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psnet.ahrq.gov/node/33679/psn-pdf
January 01, 2009 - Disclosure of Medical Error
January 1, 2009
Kachalia A. Disclosure of Medical Error. PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/disclosure-medical-error
Perspective
Disclosure of medical error is inextricably linked to today's patient safety efforts. Health care experts
advocate that greater discl…
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psnet.ahrq.gov/node/33747/psn-pdf
March 01, 2013 - The Literature on Health Care Simulation Education: What
Does It Show?
March 1, 2013
Cook DA. The Literature on Health Care Simulation Education: What Does It Show? PSNet [internet].
2013.
https://psnet.ahrq.gov/perspective/literature-health-care-simulation-education-what-does-it-show
Perspective
The education o…
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psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
February 01, 2007 - What things can I not afford to miss? … and symptoms and lab studies and it's not looking through textbook chapters to figure out where those things
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psnet.ahrq.gov/web-mm/dont-use-port-insert-picc
December 22, 2018 - Getting it right when things go wrong. JAMA. 2010;303:977-978.
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psnet.ahrq.gov/web-mm/check-anesthesia-machine
August 01, 2006 - The Checklist Manifesto: How to Get Things Right. New York, NY: Metropolitan Books; 2009.
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psnet.ahrq.gov/node/33731/psn-pdf
June 01, 2012 - The Checklist Manifesto: How to Get Things Right. New York, NY: Metropolitan Books;
2009.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.383_slideshow.ppt
September 01, 2016 - Ther. 2008;46:72-83. http://www.ncbi.nlm.nih.gov/pubmed/18218287
American Geriatrics Society: ten things
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psnet.ahrq.gov/perspective/physical-environment-often-unconsidered-patient-safety-tool
November 21, 2018 - The Checklist Manifesto: How to Get Things Right. New York, NY: Metropolitan Books; 2009.
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psnet.ahrq.gov/node/33646/psn-pdf
February 01, 2007 - symptoms and lab studies and it's not looking through textbook chapters
to figure out where those things
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psnet.ahrq.gov/node/33733/psn-pdf
July 01, 2012 - the
same system (i.e., "end," "finish," "submit," "quit," "done," "next," can all do very different things
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psnet.ahrq.gov/node/49725/psn-pdf
January 01, 2015 - The Checklist Manifesto: How to Get Things Right. New York, NY: Metropolitan Books;
2009.
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psnet.ahrq.gov/node/49604/psn-pdf
June 01, 2010 - But when things generally go
well, and when production pressure is routine, providers can become complacent
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psnet.ahrq.gov/node/49625/psn-pdf
May 01, 2011 - Blaming
individuals for character defects when things go wrong, the so-called person-centered approach
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psnet.ahrq.gov/web-mm/privacy-gone-awry
February 24, 2011 - beneficence and nonmaleficence ( 5 ) require that, as clinicians, we ensure our patients' safety in the things
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psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls
May 01, 2006 - importantly, writing vague orders such as "medications as at home" can be confusing and leave too many things
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psnet.ahrq.gov/node/49812/psn-pdf
November 01, 2017 - Specimen Almost Lost
November 1, 2017
Hehe YK. Specimen Almost Lost. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/specimen-almost-lost
The Case
A 29-year-old woman presented to the hospital with a rash that had spread across her legs and abdomen.
She was admitted to the medicine service for further evalu…
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psnet.ahrq.gov/node/49471/psn-pdf
December 01, 2004 - Carpe Diem (Seize the Day)
December 1, 2004
Krumholz A. Carpe Diem (Seize the Day). PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/carpe-diem-seize-day
The Case
A 53-year-old man presented for a new patient visit at a local medical clinic. He had several chronic
medical conditions including hypertension, h…
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psnet.ahrq.gov/perspective/patient-and-family-roles-safety
June 14, 2023 - One of the things that helps get leadership buy-in and support is impact.
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psnet.ahrq.gov/perspective/conversation-beverley-h-johnson-about-role-patients-family-reducing-harm
June 14, 2023 - One of the things that helps get leadership buy-in and support is impact.
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psnet.ahrq.gov/web-mm/chest-tube-complications
September 27, 2023 - The Checklist Manifesto: How to Get Things Right. New York, NY: Metropolitan Books; 2009.