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psnet.ahrq.gov/issue/ssssh-handover-protected-medical-handover-optimising-quality-and-prioritising-safety-regional
March 08, 2017 - May 11, 2016
Transparency when things go wrong: physician attitudes about reporting medical
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psnet.ahrq.gov/issue/use-critical-incident-reports-medical-education-perspective
May 30, 2018 - February 8, 2023
Bad things can happen: are medical students aware of patient centered
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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/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/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/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/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/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/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/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/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/web-mm/vial-mistakes-involving-heparin
May 11, 2014 - October 4, 2023
Alarm management: first things first: using reliable data to eliminate
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psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps
April 24, 2018 - The Checklist Manifesto: How to Get Things Right . New York, NY: Metropolitan Books; 2010.
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psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication
January 24, 2018 - "( 2 )
Workarounds constitute a type of work known as articulation work: "work that gets things back
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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.
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psnet.ahrq.gov/node/33691/psn-pdf
December 01, 2009 - patient safety and nurse recruitment/retention, we turned our attention to what we could do to make things
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psnet.ahrq.gov/node/33853/psn-pdf
March 01, 2018 - These papers focused on things you could not change
such as ownership (whether for profit or nonprofit
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psnet.ahrq.gov/web-mm/hold-order
December 19, 2018 - December 19, 2018
That's the way we do things around here!
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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/perspective/patient-and-family-roles-safety
June 14, 2023 - One of the things that helps get leadership buy-in and support is impact.