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psnet.ahrq.gov/innovation/implicit-bias-and-patient-care-mitigating-bias-preventing-harm
September 22, 2021 - EMERGING INNOVATIONS
Implicit bias and patient care: mitigating bias, preventing harm.
Citation Text:
Barber Doucet H, Wilson T, Vrablik L, et al. Implicit bias and patient care: mitigating bias, preventing harm. MedEdPORTAL. 2023;19:11343. doi:10.15766/mep_2374-8265.11343.
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psnet.ahrq.gov/issue/patient-safety-and-telephone-medicine-some-lessons-closed-claim-case-review
May 18, 2022 - Study
Patient safety and telephone medicine: some lessons from closed claim case review.
Citation Text:
Katz HP, Kaltsounis D, Halloran L, et al. Patient safety and telephone medicine : some lessons from closed claim case review. J Gen Intern Med. 2008;23(5):517-22. doi:10.1007/s11606-…
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psnet.ahrq.gov/node/48055/psn-pdf
June 26, 2019 - Prevention of opioid overdose.
June 26, 2019
Babu KM, Brent J, Juurlink DN. Prevention of opioid overdose. N Engl J Med. 2019;380(23):2246-2255.
doi:10.1056/NEJMra1807054.
https://psnet.ahrq.gov/issue/prevention-opioid-overdose
Reducing patient harm associated with the use of opioids to manage pain is a patient s…
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psnet.ahrq.gov/node/72511/psn-pdf
November 25, 2020 - Hospital Preparedness for a COVID-19 Surge:
Assessment Tool.
November 25, 2020
Boston, MA: Institute for Healthcare Improvement; 2020.
https://psnet.ahrq.gov/issue/hospital-preparedness-covid-19-surge-assessment-tool
Hospital crisis management, preparation, and planning are of heightened interest due to the …
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psnet.ahrq.gov/node/73638/psn-pdf
August 25, 2021 - The pain was unbearable. So why did doctors turn her
away?
August 25, 2021
Szalavitz M. Wired Magazine. August 11, 2021.
https://psnet.ahrq.gov/issue/pain-was-unbearable-so-why-did-doctors-turn-her-away
The opioid epidemic has contributed to uncertainties for pain management patients that result in harm…
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psnet.ahrq.gov/node/40105/psn-pdf
December 22, 2010 - Enhancing patient safety in the pediatric emergency
department: teams, communication, and lessons from
crew resource management.
December 22, 2010
Pruitt CM, Liebelt EL. Enhancing patient safety in the pediatric emergency department: teams,
communication, and lessons from crew resource management. Pediatr Emerg Ca…
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psnet.ahrq.gov/node/60999/psn-pdf
October 07, 2020 - Global Report on the Epidemiology and Burden of Sepsis:
Current Evidence, Identifying Gaps and Future Directions.
October 7, 2020
Geneva, Switzerland; World Health Organization: September 2020. ISBN 9789240010789.
https://psnet.ahrq.gov/issue/global-report-epidemiology-and-burden-sepsis-current-evidence-identifying…
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psnet.ahrq.gov/node/74244/psn-pdf
May 30, 2019 - Racial and ethnic differences in the experience and
treatment of noncancer pain.
May 30, 2019
Meints SM, Cortes A, Morais CA, et al. Racial and ethnic differences in the experience and treatment of
noncancer pain. Pain Manag. 2019;9(3):317-334. doi:10.2217/pmt-2018-0030.
https://psnet.ahrq.gov/issue/racial-and-eth…
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psnet.ahrq.gov/node/35786/psn-pdf
May 07, 2007 - When Things Go Wrong: Responding to Adverse Events.
May 7, 2007
Boston, MA: Massachusetts Coalition for the Prevention of Medical Errors; 2006.
https://psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events
This consensus paper of the Harvard-affiliated hospitals was prepared by clinicians, risk manage…
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psnet.ahrq.gov/node/43786/psn-pdf
December 17, 2014 - Aviation tools to improve patient safety.
December 17, 2014
Ross J. Aviation tools to improve patient safety. J Perianesth Nurs. 2014;29(6):508-10.
doi:10.1016/j.jopan.2014.09.004.
https://psnet.ahrq.gov/issue/aviation-tools-improve-patient-safety
The aviation industry offers insights and tools applicable to error…
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psnet.ahrq.gov/node/46963/psn-pdf
April 18, 2018 - A Just Culture Guide.
April 18, 2018
NHS Improvement. London, UK: National Health Service; March 15, 2018.
https://psnet.ahrq.gov/issue/just-culture-guide
Although focusing on system failure has been highlighted as key to improving patient safety, individual
behaviors must also be recognized as contributors to ris…
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psnet.ahrq.gov/node/42095/psn-pdf
April 09, 2013 - Six things every plastic surgeon needs to know about
teamwork training and checklists.
April 9, 2013
Harden SW. Six things every plastic surgeon needs to know about teamwork training and checklists.
Aesthet Surg J. 2013;33(3):443-8. doi:10.1177/1090820X13477417.
https://psnet.ahrq.gov/issue/six-things-every-plasti…
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psnet.ahrq.gov/node/41318/psn-pdf
April 25, 2012 - Organizational and safety culture in Canadian intensive
care units: relationship to size of intensive care unit and
physician management model.
April 25, 2012
Dodek P, Wong H, Jaswal D, et al. Organizational and safety culture in Canadian intensive care units:
relationship to size of intensive care unit and physic…
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psnet.ahrq.gov/node/38416/psn-pdf
February 18, 2009 - Preanalytical errors in primary healthcare: a
questionnaire study of information search procedures,
test request management and test tube labelling.
February 18, 2009
Söderberg J, Brulin C, Grankvist K, et al. Preanalytical errors in primary healthcare: a questionnaire study
of information search procedures, test …
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psnet.ahrq.gov/perspective/conversation-charles-vincent-mphil-phd
July 10, 2024 - In Conversation With… Charles Vincent, MPhil, PhD
June 1, 2012
Citation Text:
In Conversation With… Charles Vincent, MPhil, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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psnet.ahrq.gov/web-mm/watch-warfarin
December 01, 2013 - SPOTLIGHT CASE
Watch the Warfarin!
Citation Text:
Khanna R, Fang MC. Watch the Warfarin!. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNot…
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psnet.ahrq.gov/web-mm/discharging-our-responsibility
January 16, 2019 - Discharging Our Responsibility
Citation Text:
Fonarow GC. Discharging Our Responsibility. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…
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psnet.ahrq.gov/node/49672/psn-pdf
January 01, 2013 - The Lung Nodule That Refused To Grow
December 1, 2012
Balekian AA, Gould MK. The Lung Nodule That Refused To Grow. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/lung-nodule-refused-grow
Case Objectives
Define a solitary pulmonary nodule.
Identify the different initial first steps of management.
Identify …
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psnet.ahrq.gov/sites/default/files/2024-10/The%20Different%20Count%20Contributions%20to%20Retention.pdf
January 01, 2024 - The Different Count Contributions to Retention
Differential Count Contributions in Retained Surgical Sponge Cases: Examination of Administrative Penalty
Cases from the California Department of Public Health (CDPH), Health and Safety Code Section 1280.1
Enforcement Reports from 2007-2014
A NoThing Left Behin…
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psnet.ahrq.gov/node/73300/psn-pdf
July 01, 2022 - Project BOOST Increases Patient Understanding of
Treatment and Follow-up Care
May 26, 2021
https://psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
Summary
The Patient Safe-D(ischarge) program used standardized tools to educate patients about their discharge
needs,…