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psnet.ahrq.gov/web-mm/sick-and-pregnant
August 25, 2021 - Sick and Pregnant
Citation Text:
El-Ibiary S. Sick and Pregnant. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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psnet.ahrq.gov/node/60376/psn-pdf
July 30, 2020 - COVID-19: Team and Human Factors to Improve Safety
July 30, 2020
Zipperer L. COVID-19: Team and Human Factors to Improve Safety. PSNet [internet]. 2020.
https://psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety
Background
The rapid transmission of COVID-19 has resulted in an international pandem…
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psnet.ahrq.gov/node/49664/psn-pdf
January 01, 2013 - Empty Handoff
September 1, 2012
Goldman A, Catchpole K. Empty Handoff. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/empty-handoff
The Case
A 29-year-old man with "brittle diabetes" was admitted to the surgery service for incision and drainage of a
leg wound. The patient's medical history included chronic…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.407_slideshow.ppt
May 01, 2017 - PowerPoint Presentation
Spotlight
Diagnostic Delay in the Emergency Department
1
Source and Credits
This presentation is based on the May 2017
AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Kyle Marshall, MD, Geisinger Medical Center, Danv…
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psnet.ahrq.gov/node/33645/psn-pdf
February 01, 2007 - Diagnostic Errors in Medicine: What Do Doctors and
Umpires Have in Common?
February 1, 2007
Graber ML. Diagnostic Errors in Medicine: What Do Doctors and Umpires Have in Common? PSNet
[internet]. 2007.
https://psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
Perspectiv…
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psnet.ahrq.gov/node/33730/psn-pdf
June 01, 2012 - In Conversation With… Charles Vincent, MPhil, PhD
June 1, 2012
In Conversation With… Charles Vincent, MPhil, PhD. PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/conversation-charles-vincent-mphil-phd
Editor's note: Charles Vincent, MPhil, PhD, a psychologist by training, is one of the world's leading p…
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psnet.ahrq.gov/node/33858/psn-pdf
May 01, 2018 - In Conversation With… John Halamka, MD, MS
May 1, 2018
In Conversation With… John Halamka, MD, MS. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/conversation-john-halamka-md-ms
Editor's note: Dr. Halamka is the International Healthcare Innovation Professor at Harvard Medical
School, Chief Information …
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psnet.ahrq.gov/node/33866/psn-pdf
September 01, 2018 - I learned that lesson from you a few years ago. You showed a
slide from JAMA at a talk.
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psnet.ahrq.gov/perspective/conversation-sigall-k-bell-md
February 26, 2025 - I learned that lesson from you a few years ago. You showed a slide from JAMA at a talk.
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psnet.ahrq.gov/node/47208/psn-pdf
July 19, 2018 - We will not compete on safety: how children's hospitals
have come together to hasten harm reduction.
July 19, 2018
Lyren A, Coffey M, Shepherd M, et al. We Will Not Compete on Safety: How Children's Hospitals Have
Come Together to Hasten Harm Reduction. Jt Comm J Qual Patient Saf. 2018;44(7):377-388.
doi:10.1016/j…
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psnet.ahrq.gov/node/46405/psn-pdf
October 13, 2018 - Children's hospitals' solutions for patient safety
collaborative impact on hospital-acquired harm.
October 13, 2018
Lyren A, Brilli RJ, Zieker K, et al. Children's Hospitals' Solutions for Patient Safety Collaborative Impact on
Hospital-Acquired Harm. Pediatrics. 2017;140(3). doi:10.1542/peds.2016-3494.
https://ps…
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psnet.ahrq.gov/issue/lessons-event-reports
January 16, 2025 - Multi-use Website
Lessons from Event Reports.
Citation Text:
Lessons from Event Reports. Patient Safety Authority.
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psnet.ahrq.gov/node/848037/psn-pdf
April 26, 2023 - A cluster randomized trial of two implementation
strategies to deliver audit and feedback in the EQUIPPED
medication safety program.
April 26, 2023
Vaughan CP, Burningham Z, Kelleher JL, et al. A cluster?randomized trial of two implementation strategies
to deliver audit and feedback in the EQUIPPED medication safe…
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psnet.ahrq.gov/node/38289/psn-pdf
July 05, 2008 - Resident Duty Hours: Enhancing Sleep, Supervision, and
Safety.
July 5, 2008
Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident)
Hours and Work Schedule to Improve Patient Safety, Institute of Medicine. Washington, DC: The National
Academies Press; 2008. ISBN: 97803091277…
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psnet.ahrq.gov/issue/tackling-disrespectful-unprofessional-provider-behaviors
January 13, 2021 - Newspaper/Magazine Article
Tackling disrespectful, unprofessional provider behaviors.
Citation Text:
Tackling Disrespectful, Unprofessional Provider Behaviors. ED Manage. 2016;28(6):S1-S4.
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psnet.ahrq.gov/node/37978/psn-pdf
April 11, 2011 - Effects of the Accreditation Council for Graduate Medical
Education duty hour limits on sleep, work hours, and
safety.
April 11, 2011
Landrigan CP, Fahrenkopf AM, Lewin D, et al. Effects of the accreditation council for graduate medical
education duty hour limits on sleep, work hours, and safety. Pediatrics. 2008;…
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psnet.ahrq.gov/node/39438/psn-pdf
March 23, 2011 - Time to listen: a review of methods to solicit patient
reports of adverse events.
March 23, 2011
King A, Daniels J, Lim J, et al. Time to listen: a review of methods to solicit patient reports of adverse
events. Qual Saf Health Care. 2010;19(2):148-57. doi:10.1136/qshc.2008.030114.
https://psnet.ahrq.gov/issue/tim…
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psnet.ahrq.gov/node/43802/psn-pdf
August 02, 2015 - Association of the 2011 ACGME resident duty hour
reforms with mortality and readmissions among
hospitalized Medicare patients.
August 2, 2015
Patel MS, Volpp KG, Small DS, et al. Association of the 2011 ACGME resident duty hour reforms with
mortality and readmissions among hospitalized Medicare patients. JAMA. 201…
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psnet.ahrq.gov/node/39566/psn-pdf
January 03, 2017 - Impact of the Comprehensive Unit-Based Safety Program
(CUSP) on safety culture in a surgical inpatient unit.
January 3, 2017
Timmel J, Kent P, Holzmueller CG, et al. Impact of the Comprehensive Unit-based Safety Program (CUSP)
on safety culture in a surgical inpatient unit. Jt Comm J Qual Saf. 2010;36(6):252-260.
…
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psnet.ahrq.gov/issue/isqua-networks
January 29, 2021 - Multi-use Website
ISQua Networks.
Citation Text:
ISQua Networks. International Society for Quality in Health Care.
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