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psnet.ahrq.gov/node/33691/psn-pdf
December 01, 2009 - How to Identify and Manage Problem Behaviors
December 1, 2009
Rosenstein AH, O'Daniel M. How to Identify and Manage Problem Behaviors. PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
Perspective
The 1999 Institute of Medicine report highlighted the need for heal…
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psnet.ahrq.gov/node/49495/psn-pdf
December 01, 2005 - Low on the Totem Pole
December 1, 2005
Wachter R. Low on the Totem Pole. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/low-totem-pole
Case Objectives
Understand the concept of authority gradient
List steps that can be taken to increase communication across an authority gradient
Consider the current cultu…
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psnet.ahrq.gov/node/33712/psn-pdf
June 01, 2011 - In Conversation with… Edward Tenner, PhD
June 1, 2011
In Conversation with… Edward Tenner, PhD. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/conversation-edward-tenner-phd
Editor's note: Edward Tenner is an independent writer, speaker, and consultant on technology and
culture. He received his PhD fro…
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psnet.ahrq.gov/node/49809/psn-pdf
October 01, 2017 - Hyperbilirubinemia Refractory to Phototherapy
October 1, 2017
Bhutani VK, Wong RJ. Hyperbilirubinemia Refractory to Phototherapy. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/hyperbilirubinemia-refractory-phototherapy
The Case
A 1-day-old full-term infant was noted to have elevated total serum bilirubin (…
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psnet.ahrq.gov/node/846127/psn-pdf
March 15, 2023 - Sepsis Resulting from Delays in Treatment and
Miscommunication among Specialists
March 15, 2023
Shi L, Noren E. Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists.
PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-
spec…
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psnet.ahrq.gov/web-mm/potent-medication-administered-not-so-viable-route
July 20, 2016 - A Potent Medication Administered in a Not So Viable Route
Citation Text:
Loubani O. A Potent Medication Administered in a Not So Viable Route. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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Format:
G…
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psnet.ahrq.gov/perspective/conversation-joel-willis-do-pa-ma-mphil-and-neal-sikka-md
May 14, 2020 - In Conversation With... Joel Willis, DO, PA, MA, MPhiL and Neal Sikka, MD
May 14, 2020
Also Read the Essay
Citation Text:
In Conversation With.. Joel Willis, DO, PA, MA, MPhiL and Neal Sikka, MD. PSNet [internet]. 2020.In Conversation With... Joel Willis, DO, PA,…
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psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
May 14, 2020 - Telehealth and Patient Safety During the COVID-19 Response
May 14, 2020
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Sikka N, Willis JS, Fitall E, et al. Telehealth and Patient Safety During the COVID-19 Response. PSNet [i…
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psnet.ahrq.gov/node/866402/psn-pdf
July 31, 2024 - GPT versus resident physicians — a benchmark based on
official board scores.
July 31, 2024
Katz U, Cohen E, Shachar E, et al. GPT versus resident physicians — a benchmark based on official board
scores. NEJM AI. 2024;1(5):5. doi:10.1056/aidbp2300192.
https://psnet.ahrq.gov/issue/gpt-versus-resident-physicians-benc…
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psnet.ahrq.gov/node/866731/psn-pdf
September 18, 2024 - Root cause analysis of cases involving diagnosis.
September 18, 2024
Graber ML, Castro GM, Danforth M, et al. Root cause analysis of cases involving diagnosis. Diagnosis
(Berl). 2024;11(4):353-368. doi:10.1515/dx-2024-0102.
https://psnet.ahrq.gov/issue/root-cause-analysis-cases-involving-diagnosis
Root cause analy…
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psnet.ahrq.gov/node/43287/psn-pdf
July 02, 2014 - Mind the gap between recommendation and
implementation—principles and lessons in the aftermath
of incident investigations: a semi-quantitative and
qualitative study of factors leading to the successful
implementation of recommendations.
July 2, 2014
Wrigstad J, Bergström J, Gustafson P. Mind the gap between recom…
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psnet.ahrq.gov/node/841153/psn-pdf
December 07, 2022 - Digital health technology-specific risks for medical
malpractice liability.
December 7, 2022
Rowland SP, Fitzgerald JE, Lungren M, et al. Digital health technology-specific risks for medical
malpractice liability. NPJ Digit Med. 2022;5(1):157. doi:10.1038/s41746-022-00698-3.
https://psnet.ahrq.gov/issue/digital-he…
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psnet.ahrq.gov/node/42503/psn-pdf
September 18, 2013 - The patient is in: patient involvement strategies for
diagnostic error mitigation.
September 18, 2013
McDonald KM, Bryce CL, Graber ML. The patient is in: patient involvement strategies for diagnostic error
mitigation. BMJ Qual Saf. 2013;22 Suppl 2:ii33-ii39. doi:10.1136/bmjqs-2012-001623.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/73317/psn-pdf
May 26, 2021 - Clinical and economic impacts of explicit tools detecting
prescribing errors: a systematic review.
May 26, 2021
Farhat A, Al?Hajje A, Csajka C, et al. Clinical and economic impacts of explicit tools detecting prescribing
errors: A systematic review. J Clin Pharm Ther. 2021;46(4):877-886. doi:10.1111/jcpt.13408.
ht…
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psnet.ahrq.gov/issue/patient-stories
March 27, 2024 - Multi-use Website
Patient Stories.
Save
Save to your library
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March 6, 2013
This Web site hosts documentary accounts of medical errors to encourage clinici…
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psnet.ahrq.gov/node/38100/psn-pdf
July 02, 2009 - Surgical team behaviors and patient outcomes.
July 2, 2009
Mazzocco K, Petitti DB, Fong KT, et al. Surgical team behaviors and patient outcomes. Am J Surg.
2009;197(5):678-85. doi:10.1016/j.amjsurg.2008.03.002.
https://psnet.ahrq.gov/issue/surgical-team-behaviors-and-patient-outcomes
Direct observation of teamwork…
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psnet.ahrq.gov/node/36434/psn-pdf
February 18, 2011 - Protocol-based computer reminders, the quality of care
and the non-perfectability of man.
February 18, 2011
McDonald CJ. Protocol-based computer reminders, the quality of care and the non-perfectability of man. N
Engl J Med. 1976;295(24):1351-5.
https://psnet.ahrq.gov/issue/protocol-based-computer-reminders-qualit…
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psnet.ahrq.gov/node/838131/psn-pdf
January 01, 2023 - What I wish I’d known: how experienced physician
managers diagnose, treat and prevent disruptive
behaviour.
September 21, 2022
Goodwin C, Haas S, Berry WR. What I wish I’d known: how experienced physician managers diagnose,
treat and prevent disruptive behaviour. BMJ Lead. 2023;7(2):128-132. doi:10.1136/leader-202…
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psnet.ahrq.gov/node/46779/psn-pdf
March 14, 2018 - Impact of pharmacist previsit input to providers on
chronic opioid prescribing safety.
March 14, 2018
Cox N, Tak CR, Cochella SE, et al. Impact of Pharmacist Previsit Input to Providers on Chronic Opioid
Prescribing Safety. The Journal of the American Board of Family Medicine. 2018;31(1).
doi:10.3122/jabfm.2018.01…
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psnet.ahrq.gov/node/837594/psn-pdf
June 29, 2022 - Machine learning models outperform manual result
review for the identification of wrong blood in tube errors
in complete blood count results.
June 29, 2022
Farrell C?JL, Giannoutsos J. Machine learning models outperform manual result review for the
identification of wrong blood in tube errors in complete blood cou…