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psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
July 08, 2022 - Medication Mix-Up Leads to Patient Death
Citation Text:
Sanchez L, Romano PS. Medication Mix-Up Leads to Patient Death. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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psnet.ahrq.gov/web-mm/coming-undone-failure-closure-device
April 01, 2006 - Coming Undone: Failure of Closure Device
Citation Text:
Baez-Escudero JL, Levine GN. Coming Undone: Failure of Closure Device. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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psnet.ahrq.gov/web-mm/result-stopped-here
December 01, 2006 - The Result Stopped Here
Citation Text:
Astion ML. The Result Stopped Here. 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/failure-latch
November 27, 2012 - Failure to Latch
Citation Text:
Rodriguez M, Mannel R, Frye DR. Failure to Latch. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
August 30, 2023 - Beyond the Pandemic: Creating Total Systems Safety
Patricia McGaffigan, MS, RN, CPPS; Cindy Manaoat Van, MHSA, CPPS; Sarah E. Mossburg, RN, PhD
| August 30, 2023
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Van CM, Mossb…
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psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
August 30, 2023 - In Conversation with... Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety
Patricia McGaffigan, MS, RN, CPPS; Cindy Manaoat Van, MHSA, CPPS; Sarah E. Mossburg, RN, PhD
| August 30, 2023
Also Read the Essay
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psnet.ahrq.gov/node/853081/psn-pdf
August 30, 2023 - Sue Schuelke: I want to touch on something that Kathy said about enabling more nurses to use their skills
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psnet.ahrq.gov/node/851971/psn-pdf
July 31, 2023 - Transferring information efficiently requires practice; it has been proposed that clinical
handover skills
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psnet.ahrq.gov/node/866993/psn-pdf
October 30, 2024 - Some interventions show promise across
multiple substances—for example, prevention strategies like skills-based
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psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
July 01, 2011 - Psychiatrists working in graduate medical education may face the dilemma of needing to give trainees knowledge, skills
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psnet.ahrq.gov/node/865373/psn-pdf
March 27, 2024 - a cognitive assistant for radiologists who are
looking at imaging to complement their considerable skills
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psnet.ahrq.gov/perspective/conversation-vineet-arora-md-mapp
May 31, 2023 - We need to teach these new types of skills, which is that it's not just the doctor and the patient—it's
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psnet.ahrq.gov/node/852807/psn-pdf
August 30, 2023 - Sleep deprivation in resident physicians in hospitals has been associated with impaired psychomotor
skills
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psnet.ahrq.gov/node/846975/psn-pdf
March 28, 2023 - years, we partnered with AHRQ on the development of materials focused on team-based communication
skills
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psnet.ahrq.gov/node/60858/psn-pdf
August 26, 2020 - consequently,
they may not buy in to the importance of following the care plan or lack the knowledge or skills
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psnet.ahrq.gov/node/838221/psn-pdf
September 28, 2022 - in Community-Oriented Quality Improvement to
medical students and residents, so that they get those skills
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psnet.ahrq.gov/web-mm/do-you-want-everything-done-clarifying-code-status
March 27, 2024 - Other clinical skills are certainly important, but these conversations around advance care planning and
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psnet.ahrq.gov/node/74830/psn-pdf
June 01, 2022 - Selecting local champions
Engaging in baseline data collection and benchmarking
Resources Used and Skills
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psnet.ahrq.gov/node/33791/psn-pdf
September 01, 2015 - We need to teach these new types of skills, which is that it's not just the doctor and the patient—it's
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psnet.ahrq.gov/perspective/conversation-eric-j-topol-md
February 26, 2025 - You think about the physician who has advanced knowledge and skills and training trying to wade through