnosed and rare diseases in critical care: the role of diagnostic access.
Citation Text:
Bordini BJ. Undiagnosed and rare diseases in critical care: the role of diagnostic access. Crit Care Clin. 2022;38(2):159-171. doi:10.1016/j.ccc.2021.12.002.
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Forma…
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psnet.ahrq.gov/perspective/workplace-safety-health-care
January 01, 2017 - Workplace Safety in Health Care
Ross W. Simon and Elena G. Canacari, RN | January 1, 2017
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View more articles from the same authors.
Citation Text:
Simon RW, Canacari EG. Workplace Safety in Health Care. PSNet [internet]. Rockville (MD):…
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psnet.ahrq.gov/perspective/conversation-rebecca-smith-bindman-md
October 01, 2013 - In Conversation With… Rebecca Smith-Bindman, MD
October 1, 2013
Also Read an Essay
Citation Text:
In Conversation With… Rebecca Smith-Bindman, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Serv…
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psnet.ahrq.gov/perspective/conversation-paul-h-oneill-mpa
January 01, 2017 - In Conversation With… Paul H. O'Neill, MPA
January 1, 2017
Also Read an Essay
Citation Text:
In Conversation With… Paul H. O'Neill, MPA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017…
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psnet.ahrq.gov/perspective/safety-radiology
October 01, 2013 - Safety in Radiology
Antonio Pinto, MD, PhD | October 1, 2013
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Pinto A. Safety in Radiology. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departm…
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psnet.ahrq.gov/node/866217/psn-pdf
July 10, 2024 - In Conversation With...Amy Helwig about Health Plan
Patient Safety Initiatives
July 10, 2024
Helwig A, Sousane Z, Mossburg S. In Conversation With..Amy Helwig about Health Plan Patient Safety
Initiatives. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patie…
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psnet.ahrq.gov/node/49503/psn-pdf
February 01, 2006 - Workaround Error
February 1, 2006
Pape T. Workaround Error. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/workaround-error
The Case
A retired 81-year-old physician with metastatic colon cancer was admitted to an acute care hospital with
pneumonia and congestive heart failure (CHF). After his acute hospita…
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psnet.ahrq.gov/node/49868/psn-pdf
July 02, 2019 - Delayed Clozapine Prescription in an Elderly Man With
Dementia
July 2, 2019
Tsourounis C, Ghomeshi KK. Delayed Clozapine Prescription in an Elderly Man With Dementia. PSNet
[internet]. 2019.
https://psnet.ahrq.gov/web-mm/delayed-clozapine-prescription-elderly-man-dementia
The Case
An 86-year-old man with neurode…
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psnet.ahrq.gov/node/49530/psn-pdf
February 01, 2007 - Rapid Mis-St(r)ep
February 1, 2007
Kaplan EL. Rapid Mis-St(r)ep. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/rapid-mis-strep
The Case
A 5-year-old girl was brought to an urgent care center by her father with a 2-day history of fever to 103°F,
sore throat, and diffuse abdominal pain. There was no history…