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psnet.ahrq.gov/issue/final-report-ockenden-review
January 13, 2021 - Book/Report
Final Report of the Ockenden Review.
Citation Text:
Final Report of the Ockenden Review. London UK: Crown Copyright; March 30, 2022. ISBN: 9781528632294.
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psnet.ahrq.gov/issue/power-predict-leveraging-medical-malpractice-data-reduce-patient-harm-and-financial-loss
July 18, 2018 - Webinar
The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm and Financial Loss.
Citation Text:
The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm and Financial Loss. Cambridge, MA; CRICO Strategies: July 14, 2020.
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psnet.ahrq.gov/issue/just-culture-improving-safety-achieving-substantive-procedural-and-restorative-justice
October 19, 2022 - Commentary
'Just culture': improving safety by achieving substantive, procedural and restorative justice.
Citation Text:
Dekker SWA, Breakey H. ‘Just culture:’ Improving safety by achieving substantive, procedural and restorative justice. Saf Sci. 2016;85. doi:10.1016/j.ssci.2016.01.018.…
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psnet.ahrq.gov/issue/strategies-hospitals-improve-patient-safety-review-literature
May 20, 2020 - Book/Report
Strategies for Hospitals to Improve Patient Safety: A Review of the Literature.
Citation Text:
Strategies for Hospitals to Improve Patient Safety: A Review of the Literature. Wong J, Beglaryan H. Toronto, ON: The Change Foundation; February 2004.
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psnet.ahrq.gov/issue/pediatric-patient-safety-emergency-department
October 26, 2022 - Book/Report
Pediatric Patient Safety in the Emergency Department.
Citation Text:
Pediatric Patient Safety in the Emergency Department. Krug SE, ed. Oakbrook Terrace, IL: Joint Commission Resources and the American Academy of Pediatrics; 2010. ISBN: 9781599402123.
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psnet.ahrq.gov/issue/diagnostic-excellence-age-friendly-health-systems-dxex-afhs-seed-grant-program-improving
September 16, 2020 - Grant Announcement
Diagnostic Excellence– Age-Friendly Health Systems (DxEx–AFHS) Seed Grant Program Improving Diagnosis for Older Adults.
Citation Text:
Diagnostic Excellence– Age-Friendly Health Systems (DxEx–AFHS) Seed Grant Program Improving Diagnosis for Older Adults. Boston, MA: In…
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psnet.ahrq.gov/issue/making-complaints-count-supporting-complaints-handling-nhs-and-uk-government-departments
July 19, 2023 - Book/Report
Making Complaints Count: Supporting Complaints Handling in the NHS and UK Government Departments.
Citation Text:
Making Complaints Count: Supporting Complaints Handling in the NHS and UK Government Departments. Manchester, UK: The Parliamentary and Health Service Ombudsman; J…
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psnet.ahrq.gov/node/49410/psn-pdf
July 01, 2003 - A Little Shuteye
July 1, 2003
Farion KJ. A Little Shuteye. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/little-shuteye
The Case
A 3-year-old boy was seen in urgent care for a superficial laceration above the left eyebrow. The
pediatrician had heard of the availability of topical skin adhesive that can be…
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psnet.ahrq.gov/node/49767/psn-pdf
August 21, 2016 - Falling Between the Cracks in the Software
August 21, 2016
Adler-Milstein J. Falling Between the Cracks in the Software. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/falling-between-cracks-software
The Case
A 61-year-old man with a history of osteoarthritis was scheduled for a total knee replacement. Prio…
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psnet.ahrq.gov/node/49692/psn-pdf
September 01, 2013 - A Picture Speaks 1000 Words
September 1, 2013
Hemphill RR. A Picture Speaks 1000 Words. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/picture-speaks-1000-words
The Case
A 62-year-old man with a past medical history of hypertension, hyperlipidemia, and type A aortic dissection
repair presented with chest p…
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psnet.ahrq.gov/node/33595/psn-pdf
December 15, 2024 - Fatigue, Sleep Deprivation, and Patient Safety
December 15, 2024
Fatigue, Sleep Deprivation, and Patient Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/fatigue-sleep-deprivation-and-patient-safety
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
th…
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psnet.ahrq.gov/node/33725/psn-pdf
February 01, 2012 - Balancing Supervision and Autonomy: An Ongoing
Tension
February 1, 2012
Dine JC, Myers JS. Balancing Supervision and Autonomy: An Ongoing Tension. PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/balancing-supervision-and-autonomy-ongoing-tension
Perspective
Graduate Medical Education (GME) has changed …
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psnet.ahrq.gov/perspective/conversation-withjames-l-reinertsen-md
August 01, 2007 - In Conversation with...James L. Reinertsen, MD
August 1, 2007
Also Read an Essay
Citation Text:
In Conversation with..James L. Reinertsen, MD. PSNet [internet]. 2007.In Conversation with...James L. Reinertsen, MD. PSNet [internet]. Rockville (MD): Agency for Heal…
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psnet.ahrq.gov/perspective/conversation-withdean-schillinger-md
March 01, 2009 - In Conversation with...Dean Schillinger, MD
March 22, 2009
Also Read an Essay
Citation Text:
In Conversation with..Dean Schillinger, MD. PSNet [internet]. 2009.In Conversation with...Dean Schillinger, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Re…
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psnet.ahrq.gov/perspective/conversation-withwilliam-b-munier-md-mba
July 01, 2011 - In Conversation with…William B. Munier, MD, MBA
July 1, 2011
Also Read an Essay
Citation Text:
In Conversation with…William B. Munier, MD, MBA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Service…
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psnet.ahrq.gov/perspective/conversation-withthomas-j-nasca-md
February 01, 2010 - Managing discontinuity in academic medical centers: strategies for a safe and effective resident sign-out
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psnet.ahrq.gov/perspective/safety-considerations-building-point-care-ultrasound-program
June 01, 2018 - The Empty Bag
December 1, 2016
WebM&M Cases
Managing
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psnet.ahrq.gov/web-mm/what-was-those-platelets
August 28, 2024 - What Was in Those Platelets?
Citation Text:
Yomtovian R. What Was in Those Platelets? . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…
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psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia
November 01, 2016 - SPOTLIGHT CASE
Dying in the Hospital With Advanced Dementia
Citation Text:
Umscheid CA, McGreevey JD, Greysen RS. Dying in the Hospital With Advanced Dementia. 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/node/72517/psn-pdf
November 25, 2020 - Lack of Sepsis Recognition Leads to Delay in Care
Following Cesarean Delivery.
November 25, 2020
Leiserowitz GS, Hedriana H. Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean
Delivery. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesare…