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psnet.ahrq.gov/node/33791/psn-pdf
September 01, 2015 - We
have not harnessed the principles of adult learning in medicine to drive that change.
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psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
November 30, 2021 - August 30, 2023
Proceed with reasonable care: when legal principles inform training
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psnet.ahrq.gov/web-mm/getting-root-matter
September 01, 2005 - contrast-induced nephropathy, delirium in a hospitalized patient) that are more amenable to an approach based on principles
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psnet.ahrq.gov/web-mm/importance-following-safe-practices-infant-feeding-and-handling-expressed-breast-milk
January 31, 2024 - August 17, 2022
Proceed with reasonable care: when legal principles inform training to
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psnet.ahrq.gov/perspective/interruptions-and-distractions-health-care-improved-safety-mindfulness
February 01, 2014 - of ready-to-use materials and a customizable training curriculum to successfully integrate teamwork principles … Perspective
High Reliability Organization (HRO) Principles
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psnet.ahrq.gov/web-mm/forgotten-turn
August 01, 2018 - SPOTLIGHT CASE
The Forgotten Turn
Citation Text:
Barbour S. The Forgotten Turn. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML En…
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psnet.ahrq.gov/web-mm/supervision-and-entrustment-clinical-training-protecting-patients-protecting-trainees
February 22, 2017 - SPOTLIGHT CASE
Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees
Citation Text:
Cate O ten-. Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu…
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psnet.ahrq.gov/node/72589/psn-pdf
December 23, 2020 - Delayed Breast Cancer Diagnosis: A False Sense of
Security.
December 23, 2020
Weingart SN, James TA, Schiff G. Delayed Breast Cancer Diagnosis: A False Sense of Security. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
The Case
A 60-year-old woman was se…
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psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
February 01, 2004 - SPOTLIGHT CASE
Delay in Treatment: Failure to Contact Patient Leads to Significant Complications
Citation Text:
Shapiro DS. Delay in Treatment: Failure to Contact Patient Leads to Significant Complications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departmen…
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psnet.ahrq.gov/node/33787/psn-pdf
January 01, 2018 - In Conversation With… Maureen Bisognano
June 1, 2015
In Conversation With… Maureen Bisognano. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/conversation-maureen-bisognano
Editor's note: Maureen Bisognano is President and CEO of the Institute for Healthcare Improvement
(IHI). We spoke with her about I…
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psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
May 01, 2005 - Delayed Breast Cancer Diagnosis: A False Sense of Security.
Citation Text:
Weingart SN, James TA, Schiff G. Delayed Breast Cancer Diagnosis: A False Sense of Security.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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psnet.ahrq.gov/web-mm/airway-obstruction-during-anterior-cervical-spine-surgery
January 29, 2021 - Airway Obstruction during Anterior Cervical Spine Surgery
Citation Text:
Bohringer C, Vo L. Airway Obstruction during Anterior Cervical Spine Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
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Format:
…
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psnet.ahrq.gov/node/866993/psn-pdf
October 30, 2024 - Embedding these harm reduction principles into treatment does not mean that abstinence has no place.
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psnet.ahrq.gov/sites/default/files/2025-03/PSNet%20Webinar%20Feb%202025_0.pdf
January 01, 2025 - Reviews
• Patient monitoring systems
• Supply chain disruptions
• High reliability organization principles
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psnet.ahrq.gov/perspective/conversation-withcarolyn-clancy-md
September 01, 2005 - safety—moving away from individual blame to a richer understanding of systems thinking and engineering principles—was
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psnet.ahrq.gov/node/60858/psn-pdf
August 26, 2020 - Bedside delivery is, after all, merely an enhancement of customer service principles aimed
at improving
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psnet.ahrq.gov/node/836840/psn-pdf
April 22, 2021 - preventing VTE
Engagement of clinical champions from each specialty
Education of providers using principles
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psnet.ahrq.gov/node/853902/psn-pdf
September 27, 2023 - postoperative
complications; such patients are better served with an initial damage control laparotomy.25 The principles
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psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
July 10, 2024 - February 28, 2024
Perspective
Application of Safety-II Principles
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psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patient-safety-initiatives
July 10, 2024 - February 28, 2024
Perspective
Application of Safety-II Principles