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psnet.ahrq.gov/node/40042/psn-pdf
June 09, 2015 - AHRQ 2010 Annual Conference.
June 9, 2015
Agency for Healthcare Research and Quality; AHRQ.
https://psnet.ahrq.gov/issue/ahrq-2010-annual-conference
This Web site provides videos of plenary addresses from the 2010 AHRQ Annual Conference, including
presentations by Carolyn Clancy, MD, and Atul Gawande, MD.
https:/…
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psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms
April 19, 2023 - They did one thing that was slightly different than what we tested.
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psnet.ahrq.gov/web-mm/delayed-management-necrotizing-soft-tissue-infection-who-does-patient-belong
March 31, 2021 - that are useful and important, that will ultimately lead to a culture of safety, where doing the safe thing
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psnet.ahrq.gov/node/850673/psn-pdf
June 14, 2023 - One thing that became apparent, unfortunately, during the
pandemic was the disparity in technology access
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psnet.ahrq.gov/perspective/safety-and-medical-education
December 01, 2013 - Annual Perspective
Safety and Medical Education
Sumant Ranji, MD | January 1, 2014
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Ranji SR. Safety and Medical Education. PSNet [internet]. Rockville (MD): Agency for Healt…
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psnet.ahrq.gov/perspective/diagnostic-errors
December 01, 2013 - Annual Perspective
Diagnostic Errors
Urmimala Sarkar, MD; Kaveh Shojania, MD | January 1, 2014
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Sarkar U, Shojania KG. Diagnostic Errors. PSNet [internet]. Rockville (MD): Ag…
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psnet.ahrq.gov/node/33724/psn-pdf
February 01, 2012 - LS: I think supervision and completely substituted judgment are not the same thing.
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psnet.ahrq.gov/node/33788/psn-pdf
June 01, 2015 - It's one thing I've paid a lot of attention to since I came here, trying to find ways to make that process
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psnet.ahrq.gov/node/33672/psn-pdf
September 01, 2008 - But one
thing that we found was that with this technology you can actually help organize the nurses'
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psnet.ahrq.gov/node/72589/psn-pdf
December 23, 2020 - to ensure that systems support clinicians and patients and make it easier for them to do the right
thing
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psnet.ahrq.gov/web-mm/suicidal-ideation-family-medicine-clinic
October 01, 2007 - The most important thing to keep in mind is that suicide risk is highest when multiple risk factors coexist
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psnet.ahrq.gov/node/49801/psn-pdf
August 01, 2017 - Ghaferi, MD, MS
The death in this case serves as an unfortunate reminder that there is no such thing
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psnet.ahrq.gov/issue/disclosing-medical-errors-patients-its-not-what-you-say-its-what-they-hear
October 26, 2010 - Study
Classic
Disclosing medical errors to patients: it's not what you say, it's what they hear.
Citation Text:
Wu AW, Huang I-C, Stokes S, et al. Disclosing medical errors to patients: it's not what you say, it's what they hear. J Gen Intern Med. 2009;24(9):1…
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psnet.ahrq.gov/perspective/becoming-patient-safety-organization
July 01, 2011 - report things differently so that when they're aggregated at the national level they don't mean the same thing
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psnet.ahrq.gov/node/37502/psn-pdf
January 30, 2008 - Nursing management of medication errors.
January 30, 2008
Luk LA, Ng WIM, Ko KKS, et al. Nursing management of medication errors. Nurs Ethics. 2008;15(1):28-39.
https://psnet.ahrq.gov/issue/nursing-management-medication-errors
This qualitative study conducted in-depth interviews with seven nurses involved in medica…
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psnet.ahrq.gov/node/41447/psn-pdf
May 30, 2012 - Massachusetts hospitals launch patient apology program.
May 30, 2012
Gallegos A.
https://psnet.ahrq.gov/issue/massachusetts-hospitals-launch-patient-apology-program
This news article reports on a disclosure and apology program implemented in Massachusetts hospitals to
reduce liability lawsuits.
https://psnet.ahrq…
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psnet.ahrq.gov/web-mm/mixup-beyond-medication-label
June 01, 2014 - Mixup Beyond the Medication Label
Citation Text:
Pervanas H, VanValkenburgh D. Mixup Beyond the Medication Label. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/node/33701/psn-pdf
October 01, 2010 - What Makes a Good Checklist
October 1, 2010
McLaughlin AC. What Makes a Good Checklist. PSNet [internet]. 2010.
https://psnet.ahrq.gov/perspective/what-makes-good-checklist
Perspective
The use of checklists is a primitive yet remarkably effective strategy for ensuring accuracy in complex
tasks. Checklists have lo…
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psnet.ahrq.gov/node/74242/psn-pdf
January 07, 2022 - The Next Step: Use of a Pre-Operative Checklist to
Prevent Missteps
January 7, 2022
Sauder C, Kleber KT. The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps. PSNet
[internet]. 2022.
https://psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps
The Case
A 52-year-old woman w…
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psnet.ahrq.gov/node/865418/psn-pdf
March 27, 2024 - Cybersecurity and How to Maintain Patient Safety
March 27, 2024
Pelletreau B, Riggi J, Gale B, et al. Cybersecurity and How to Maintain Patient Safety. PSNet [internet].
2024.
https://psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
Introduction
The integration of information technology (I…