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psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices
June 15, 2024 - Inpatient Transitions of Care: Challenges and Safety Practices
Citation Text:
Satake A, McElroy V. Inpatient Transitions of Care: Challenges and Safety Practices. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
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psnet.ahrq.gov/web-mm/misdiagnosis-pelvic-mass-versus-pregnancy
November 25, 2020 - Misdiagnosis of a Pelvic Mass versus Pregnancy
Citation Text:
Leiserowitz GS, Herding H. Misdiagnosis of a Pelvic Mass versus Pregnancy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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psnet.ahrq.gov/node/33697/psn-pdf
June 01, 2010 - What Do We Know About Emergency Department Safety?
June 1, 2010
Sklar DP, Crandall CS. What Do We Know About Emergency Department Safety? PSNet [internet]. 2010.
https://psnet.ahrq.gov/perspective/what-do-we-know-about-emergency-department-safety
Perspective
Emergency medicine has evolved from a location, with var…
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psnet.ahrq.gov/web-mm/say-it-again
January 31, 2020 - Say It Again
Citation Text:
Henriksen K, Hall KK. Say It Again. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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psnet.ahrq.gov/perspective/conversation-ashish-k-jha-md-mph
May 01, 2013 - An alternative theory would be that we don't really understand the link between processes and outcomes
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psnet.ahrq.gov/perspective/conversation-richard-hoppmann-md
June 01, 2018 - RH : We have to monitor users to make sure they understand the limitations of point-of-care ultrasound
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psnet.ahrq.gov/node/851568/psn-pdf
July 31, 2023 - A Complicated Course: Severe Alcohol Withdrawal with
Dexmedetomidine Infusion
July 31, 2023
Duong T, Boctor N, Bourgeois JA. A Complicated Course: Severe Alcohol Withdrawal with
Dexmedetomidine Infusion. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/complicated-course-severe-alcohol-withdrawal-dexmedetomid…
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psnet.ahrq.gov/perspective/what-do-we-know-about-emergency-department-safety
June 01, 2010 - Then you can say, look, if you understand the error process and the biases and the obstacles put in your
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psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-diagnostic-error
July 30, 2020 - To avoid such errors, it is useful to understand why these heuristics potentially lead to biases in the
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psnet.ahrq.gov/web-mm/dangers-missing-epidural-abscess-multiple-visits-and-delayed-diagnosis-severely-negative
April 27, 2022 - Either SEA was not considered during any of the five visits, or the clinicians did not understand how
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psnet.ahrq.gov/periodic-issue/periodic-issue-280
February 10, 2021 - February 24, 2021 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, repor…
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psnet.ahrq.gov/issue/communication-skills-training-address-disruptive-physician-behavior
September 16, 2009 - Study
Communication skills training to address disruptive physician behavior.
Citation Text:
Saxton R. Communication skills training to address disruptive physician behavior. AORN J. 2012;95(5):602-11. doi:10.1016/j.aorn.2011.06.011.
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psnet.ahrq.gov/issue/reporting-clinical-adverse-events-scale-measure-doctor-and-nurse-attitudes-adverse-event
November 12, 2014 - Study
Reporting of Clinical Adverse Events Scale: a measure of doctor and nurse attitudes to adverse event reporting.
Citation Text:
Wilson B, Bekker HL, Fylan F. Reporting of Clinical Adverse Events Scale: a measure of doctor and nurse attitudes to adverse event reporting. Qual Saf He…
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psnet.ahrq.gov/issue/nature-surgical-error-cautionary-tale-and-call-reason
September 12, 2007 - Commentary
The nature of surgical error: a cautionary tale and a call to reason.
Citation Text:
Satava RM. The nature of surgical error: a cautionary tale and a call to reason. Surg Endosc. 2005;19(8):1014-6.
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psnet.ahrq.gov/issue/measuring-quality
June 21, 2017 - Commentary
Measuring quality.
Citation Text:
Khorana MM, Khorana AA. Measuring Quality. JAMA. 2019;322(21):2077-2078. doi:10.1001/jama.2019.18730.
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psnet.ahrq.gov/issue/incidence-adverse-events-swedish-hospitals-retrospective-medical-record-review-study
August 05, 2009 - Study
The incidence of adverse events in Swedish hospitals: a retrospective medical record review study.
Citation Text:
Soop M, Fryksmark U, Köster M, et al. The incidence of adverse events in Swedish hospitals: a retrospective medical record review study. Int J Qual Health Care. 2009;…
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psnet.ahrq.gov/issue/misgivings
March 17, 2021 - Commentary
Misgivings.
Citation Text:
Farlow B. Misgivings. Hastings Cent Rep. 2009;39(5):19-21.
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psnet.ahrq.gov/issue/medication-administration-errors-and-pediatric-population-systematic-search-literature
September 16, 2015 - Review
Medication administration errors and the pediatric population: a systematic search of the literature.
Citation Text:
Gonzales K. Medication administration errors and the pediatric population: a systematic search of the literature. J Pediatr Nurs. 2010;25(6):555-565. doi:10.1016/…
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psnet.ahrq.gov/issue/developing-culture-collaboration-operating-room-more-effective-communication
June 27, 2018 - Review
Developing a culture of collaboration in the operating room: more than effective communication.
Citation Text:
Wade P. Developing a culture of collaboration in the operating room: more than effective communication. ORNAC J. 2014;32(4):16-20, 22-3, 32-8.
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psnet.ahrq.gov/issue/impact-transitioning-24-hour-16-hour-call-model-amongst-cohort-canadian-anesthesia-residents
June 03, 2020 - Study
The impact of transitioning from a 24-hour to a 16-hour call model amongst a cohort of Canadian anesthesia residents at McMaster University—a survey study.
Citation Text:
Sussman D, Paul JE. The impact of transitioning from a 24-hour to a 16-hour call model amongst a cohort of Cana…