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psnet.ahrq.gov/node/37213/psn-pdf
October 13, 2011 - Human patient simulation: teaching students to provide
safe care.
October 13, 2011
Henneman EA, Cunningham H, Roche JP, et al. Human patient simulation: teaching students to provide
safe care. Nurse Educ. 2007;32(5):212-7.
https://psnet.ahrq.gov/issue/human-patient-simulation-teaching-students-provide-safe-care
T…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.209_slideshow.ppt
December 01, 2009 - Spotlight Case [MONTH] 2003
Spotlight Case
Standard Deviations
Source and Credits
This presentation is based on the December 2009
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: James E. Sabin, MD
Harvard Medical School; Harvard Pilgrim Heal…
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psnet.ahrq.gov/issue/application-electronic-health-records-joint-commissions-2011-national-patient-safety-goals
May 20, 2019 - Commentary
Application of electronic health records to The Joint Commission's 2011 National Patient Safety Goals.
Citation Text:
Radecki RP, Sittig DF. Application of electronic health records to the Joint Commission's 2011 National Patient Safety Goals. JAMA. 2011;306(1):92-3. doi:10.…
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psnet.ahrq.gov/node/35530/psn-pdf
March 02, 2010 - Health care provider use of private sector internal error-
reporting systems.
March 2, 2010
Roumm AR, Sciamanna CN, Nash DB. Health care provider use of private sector internal error-reporting
systems. Am J Med Qual. 2005;20(6):304-12.
https://psnet.ahrq.gov/issue/health-care-provider-use-private-sector-internal-e…
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psnet.ahrq.gov/node/39892/psn-pdf
September 20, 2011 - How does routine disclosure of medical error affect
patients' propensity to sue and their assessment of
provider quality?: Evidence from survey data.
September 20, 2011
Helmchen LA, Richards MR, McDonald TB. How does routine disclosure of medical error affect patients'
propensity to sue and their assessment of pro…
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psnet.ahrq.gov/node/41669/psn-pdf
November 26, 2014 - Patient safety perceptions of primary care providers after
implementation of an electronic medical record system.
November 26, 2014
McGuire MJ, Noronha G, Samal L, et al. Patient safety perceptions of primary care providers after
implementation of an electronic medical record system. J Gen Intern Med. 2013;28(2):18…
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psnet.ahrq.gov/node/39821/psn-pdf
July 16, 2014 - Performance of a fail-safe system to follow up abnormal
mammograms in primary care.
July 16, 2014
Grossman E, Phillips RS, Weingart SN. Performance of a fail-safe system to follow up abnormal
mammograms in primary care. J Patient Saf. 2010;6(3):172-179.
https://psnet.ahrq.gov/issue/performance-fail-safe-system-fol…
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psnet.ahrq.gov/node/853426/psn-pdf
January 01, 2024 - Physician perspectives on responding to clinician-
perpetuated interpersonal racism against Black patients
with serious illness.
September 13, 2023
Brown CE, Snyder CR, Marshall AR, et al. Physician perspectives on responding to clinician-perpetuated
interpersonal racism against Black patients with serious illness…
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psnet.ahrq.gov/node/42350/psn-pdf
June 12, 2013 - PCA safety data review after clinical decision support and
smart pump technology implementation.
June 12, 2013
Prewitt J, Schneider S, Horvath M, et al. PCA safety data review after clinical decision support and smart
pump technology implementation. J Patient Saf. 2013;9(2):103-9. doi:10.1097/PTS.0b013e318281b866.
…
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psnet.ahrq.gov/node/37042/psn-pdf
March 04, 2011 - Do hospitals provide lower quality care on weekends?
March 4, 2011
Becker DJ. Do hospitals provide lower quality care on weekends? Health Serv Res. 2007;42(4):1589-612.
https://psnet.ahrq.gov/issue/do-hospitals-provide-lower-quality-care-weekends
Prior research has demonstrated that patients admitted to the hospita…
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psnet.ahrq.gov/node/49656/psn-pdf
June 01, 2012 - Comanagement: Who's in Charge?
June 1, 2012
Cheng HQ. Comanagement: Who's in Charge? PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/comanagement-whos-charge
The Case
A 77-year-old man with a history of chronic obstructive pulmonary disease (COPD) was admitted with a left
hip fracture to the orthopedic surg…
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psnet.ahrq.gov/web-mm/dual-therapy-debacle
February 01, 2007 - Dual Therapy Debacle
Citation Text:
Kayser SR. Dual Therapy Debacle. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.194_slideshow.ppt
March 01, 2009 - Spotlight Case July 2008
Spotlight Case
All in the History
Source and Credits
This presentation is based on the February/March 2009 AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Christopher Fee, MD, University of California, San Francisco
…
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psnet.ahrq.gov/web-mm/lp-or-not-lp
February 01, 2018 - To LP or Not LP
Citation Text:
Landrigan CP. To LP or Not LP. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/node/40268/psn-pdf
November 14, 2011 - Medicaid program; payment adjustment for provider-
preventable conditions including health care–acquired
conditions.
November 14, 2011
Centers for Medicare & Medicaid Services. 42 CFR Parts 434, 438, and 447: June 1, 2011.
https://psnet.ahrq.gov/issue/medicaid-program-payment-adjustment-provider-preventable-condit…
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psnet.ahrq.gov/node/60690/psn-pdf
January 01, 2021 - A description of medical malpractice claims involving
advanced practice providers.
July 15, 2020
Myers LC, Sawicki D, Heard L, et al. A description of medical malpractice claims involving advanced
practice providers. J Healthc Risk Manag. 2021;40(3):8-16. doi:10.1002/jhrm.21412.
https://psnet.ahrq.gov/issue/descri…
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psnet.ahrq.gov/node/49828/psn-pdf
May 01, 2018 - Out of Sight, Out of Mind: Out-of-Office Test Result
Management
May 1, 2018
Poon EG. Out of Sight, Out of Mind: Out-of-Office Test Result Management. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/out-sight-out-mind-out-office-test-result-management
Case Objectives
Recognize the general responsibilities of…
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psnet.ahrq.gov/node/49738/psn-pdf
August 21, 2015 - Privacy or Safety?
August 21, 2015
Halamka JD, McGraw D. Privacy or Safety? PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/privacy-or-safety
Case Objectives
Understand that the HIPAA Omnibus Rule is an enabler of data sharing, not a barrier.
Review common misconceptions about privacy rules.
Understand the…
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psnet.ahrq.gov/node/45065/psn-pdf
June 01, 2016 - Variation in quality of urgent health care provided during
commercial virtual visits.
June 1, 2016
Schoenfeld AJ, Davies JM, Marafino BJ, et al. Variation in Quality of Urgent Health Care Provided During
Commercial Virtual Visits. JAMA Intern Med. 2016;176(5):635-42. doi:10.1001/jamainternmed.2015.8248.
https://ps…
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psnet.ahrq.gov/node/46112/psn-pdf
December 21, 2017 - Analysis of variations in the display of drug names in
computerized prescriber-order-entry systems.
December 21, 2017
Quist AJL, Hickman T-TT, Amato MG, et al. Analysis of variations in the display of drug names in
computerized prescriber-order-entry systems. American Journal of Health-System Pharmacy. 2017;74(7).
…