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psnet.ahrq.gov/node/33783/psn-pdf
April 01, 2015 - others that showed how remarkably successful the checklists were, were
biased—either because of the methodology
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psnet.ahrq.gov/node/34990/psn-pdf
June 22, 2009 - Detecting adverse drug reactions on paediatric wards:
intensified surveillance versus computerised screening of
laboratory values.
June 22, 2009
Haffner S, von Laue N, Wirth S, et al. Detecting adverse drug reactions on paediatric wards: intensified
surveillance versus computerised screening of laboratory values. …
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psnet.ahrq.gov/node/40820/psn-pdf
October 05, 2011 - Influence of house-staff experience on teaching-hospital
mortality: the "July Phenomenon" revisited.
October 5, 2011
van Walraven C, Jennings A, Wong J, et al. Influence of house-staff experience on teaching-hospital
mortality: the "July phenomenon" revisited. J Hosp Med. 2011;6(7):389-94. doi:10.1002/jhm.917.
htt…
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psnet.ahrq.gov/node/42658/psn-pdf
March 17, 2014 - Systematic review of the application of the plan-do-study-
act method to improve quality in healthcare.
March 17, 2014
Taylor MJ, McNicholas C, Nicolay C, et al. Systematic review of the application of the plan-do-study-act
method to improve quality in healthcare. BMJ Qual Saf. 2014;23(4):290-8. doi:10.1136/bmjqs-2…
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psnet.ahrq.gov/node/37805/psn-pdf
February 15, 2011 - Designing and implementing a comprehensive quality and
patient safety management model: a paradigm for
perioperative improvement.
February 15, 2011
Herzer KR, Mark LJ, Michelson JD, et al. Designing and Implementing a Comprehensive Quality and
Patient Safety Management Model. J Patient Saf. 2008;4(2). doi:10.1097/…
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psnet.ahrq.gov/node/44674/psn-pdf
December 18, 2017 - Achieving Safe Health Care: Delivery of Safe Patient Care
at Baylor Scott & White Health.
December 18, 2017
Compton J. Boca Raton, FL: CRC Press; 2016. ISBN: 9781498732390.
https://psnet.ahrq.gov/issue/achieving-safe-health-care-delivery-safe-patient-care-baylor-scott-white-health
Since the publication of the Inst…
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psnet.ahrq.gov/node/49648/psn-pdf
March 01, 2012 - Postdischarge Follow-Up Phone Call
March 1, 2012
Mourad M, Rennke S. Postdischarge Follow-Up Phone Call. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/postdischarge-follow-phone-call
Case Objectives
Understand why preventing readmissions through postdischarge phone calls is important.
Describe evidence su…
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psnet.ahrq.gov/sites/default/files/2022-08/final_spotlight_case_mesenteric_ischemia_08.05.2022.pdf
January 01, 2022 - Spotlight
Spotlight
Delayed Diagnosis of Mesenteric Ischemia
Source and Credits
• This presentation is based on the August 2022 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Anamaria Robles, MD, and Garth Utter, MD, MSc
o AHRQ WebM&M…
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psnet.ahrq.gov/Information/Editor
April 05, 2025 - Browse Author Resources
Meet PSNet's Editorial Team The PSNet editorial team is committed to producing the highest quality patient safety content. The team brings a wealth of experience and deep subject matter expertise in the field, ensuring that PSNet content is accurate, reliable, and…
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psnet.ahrq.gov/curated-library/interdisciplinary-teamwork
April 28, 2025 - Breadcrumb
Home
The PSNet Collection
Curated Libraries
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Interdisciplinary teamwork
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Created By: Lorri Zipperer, Cybrarian, AHRQ PSNet T…
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psnet.ahrq.gov/web-mm/diagnosing-diagnostic-mistakes
April 30, 2014 - SPOTLIGHT CASE
Diagnosing Diagnostic Mistakes
Citation Text:
McNutt RA, Abrams RI, Hasler S. Diagnosing Diagnostic Mistakes. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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Format:
Google S…
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psnet.ahrq.gov/web-mm/monitoring-fetal-health
September 08, 2010 - The studies have shown that levels of agreement vary greatly depending on methodology and specific features
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psnet.ahrq.gov/sites/default/files/2023-09/a_missed_bowel_perforation_-_the_importance_of_diagnostic_reasoning.pdf
January 01, 2023 - • Applying root-cause-analysis (RCA) methodology, we can appreciate the
complexity of the case and
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psnet.ahrq.gov/perspective/promising-areas-patient-safety-research
November 02, 2016 - This type of simulation methodology embeds the simulated training experience or scenario in actual care
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psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
September 28, 2022 - Community-Oriented Primary Care at George Washington University and evolved a curriculum that teaches a methodology … understand barriers to implementing different parts of the model, so that is really part of the COQI methodology
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psnet.ahrq.gov/node/867653/psn-pdf
February 26, 2025 - Sarah Mossburg: How have organizations implemented and used the RCA2 methodology since its
introduction
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psnet.ahrq.gov/perspective/conversation-lucian-leape-md
June 12, 2019 - others that showed how remarkably successful the checklists were, were biased—either because of the methodology
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psnet.ahrq.gov/node/867651/psn-pdf
February 26, 2025 - Therefore, Safety II cannot be employed as a methodology
to mitigate error or even reduce harm: it is
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psnet.ahrq.gov/node/853902/psn-pdf
September 27, 2023 - Applying root-cause-analysis (RCA) methodology, we can appreciate the complexity of the
case and identify
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psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms-0
December 01, 2017 - As people accept the idea of measurement, do they buy that the methodology is good enough—both in the