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psnet.ahrq.gov/perspective/conversation-withatul-gawande-md-ma-mph
September 01, 2007 - This moderator, a respected physician with strong meeting management and teaching skills, relies on his
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psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
January 04, 2024 - goal here is not to know “how many” instruments are involved but to determine with visual and tactile skills
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psnet.ahrq.gov/node/49410/psn-pdf
July 01, 2003 - A Little Shuteye
July 1, 2003
Farion KJ. A Little Shuteye. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/little-shuteye
The Case
A 3-year-old boy was seen in urgent care for a superficial laceration above the left eyebrow. The
pediatrician had heard of the availability of topical skin adhesive that can be…
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psnet.ahrq.gov/node/49524/psn-pdf
November 01, 2006 - Secured But Not Always Safe
November 1, 2006
Jahr JS, Hosseini P. Secured But Not Always Safe. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/secured-not-always-safe
The Case
An 84-year-old healthy woman underwent an elective left total knee replacement for degenerative
osteoarthritis. She received spinal …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.251_slideshow.ppt
October 01, 2011 - Spotlight Case [MONTH] 2003
Spotlight Case
Mobility Lost in the ICU
*
*
Source and Credits
This presentation is based on the October 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Jim Smith, PT, DPT, MA; Associate Professor of Physical …
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psnet.ahrq.gov/node/33854/psn-pdf
March 01, 2018 - Missed Nursing Care: A Key Measure for Patient Safety
March 1, 2018
Ball JE, Griffiths P. Missed Nursing Care: A Key Measure for Patient Safety. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
Perspective
Errors in hospitals remain a major cause of death.(1…
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psnet.ahrq.gov/node/49511/psn-pdf
May 01, 2006 - Citrate Mix-Up
May 1, 2006
Weber RJ. Citrate Mix-Up. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/citrate-mix
The Case
A 36-year-old woman with multiple sclerosis, diabetes, and chronic renal failure was transferred from a
skilled nursing facility (SNF) to the hospital for treatment of an infection. On a…
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psnet.ahrq.gov/perspective/update-patient-engagement-safety
January 01, 2017 - Annual Perspective
Update: Patient Engagement in Safety
Rachel J. Stern, MD, and Urmimala Sarkar, MD | January 1, 2018
View more articles from the same authors.
Citation Text:
Stern RJ, Sarkar U. Update: Patient Engagement in Safety. PSNet [internet]. Rockvi…
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psnet.ahrq.gov/primer/human-factors-engineering
December 15, 2024 - Human Factors Engineering
Citation Text:
Human Factors Engineering. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…
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psnet.ahrq.gov/node/33872/psn-pdf
January 01, 2018 - Update: Patient Engagement in Safety
January 1, 2018
Stern RJ, Sarkar U. Update: Patient Engagement in Safety. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/update-patient-engagement-safety
Annual Perspective 2018
Background
Patient engagement has become a cornerstone of patient safety. A Patient Saf…
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psnet.ahrq.gov/perspective/conversation-elsabeth-kalenderian-dds-mph-phd-and-muhammad-f-walji-phd
December 22, 2020 - So it's really very specific to hand skills or a sudden movement. … up to speed really, really quickly, procedurally, cognitively, and you know all of these other side skills
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psnet.ahrq.gov/perspective/adverse-events-dentistry
December 22, 2020 - So it's really very specific to hand skills or a sudden movement. … up to speed really, really quickly, procedurally, cognitively, and you know all of these other side skills
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psnet.ahrq.gov/web-mm/missed-pneumonia
June 01, 2005 - We must rely on the diagnostic skills of clinicians and a certain mindfulness that not all diagnoses
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psnet.ahrq.gov/web-mm/doctor-dont-treat-thyself
August 21, 2024 - Since physicians have the skills and opportunities to initiate testing and treatment, apprehension about
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psnet.ahrq.gov/web-mm/deciphering-code
November 16, 2022 - Beyond advance directives: importance of communication skills at the end of life.
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psnet.ahrq.gov/web-mm/recurrent-appendicitis
January 15, 2020 - May 27, 2009
Association between surgeon technical skills and patient outcomes.
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psnet.ahrq.gov/web-mm/chest-tube-complications
September 27, 2023 - Chest Tube Skills Demonstration Checklist.
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psnet.ahrq.gov/node/49403/psn-pdf
June 01, 2003 - accountable as individuals, but tasked to work as
members of a team, without training in teamwork skills
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psnet.ahrq.gov/web-mm/hard-swallow
April 26, 2023 - Some studies cite practitioner communication skills as a factor in malpractice.( 1,2 ) Furthermore, the
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psnet.ahrq.gov/web-mm/departure-central-line-ritual
October 13, 2018 - equipment Post-Event Inattention Distraction Lack of Supervision/Assistance Skills