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psnet.ahrq.gov/issue/minor-mistakes-deadly-results
April 02, 2008 - November 12, 2014
Is surgery safer at a teaching hospital?
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psnet.ahrq.gov/issue/contributions-tele-intensive-care-unit-tele-icu-technology-quality-care-and-patient-safety
February 16, 2022 - May 31, 2017
Medication safety in two intensive care units of a community teaching hospital
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psnet.ahrq.gov/node/33657/psn-pdf
September 01, 2007 - This
moderator, a respected physician with strong meeting management and teaching skills, relies on
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psnet.ahrq.gov/node/49559/psn-pdf
April 01, 2008 - Classic teaching has suggested that hyperventilation is
fundamental in the management of ICP.
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psnet.ahrq.gov/perspective/introducing-redesigned-ahrq-patient-safety-network
December 01, 2005 - We have published 360 cases, which have been widely used in teaching and republished by several other
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psnet.ahrq.gov/primer/duty-hours-and-patient-safety
June 15, 2024 - , their overall educational experience may have worsened, because they have less time available for teaching
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psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
August 01, 2014 - We try to imbue that in our residents, and they are teaching us how to do that well. … November 26, 2014
Changing conversations: teaching safety and quality in residency training
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psnet.ahrq.gov/primer/debriefing-clinical-learning
September 15, 2024 - framework and accompanying tools that integrate learner self-assessment, guided discussion, and feedback/teaching … explored to enhance learning and new understanding is generated through discussion, deliberation, and teaching
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psnet.ahrq.gov/web-mm/hypoxemia-after-emergency-intubation
March 24, 2019 - increase their proficiency with all relevant tasks. 14 Simulation has also been shown to be effective for teaching … Teaching basic fiberoptic intubation skills in a simulator: initial learning and skills decay.
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psnet.ahrq.gov/perspective/risk-management-and-patient-safety
December 01, 2010 - For example, in the mid-1980s, RMF asked the anesthesia chairs of the major teaching hospitals affiliated … A study of the triggers was then undertaken at the four largest academic teaching hospitals. … Her teaching about patient safety and risk management has been shaped, in part, by her previous experience
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psnet.ahrq.gov/perspective/conversation-withgeri-amori-phd
December 01, 2010 - Her teaching about patient safety and risk management has been shaped, in part, by her previous experience … For example, in the mid-1980s, RMF asked the anesthesia chairs of the major teaching hospitals affiliated … A study of the triggers was then undertaken at the four largest academic teaching hospitals.
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psnet.ahrq.gov/perspective/conversation-gregg-s-meyer-md-msc
June 01, 2016 - How have you thought about teaching that and how have you thought about testing that as part of the certification … October 15, 2018
An improvement approach to integrate teaching teams in the reporting
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psnet.ahrq.gov/perspective/conversation-withjack-barker-phd
January 01, 2006 - At that time, we started training crews together, teaching them how to communicate most effectively and … One-day courses may be useful for teaching basic concepts, but it is hard to imagine how they could permanently
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.122_slideshow.ppt
April 01, 2006 - Spotlight Case [MONTH] 2003
Spotlight Case April 2006
Is the “Surgical Personality” a Threat to Patient Safety?
Source and Credits
This presentation is based on the April 2006
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary …
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psnet.ahrq.gov/periodic-issue/periodic-issue-280
February 10, 2021 - February 24, 2021 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, repor…
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psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers
August 05, 2009 - Discharge Instructions in the PACU: Who Remembers?
Citation Text:
Engel KG. Discharge Instructions in the PACU: Who Remembers?. 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/web-mm/after-visit-confusion
August 21, 2007 - After-Visit Confusion
Citation Text:
Ventres W. After-Visit Confusion. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…
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psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication
December 23, 2020 - Multiple Levels Involved in Prescribing the Wrong Medication
Citation Text:
Chin K, Chau V, Spero H, et al. Multiple Levels Involved in Prescribing the Wrong Medication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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psnet.ahrq.gov/web-mm/signout-fallout
November 16, 2022 - project in which a refined handoff bundle was implemented in nine pediatric residency programs in leading teaching
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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_managing_complexity_in_diagnosis_-_slides_final.pptx
January 01, 2024 - Theory-guided teaching: Implementation of a clinical reasoning curriculum in residents.