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psnet.ahrq.gov/perspective/lesson-vas-team-training-program
November 01, 2011 - of simulation, we were persuaded by emerging evidence that simulation was an important adjunct for teaching … The way we're teaching is very different than what I've seen in other schools.
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psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
July 20, 2010 - March 14, 2018
Teaching patient safety in global health: lessons from the Duke Global
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psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
February 01, 2013 - families need to understand that there may be times during the rounding process when a clinician is really teaching … A clinician can say, "I'm going to be talking about some options and teaching our trainees." … communicate information to patients and families and make the distinction between care planning and clinical teaching
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psnet.ahrq.gov/innovation/behavioral-health-vital-signs-initiative-increases-patient-education-and-disclosure
February 26, 2025 - and treatments and increase morbidity or mortality. 2 As such, this innovation sought to explore how teaching
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psnet.ahrq.gov/Information/Editor
Romano's research and teaching interests focus on developing, testing, and validating health care quality
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psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-diagnostic-error
July 30, 2020 - [Free full text] Montori VM, Wyer P, Newman TB, et al; Evidence-Based Medicine Teaching Tips Working … December 14, 2022
Teaching hospital financial status and patient outcomes following … December 13, 2013
Teaching hospital five-year mortality trends in the wake of duty hour
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psnet.ahrq.gov/issue/why-admitting-mistakes-can-help-doctors-and-patients
September 13, 2023 - Audiovisual Presentation
Why admitting to mistakes can help doctors (and patients).
Citation Text:
Why admitting to mistakes can help doctors (and patients). McDonald T. TEDxSanDiego. September 23, 2023.
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psnet.ahrq.gov/issue/global-burden-preventable-medication-related-harm-health-care-systematic-review
November 15, 2023 - Book/Report
Global Burden of Preventable Medication-related Harm in Health Care: A Systematic Review.
Citation Text:
Global Burden of Preventable Medication-related Harm in Health Care: A Systematic Review. Geneva, Switzerland: World Health Organization; 2023. ISBN: 9789240088887.
Co…
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psnet.ahrq.gov/web-mm/misleading-complaint
December 01, 2009 - January 23, 2017
Teaching about diagnostic errors through virtual patient cases: a pilot
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psnet.ahrq.gov/web-mm/code-status-confusion
September 01, 2006 - SPOTLIGHT CASE
Code Status Confusion
Citation Text:
Lo B, Tulsky JA. Code Status Confusion. 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/issue/do-no-harm-stories-life-death-and-brain-surgery
January 07, 2019 - Book/Report
Do No Harm: Stories of Life, Death, and Brain Surgery.
Citation Text:
Do No Harm: Stories of Life, Death, and Brain Surgery. Marsh H. New York, NY: Thomas Dunne Books; 2015. ISBN: 9781250065810.
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psnet.ahrq.gov/issue/culture-civility-positively-impacting-practice-and-patient-safety
July 13, 2022 - Commentary
A culture of civility: positively impacting practice and patient safety.
Citation Text:
Makic MBF. A Culture of Civility: Positively Impacting Practice and Patient Safety. J Perianesth Nurs. 2018;33(2):220-222. doi:10.1016/j.jopan.2017.12.006.
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psnet.ahrq.gov/issue/case-study-webinar-series-clinician-burnout-ohio-state-university
September 28, 2022 - Webinar
Case Study Webinar Series on Clinician Burnout: The Ohio State University
Citation Text:
Case Study Webinar Series on Clinician Burnout: The Ohio State University NAM Action Collaborative on Clinician Well-Being and Resilience. Case Study Webinar Series on Clinician Burnout: The …
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psnet.ahrq.gov/issue/21st-century-health-information-act-2005
March 27, 2005 - Legislation/Case Law
21st Century Health Information Act of 2005.
Citation Text:
21st Century Health Information Act of 2005. Murphy T; Kennedy P.
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psnet.ahrq.gov/issue/promote-culture-safety-good-catch-reports
November 06, 2015 - Newspaper/Magazine Article
Promote a culture of safety with good catch reports.
Citation Text:
Promote a culture of safety with good catch reports. Wallace SC, Mamrol C, Finley E. PA-PSRS Patient Saf Advis. September 2017;14.
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psnet.ahrq.gov/issue/complications-surgeons-notes-imperfect-science
January 13, 2010 - Book/Report
Classic
Complications: A Surgeon's Notes on an Imperfect Science.
Citation Text:
Complications: A Surgeon's Notes on an Imperfect Science. Gawande A. New York, NY: Metropolitan Books; 2002. ISBN: 9780805063196.
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psnet.ahrq.gov/issue/enhancing-patient-safety-during-hand-offs-standardized-communication-and-teamwork-using-sbar
July 22, 2010 - Commentary
Enhancing patient safety during hand-offs: standardized communication and teamwork using the 'SBAR' method.
Citation Text:
Enhancing patient safety during hand-offs: standardized communication and teamwork using the 'SBAR' method. Hohenhaus S, Powell S, Hohenhaus JT. Am J …
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psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
October 01, 2009 - And the focus on teaching hospitals creates disproportionate public anxiety about being cared for by … residents—there is no evidence that teaching hospitals are less safe than hospitals without trainees.
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psnet.ahrq.gov/Information/Panel
January 01, 2012 - Browse Author Resources
Technical Expert Panel The AHRQ PSNet Technical Expert Panel (TEP) is a distinguished group of healthcare professionals and subject matter experts dedicated to enhancing patient safety within the healthcare industry. They represent a diverse array of backgrounds, …
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psnet.ahrq.gov/issue/closing-loop-guide-safer-ambulatory-referrals-ehr-era
July 12, 2017 - Book/Report
Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era.
Citation Text:
Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. Institute for Healthcare Improvement, National Patient Safety Foundation. Cambridge, MA: Institute for Healthcare Imp…