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psnet.ahrq.gov/issue/guidelines-informing-media-after-adverse-event
May 08, 2019 - Organizational Policy/Guidelines
Communicating After Harm in Healthcare.
Citation Text:
Communicating After Harm in Healthcare. Communication Advisory Committee. Edmonton, AB, Canada: Canadian Patient Safety Institute; 2010. ISBN: 9781926541266
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psnet.ahrq.gov/issue/nhtsa-fatigue-ems-project
December 21, 2011 - Special or Theme Issue
NHTSA Fatigue in EMS Project.
Citation Text:
NHTSA Fatigue in EMS Project. Patterson PD, ed. Prehosp Emerg Care. 2018;22(suppl 1):1-118.
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psnet.ahrq.gov/issue/excusable-neglect-malpractice-suits-against-radiologists-proposed-jury-instruction-recognize
April 11, 2011 - Commentary
Excusable neglect in malpractice suits against radiologists: a proposed jury instruction to recognize the human condition.
Citation Text:
Excusable neglect in malpractice suits against radiologists: a proposed jury instruction to recognize the human condition. Caldwell C; …
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psnet.ahrq.gov/issue/common-program-requirements-learning-and-working-environment-duty-hours
November 18, 2020 - Multi-use Website
Common Program Requirements. The Learning and Working Environment (Duty Hours).
Citation Text:
Common Program Requirements. The Learning and Working Environment (Duty Hours). Accreditation Council for Graduate Medical Education.
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psnet.ahrq.gov/issue/artificial-intelligence-will-improve-medical-treatments
February 06, 2019 - Newspaper/Magazine Article
Artificial intelligence will improve medical treatments.
Citation Text:
Artificial intelligence will improve medical treatments. The Economist. June 7, 2018.
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psnet.ahrq.gov/issue/health-care-leaders-action-guide-hospital-strategies-reducing-preventable-mortality
May 06, 2015 - Book/Report
Health Care Leaders Action Guide: Hospital Strategies for Reducing Preventable Mortality.
Citation Text:
Health Care Leaders Action Guide: Hospital Strategies for Reducing Preventable Mortality. Chicago, IL: Health Research & Educational Trust; March 2011.
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psnet.ahrq.gov/issue/how-dekalb-medical-fixed-drug-safety-problems-after-fatal-error
October 11, 2017 - Newspaper/Magazine Article
How DeKalb Medical fixed drug safety problems after fatal error.
Citation Text:
How DeKalb Medical fixed drug safety problems after fatal error. Porter S. HealthLeaders Media. April 26, 2018.
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psnet.ahrq.gov/issue/right-kind-wrong-why-learning-fail-can-teach-us-thrive
February 06, 2018 - Book/Report
Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive.
Citation Text:
Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive. Edmondson A. Atria Books, New York, 2023. ISBN: 9781982195069.
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psnet.ahrq.gov/issue/unequal-treatment-confronting-racial-and-ethnic-disparities-health-care
June 15, 2011 - Book/Report
Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care.
Citation Text:
Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Smedley BD, Stith AY, Nelson AR, eds and Institute of Medicine. Washington, DC; The National Academies Pres…
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psnet.ahrq.gov/issue/she-was-headed-locked-psych-ward-then-er-doctor-made-startling-discovery
March 03, 2021 - Newspaper/Magazine Article
She was headed to a locked psych ward. Then an ER doctor made a startling discovery.
Citation Text:
She was headed to a locked psych ward. Then an ER doctor made a startling discovery. Boodman SG. Washington Post. February 12, 2022.
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psnet.ahrq.gov/issue/scarce-access-interpreters-immigrants-struggle-understand-doctors-orders
April 27, 2016 - Newspaper/Magazine Article
With scarce access to interpreters, immigrants struggle to understand doctors' orders.
Citation Text:
With scarce access to interpreters, immigrants struggle to understand doctors' orders. Eldred SM. Health Shots. National Public Radio. August 15, 2018.
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psnet.ahrq.gov/issue/judgment-under-uncertainty-heuristics-and-biases
June 02, 2010 - Book/Report
Classic
Judgment under Uncertainty: Heuristics and Biases.
Citation Text:
Judgment under Uncertainty: Heuristics and Biases. Kahneman D, Slovic P, Tversky A, eds. Cambridge, NY: Cambridge University Press; 1982. ISBN: 0521284147.
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psnet.ahrq.gov/issue/future-nursing-leading-change-advancing-health
July 27, 2011 - Book/Report
The Future of Nursing: Leading Change, Advancing Health.
Citation Text:
The Future of Nursing: Leading Change, Advancing Health. Institute of Medicine. Washington, DC: The National Academies Press: 2011.
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psnet.ahrq.gov/issue/targeted-medication-safety-best-practices-hospitals
January 26, 2023 - Organizational Policy/Guidelines
Targeted Medication Safety Best Practices for Hospitals.
Citation Text:
Targeted Medication Safety Best Practices for Hospitals. Plymouth Meeting, PA: Institute for Safe Medication Practices; 2024.
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psnet.ahrq.gov/issue/er-doctors-misdiagnose-patients-unusual-symptoms
August 05, 2008 - Newspaper/Magazine Article
ER doctors misdiagnose patients with unusual symptoms.
Citation Text:
ER doctors misdiagnose patients with unusual symptoms. Abelson R. New York Times. December 15, 2022.
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psnet.ahrq.gov/node/33840/psn-pdf
August 01, 2017 - ACGME's 2017 Revision of Common Program
Requirements
August 1, 2017
Malloy K, Brigham TP, Nasca TJ. ACGME's 2017 Revision of Common Program Requirements. PSNet
[internet]. 2017.
https://psnet.ahrq.gov/perspective/acgmes-2017-revision-common-program-requirements
Perspective
The Accreditation Council for Graduate …
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psnet.ahrq.gov/node/49838/psn-pdf
August 01, 2018 - An Untimely End Despite End-of-Life Care Planning
August 1, 2018
Elia G, Barbour S, Anderson WG. An Untimely End Despite End-of-Life Care Planning. PSNet [internet].
2018.
https://psnet.ahrq.gov/web-mm/untimely-end-despite-end-life-care-planning
The Case
A 76-year-old man was admitted to the intensive care unit (…
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psnet.ahrq.gov/node/49644/psn-pdf
December 01, 2011 - Missing the Point—Eye Injury
December 1, 2011
Sharma R, Brunette DD. Missing the Point—Eye Injury. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/missing-point-eye-injury
The Case
A 31-year-old woman presented to the emergency department (ED) after suffering multiple lacerations
during an assault. The pati…
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psnet.ahrq.gov/node/33757/psn-pdf
October 01, 2013 - Safety in Radiology
October 1, 2013
Pinto A. Safety in Radiology. PSNet [internet]. 2013.
https://psnet.ahrq.gov/perspective/safety-radiology
Perspective
The use of medical imaging to depict and to help diagnose illness and injury as well as to guide therapeutic
interventions has expanded greatly during the past …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.143_slideshow.ppt
January 01, 2015 - Spotlight Case [MONTH] 2003
Spotlight Case February 2007
The ‘Customer’ Is Always Right
Source and Credits
This presentation is based on the February 2007
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Niraj L. Sehgal,…