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psnet.ahrq.gov/node/49528/psn-pdf
January 01, 2015 - The "Customer" Is Always Right
February 1, 2007
Sehgal NL. The "Customer" Is Always Right. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/customer-always-right
Case Objectives
Understand the importance of identifying a patient's agenda.
Appreciate the factors that contribute to unmet patient expectations.
…
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psnet.ahrq.gov/node/33678/psn-pdf
January 01, 2009 - In Conversation with…Thomas H. Gallagher, MD
January 1, 2009
In Conversation with…Thomas H. Gallagher, MD. PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/conversation-withthomas-h-gallagher-md
Editor's note: Thomas H. Gallagher, MD, is Associate Professor in the Department of Medicine and the
Departme…
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psnet.ahrq.gov/node/49573/psn-pdf
January 01, 2009 - Dangerous Shift
November 1, 2008
Patterson ES. Dangerous Shift. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/dangerous-shift
Case Objectives
Review the evidence base on erroneous actions related to shift changes.
Understand the limits of standardizing handoffs in preventing errors at shift change.
Expla…
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psnet.ahrq.gov/node/49540/psn-pdf
August 21, 2007 - Resuscitation Errors: A Shocking Problem
August 21, 2007
Edelson DP, Abella BS. Resuscitation Errors: A Shocking Problem. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/resuscitation-errors-shocking-problem
Case Objectives
Appreciate that delays in defibrillation can have significant negative effects on sur…
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psnet.ahrq.gov/web-mm/too-tight-control
March 20, 2013 - SPOTLIGHT CASE
Too Tight Control
Citation Text:
Rubin HR, Fajtova VT. Too Tight Control. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote…
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psnet.ahrq.gov/innovations
February 26, 2025 - Innovations
The PSNet Innovations page highlights pioneering advances that can improve patient safety. PSNet innovations are defined as “new or updated interventions, approaches, systems, tools, policies, organizational structures or business models implemented to improve or enhance quality of care and reduce harm.” …
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psnet.ahrq.gov/perspective/conversation-richard-c-boothman-jd
March 01, 2012 - So why not sample the residents quarterly in an anonymous way and just ask them, "What's on your mind … So sampling patients, sampling residents, sampling the nursing staff—you go to a floor and just ask, … do two surgeries at one time (notwithstanding the increased infection risk, the distraction, putting residents
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psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system
March 01, 2012 - So why not sample the residents quarterly in an anonymous way and just ask them, "What's on your mind … So sampling patients, sampling residents, sampling the nursing staff—you go to a floor and just ask, … do two surgeries at one time (notwithstanding the increased infection risk, the distraction, putting residents
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psnet.ahrq.gov/issue/health-care-crossroads-strategies-improving-medical-liability-system-and-preventing-patient
September 07, 2005 - The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment to Residents
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psnet.ahrq.gov/issue/ai-health-huge-potential-huge-risks
October 11, 2023 - The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment to Residents
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psnet.ahrq.gov/web-mm/communication-consultants
October 01, 2018 - Comparison of appendectomy outcomes between senior general surgeons and general surgery residents
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psnet.ahrq.gov/node/49387/psn-pdf
February 01, 2003 - rooms, and even tote boards and
individualized patient lists commonly used by students, interns, and residents
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psnet.ahrq.gov/node/49619/psn-pdf
February 01, 2011 - Despite the countless hours spent by students, residents, and faculty gazing at neck veins, the
overall
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psnet.ahrq.gov/node/33638/psn-pdf
August 01, 2006 - So, we
set out to interview anesthesiologists, residents, and nurse anesthetists, seeking to learn from
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psnet.ahrq.gov/node/73643/psn-pdf
August 01, 2022 - The primary care provider, discharging
attending physician, subspecialists, and residents are also invited
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psnet.ahrq.gov/node/49701/psn-pdf
February 01, 2014 - have been reported as
ranging from 2.2% in ambulatory patients to approximately 50% in nursing home residents
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psnet.ahrq.gov/node/49826/psn-pdf
April 01, 2018 - Effects of fatigue on residents' performance
in laparoscopy. J Am Coll Surg. 2015;221:564-570.e3.
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psnet.ahrq.gov/topics-0
March 03, 2025 - Online Education Go to this topic
Patient Education Go to this topic
Residents
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psnet.ahrq.gov/primers-0
March 15, 2025 - Training
(12)
Continuing Education
(1)
Patient Education
(1)
Residents
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psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight Case_Medication Error During Procedural Sedation in the Pediatric ED_03.27.2023.pptx
Spotlight
The Dose Makes the Poison: Medication Error During
Procedural Sedation in the Pediatric Emergency
Department
Source and Credits
• This presentation is based on the April 2023 AH…