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psnet.ahrq.gov/node/849679/psn-pdf
June 28, 2023 - ruptured cuff, such as a continual air leak despite
reinflation of the cuff, should be included in teaching
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psnet.ahrq.gov/node/49579/psn-pdf
March 21, 2009 - highlight the frequency and hazards of signouts
between medical providers for admitted patients in U.S. teaching
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psnet.ahrq.gov/web-mm/weighing-surgical-safety
August 04, 2021 - increase in that number in the future, every anesthesia training program should place an emphasis on teaching
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psnet.ahrq.gov/node/49786/psn-pdf
March 01, 2017 - Teaching Bayesian reasoning in less than two hours. J Exp Psychol Gen.
2001;130:380-400.
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psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-occult-hemothorax-following-complicated-central-line
April 01, 2008 - Although simulation is a useful method for teaching procedural skills, it does not substitute for closely
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psnet.ahrq.gov/web-mm/cognitive-and-communication-blind-spot-contributes-permanent-paralysis
January 13, 2010 - feel that management by junior physicians is inadequate, and augmenting bidirectional nurse-physician teaching
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psnet.ahrq.gov/web-mm/dont-wait-collect-accurate-weight-case-subtherapeutic-insulin-therapy
July 01, 2008 - recorded weight decreased from 13.1% to 9.5%. 23 Automation complacency can also be addressed with teaching
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psnet.ahrq.gov/perspective/conversation-andrew-bindman-md
June 15, 2024 - When this model was started, support was given to the hub to allow them to do teaching with the primary
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psnet.ahrq.gov/perspective/conversation-timothy-b-mcdonald-md-jd
February 26, 2025 - RW : What have we learned about teaching health care professionals how to have these conversations and
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psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
September 28, 2022 - starting a new job as the Chair of Family Medicine at a large FQHC [Federally Qualified Health Center] teaching
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psnet.ahrq.gov/issue/organizational-learning-and-patient-safety-hospital-pharmacy-settings
September 23, 2020 - Study
Organizational learning and patient safety: hospital pharmacy settings.
Citation Text:
Abdallah W, Johnson C, Nitzl C, et al. Organizational learning and patient safety: hospital pharmacy settings. J Health Organ Manag. 2019;33(6):695-713. doi:10.1108/JHOM-11-2018-0319.
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psnet.ahrq.gov/issue/computer-based-provider-order-entry-cpoe
July 20, 2022 - Multi-use Website
Computer-based Provider Order Entry--CPOE.
Citation Text:
ClinfoWiki: The Clinical Informatics Wiki.
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psnet.ahrq.gov/web-mm/wrong-channel
February 01, 2003 - The Wrong Channel
Citation Text:
Gosbee JW. The Wrong Channel
. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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psnet.ahrq.gov/node/33717/psn-pdf
September 01, 2011 - Incident Reporting: More Attention to the Safety Action
Feedback Loop, Please
September 1, 2011
Nuckols TK. Incident Reporting: More Attention to the Safety Action Feedback Loop, Please. PSNet
[internet]. 2011.
https://psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
…
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psnet.ahrq.gov/web-mm/poorly-advanced-directives
August 01, 2018 - Poorly Advanced Directives
Citation Text:
Anderson WG. Poorly Advanced Directives. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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psnet.ahrq.gov/web-mm/discontinued-medications-are-they-really-discontinued
January 05, 2017 - Discontinued Medications: Are They Really Discontinued?
Citation Text:
Mankey CG, Varkey P. Discontinued Medications: Are They Really Discontinued?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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psnet.ahrq.gov/node/49612/psn-pdf
November 01, 2010 - Treatment Challenges After Discharge
November 1, 2010
Coffey C. Treatment Challenges After Discharge. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
Case Objectives
Understand types and frequencies of adverse events occurring between patient discharge from the
hospital …
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psnet.ahrq.gov/node/857260/psn-pdf
November 30, 2023 - When Taking an SGLT2 inhibitor, Remember To SSTOP
(Stop SGLT2 Inhibitor Three days bef-O-re Procedures)!
November 30, 2023
Bagley B, Tan CL, Plante D. When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2
Inhibitor Three days bef-O-re Procedures)!. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/when…
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psnet.ahrq.gov/node/33683/psn-pdf
April 01, 2009 - Accreditation and Regulation: Can They Help Improve
Patient Safety?
April 1, 2009
Warburton RN. Accreditation and Regulation: Can They Help Improve Patient Safety? PSNet [internet].
2009.
https://psnet.ahrq.gov/perspective/accreditation-and-regulation-can-they-help-improve-patient-safety
Perspective
My grandfath…
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psnet.ahrq.gov/web-mm/departure-central-line-ritual
October 13, 2018 - Departure From Central Line Ritual
Citation Text:
Ballard DW, Vinson DR, Mark DG. Departure From Central Line Ritual. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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