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psnet.ahrq.gov/issue/virtual-ambulatory-cusp-training
June 05, 2024 - International Meeting/Conference
Ambulatory CUSP (Comprehensive Unit Based Safety Program) Training.
Citation Text:
Armstrong Institute for Patient Safety and Quality. May 9-10, 2024, 8:00 AM - 12:00 PM (eastern).
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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/web-mm/suicide-risk-hospital
November 01, 2011 - Suicide Risk in the Hospital
Citation Text:
Mills PD. Suicide Risk in the Hospital. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
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psnet.ahrq.gov/innovation/behavioral-health-vital-signs-initiative-increases-patient-education-and-disclosure
February 26, 2025 - “Behavioral Health Vital Signs” Initiative Increases Patient Education and Disclosure about Interpersonal Violence (IPV)
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June 30, 2021
Innovat…
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psnet.ahrq.gov/web-mm/dangerous-detour
November 28, 2018 - The Dangerous Detour
Citation Text:
Gibson J, HTaylor D. The Dangerous Detour. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap
May 08, 2019 - Miscommunication in the OR Leads to Anticoagulation Mishap
Citation Text:
Solsky I, Haynes AB. Miscommunication in the OR Leads to Anticoagulation Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/web-mm/delayed-clozapine-prescription-elderly-man-dementia
August 06, 2014 - Delayed Clozapine Prescription in an Elderly Man With Dementia
Citation Text:
Tsourounis C, Ghomeshi KK. Delayed Clozapine Prescription in an Elderly Man With Dementia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/node/49673/psn-pdf
December 01, 2012 - A Real Heartache
December 1, 2012
Polevoi SK. A Real Heartache. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/real-heartache
The Case
A 60-year-old man presented to the emergency department (ED) with 2 hours of burning chest pain. The
pain began at rest, and it radiated to his back and left axilla. He had…
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psnet.ahrq.gov/sites/default/files/2020-11/final_nov_spotlight_case_premature_closing-snycope_11.20.2020-revised.pdf
January 01, 2020 - Microsoft PowerPoint - FINAL Nov_Spotlight Case_Premature Closing-Snycope_11.20.2020-revised.pptx
Spotlight
Premature Closure: Was it Just Syncope?
Source and Credits
• This presentation is based on the November 2020 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit i…
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psnet.ahrq.gov/node/33786/psn-pdf
May 01, 2015 - Video to Improve Patient Safety: Clinical and Educational
Uses
May 1, 2015
Xiao Y, Mackenzie CF, Seagull JF. Video to Improve Patient Safety: Clinical and Educational Uses. PSNet
[internet]. 2015.
https://psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
Perspective
Reports of…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.317_slideshow.ppt
March 01, 2014 - PowerPoint Presentation
Spotlight Case
Tough Call: Addressing Errors From Previous Providers
1
This presentation is based on the March 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: William Martinez, MD, MS, Assistant Professor of Medicine, …
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psnet.ahrq.gov/web-mm/code-status-vs-care-status
September 30, 2020 - September 1, 2008
Moving toward improved teamwork in cancer care: the role of psychological
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psnet.ahrq.gov/periodic-issue/periodic-issue-278
February 10, 2021 - Clinicians who are involved in an adverse even often experience emotional and psychological distress
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psnet.ahrq.gov/periodic-issue/periodic-issue-312
October 27, 2021 - Findings highlight the importance of organizational identification and management commitment to safety and psychological
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psnet.ahrq.gov/periodic-issue/periodic-issue-309
September 29, 2021 - domains of harm of tests and treatment which warrant comprehensive research: (1) physical impairment, (2) psychological
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psnet.ahrq.gov/periodic-issue/periodic-issue-316
November 30, 2021 - refers to a healthcare professional who was involved in a medical error and subsequently experiences psychological
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psnet.ahrq.gov/periodic-issue/periodic-issue-337
April 27, 2022 - Study
Psychological intervention to improve communication and patient safety in obstetrics
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psnet.ahrq.gov/periodic-issue/periodic-issue-324
January 07, 2022 - Healthcare professionals involved in a medical error often experience psychological distress.
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psnet.ahrq.gov/periodic-issue/periodic-issue-405
August 30, 2023 - Many healthcare professionals experienced adverse emotional and psychological outcomes during the COVID
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psnet.ahrq.gov/periodic-issue/periodic-issue-418
November 29, 2023 - Involvement in a patient safety event can result in serious psychological consequences for healthcare