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psnet.ahrq.gov/node/838318/psn-pdf
October 12, 2022 - Exposure to incivility does not hinder speaking up: a
randomised controlled high-fidelity simulation-based
study.
October 12, 2022
Vauk S, Seelandt JC, Huber K, et al. Exposure to incivility does not hinder speaking up: a randomised
controlled high-fidelity simulation-based study. Br J Anaesth. 2022;129(5):776-787…
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psnet.ahrq.gov/periodic-issue/periodic-issue-410
September 27, 2023 - In this study, simulation scenarios were used to identify LSTs associated with the opening of a new emergency … In this study, simulation scenarios were used to identify LSTs associated with the opening of a new emergency
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psnet.ahrq.gov/perspective/what-makes-good-checklist
October 01, 2010 - Consider all possible task scenarios. … at altitude but not failure near the ground when there was little time to react.( 11 ) Including all scenarios … requires length—not lengthier checklists, but different checklists for different scenarios. … Every checklist should be tested with real users in realistic scenarios.
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psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0
October 01, 2010 - Consider all possible task scenarios. … at altitude but not failure near the ground when there was little time to react.( 11 ) Including all scenarios … requires length—not lengthier checklists, but different checklists for different scenarios. … Every checklist should be tested with real users in realistic scenarios.
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psnet.ahrq.gov/web-mm/do-you-want-everything-done-clarifying-code-status
March 27, 2024 - certainly attempt to), it is critically important to identify an agent who will consider specific clinical scenarios … review the POLST document and determine code status and treatment decisions occurring in various patient scenarios
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psnet.ahrq.gov/node/49589/psn-pdf
August 01, 2009 - Diagnostic Errors with Zoster
There are several clinical scenarios when the diagnosis of HZ is missed
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psnet.ahrq.gov/node/39979/psn-pdf
November 03, 2010 - Does simulator-based clinical performance correlate with
actual hospital behavior? The effect of extended work
hours on patient care provided by medical interns.
November 3, 2010
Gordon JA, Alexander EK, Lockley SW, et al. Does Simulator-Based Clinical Performance Correlate With
Actual Hospital Behavior? The Effec…
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psnet.ahrq.gov/node/867526/psn-pdf
January 15, 2025 - Older adult misuse of over-the-counter medications:
effectiveness of a novel pharmacy-based intervention to
improve patient safety.
January 15, 2025
Gilson AM, Chladek JS, Stone JA, et al. Older adult misuse of over-the-counter medications: effectiveness
of a novel pharmacy-based intervention to improve patient sa…
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psnet.ahrq.gov/periodic-issue/periodic-issue-390
April 26, 2023 - This study used two clinical scenarios to assess obstetricians' likelihood to recommend cesarean section … All participants received the same scenarios with the only difference being the patient's race (i.e.,
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psnet.ahrq.gov/node/33566/psn-pdf
September 15, 2024 - Teamwork training may be purely
classroom-based or accompanied by simulations of specific scenarios
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psnet.ahrq.gov/web-mm/wrong-blade-lack-familiarity-pediatric-emergency-equipment
June 01, 2018 - based on the Broselow tape: a randomized, controlled, crossover trial involving simulated resuscitation scenarios
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psnet.ahrq.gov/node/865532/psn-pdf
April 10, 2024 - Let us to the TWISST; Plan, Simulate, Study and Act.
April 10, 2024
Colman N, Hebbar KB. Let us to the TWISST; Plan, Simulate, Study and Act. Pediatr Qual Saf.
2023;8(4):e664. doi:10.1097/pq9.0000000000000664.
https://psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act
In situ simulation can identi…
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psnet.ahrq.gov/node/49538/psn-pdf
June 01, 2007 - around researchers' obligation to offer individual clinical results.(5-7) One
can imagine potential scenarios
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psnet.ahrq.gov/web-mm/triage-time-bomb
September 01, 2008 - Triage Time Bomb
Citation Text:
Washington DL. Triage Time Bomb. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
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psnet.ahrq.gov/node/39896/psn-pdf
July 03, 2014 - Effect of availability bias and reflective reasoning on
diagnostic accuracy among internal medicine residents.
July 3, 2014
Mamede S, Van Gog T, Van den Berge K, et al. Effect of availability bias and reflective reasoning on
diagnostic accuracy among internal medicine residents. JAMA. 2010;304(11):1198-1203.
doi:1…
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psnet.ahrq.gov/issue/escape-room
April 30, 2024 - Tools/Toolkit
Escape Room.
Citation Text:
Escape Room. Harrisburg, PA: Pennsylvania Safety Authority; 2020.
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…
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psnet.ahrq.gov/node/49505/psn-pdf
March 01, 2006 - Collegiality vs. Competence
March 1, 2006
Sagin T. Collegiality vs. Competence. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/collegiality-vs-competence
The Case
A 91-year-old man with coronary artery disease was taken to the operating room (OR) for semi-elective
repair of a 10-cm abdominal aortic aneurys…
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psnet.ahrq.gov/node/49420/psn-pdf
October 01, 2003 - To LP or Not LP
October 1, 2003
Landrigan CP. To LP or Not LP. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/lp-or-not-lp
The Case
A 4-month-old male infant was seen in the office setting of a large multisite practice. He presented with
fever and irritability without an obvious source. He was referred to …
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psnet.ahrq.gov/node/47104/psn-pdf
December 04, 2018 - Deriving a framework for a systems approach to agitated
patient care in the emergency department.
December 4, 2018
Wong AH, Ruppel H, Crispino LJ, et al. Deriving a Framework for a Systems Approach to Agitated Patient
Care in the Emergency Department. Jt Comm J Qual Patient Saf. 2018;44(5):279-292.
doi:10.1016/j.j…
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psnet.ahrq.gov/periodic-issue/periodic-issue-463
October 30, 2024 - November 6, 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…