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psnet.ahrq.gov/issue/does-malpractice-liability-promote-patient-safety-methodological-excursion
August 26, 2020 - Commentary
Does malpractice liability promote patient safety? A methodological excursion.
Citation Text:
Does malpractice liability promote patient safety? A methodological excursion. Saks MJ, Landsman S. Jurimetrics. 2022;62:397-419.
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psnet.ahrq.gov/issue/pregnancy-related-deaths-saving-womens-lives-during-and-after-delivery
September 07, 2016 - Newspaper/Magazine Article
Pregnancy-related deaths: saving women’s lives before, during and after delivery.
Citation Text:
Pregnancy-related deaths: saving women’s lives before, during and after delivery. CDC Vital Signs. May 7, 2019.
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psnet.ahrq.gov/issue/whats-name-newborn-naming-conventions-and-wrong-patient-errors
September 14, 2016 - Newspaper/Magazine Article
What's in a name? Newborn naming conventions and wrong-patient errors.
Citation Text:
What's in a name? Newborn naming conventions and wrong-patient errors. ISMP Medication Safety Alert! Acute Care Edition. April 25, 2019.
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psnet.ahrq.gov/issue/anticoagulant-safety-takes-center-stage-2007
May 07, 2018 - Newspaper/Magazine Article
Anticoagulant safety takes center stage in 2007.
Citation Text:
Anticoagulant safety takes center stage in 2007. ISMP Medication Safety Alert! Acute Care Edition. January 11, 2007;12:1-3.
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psnet.ahrq.gov/perspective/conversation-withgerald-b-hickson-md
December 01, 2009 - news is that a pilot study examining 12 years of claims experience of a defined cohort of surgeons suggests
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psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
December 01, 2009 - news is that a pilot study examining 12 years of claims experience of a defined cohort of surgeons suggests
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psnet.ahrq.gov/node/841467/psn-pdf
December 14, 2022 - concerns (PS) or personal beliefs of a clinician
(PBOC) took priority, when our proposed framework suggests
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psnet.ahrq.gov/perspective/conversation-withwilliam-b-weeks-md-mba
May 01, 2009 - errors (i.e., doctors have simply made incorrect diagnostic judgments), but a deeper look at the data suggests
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psnet.ahrq.gov/web-mm/missed-pneumonia
June 01, 2005 - Missed Pneumonia
Citation Text:
Rohde JM, Flanders S. Missed Pneumonia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMed…
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psnet.ahrq.gov/web-mm/poor-prognosis
March 15, 2016 - SPOTLIGHT CASE
Poor Prognosis
Citation Text:
Lamont EB. Poor Prognosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…
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psnet.ahrq.gov/web-mm/missing-suction-tip
January 01, 2006 - SPOTLIGHT CASE
The Missing Suction Tip
Citation Text:
Thomas EJ, Moore FA. The Missing Suction Tip. 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/node/49419/psn-pdf
October 01, 2003 - The Other Side
October 1, 2003
Vincent CA. The Other Side. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/other-side
Case Objectives
List the factors contributing to wrong site surgery.
Understand the key components of the Universal Protocol for eliminating wrong site, wrong
procedure, wrong person surger…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.152_slideshow.ppt
June 01, 2007 - Spotlight Case [MONTH] 2003
Spotlight Case June 2007
Beeline to Spine
Source and Credits
This presentation is based on June 2007
AHRQ WebM&M Spotlight Case
See full article at http://webmm.ahrq.gov
CME credit is available online
Commentary by: Gerald W. Smetana, MD, Harvard Medical School, Beth Israel D…
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psnet.ahrq.gov/node/49594/psn-pdf
December 01, 2009 - Standard Deviations
December 1, 2009
Sabin JE. Standard Deviations. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/standard-deviations
Case Objectives
Understand the safety risks associated with patients being discharged against medical advice
(AMA).
Recognize safety risks associated with being part of a …
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psnet.ahrq.gov/periodic-issue/periodic-issue-470
December 31, 2024 - January 15, 2025 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…
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psnet.ahrq.gov/issue/people-processes-health-it-and-accurate-patient-identification
April 11, 2018 - Newspaper/Magazine Article
People, processes, health IT and accurate patient identification.
Citation Text:
People, processes, health IT and accurate patient identification. Quick Safety. October 1, 2018;(45):1-2.
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psnet.ahrq.gov/issue/reporting-and-second-order-problem-solving-can-turn-short-term-fixes-long-term-remedies
May 07, 2018 - Newspaper/Magazine Article
Reporting and second-order problem solving can turn short-term fixes into long-term remedies.
Citation Text:
Reporting and second-order problem solving can turn short-term fixes into long-term remedies. ISMP Medication Safety Alert! Acute Care Edition. May 19, …
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psnet.ahrq.gov/issue/francis-report-one-year
April 02, 2014 - Book/Report
The Francis Report: One Year On.
Citation Text:
The Francis Report: One Year On. Thorlby R, Smith J, Williams S, Dayan M. London, UK: Nuffield Trust; February 2014.
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psnet.ahrq.gov/issue/guardians-grafts-reducing-medication-errors-transplant-recipients
July 17, 2024 - Newspaper/Magazine Article
Guardians of grafts: reducing medication errors in transplant recipients.
Citation Text:
Guardians of grafts: reducing medication errors in transplant recipients. ISMP Medication Safety Alert! Acute care. April 4, 2024;29(7):1-4.
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psnet.ahrq.gov/issue/disruptive-clinician-behavior-persistent-threat-patient-safety
August 23, 2007 - Commentary
Disruptive clinician behavior: a persistent threat to patient safety.
Citation Text:
Disruptive clinician behavior: a persistent threat to patient safety. Porto G; Lauve R. Patient Safety Quality Healthcare. July / August 2006.
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