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psnet.ahrq.gov/perspective/conversation-harlan-krumholz-md-sm
April 01, 2018 - The question then is the degree to which the data can help us understand how people are recovering.
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psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety
August 31, 2020 - Another unanswered question is the issue of provider burnout and how providers choosing to leave the
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/West.pdf
September 01, 2005 - prescriptions, clinicians, staff, patients,
and pharmacy personnel may all ask and answer the basic question
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Quinn.pdf
January 01, 2004 - initiated on the day of surgery
results in sustained perioperative risk reduction and necessitates the question
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Behara.pdf
January 01, 2004 - successful, the oncoming
party adopted a strategy of resignation, conceptually placing the patient in
question
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Fried.pdf
January 01, 2003 - VR to OR
A third study, on the VR-to-OR transfer of training, addresses in a direct
manner the question
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring.pptx
July 01, 2023 - key players in being able to admit to weaknesses, so sometimes it may take the facilitator asking the question
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/breastfeeding-health-outcomes-protocol-amendment.pdf
February 03, 2025 - Key Questions
This review will be guided by one Key Question (KQ 1) that addresses the infant and child
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psnet.ahrq.gov/node/34649/psn-pdf
June 11, 2014 - On error management: lessons from aviation.
June 11, 2014
Helmreich RL. On error management: lessons from aviation. BMJ . 2000;320(7237):781-785.
https://psnet.ahrq.gov/issue/error-management-lessons-aviation
In this perspective, the author draws on analogies from aviation to frame the issues of patient safety and
…
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psnet.ahrq.gov/node/47988/psn-pdf
June 12, 2019 - Impact of the World Health Organization surgical safety
checklist on patient safety.
June 12, 2019
Haugen AS, Sevdalis N, Søfteland E. Impact of the World Health Organization Surgical Safety Checklist on
Patient Safety. Anesthesiology. 2019;131(2):420-425. doi:10.1097/ALN.0000000000002674.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/60927/psn-pdf
September 16, 2020 - Amid COVID-19, discipline against bad doctors plummets;
more medical errors may slip through cracks.
September 16, 2020
O'Donnell J. USA Today. September 8, 2020
https://psnet.ahrq.gov/issue/amid-covid-19-discipline-against-bad-doctors-plummets-more-medical-errors-
may-slip-through
Management and clinical functio…
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psnet.ahrq.gov/node/46655/psn-pdf
December 13, 2017 - Gender, power and leadership: the effect of a superior's
gender on respiratory therapists' ability to challenge
leadership during a life-threatening emergency.
December 13, 2017
Pattni N, Bould MD, Hayter MA, et al. Gender, power and leadership: the effect of a superior's gender on
respiratory therapists' ability …
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psnet.ahrq.gov/node/866586/psn-pdf
August 28, 2024 - Hidden flaws behind expert-level accuracy of multimodal
GPT-4 vision in medicine.
August 28, 2024
Jin Q, Chen F, Zhou Y, et al. Hidden flaws behind expert-level accuracy of multimodal GPT-4 vision in
medicine. NPJ Dig Med. 2024;7(1):190. doi:10.1038/s41746-024-01185-7.
https://psnet.ahrq.gov/issue/hidden-flaws-beh…
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psnet.ahrq.gov/node/837058/psn-pdf
May 11, 2022 - Establishing psychological safety in clinical supervision:
multi-professional perspectives.
May 11, 2022
Lee EH, Pitts S, Pignataro S, et al. Establishing psychological safety in clinical supervision: multi?
professional perspectives. Clin Teach. 2022;19(2):71-78. doi:10.1111/tct.13451.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/73065/psn-pdf
March 24, 2021 - Implementing the clinical occurrence reporting and
learning system: a double-loop learning incident
reporting system in long-term care.
March 24, 2021
Goh HS, Tan V, Chang J, et al. Implementing the clinical occurrence reporting and learning system: a
double-loop learning incident reporting system in long-term car…
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psnet.ahrq.gov/node/837303/psn-pdf
June 01, 2022 - What is the medication iatrogenic risk in elderly
outpatients for chronic pain?
June 1, 2022
Jambon J, Choukroun C, Roux-Marson C, et al. What is the medication iatrogenic risk in elderly outpatients
for chronic pain? Clin Neuropharmacol. 2022;45(3):65-71. doi:10.1097/wnf.0000000000000505.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/47300/psn-pdf
October 13, 2018 - Evaluation of accuracy of IHI Trigger Tool in identifying
adverse drug events: a prospective observational study.
October 13, 2018
Silva M das DG, Martins MAP, Viana L de G, et al. Evaluation of accuracy of IHI Trigger Tool in identifying
adverse drug events: a prospective observational study. Br J Clin Pharmacol. …
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psnet.ahrq.gov/node/72683/psn-pdf
January 27, 2021 - Analysis of patient safety risk management call data
during the COVID?19 pandemic.
January 27, 2021
Wessels R, McCorkle LM. Analysis of patient safety risk management call data during the COVID?19
pandemic. J Healthc Risk Manag. 2021;40(4):30-37. doi:10.1002/jhrm.21457.
https://psnet.ahrq.gov/issue/analysis-patien…
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psnet.ahrq.gov/node/865706/psn-pdf
May 01, 2024 - Stigmatizing language, patient demographics, and errors
in the diagnostic process.
May 1, 2024
Brooks KC, Raffel KE, Chia D, et al. Stigmatizing language, patient demographics, and errors in the
diagnostic process. JAMA Intern Med. 2024;184(6):704-706. doi:10.1001/jamainternmed.2024.0705.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/36025/psn-pdf
March 28, 2011 - Understanding diagnostic errors in medicine: a lesson
from aviation.
March 28, 2011
Singh H, Petersen LA, Thomas EJ. Understanding diagnostic errors in medicine: a lesson from aviation.
Qual Saf Health Care. 2006;15(3):159-64.
https://psnet.ahrq.gov/issue/understanding-diagnostic-errors-medicine-lesson-aviation
T…