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psnet.ahrq.gov/issue/interplay-between-teamwork-clinicians-emotional-exhaustion-and-clinician-rated-patient-safety
April 01, 2015 - September 19, 2018
A piece of my mind. Speak up.
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psnet.ahrq.gov/issue/patient-safety-events-and-harms-during-medical-and-surgical-hospitalizations-persons-serious
August 09, 2017 - July 3, 2014
With Safety in Mind: Mental Health Services and Patient Safety.
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psnet.ahrq.gov/issue/exploring-black-box-recommendation-generation-local-health-care-incident-investigations
November 16, 2016 - September 27, 2017
Mind the gap between recommendation and implementation—principles
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psnet.ahrq.gov/issue/how-guiding-coalitions-promote-positive-culture-change-hospitals-longitudinal-mixed-methods
February 21, 2018 - February 18, 2011
"Out of sight, out of mind": housestaff perceptions of quality-limiting
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psnet.ahrq.gov/issue/influencing-organisational-culture-improve-hospital-performance-care-patients-acute
February 21, 2018 - February 18, 2011
"Out of sight, out of mind": housestaff perceptions of quality-limiting
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psnet.ahrq.gov/issue/our-current-approach-root-cause-analysis-it-contributing-our-failure-improve-patient-safety
October 23, 2013 - November 12, 2014
Mind the gap between recommendation and implementation—principles and
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psnet.ahrq.gov/issue/cross-sectional-study-relationship-between-utilization-root-cause-analysis-and-patient-safety
January 11, 2017 - Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind
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psnet.ahrq.gov/issue/characterising-nature-primary-care-patient-safety-incident-reports-england-and-wales-national
December 16, 2015 - March 18, 2015
With Safety in Mind: Mental Health Services and Patient Safety.
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psnet.ahrq.gov/node/33772/psn-pdf
September 01, 2014 - The enthusiasm factor is alive and well because of what I call "the marinated
mind."
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psnet.ahrq.gov/issue/hemolyzed-physical-examination-situational-challenges-accurate-bedside-diagnosis
May 31, 2023 - Commentary
The "hemolyzed" physical examination—situational challenges to accurate bedside diagnosis.
Citation Text:
Sargsyan Z. The "Hemolyzed" Physical Examination-Situational Challenges to Accurate Bedside Diagnosis. JAMA Intern Med. 2019;179(4):465-466. doi:10.1001/jamainternmed.2018…
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psnet.ahrq.gov/issue/center-drug-safety-effectiveness
August 31, 2005 - Multi-use Website
Center for Drug Safety & Effectiveness.
Citation Text:
Center for Drug Safety & Effectiveness. Johns Hopkins Bloomberg School of Public Health; JHSPH.
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psnet.ahrq.gov/node/49670/psn-pdf
November 01, 2012 - Missed Pneumonia
November 1, 2012
Rohde JM, Flanders S. Missed Pneumonia. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/missed-pneumonia
The Case
A 32-year-old man presented to the emergency department (ED) with 3 days of fever and right pleuritic
chest pain. Review of systems was negative for cough or dy…
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psnet.ahrq.gov/node/49436/psn-pdf
February 26, 2004 - Transfusion "Slip"
February 1, 2004
Kaplan HS. Transfusion "Slip". PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/transfusion-slip
The Case
A married couple, Mr. and Mrs. M, was brought to the emergency department (ED) of a Level 1 trauma
center after a half-ton truck that had skidded out of control struck…
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psnet.ahrq.gov/node/49863/psn-pdf
May 01, 2019 - Good Catch in the Operating Room
May 1, 2019
Day J, Paige JT. Good Catch in the Operating Room. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/good-catch-operating-room
The Case
A 46-year-old woman with extensive history of back pain from lumbar stenosis was scheduled for an
elective laminectomy and spinal…
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psnet.ahrq.gov/issue/patient-safety-through-teamwork-and-communication-toolkit
October 25, 2013 - Toolkit
Patient Safety Through Teamwork and Communication Toolkit.
Citation Text:
Patient Safety Through Teamwork and Communication Toolkit. Denver Health.
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psnet.ahrq.gov/issue/medical-malpractice-fear-factor
November 11, 2015 - Newspaper/Magazine Article
Medical malpractice: the fear factor.
Citation Text:
Medical malpractice: the fear factor. Robeznieks A. Modern Physician. September 13, 2010.
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psnet.ahrq.gov/issue/patient-safety-battles-put-your-armor
July 14, 2010 - Commentary
The patient safety battles—put on your armor.
Citation Text:
The patient safety battles—put on your armor. Denham CR.
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psnet.ahrq.gov/issue/war-error-common-diagnostic-errors
April 13, 2016 - Slideset
The War on Error: Common Diagnostic Errors.
Citation Text:
The War on Error: Common Diagnostic Errors. Medscape. 2016–2017.
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psnet.ahrq.gov/web-mm/transfusion-slip
June 14, 2011 - Transfusion "Slip"
Citation Text:
Kaplan HS. Transfusion "Slip". PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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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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