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psnet.ahrq.gov/node/33697/psn-pdf
June 01, 2010 - What Do We Know About Emergency Department Safety?
June 1, 2010
Sklar DP, Crandall CS. What Do We Know About Emergency Department Safety? PSNet [internet]. 2010.
https://psnet.ahrq.gov/perspective/what-do-we-know-about-emergency-department-safety
Perspective
Emergency medicine has evolved from a location, with var…
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psnet.ahrq.gov/web-mm/undiagnosed-vaginal-bleeding
July 06, 2022 - Undiagnosed Vaginal Bleeding
Citation Text:
Mandelblatt J. Undiagnosed Vaginal Bleeding . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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psnet.ahrq.gov/web-mm/lost-black-hole
December 01, 2005 - Lost in the Black Hole
Citation Text:
Wachter R. Lost in the Black Hole. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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psnet.ahrq.gov/web-mm/acute-care-admission-behavioral-health-patient
July 19, 2023 - Acute Care Admission of the Behavioral Health Patient
Citation Text:
Weiss AP, Rosenbaum JF. Acute Care Admission of the Behavioral Health Patient. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_hindsight_is_2020_slides_final.pdf
January 01, 2024 - – Clinicians in these high risk, high reward situations may also fall prey to
commission bias, which
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psnet.ahrq.gov/periodic-issue/periodic-issue-447
July 10, 2024 - Participants identified several situations constituting near misses in different industries but note
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psnet.ahrq.gov/node/837913/psn-pdf
August 31, 2022 - Telehealth also has potential use for situations when children are over-triaged.
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psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail-community-dwelling
September 13, 2023 - pharmacist typically notifies the physician by faxed letter, but sometimes by telephone in more critical situations
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psnet.ahrq.gov/perspective/conversation-tejal-k-gandhi-md-mph
February 26, 2025 - made in implementation that have big impacts on quality and safety, but they are decided in one-off situations
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psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
January 29, 2021 - environment than among licensed clinicians who are responsible for managing patients in very high-risk situations
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psnet.ahrq.gov/web-mm/hindsight-2020-thrombolytics-alcohol-intoxication
December 18, 2024 - Clinicians in these high risk, high reward situations may also fall prey to commission bias , which
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psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-postdischarge-needs
March 27, 2024 - Patients need to understand signs that their condition is worsening and know how to respond in these situations
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psnet.ahrq.gov/perspective/conversation-gordon-schiff-md
February 26, 2025 - These are situations where we should be doing few tests and referrals.
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psnet.ahrq.gov/sites/default/files/2021-02/final_feb_2021_spotlight_delay_in_appropriate_dx.pdf
January 01, 2021 - diagnosis with
expedited communication of diagnostic reporting in emergent or
non-routine clinical situations
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psnet.ahrq.gov/node/852807/psn-pdf
August 30, 2023 - environment than among licensed clinicians who are responsible for managing patients in very high-risk
situations
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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_hindsight_is_2020_slides_final_revised_05.03.2024.pdf
January 01, 2024 - – Clinicians in these high risk, high reward situations may also fall prey to
commission bias, which
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psnet.ahrq.gov/node/33708/psn-pdf
March 01, 2011 - admitted a
patient versus a well-rested covering intern who admitted a patient for a variety of clinical situations
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psnet.ahrq.gov/node/864867/psn-pdf
April 10, 2024 - Clinicians in these high risk, high
reward situations may also fall prey to commission bias, which is
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psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon
April 01, 2006 - skills that will be required in order to make the above point true—and, to effectively defuse tense situations
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psnet.ahrq.gov/node/867850/psn-pdf
February 26, 2025 - Same thing with resilience; people need to learn as they go in chaotic situations.