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psnet.ahrq.gov/issue/comfort-uncertainty-reframing-our-conceptions-how-clinicians-navigate-complex-clinical
February 06, 2013 - October 5, 2022
Allowing failure for educational purposes in postgraduate clinical training
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psnet.ahrq.gov/issue/effects-racial-bias-pulse-oximetry-children-and-how-address-algorithmic-bias-clinical
May 08, 2017 - 2017
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Related Resources
Pulse oximeters for medical purposes
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psnet.ahrq.gov/issue/evaluation-preoperative-checklist-and-team-briefing-among-surgeons-nurses-and
August 28, 2013 - November 21, 2018
Allowing failure for educational purposes in postgraduate clinical
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psnet.ahrq.gov/issue/medicare-and-medicaid-programs-and-childrens-health-insurance-program-hospital-inpatient
November 23, 2015 - January 16, 2025
Pulse oximeters for medical purposes - non-clinical and clinical performance
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psnet.ahrq.gov/node/38390/psn-pdf
June 16, 2019 - ISMP medication error report analysis.
June 16, 2019
Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:18-21.
https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-33
This monthly selection of medication error reports includes information about the risks of cutting medication
patches, describes examples of dr…
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psnet.ahrq.gov/node/856640/psn-pdf
November 29, 2023 - Research from webAIRS incident reporting system.
November 29, 2023
Anaesth Intensive Care. 2023;51(6):372-421.
https://psnet.ahrq.gov/issue/research-webairs-incident-reporting-system
Centralized de-identified reports of patient safety events serve a core purpose for learning and
improvement. This article collectio…
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psnet.ahrq.gov/node/850343/psn-pdf
December 12, 2023 - Challenge Competition: Impact of Patient Safety Tools.
December 12, 2023
Rockville, MD: Agency for Healthcare Research and Quality; 2023.
https://psnet.ahrq.gov/issue/challenge-competition-impact-patient-safety-tools
The Agency for Healthcare Research and Quality (AHRQ) offers many practical tools and resource…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.353_slideshow.ppt
August 01, 2015 - Requiring patient consent before any information could be shared, even between providers for treatment purposes … Regulatory modification or guidance could open greater re-use of clinical information for learning purposes
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psnet.ahrq.gov/perspective/connies-story-nurses-personal-experience-mrsa
June 29, 2023 - Connie, for granting us permission to post the powerful testament—which may be freely used for teaching purposes
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psnet.ahrq.gov/node/865348/psn-pdf
January 01, 2023 - Learning Health Systems
January 1, 2023
Agency for Health Research and Quality.
https://psnet.ahrq.gov/issue/learning-health-systems
The learning health system model centers on the purposeful, systematic use of internal data and
knowledge with external evidence to improve the safety and quality of care. This websi…
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psnet.ahrq.gov/node/836876/psn-pdf
May 16, 2022 - been adapted for use in the prehospital setting.3 Safety culture surveys can be
used for a variety of purposes
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psnet.ahrq.gov/node/865478/psn-pdf
April 03, 2024 - Racial implicit bias and communication among
physicians in a simulated environment.
April 3, 2024
Gonzalez CM, Ark TK, Fisher MR, et al. Racial implicit bias and communication among physicians in a
simulated environment. JAMA Netw Open. 2024;7(3):e242181. doi:10.1001/jamanetworkopen.2024.2181.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/47983/psn-pdf
May 01, 2019 - Health systems and hospitals in pursuit of high reliability.
May 1, 2019
Cheney C. HealthLeaders Media. April 17, 2019.
https://psnet.ahrq.gov/issue/health-systems-and-hospitals-pursuit-high-reliability
This news article describes how a 19-hospital health system successfully applied high reliability principles
to …
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psnet.ahrq.gov/node/851455/psn-pdf
July 19, 2023 - Student mistakes and teacher reactions in bedside
teaching.
July 19, 2023
Rubisch HPK, Blaschke A-L, Berberat PO, et al. Student mistakes and teacher reactions in bedside
teaching. Adv Health Sci Educ Theory Pract. 2023;28(5):1523-1556. doi:10.1007/s10459-023-10233-y.
https://psnet.ahrq.gov/issue/student-mistakes-…
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psnet.ahrq.gov/node/73996/psn-pdf
October 29, 2021 - Patient, Medical, and Legal Perspectives of Unsafe Care.
October 20, 2021
Patient Safety Movement. October 29, 2021.
https://psnet.ahrq.gov/issue/patient-medical-and-legal-perspectives-unsafe-care
Effective response to medical harm involves a variety of perspectives that are aligned in purpose. This
webinar …
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psnet.ahrq.gov/issue/sages-fuse-program-bridging-patient-safety-gap
April 05, 2017 - Commentary
The SAGES FUSE program: bridging a patient safety gap.
Citation Text:
Fuchshuber PR, Robinson TN, Feldman LS, et al. The SAGES FUSE program: bridging a patient safety gap. Bull Am Coll Surg. 2014;99(9):18-27.
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Format:
Google Scholar PubMed BibTeX End…
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psnet.ahrq.gov/node/33788/psn-pdf
June 01, 2015 - They have that deliberation and they
then recommend that those measures should be used for those purposes … Would this measure be used appropriately for payment, for public reporting, or for
improvement purposes
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psnet.ahrq.gov/node/47804/psn-pdf
June 12, 2019 - Pediatric faculty knowledge and comfort discussing
diagnostic errors: a pilot survey to understand barriers to
an educational program.
June 12, 2019
Grubenhoff JA, Ziniel SI, Bajaj L, et al. Pediatric faculty knowledge and comfort discussing diagnostic
errors: a pilot survey to understand barriers to an educationa…
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psnet.ahrq.gov/basic-page/ucd-cmeceu-trainee-certification
November 01, 2019 - University of California, Davis, Health CME/CEU Information
WebM&M Spotlight cases on AHRQ’s PSNet offer CME/CEU and Maintenance of Certification (MOC) credit. Effective November 2019, each Spotlight Case and Commentary is certified for the AMA PRA Category 1 ™and maintenance of certification (MOC) through the Amer…
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psnet.ahrq.gov/node/857454/psn-pdf
January 01, 2024 - Identifying and mapping measures of medication safety
during transfer of care in a digital era: a scoping literature
review.
December 6, 2023
Leon C, Hogan H, Jani YH. Identifying and mapping measures of medication safety during transfer of care
in a digital era: a scoping literature review. BMJ Qual Saf. 2024;33(…