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psnet.ahrq.gov/issue/many-mass-hospitals-will-pay-errors
August 24, 2016 - August 27, 2008
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/video-games-can-help-cut-surgical-errors
January 23, 2008 - June 9, 2011
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/maternal-deaths-metrowest-hospital-prompt-state-probes
August 24, 2016 - June 6, 2018
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/alarm-fatigue-factor-2nd-death
September 30, 2015 - August 9, 2017
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/mgh-death-spurs-review-patient-monitors
October 05, 2011 - August 9, 2017
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/horror-awakening-during-surgery
October 21, 2010 - December 22, 2010
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/hospital-trustees-shift-their-focus-medical-safety
July 30, 2014 - May 16, 2007
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/mgh-halts-pediatric-program-heart-surgeries-hold-after-errors
August 24, 2016 - August 27, 2008
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/hospitals-try-break-deadly-code
August 24, 2016 - August 27, 2008
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/beth-israel-cited-residents-long-hours-facing-review-accreditation
August 24, 2016 - August 27, 2008
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/hospitals-try-calm-doctors-outbursts-medical-road-rage-affecting-patient-safety-group-says
August 24, 2016 - September 24, 2008
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/hospitals-study-when-apologize-patients
August 24, 2016 - August 27, 2008
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/hospitals-cutting-nurses-long-shifts
August 24, 2016 - August 27, 2008
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/node/867804/psn-pdf
February 26, 2025 - was instrumental in radically reducing
CLABSI note that at the time of To Err Is Human, CLABSIs were thought … science and systemic investment in improving patient safety
combined to make a complication, once thought
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psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
February 01, 2010 - In the past, we have thought about the concept of graded responsibility based on position of the resident … At least not in our current thinking. … Can you comment on those from your own personal thoughts or the organization's thoughts? … TN: I'll give you my personal thoughts about them, because I hesitate to speak for an organization as … extensive evolving body of literature indicates that it is even more complicated than we had originally thought
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psnet.ahrq.gov/perspective/conversation-withthomas-j-nasca-md
February 01, 2010 - I imagine as we're thinking more about patient safety and how to ensure it, there's a tendency to build … In the past, we have thought about the concept of graded responsibility based on position of the resident … At least not in our current thinking. … Can you comment on those from your own personal thoughts or the organization's thoughts? … extensive evolving body of literature indicates that it is even more complicated than we had originally thought
-
psnet.ahrq.gov/issue/hazard-impatient-medicine
June 26, 2013 - efficiency mandates and patient-centered care through the example of a cancer patient whose suicidal thoughts
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psnet.ahrq.gov/issue/preventing-medical-errors-how-proceed-caution
January 24, 2024 - April 19, 2023
View More
Related Resources
‘He thought what he
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psnet.ahrq.gov/node/33668/psn-pdf
May 01, 2008 - David Bates: I'd have to say that things have gone slower than I thought they might. … That being said, I think physicians for the foreseeable future are going to continue to do the
thinking … RW: If a hospital was thinking about getting into IT and could buy only one thing or needed to figure … Some of the things that I
thought would be really straightforward and would work really well didn't … We're thinking of trying to
develop a single in-basket so that all the things that come in that you
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psnet.ahrq.gov/node/33594/psn-pdf
November 18, 2021 - Its goals are to
discuss the actions and thought processes involved in a particular clinical situation … post-mission analysis of military or police actions and grew to include
use in critical incidents thought … professionals.4 Debriefing has now
been widely adopted in the simulation and education fields and is thought … during this phase, and moderators may need to actively facilitate team members sharing what
they were thinking … debriefing is designed to identify and summarize the main learning
points, connect them with real-world thinking