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psnet.ahrq.gov/node/49554/psn-pdf
January 01, 2008 - Scheduled chemotherapy treatment often
must be delayed, which may set back treatment and lead to psychological
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psnet.ahrq.gov/node/49401/psn-pdf
May 01, 2003 - Intensive psychotherapeutic work could examine the psychological meaning of the
gun, which is likely
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psnet.ahrq.gov/node/50768/psn-pdf
December 27, 2019 - interpreter needs to be part of the team and that giving them
patient safety responsibilities creates psychological
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psnet.ahrq.gov/issue/diagnostic-error-medicine-16th-international-conference
October 12, 2018 - Press Release/Announcement
Diagnostic Error in Medicine 16th International Conference.
Citation Text:
Society to Improve Diagnosis in Medicine. Cleveland, Ohio, October 8-11, 2023.
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psnet.ahrq.gov/issue/mri-safety-week
January 29, 2021 - Multi-use Website
MRI Safety Week.
Citation Text:
International Society for Magnetic Resonance in Medicine.
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June 27, 2007
I…
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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/fatal-error-neonate-does-just-culture-provide-answer
June 24, 2020 - SPOTLIGHT CASE
Fatal Error in Neonate: Does "Just Culture" Provide an Answer?
Citation Text:
Dekker SWA. Fatal Error in Neonate: Does "Just Culture" Provide an Answer?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. …
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psnet.ahrq.gov/node/49814/psn-pdf
December 01, 2017 - Miscommunication in the OR Leads to Anticoagulation
Mishap
December 1, 2017
Solsky I, Haynes AB. Miscommunication in the OR Leads to Anticoagulation Mishap. PSNet [internet].
2017.
https://psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap
The Case
A 63-year-old man with a history of coronary…
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psnet.ahrq.gov/node/33821/psn-pdf
December 01, 2016 - Errors and Near Misses: What Health Care Could Learn
From Aviation
December 1, 2016
Macrae C. Errors and Near Misses: What Health Care Could Learn From Aviation. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
Perspective
Some of the most urg…
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psnet.ahrq.gov/node/49507/psn-pdf
April 01, 2006 - Is the "Surgical Personality" a Threat to Patient Safety?
April 1, 2006
Bosk CL. Is the "Surgical Personality" a Threat to Patient Safety? PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/surgical-personality-threat-patient-safety
Case Objectives
Describe the myth of the "surgical personality"
Identify featu…
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psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
December 14, 2022 - Most people facilitating a debriefing try to create an atmosphere of psychological safety.
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psnet.ahrq.gov/perspective/conversation-ellen-deutsch-md-ms-facs-faap-fssh-cpps
December 14, 2022 - Most people facilitating a debriefing try to create an atmosphere of psychological safety.
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psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-pharmacists-perspective
June 01, 2016 - Becoming a Certified Professional in Patient Safety—A Pharmacist's Perspective
Zahra Khudeira, PharmD | June 1, 2016
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Khudeira Z. Becoming a Certified Professional in Patient Safet…
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psnet.ahrq.gov/perspective/diagnostic-errors
December 01, 2013 - Annual Perspective
Diagnostic Errors
Urmimala Sarkar, MD; Kaveh Shojania, MD | January 1, 2014
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Sarkar U, Shojania KG. Diagnostic Errors. PSNet [internet]. Rockville (MD): Ag…
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psnet.ahrq.gov/web-mm/chest-tube-complications
September 27, 2023 - April 5, 2013
Exploring the barriers and facilitators of psychological safety in primary
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psnet.ahrq.gov/web-mm/suicidal-man-gun
May 01, 2005 - Intensive psychotherapeutic work could examine the psychological meaning of the gun, which is likely
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psnet.ahrq.gov/web-mm/hiding-plain-sight
April 24, 2019 - Bone marrow or organ transplant • Cancer • Chronic steroid therapy • Psychological
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psnet.ahrq.gov/web-mm/i-just-want-go-home-understanding-deliriums-impact-treatment-preferences
December 18, 2019 - December 16, 2020
Resilience vs. vulnerability: psychological safety and reporting of
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psnet.ahrq.gov/periodic-issue/periodic-issue-277
February 10, 2021 - that masked the true problem of a neurological tumor manifesting in what was seen and treated as a psychological
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psnet.ahrq.gov/periodic-issue/periodic-issue-352
July 08, 2022 - Healthcare workers who are involved in a patient safety incident may experience adverse psychological