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psnet.ahrq.gov/node/861738/psn-pdf
January 31, 2024 - California, Davis, Health must ensure
balance, independence and objectivity in all its CME activities to promote
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psnet.ahrq.gov/node/841305/psn-pdf
January 27, 2023 - There are questions that people can ask that promote resilience.
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psnet.ahrq.gov/node/33740/psn-pdf
November 01, 2012 - RW: You've taken it upon yourself to promote this agenda within your own institution and to some extent
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psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
June 28, 2023 - California, Davis, Health must ensure balance, independence and objectivity in all its CME activities to promote
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psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
February 10, 2021 - California, Davis, Health must ensure balance, independence and objectivity in all its CME activities to promote
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psnet.ahrq.gov/perspective/conversation-amy-j-starmer-md-mph
May 31, 2023 - We referred to the final component of the intervention as "the campaign," which was an effort to promote
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psnet.ahrq.gov/web-mm/delayed-diagnosis-mesenteric-ischemia
March 31, 2021 - California, Davis, Health must ensure balance, independence and objectivity in all its CME activities to promote
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psnet.ahrq.gov/web-mm/anchoring-bias-critical-implications
June 15, 2022 - case, the frame "return visit for peripheral neuropathy, not attending podiatry appointments" would promote
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psnet.ahrq.gov/periodic-issue/periodic-issue-385
April 26, 2023 - April 5, 2023 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports, …
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psnet.ahrq.gov/issue/systems-approach-error-prevention-medicine
February 15, 2017 - Commentary
A systems approach to error prevention in medicine.
Citation Text:
Wieman TJ, Wieman EA. A systems approach to error prevention in medicine. J Surg Oncol. 2004;88(3):115-21.
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psnet.ahrq.gov/issue/improving-teamwork-healthcare-current-approaches-and-path-forward
February 12, 2020 - Commentary
Improving teamwork in healthcare: current approaches and the path forward.
Citation Text:
Thomas EJ. Improving teamwork in healthcare: current approaches and the path forward. BMJ Qual Saf. 2011;20(8):647-50. doi:10.1136/bmjqs-2011-000117.
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psnet.ahrq.gov/issue/safety-information-alaris-se-infusion-pumps
June 07, 2006 - Audiovisual
Safety Information on Alaris SE Infusion Pumps.
Citation Text:
Food and Drug Administration. 2006.
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November 15, 2…
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psnet.ahrq.gov/issue/quality-improvement-study-medication-error-leading-thyrotoxicosis-and-death
September 13, 2017 - Study
A quality improvement study: medication error leading to thyrotoxicosis and death.
Citation Text:
Levine JM. A quality improvement study: medication error leading to thyrotoxicosis and death. J Am Med Dir Assoc. 2004;5(6):410-3.
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psnet.ahrq.gov/issue/patient-safety-mindful-meaningful-and-fulfilling
October 20, 2021 - Commentary
Patient safety: mindful, meaningful, and fulfilling.
Citation Text:
Winokur SC, Beauregard KJ. Patient safety: mindful, meaningful, and fulfilling. Front Health Serv Manage. 2005;22(1):17-32.
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psnet.ahrq.gov/issue/systems-approach-reduce-errors-surgery
August 10, 2016 - Commentary
Systems approach to reduce errors in surgery.
Citation Text:
Dankelman J, Grimbergen CA. Systems approach to reduce errors in surgery. Surg Endosc. 2005;19(8):1017-21.
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psnet.ahrq.gov/issue/assessing-safety-culture-guidelines-and-recommendations
August 04, 2021 - Commentary
Assessing safety culture: guidelines and recommendations.
Citation Text:
Pronovost PJ. Assessing safety culture: guidelines and recommendations. Quality and Safety in Health Care. 2005;14(4). doi:10.1136/qshc.2005.015180.
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psnet.ahrq.gov/issue/playing-it-safe-simulated-team-training-or
July 22, 2020 - Commentary
Playing it safe: simulated team training in the OR.
Citation Text:
Anderson M, Leflore J. Playing it safe: simulated team training in the OR. AORN J. 2008;87(4):772-9. doi:10.1016/j.aorn.2007.12.027.
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psnet.ahrq.gov/issue/integrating-patient-safety-omfs-curriculum-survey-4-year-residency-programs
April 08, 2020 - Study
Integrating patient safety in the OMFS curriculum: survey of 4-year residency programs.
Citation Text:
Buhrow SM, Buhrow JA. Integrating Patient Safety in the OMFS Curriculum: Survey of 4-Year Residency Programs. J Patient Saf. 2016;12(4):197-203.
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psnet.ahrq.gov/issue/managing-risk-systems-approach-versus-personal-responsibility-hospital-incidents
November 25, 2015 - Commentary
Managing risk: systems approach versus personal responsibility for hospital incidents.
Citation Text:
Steiner JL. Managing risk: systems approach versus personal responsibility for hospital incidents. J Am Acad Psychiatry Law. 2006;34(1):96-8.
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psnet.ahrq.gov/periodic-issue/periodic-issue-443
May 29, 2024 - June 5, 2024 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports, a…