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psnet.ahrq.gov/web-mm/abnormal-volunteer-results
July 18, 2016 - depression, unexpected positive human immunodeficiency virus (HIV) status, and—as described in this scenario—finding … In this scenario, a plan of action might include prompt timing for analysis of the data and communication
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psnet.ahrq.gov/periodic-issue/periodic-issue-411
October 31, 2023 - In a scenario describing a patient at Emergency Severity Index (ESI) level 1, the highest level, only … In a scenario describing a patient at Emergency Severity Index (ESI) level 1, the highest level, only
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psnet.ahrq.gov/perspective/remote-patient-monitoring
March 15, 2023 - the RPM side, our experience would be more related to acute care monitoring, like a hospital-at-home scenario … Sarah Mossburg: It sounds like in this acute COVID-19 scenario that you were able to improve patient
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psnet.ahrq.gov/perspective/conversation-dr-neal-sikka-and-dr-colton-hood-about-remote-patient-monitoring
March 15, 2023 - the RPM side, our experience would be more related to acute care monitoring, like a hospital-at-home scenario … Sarah Mossburg: It sounds like in this acute COVID-19 scenario that you were able to improve patient
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psnet.ahrq.gov/issue/medication-management-detailed-use-case
June 29, 2016 - Book/Report
Medication Management: Detailed Use Case.
Citation Text:
Medication Management: Detailed Use Case. Washington, DC: Office of the National Coordinator for Health Information Technology, US Department of Health and Human Services; 2007.
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psnet.ahrq.gov/issue/risk-management-pearls-disclosure-adverse-events
July 05, 2017 - Book/Report
Risk Management Pearls on Disclosure of Adverse Events.
Citation Text:
Risk Management Pearls on Disclosure of Adverse Events. Amori GH. Chicago, IL: American Society for Healthcare Risk Management; 2006.
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psnet.ahrq.gov/periodic-issue/periodic-issue-423
January 04, 2024 - January 17, 2024 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, report…
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psnet.ahrq.gov/node/33721/psn-pdf
November 01, 2011 - This provides some structure to the debriefing discussion that follows each and every
simulation scenario
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psnet.ahrq.gov/issue/taking-dna-time-out-ensure-accuracy
March 26, 2014 - of human factors to improve usability of clinical decision support for diagnostic decision-making: a scenario-based
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psnet.ahrq.gov/web-mm/too-hot-comfort
May 19, 2015 - The Commentary This case scenario describes an incident in which a case of extravasation injury was … This clinical scenario was fortunately associated with no significant burn injury.
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psnet.ahrq.gov/issue/lessons-work-life-wellness-academic-medicine-parts-1-3
May 18, 2017 - Special or Theme Issue
Lessons for Work-Life Wellness in Academic Medicine: Parts 1-3.
Citation Text:
Lessons for Work-Life Wellness in Academic Medicine: Parts 1-3. Kans J Med. 2023;16:153-171.
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psnet.ahrq.gov/issue/toolkits-reduce-hypertension-pregnancy-and-obstetric-hemorrhage
August 01, 2012 - Toolkit
Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage.
Citation Text:
Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage. Rockville, MD: Agency for Healthcare Research and Quality; July 2023.
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psnet.ahrq.gov/issue/learning-patient-safety-incidents-creating-participative-risk-regulation-healthcare
February 28, 2024 - Commentary
Learning from patient safety incidents: creating participative risk regulation in healthcare.
Citation Text:
Macrae C. Learning from patient safety incidents: Creating participative risk regulation in healthcare. Health Risk Soc. 2008;10(1). doi:10.1080/13698570701782452.
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psnet.ahrq.gov/issue/opportunities-performance-improvement-relation-medication-administration-during-pediatric
June 28, 2023 - Study
Opportunities for performance improvement in relation to medication administration during pediatric stabilization.
Citation Text:
Morgan N. Opportunities for performance improvement in relation to medication administration during pediatric stabilization. Quality and Safety in Hea…
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psnet.ahrq.gov/issue/zebra-intensive-care-unit-metacognitive-reflection-misdiagnosis
October 19, 2022 - Commentary
Zebra in the intensive care unit: a metacognitive reflection on misdiagnosis.
Citation Text:
Gillon SA, Radford ST. Zebra in the intensive care unit: a metacognitive reflection on misdiagnosis. Crit Care Resusc. 2012;14(3):216-20.
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psnet.ahrq.gov/issue/when-i-saydiagnostic-error
January 26, 2022 - Commentary
When I say…diagnostic error.
Citation Text:
Hautz WE. When I say… diagnostic error. Med Educ. 2018. doi:10.1111/medu.13602.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/virtual-patients-designed-training-against-medical-error-exploring-impact-decision-making
May 15, 2024 - Study
Virtual patients designed for training against medical error: exploring the impact of decision-making on learner motivation.
Citation Text:
Woodham LA, Round J, Stenfors T, et al. Virtual patients designed for training against medical error: Exploring the impact of decision-making …
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psnet.ahrq.gov/node/49721/psn-pdf
December 01, 2014 - Ebola: Are We Ready?
December 1, 2014
Barsuk JH, Barnard C. Ebola: Are We Ready? PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/ebola-are-we-ready
The Case
A 28-year-old man, well-appearing but pale, walked into the emergency department (ED) on a Wednesday
afternoon at 3 PM complaining of nausea, vomiting,…
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psnet.ahrq.gov/issue/quality-and-safety-education-nurses-nursing-leadership-skills-exercise
July 29, 2020 - Commentary
Quality and safety education for nurses: a nursing leadership skills exercise.
Citation Text:
Harrison EM. Quality and safety education for nurses: a nursing leadership skills exercise. J Nurs Educ. 2014;53(6):356-361. doi:10.3928/01484834-20140512-01.
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psnet.ahrq.gov/issue/safer-care-home-use-simulation-training-improve-standards
August 05, 2020 - Study
Safer care at home: use of simulation training to improve standards.
Citation Text:
Unsworth J, Tuffnell C, Platt A. Safer care at home: use of simulation training to improve standards. Br J Community Nurs. 2011;16(7):334-9.
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