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psnet.ahrq.gov/issue/discharge-missteps-can-send-seniors-back-hospital
March 28, 2012 - Newspaper/Magazine Article
Discharge missteps can send seniors back to hospital.
Citation Text:
Discharge missteps can send seniors back to hospital. Korc B, Landers SJ. American Medical News. February 15, 2010.
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psnet.ahrq.gov/issue/va-punished-critics-staff-doctors-assert
June 23, 2009 - Newspaper/Magazine Article
VA punished critics on staff, doctors assert.
Citation Text:
VA punished critics on staff, doctors assert. Lichtblau E.
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psnet.ahrq.gov/issue/abstracts-7th-annual-international-meeting-simulation-healthcare
August 01, 2018 - Special or Theme Issue
Abstracts of the 7th Annual International Meeting on Simulation in Healthcare.
Citation Text:
Abstracts of the 7th Annual International Meeting on Simulation in Healthcare. Simul Healthc. 2007;1(suppl 1):34-138.
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psnet.ahrq.gov/issue/patient-alarms-often-unheard-unheeded
August 24, 2016 - Newspaper/Magazine Article
Patient alarms often unheard, unheeded.
Citation Text:
Patient alarms often unheard, unheeded. Kowalczyk L. Boston Globe. February 13–14, 2011.
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psnet.ahrq.gov/issue/safety-quality-and-informatics-leadership-program
May 01, 2015 - Course Material/Curriculum
Safety Quality and Informatics Leadership Program.
Citation Text:
Safety Quality and Informatics Leadership Program. Harvard Medical School, Boston, MA
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psnet.ahrq.gov/issue/disuse-system-cited-gaps-soldiers-care
September 28, 2005 - Newspaper/Magazine Article
Disuse of system is cited in gaps in soldiers' care.
Citation Text:
Disuse of system is cited in gaps in soldiers' care. Urbina I; Nixon R.
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psnet.ahrq.gov/issue/patient-safety-improvement-act-2020
February 12, 2020 - Government Resource
Patient Safety Improvement Act of 2020.
Citation Text:
Patient Safety Improvement Act of 2020. SB 3380. 116th Congress (2020).
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psnet.ahrq.gov/issue/capturing-more-emergency-department-errors-anonymous-web-based-reporting-system
July 22, 2019 - Commentary
Capturing more emergency department errors via an anonymous web-based reporting system.
Citation Text:
Capturing more emergency department errors via an anonymous web-based reporting system. Khare RK; Uren B; Wears RL.
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psnet.ahrq.gov/issue/prep-stop-block
March 14, 2018 - Tools/Toolkit
Prep, Stop, Block.
Citation Text:
Prep, Stop, Block. RA-UK, the Faculty of Pain Medicine, RCoA Simulation and NHS Improvement
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psnet.ahrq.gov/issue/do-patients-disruptive-behaviours-influence-accuracy-doctors-diagnosis-randomised-experiment
July 03, 2014 - Study
Do patients' disruptive behaviours influence the accuracy of a doctor's diagnosis? A randomised experiment.
Citation Text:
Schmidt HG, Van Gog T, Schuit SC, et al. Do patients' disruptive behaviours influence the accuracy of a doctor's diagnosis? A randomised experiment. BMJ Qual S…
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psnet.ahrq.gov/issue/effect-protected-sleep-period-hours-slept-during-extended-overnight-hospital-duty-hours-among
August 20, 2018 - Study
Effect of a protected sleep period on hours slept during extended overnight in-hospital duty hours among medical interns: a randomized trial.
Citation Text:
Volpp KG, Shea JA, Small DS, et al. Effect of a protected sleep period on hours slept during extended overnight in-hospital…
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psnet.ahrq.gov/issue/association-between-end-rotation-resident-transition-care-and-mortality-among-hospitalized
August 15, 2018 - Study
Association between end-of-rotation resident transition in care and mortality among hospitalized patients.
Citation Text:
Denson JL, Jensen A, Saag HS, et al. Association Between End-of-Rotation Resident Transition in Care and Mortality Among Hospitalized Patients. JAMA. 2016;316(2…
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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/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/node/73378/psn-pdf
June 09, 2021 - Making Healthcare Safe: The Story of the Patient Safety
Movement.
June 9, 2021
Leape LL. Cham, Switzerland: Springer Nature; 2021. ISBN: 9783030711252.
https://psnet.ahrq.gov/issue/making-healthcare-safe-story-patient-safety-movement
The publication of “Error in Medicine” by Dr. Lucian Leape marked a pivotal step …
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psnet.ahrq.gov/node/40825/psn-pdf
August 23, 2016 - Aging gracefully? Patient safety advocates call for
ongoing skills assessments for older physicians.
August 23, 2016
McKenna M. Aging gracefully?: patient safety advocates call for ongoing skills assessments for older
physicians. Ann Emerg Med. 2011;58(3):A15-A17.
https://psnet.ahrq.gov/issue/aging-gracefully-pati…
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psnet.ahrq.gov/node/37479/psn-pdf
February 22, 2011 - Performance of a web-based clinical diagnosis support
system for internists.
February 22, 2011
Graber ML, Mathew A. Performance of a web-based clinical diagnosis support system for internists. J Gen
Intern Med. 2008;23 Suppl 1:37-40. doi:10.1007/s11606-007-0271-8.
https://psnet.ahrq.gov/issue/performance-web-based…
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psnet.ahrq.gov/node/837909/psn-pdf
August 24, 2022 - Algorithm that detects sepsis cut deaths by nearly 20
percent.
August 24, 2022
Bushwick S. Scientific American. August 1, 2022.
https://psnet.ahrq.gov/issue/algorithm-detects-sepsis-cut-deaths-nearly-20-percent
Sepsis identification is challenging, and delays can be deadly. This article discusses how an artificial…
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psnet.ahrq.gov/node/45450/psn-pdf
February 13, 2018 - Avoiding Unconscious Bias: a Guide for Surgeons.
February 13, 2018
London, UK: Royal College of Surgeons of England; 2016.
https://psnet.ahrq.gov/issue/avoiding-unconscious-bias-guide-surgeons
Biases can affect decision making and behaviors toward colleagues and patients. This guidance provides
information for sur…
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psnet.ahrq.gov/node/34739/psn-pdf
February 06, 2018 - Complications: A Surgeon's Notes on an Imperfect
Science.
February 6, 2018
Gawande A. New York, NY: Metropolitan Books; 2002. ISBN: 9780805063196.
https://psnet.ahrq.gov/issue/complications-surgeons-notes-imperfect-science
In Complications, Gawande reprises and builds on a series of feature articles, several writt…