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psnet.ahrq.gov/node/49552/psn-pdf
January 01, 2008 - How Do Providers Recover From Errors?
January 1, 2008
West CP. How Do Providers Recover From Errors? PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/how-do-providers-recover-errors
Case Objectives
Describe the provider-specific prevalence of medical errors.
Appreciate the impact of medical errors on care pr…
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psnet.ahrq.gov/node/44962/psn-pdf
March 09, 2016 - Patient Safety: Hospitals Face Challenges Implementing
Evidence-Based Practices.
March 9, 2016
Washington, DC: United States Government Accountability Office; February 2016. Publication GAO-16-
308.
https://psnet.ahrq.gov/issue/patient-safety-hospitals-face-challenges-implementing-evidence-based-
practices
Despi…
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psnet.ahrq.gov/node/39853/psn-pdf
February 10, 2015 - Why diagnostic errors don't get any respect--and what
can be done about them.
February 10, 2015
Wachter RM. Why Diagnostic Errors Don’t Get Any Respect—And What Can Be Done About Them. Health
Aff (Millwood). 2010;29(9):1605-1610. doi:10.1377/hlthaff.2009.0513.
https://psnet.ahrq.gov/issue/why-diagnostic-errors-don…
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psnet.ahrq.gov/node/43989/psn-pdf
March 18, 2015 - Application of a trigger tool in near real time to inform
quality improvement activities: a prospective study in a
general medicine ward.
March 18, 2015
Wong BM, Dyal S, Etchells E, et al. Application of a trigger tool in near real time to inform quality
improvement activities: a prospective study in a general med…
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psnet.ahrq.gov/node/74092/psn-pdf
November 17, 2021 - Ensuring medication safety for consumers from ethnic
minority backgrounds: the need to address unconscious
bias within health systems.
November 17, 2021
Chauhan A, Walpola RL. Ensuring medication safety for consumers from ethnic minority backgrounds: the
need to address unconscious bias within health systems. Int …
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psnet.ahrq.gov/node/72722/psn-pdf
February 10, 2021 - Knowledge, attitudes, and expectations of medical staff
toward medical error management policies in
humanitarian medicine: a qualitative study.
February 10, 2021
Biquet J-M, Schopper D, Sprumont D, et al. Knowledge, attitudes, and Expectations of Medical Staff
Toward Medical Error Management Policies in Humanitari…
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psnet.ahrq.gov/node/866270/psn-pdf
July 10, 2024 - Identifying and measuring administrative harms
experienced by hospitalists and administrative leaders.
July 10, 2024
Burden M, Astik GJ, Auerbach AD, et al. Identifying and measuring administrative harms experienced by
hospitalists and administrative leaders. JAMA Intern Med. 2024;184(9):1014-1023.
doi:10.1001/jam…
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psnet.ahrq.gov/node/33697/psn-pdf
June 01, 2010 - What Do We Know About Emergency Department Safety?
June 1, 2010
Sklar DP, Crandall CS. What Do We Know About Emergency Department Safety? PSNet [internet]. 2010.
https://psnet.ahrq.gov/perspective/what-do-we-know-about-emergency-department-safety
Perspective
Emergency medicine has evolved from a location, with var…
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psnet.ahrq.gov/node/49432/psn-pdf
February 09, 2004 - Delay in Initiating Antibiotics Results in Fatal Error
February 1, 2004
Bellini LM. Delay in Initiating Antibiotics Results in Fatal Error. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error
Case Objectives
Understand the importance of ongoing patient re-evaluati…
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psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
July 01, 2004 - Hip Fractures in Older Patients: the Case for Geriatrics Comanagement
Citation Text:
Rogers S, Ward D. Hip Fractures in Older Patients: the Case for Geriatrics Comanagement. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy…
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psnet.ahrq.gov/perspective/patient-safety-and-evolution-webmm-and-psnet
April 01, 2008 - Patient Safety and the Evolution of WebM&M and PSNet
September 1, 2019
View more articles from the same authors.
