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psnet.ahrq.gov/innovation/duke-pediatric-residency-safety-council
November 16, 2022 - Williams, Richard A.
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psnet.ahrq.gov/web-mm/transfusion-overload
September 23, 2020 - Carson, MD Richard C.
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psnet.ahrq.gov/perspective/patient-safety-ambulatory-care-setting
April 27, 2022 - January 31, 2024
Interview
In Conversation with...Richard
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psnet.ahrq.gov/web-mm/weighing-surgical-safety
August 04, 2021 - SPOTLIGHT CASE
Weighing In on Surgical Safety
Citation Text:
Brodsky JB, Margarson M. Weighing In on Surgical Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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Google Scholar …
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psnet.ahrq.gov/node/49846/psn-pdf
November 01, 2018 - Supervision and Entrustment in Clinical Training:
Protecting Patients, Protecting Trainees
November 1, 2018
Cate O ten-. Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees.
PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/supervision-and-entrustment-clinical-training-pr…
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psnet.ahrq.gov/web-mm/lost-transition
November 17, 2010 - As Richard Cook notes, “Catastrophe requires multiple failures—a single point failure is not enough.”
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psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
March 01, 2009 - Persell SD, Osborn CY, Richard R, Skripkauskas S, Wolf MS.
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psnet.ahrq.gov/node/49486/psn-pdf
August 21, 2005 - Richard H.
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psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
August 21, 2015 - SPOTLIGHT CASE
Order Interrupted by Text: Multitasking Mishap
Citation Text:
Halamka J. Order Interrupted by Text: Multitasking Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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…
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psnet.ahrq.gov/perspective/conversation-john-d-birkmeyer-md
January 31, 2024 - Related Resources
Interview
In Conversation with...Richard
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psnet.ahrq.gov/innovation/suicide-prevention-emergency-department-population-ed-safe
July 23, 2024 - January 31, 2024
Interview
In Conversation with...Richard
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psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
July 23, 2024 - January 31, 2024
Interview
In Conversation with...Richard
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psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
February 22, 2023 - January 31, 2024
Interview
In Conversation with...Richard
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psnet.ahrq.gov/node/49737/psn-pdf
June 01, 2015 - Fink R, Gilmartin H, Richard A, Capezuti E, Boltz M, Wald H.
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psnet.ahrq.gov/perspective/conversation-paul-mcgann-md
July 10, 2024 - September 1, 2014
Interview
In Conversation With… Richard
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psnet.ahrq.gov/web-mm/unseen-perils-urinary-catheters
January 31, 2024 - Fink R, Gilmartin H, Richard A, Capezuti E, Boltz M, Wald H.
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psnet.ahrq.gov/innovation/affordable-housing-community-offers-seniors-onsite-health-care-coordination-and-support
March 27, 2024 - January 31, 2024
Interview
In Conversation with...Richard
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psnet.ahrq.gov/perspective/equity-patient-safety
September 24, 2024 - January 31, 2024
Interview
In Conversation with...Richard
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psnet.ahrq.gov/web-mm/supervision-and-entrustment-clinical-training-protecting-patients-protecting-trainees
February 22, 2017 - SPOTLIGHT CASE
Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees
Citation Text:
Cate O ten-. Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu…
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psnet.ahrq.gov/node/49801/psn-pdf
August 01, 2017 - Despite Clues, Failed to Rescue
August 1, 2017
Ghaferi AA. Despite Clues, Failed to Rescue. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
Case Objectives
Define failure to rescue.
Identify the main contributors to failure-to-rescue events.
Appreciate the ongoing areas of scien…