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psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture
November 25, 2020 - Skills acquisition and conditional autonomy must be balanced against the need to keep patients safe from
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psnet.ahrq.gov/node/850673/psn-pdf
June 14, 2023 - They need help in developing communication skills beyond the cell phone and texts, to talk to and
collaborate
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psnet.ahrq.gov/perspective/rediscovering-power-surgical-mm-conference-mm-matrix
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/node/33868/psn-pdf
October 01, 2018 - Safety in the Retail Pharmacy
October 1, 2018
Chui MA. Safety in the Retail Pharmacy. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/safety-retail-pharmacy
Perspective
There are approximately 67,000 retail/community pharmacies dispensing 4.4 billion prescriptions each
year.(1) Many patients interact w…
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psnet.ahrq.gov/node/49404/psn-pdf
June 01, 2003 - Not a Miscarriage
June 1, 2003
Learman LA. Not a Miscarriage. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/not-miscarriage
The Case
A 32-year-old woman, gravida 3, para 1, with a history of Type 2 diabetes mellitus on metformin, presented
at 7 and 2/7 weeks by last menstrual period (LMP). The patient rep…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.362_slideshow.ppt
December 01, 2015 - PowerPoint Presentation
Spotlight
Harm From Alarm Fatigue
This presentation is based on the December 2015
AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Michele M. Pelter, RN, PhD, and Barbara J. Drew, RN, PhD, University of California, San …
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psnet.ahrq.gov/node/33579/psn-pdf
September 15, 2024 - Systems Approach
September 15, 2024
Systems Approach. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/systems-approach
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in …
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psnet.ahrq.gov/perspective/accountability-patient-safety
January 01, 2018 - Annual Perspective
Accountability in Patient Safety
Christopher Moriates, MD, and Robert M. Wachter, MD | January 1, 2015
View more articles from the same authors.
Citation Text:
Moriates C, Wachter R. Accountability in Patient Safety. PSNet [internet]. Rock…
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psnet.ahrq.gov/web-mm/lap-burn
March 01, 2018 - Lap Burn
Citation Text:
Ball K. Lap Burn. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Download Cita…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.284_slideshow.ppt
November 01, 2012 - Spotlight Case July 2008
Spotlight Case
Transfusion Overload
1
2
Source and Credits
This presentation is based on the November 2012
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Manish S. Patel, MD, and Jeffrey L. Carson, MD, of UMDNJ−Robert Wood …
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psnet.ahrq.gov/perspective/building-systems-citizenship-health-professions-education-continued-call-health-systems
February 01, 2019 - They also need to embrace new skills and habits, and teams and organizations need to adopt a new way … October 19, 2022
Mastering improvement science skills in the new era of quality and safety
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psnet.ahrq.gov/node/60241/psn-pdf
February 24, 2022 - Coronavirus Disease 2019 (COVID-19) and Safety of Older
Adults Residing in Nursing Homes
February 24, 2022
Bakerjian D. Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing
Homes. PSNet [internet]. 2022.
https://psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-safety-older-…
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psnet.ahrq.gov/sites/default/files/2020-03/final_spotlight_case_delays_in_the_ed_powerpoint_for_cme_review_03.09.2020.pdf
January 01, 2020 - .
– A set of tools aimed at optimizing patient outcomes by improving
communication and teamwork skills
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psnet.ahrq.gov/node/854848/psn-pdf
October 31, 2023 - Communication skills in diagnostic pathology. Virchows Arch. 2016;468:
61–67. [Available at]
12.
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psnet.ahrq.gov/node/841139/psn-pdf
December 14, 2022 - When the patient is receiving monitored anesthesia care with light sedation, these language
skills will
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psnet.ahrq.gov/node/852808/psn-pdf
August 30, 2023 - Effective communication: The team prioritizes and continuously refines its communication skills.
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psnet.ahrq.gov/sites/default/files/2023-08/spotlight_case_prolonged_dka_in_pregnancy_-_slides_-_revised.pdf
January 01, 2023 - – Effective communication: The team prioritizes and continuously refines it’s communication
skills
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psnet.ahrq.gov/node/33768/psn-pdf
June 01, 2014 - understand this and think of their practice as a partnership,
where part of the art is to develop the skills
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psnet.ahrq.gov/node/49864/psn-pdf
June 01, 2019 - These activities are learned skills.
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psnet.ahrq.gov/node/863650/psn-pdf
February 28, 2024 - simulation to build the teams’
confidence in implementing the A-F bundle together
Resources Used and Skills