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psnet.ahrq.gov/node/37844/psn-pdf
June 18, 2008 - Effect of ACGME duty hours on attending physician
teaching and satisfaction.
June 18, 2008
Arora V, Meltzer DO. Effect of ACGME duty hours on attending physician teaching and satisfaction. Arch
Intern Med. 2008;168(11):1226-8. doi:10.1001/archinte.168.11.1226.
https://psnet.ahrq.gov/issue/effect-acgme-duty-hours-a…
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psnet.ahrq.gov/node/38530/psn-pdf
April 01, 2009 - Assessing the impact of an educational program on
decreasing prescribing errors at a university hospital.
April 1, 2009
Peeters MJ, Pinto SL. Assessing the impact of an educational program on decreasing prescribing errors at
a university hospital. J Hosp Med. 2009;4(2):97-101. doi:10.1002/jhm.387.
https://psnet.ah…
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psnet.ahrq.gov/node/41634/psn-pdf
January 31, 2013 - Disclosure of harmful medical errors in out-of-hospital
care.
January 31, 2013
Lu DW, Guenther E, Wesley AK, et al. Disclosure of harmful medical errors in out-of-hospital care. Ann
Emerg Med. 2013;61(2):215-21. doi:10.1016/j.annemergmed.2012.07.004.
https://psnet.ahrq.gov/issue/disclosure-harmful-medical-errors-o…
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psnet.ahrq.gov/node/40931/psn-pdf
July 02, 2014 - Patient safety stories: a project utilizing narratives in
resident training.
July 2, 2014
Cox LAM, Logio LS. Patient safety stories: a project utilizing narratives in resident training. Acad Med.
2011;86(11):1473-8. doi:10.1097/ACM.0b013e318230efaa.
https://psnet.ahrq.gov/issue/patient-safety-stories-project-utili…
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psnet.ahrq.gov/node/37161/psn-pdf
January 20, 2010 - Attitudes of health sciences faculty members towards
interprofessional teamwork and education.
January 20, 2010
Curran VR, Sharpe D, Forristall J. Attitudes of health sciences faculty members towards interprofessional
teamwork and education. Med Educ. 2007;41(9):892-896.
https://psnet.ahrq.gov/issue/attitudes-heal…
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psnet.ahrq.gov/node/60683/psn-pdf
July 15, 2020 - Protecting children from iatrogenic harm during COVID19
pandemic.
July 15, 2020
Camporesi A, Díaz?Rubio F, Carroll CL, et al. Protecting children from iatrogenic harm during COVID19
pandemic. J Paediatr Child Health. 2020;56(7):1010-1012. doi:10.1111/jpc.14989.
https://psnet.ahrq.gov/issue/protecting-children-iatr…
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psnet.ahrq.gov/node/45079/psn-pdf
May 03, 2016 - A piece of my mind. Mentorship malpractice.
May 3, 2016
Chopra V, Edelson DP, Saint S. A PIECE OF MY MIND. Mentorship Malpractice. JAMA.
2016;315(14):1453-4. doi:10.1001/jama.2015.18884.
https://psnet.ahrq.gov/issue/piece-my-mind-mentorship-malpractice
Mentors can serve as coaches to help improve student performan…
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psnet.ahrq.gov/node/42434/psn-pdf
September 29, 2017 - Building bridges: future directions for medical error
disclosure research.
September 29, 2017
Hannawa AF, Beckman H, Mazor KM, et al. Building bridges: future directions for medical error disclosure
research. Patient Educ Couns. 2013;92(3):319-327. doi:10.1016/j.pec.2013.05.017.
https://psnet.ahrq.gov/issue/buildi…
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psnet.ahrq.gov/node/39020/psn-pdf
October 14, 2009 - A critical review of the systems approach within patient
safety research.
October 14, 2009
Waterson P. A critical review of the systems approach within patient safety research. Ergonomics.
2009;52(10):1185-1195. doi:10.1080/00140130903042782.
https://psnet.ahrq.gov/issue/critical-review-systems-approach-within-pat…
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psnet.ahrq.gov/node/43920/psn-pdf
July 10, 2018 - Master of Science in Medical and Healthcare Simulation.
July 10, 2018
Drexel University College of Medicine.
https://psnet.ahrq.gov/issue/master-science-medical-and-healthcare-simulation
Simulation training enables learning from mistakes without the potential for patient harm. This
multidisciplinary degree program…
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psnet.ahrq.gov/node/44007/psn-pdf
April 01, 2015 - Time to tackle diagnostic errors. Physicians blame patient
'treadmill' for missed calls.
April 1, 2015
Rice S. Time to tackle diagnostic errors. Physicians blame patient 'treadmill' for missed calls. Modern
healthcare. 2015;45(3):18-20.
https://psnet.ahrq.gov/issue/time-tackle-diagnostic-errors-physicians-blame-pa…
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psnet.ahrq.gov/node/47406/psn-pdf
October 31, 2018 - Systems Approach in Healthcare.
October 31, 2018
Dean J, Clarkson J, eds. Future Hosp J. 2018;5:145-187.
https://psnet.ahrq.gov/issue/systems-approach-healthcare
The systems approach has long been heralded as a key element to safe patient care. Articles in this
special issue explore techniques to engage clinicians…
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psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-specialists
February 26, 2025 - Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists
Citation Text:
Shi L, Noren E. Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Se…
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psnet.ahrq.gov/web-mm/picking-cause-stroke
August 07, 2024 - Picking Up the Cause of the Stroke
Citation Text:
Chopra V. Picking Up the Cause of the Stroke. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 X…
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psnet.ahrq.gov/web-mm/more-treatment-better-care
August 11, 2021 - More Treatment—Better Care?
Citation Text:
Redberg R. More Treatment—Better Care?. 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 EndNote 7 XML Endnote ta…
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psnet.ahrq.gov/sites/default/files/2020-12/final_dec_spotlight_code_status_vs_care_status.pdf
January 01, 2020 - Microsoft PowerPoint - FINAL Dec Spotlight_Code Status vs Care Status.pptx
Spotlight
Code Status vs. Care Status
Source and Credits
• This presentation is based on the December 2020 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Rebe…
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psnet.ahrq.gov/node/49816/psn-pdf
January 01, 2018 - A Painful Medication Reconciliation Mishap
January 1, 2018
Chou R. A Painful Medication Reconciliation Mishap. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/painful-medication-reconciliation-mishap
Case Objectives
Recognize that substance use disorders are common in patients with acute pain.
Understand th…
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psnet.ahrq.gov/web-mm/safeguarding-diagnostic-testing-point-care
September 30, 2011 - Safeguarding Diagnostic Testing at the Point of Care
Citation Text:
Kost GJ, Ehrmeyer SS. Safeguarding Diagnostic Testing at the Point of Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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Format:
…
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psnet.ahrq.gov/node/49455/psn-pdf
July 01, 2004 - The Worst Headache
July 1, 2004
Edlow JA. The Worst Headache. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/worst-headache
The Case
A 48-year-old woman with a history of migraine headaches and hypertension presented to her outpatient
clinic with a 4-day history of headache. While shopping 4 days earlier, …
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psnet.ahrq.gov/node/838855/psn-pdf
October 27, 2022 - False Assumptions Result in a Missed Pneumothorax
after Bronchoscopy with Transbronchial Biopsy.
October 27, 2022
Kuhn BT, Chau-Etchepare F. False Assumptions Result in a Missed Pneumothorax after Bronchoscopy
with Transbronchial Biopsy. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/false-assumptions-resul…