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psnet.ahrq.gov/web-mm/transfer-or-not-transfer
November 23, 2016 - to know precisely why EMS took this patient to the farther hospital, but two possibilities come to mind
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psnet.ahrq.gov/node/49600/psn-pdf
April 01, 2010 - When illegibility raises
doubt in a pharmacist's mind, the pharmacist may seek clarification by viewing
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psnet.ahrq.gov/node/49528/psn-pdf
January 01, 2015 - noting the
top line of the triage form and rapidly directing questions with that chief complaint in mind—as
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psnet.ahrq.gov/node/49450/psn-pdf
June 01, 2004 - A piece of my mind. Coping with fallibility. JAMA. 1989;261:2252.[ go to
PubMed ]
19.
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psnet.ahrq.gov/node/49550/psn-pdf
December 01, 2007 - The human mind generally favors causal explanations over chance, which would lead many to infer a
problem
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psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
December 15, 2024 - support future decision-making related to the patient’s medication management. 10 Furthermore, keep in mind
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psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
August 28, 2024 - Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the
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psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-medical-decisions
July 23, 2024 - range of different care improvement projects, including safety initiatives, with this framework in mind
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psnet.ahrq.gov/web-mm/communication-failure-whos-charge
April 01, 2018 - be argued, is even still not being approached correctly.( 5 ) The "big picture" must coalesce in the mind
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psnet.ahrq.gov/issue/learning-disasters-management-approach-third-ed
June 18, 2013 - Book/Report
Learning from Disasters: A Management Approach. Third ed.
Citation Text:
Learning from Disasters: A Management Approach. Third ed. Toft B, Reynolds S. Leicester, UK: Perpetuity Press Limited; 2005. ISBN: 9781349279029.
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Save to yo…
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psnet.ahrq.gov/web-mm/breathe-easy-safe-tracheostomy-management
June 07, 2023 - Breathe Easy: Safe Tracheostomy Management
Citation Text:
Russell MS, Russell MD. Breathe Easy: Safe Tracheostomy Management. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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Format:
Google Scholar Bib…
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psnet.ahrq.gov/node/60376/psn-pdf
July 30, 2020 - COVID-19: Team and Human Factors to Improve Safety
July 30, 2020
Zipperer L. COVID-19: Team and Human Factors to Improve Safety. PSNet [internet]. 2020.
https://psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety
Background
The rapid transmission of COVID-19 has resulted in an international pandem…
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psnet.ahrq.gov/node/33645/psn-pdf
February 01, 2007 - Diagnostic Errors in Medicine: What Do Doctors and
Umpires Have in Common?
February 1, 2007
Graber ML. Diagnostic Errors in Medicine: What Do Doctors and Umpires Have in Common? PSNet
[internet]. 2007.
https://psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
Perspectiv…
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psnet.ahrq.gov/web-mm/unexpected-drawbacks-electronic-order-sets
December 01, 2017 - Unexpected Drawbacks of Electronic Order Sets
Citation Text:
McGreevey JD. Unexpected Drawbacks of Electronic Order Sets. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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Format:
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psnet.ahrq.gov/node/49664/psn-pdf
January 01, 2013 - Empty Handoff
September 1, 2012
Goldman A, Catchpole K. Empty Handoff. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/empty-handoff
The Case
A 29-year-old man with "brittle diabetes" was admitted to the surgery service for incision and drainage of a
leg wound. The patient's medical history included chronic…
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psnet.ahrq.gov/node/33693/psn-pdf
February 01, 2010 - The Role of Graduate Medical Education (GME) in
Improving Patient Safety
February 1, 2010
Baron RB, Vidyarthi A. The Role of Graduate Medical Education (GME) in Improving Patient Safety. PSNet
[internet]. 2010.
https://psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
Perspec…
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psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
January 01, 2016 - squarely at the intersection of science and art in medicine and involves understanding the physician's mind … So those very egregious cases don't come to mind very readily, and the less harmful errors are much more
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psnet.ahrq.gov/perspective/safety-considerations-building-point-care-ultrasound-program
June 01, 2018 - It is important to keep in mind that these are focused (not comprehensive) ultrasound examinations we … In the long run, there's no question in my mind that appropriately training and assessing practitioners
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psnet.ahrq.gov/perspective/ems-patient-safety-field
July 28, 2021 - However, all of them have the same goal in mind: to provide the timely care needed by emergency patients … And I happened to be reviewing one of those today, so it's fresh in my mind.
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psnet.ahrq.gov/web-mm/customer-always-right
January 22, 2014 - noting the top line of the triage form and rapidly directing questions with that chief complaint in mind—as