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psnet.ahrq.gov/node/50686/psn-pdf
January 01, 2020 - 'Whatever you cut, I can fix it': clinical supervisors'
interview accounts of allowing trainee failure while
guarding patient safety.
November 20, 2019
Klasen JM, Driessen E, Teunissen PW, et al. ‘Whatever you cut, I can fix it’: clinical supervisors’ interview
accounts of allowing trainee failure while guarding p…
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psnet.ahrq.gov/node/73061/psn-pdf
March 24, 2021 - Timeout procedure in paediatric surgery: effective tool or
lip service? A randomised prospective observational
study.
March 24, 2021
Muensterer OJ, Kreutz H, Poplawski A, et al. Timeout procedure in paediatric surgery: effective tool or lip
service? A randomised prospective observational study. BMJ Qual Saf. 2021;…
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psnet.ahrq.gov/node/35474/psn-pdf
September 21, 2009 - Is consent required for publication of medical errors?
September 21, 2009
Weisbaum K, Hyland S, Bernstein M. Is consent required for publication of medical errors? Healthc Q.
2005;8(4):66-9.
https://psnet.ahrq.gov/issue/consent-required-publication-medical-errors
The authors argue that, under certain conditions, p…
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psnet.ahrq.gov/node/36232/psn-pdf
October 19, 2010 - Building a safety net.
October 19, 2010
Rogoski RR. Building a safety net. By leveraging huge amounts of data and applying it to a wide array of
projects and purposes, hospitals stay focused on patient safety and make headway. Health management
technology. 2006;27(8):12-4, 16.
https://psnet.ahrq.gov/issue/building…
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psnet.ahrq.gov/node/50832/psn-pdf
January 01, 2021 - Preventing critical failure. Can routinely collected data be
repurposed to predict avoidable patient harm? A
quantitative descriptive study.
January 29, 2020
Nowotny BM, Davies-Tuck M, Scott B, et al. Preventing critical failure. Can routinely collected data be
repurposed to predict avoidable patient harm? A quant…
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psnet.ahrq.gov/node/851200/psn-pdf
July 05, 2023 - Deficient Care of a Patient Who Died by Suicide and
Facility Leaders' Response at the Charlie Norwood VA
Medical Center in Augusta, Georgia.
July 5, 2023
Washington DC: Department of Veterans Affairs, Office of Inspector General; May 10, 2023.
Report no. 22-01116-110.
https://psnet.ahrq.gov/issue/defi…
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psnet.ahrq.gov/node/48014/psn-pdf
July 10, 2019 - Patient safety morning report: innovation in teaching core
patient safety principles to third-year medical students.
July 10, 2019
Beekman M, Emani VK, Wolford R, et al. Patient Safety Morning Report: Innovation in Teaching Core
Patient Safety Principles to Third-Year Medical Students. J Med Educ Curric Dev.
2019;…
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psnet.ahrq.gov/node/43871/psn-pdf
March 17, 2015 - FDA begins inquiry after death and illness from saline
bags meant for training.
March 17, 2015
Tavernise S. New York Times. January 15, 2015.
https://psnet.ahrq.gov/issue/fda-begins-inquiry-after-death-and-illness-saline-bags-meant-training
This newspaper article discusses an investigation into how a saline soluti…
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psnet.ahrq.gov/node/853081/psn-pdf
August 30, 2023 - Could you tell us a little bit about the model and its purpose?
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psnet.ahrq.gov/web-mm/dependence-vs-pain
October 30, 2019 - dependence is the dramatic increase of drug diversion (use of a drug outside the scope of its intended purpose
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psnet.ahrq.gov/sites/default/files/2021-02/final_feb_2021_spotlight_delay_in_appropriate_dx.pdf
January 01, 2021 - Pulmonary Embolism Response Team
(PERT)
33
34
Pulmonary Embolism Response Team (1)
• Purpose is
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psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
January 27, 2021 - timeout, which includes a short introduction of the patient and the current situation, explanation of the purpose
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psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
July 08, 2022 - The purpose of this act is to protect patients with impaired decision-making capacity.
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psnet.ahrq.gov/node/851971/psn-pdf
July 31, 2023 - and manipulatively (usually
surreptitiously) produce illness or injury fraudulently, for the express purpose
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psnet.ahrq.gov/node/846975/psn-pdf
March 28, 2023 - Sarah Mossburg: Can you tell us a little bit more about the AIM Program and its purpose?
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psnet.ahrq.gov/node/60858/psn-pdf
August 26, 2020 - Vouchers issued for this purpose must precisely match the price stated by the
pharmacy, however, as
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psnet.ahrq.gov/node/73153/psn-pdf
April 28, 2021 - packing has been inserted or removed; and (6)
engagement and education of the patient to understand the purpose
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psnet.ahrq.gov/web-mm/when-meds-dont-reach-bed
May 16, 2022 - Vouchers issued for this purpose must precisely match the price stated by the pharmacy, however, as was
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psnet.ahrq.gov/node/73906/psn-pdf
October 06, 2021 - Our purpose is to transform. We don't have a list of interventions for people
to do more things.
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psnet.ahrq.gov/perspective/role-fda-ensuring-device-safety
May 28, 2020 - Software that is intended for a medical purpose but is not merely an integral part of the device hardware