Citation Text:
Ranji SR, Wachter R. Patient Safety and the Evolution of WebM&M and PSNet. PSNet [internet]. Rockville (MD): Agency for Healthcare Resea…
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psnet.ahrq.gov/node/73449/psn-pdf
June 30, 2021 - Adverse events and emergency department opioid
prescriptions in adolescents.
June 30, 2021
Worsham CM, Woo J, Jena AB, et al. Adverse events and emergency department opioid prescriptions in
adolescents. Health Aff (Millwood). 2021;40(6):970-978. doi:10.1377/hlthaff.2020.01762.
https://psnet.ahrq.gov/issue/adverse-…
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psnet.ahrq.gov/issue/safe-care-patient-safety-education-program
May 13, 2021 - Image/Poster
SAFE CARE Patient Safety Education Program.
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Save to your library
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October 31, 2012
This Web site provides patient safety resources, inclu…
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psnet.ahrq.gov/node/37992/psn-pdf
August 20, 2008 - Medication errors reported by US family physicians and
their office staff.
August 20, 2008
Kuo GM, Phillips RL, Graham D, et al. Medication errors reported by US family physicians and their office
staff. Quality and Safety in Health Care. 2008;17(4). doi:10.1136/qshc.2007.024869.
https://psnet.ahrq.gov/issue/medic…
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psnet.ahrq.gov/node/37051/psn-pdf
February 24, 2011 - Clinical oversight: conceptualizing the relationship
between supervision and safety.
February 24, 2011
Kennedy TJT, Lingard LA, Baker R, et al. Clinical oversight: conceptualizing the relationship between
supervision and safety. J Gen Intern Med. 2007;22(8):1080-5.
https://psnet.ahrq.gov/issue/clinical-oversight-c…
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psnet.ahrq.gov/node/47399/psn-pdf
November 14, 2018 - Leveraging the continuum: a novel approach to meeting
quality improvement and patient safety competency
requirements across a large department of medicine.
November 14, 2018
Myers JS, Bellini LM. Leveraging the Continuum: A Novel Approach to Meeting Quality Improvement and
Patient Safety Competency Requirements Ac…
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psnet.ahrq.gov/node/61115/psn-pdf
November 11, 2020 - Education initiatives in cognitive debiasing to improve
diagnostic accuracy in student providers: a scoping
review.
November 11, 2020
Griffith PB, Doherty C, Smeltzer SC, et al. Education initiatives in cognitive debiasing to improve diagnostic
accuracy in student providers: a scoping review. J Am Assoc Nurse Prac…
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psnet.ahrq.gov/node/41151/psn-pdf
February 10, 2015 - Survey shows that at least some physicians are not
always open or honest with patients.
February 10, 2015
Iezzoni LI, Rao SR, DesRoches CM, et al. Survey Shows That At Least Some Physicians Are Not Always
Open Or Honest With Patients. Health Aff (Millwood). 2012;31(2):383-391. doi:10.1377/hlthaff.2010.1137.
https:…
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psnet.ahrq.gov/node/48003/psn-pdf
June 26, 2019 - Comparison of the accuracy of human readers versus
machine-learning algorithms for pigmented skin lesion
classification: an open, web-based, international,
diagnostic study.
June 26, 2019
Tschandl P, Codella N, Akay BN, et al. Comparison of the accuracy of human readers versus machine-
learning algorithms for pig…
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psnet.ahrq.gov/node/34709/psn-pdf
February 18, 2011 - Views of practicing physicians and the public on medical
errors.
February 18, 2011
Blendon RJ, DesRoches CM, Brodie M, et al. Views of practicing physicians and the public on medical
errors. N Engl J Med. 2002;347(24):1933-40.
https://psnet.ahrq.gov/issue/views-practicing-physicians-and-public-medical-errors
In r…