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psnet.ahrq.gov/node/49606/psn-pdf
August 01, 2010 - Maximum safe apnea time for morbidly obese patients can be
achieved with the operating room table in … cricothyroidotomy or tracheostomy in a morbidly obese patient with a large neck is not easily or rapidly
achieved
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psnet.ahrq.gov/node/33670/psn-pdf
July 01, 2008 - This kind of
solution has been achieved in aviation. … But it has been achieved perhaps only a few times in medicine.
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psnet.ahrq.gov/node/47802/psn-pdf
March 04, 2019 - The path to diagnostic excellence includes feedback to
calibrate how clinicians think.
March 4, 2019
Meyer AND, Singh H. The Path to Diagnostic Excellence Includes Feedback to Calibrate How Clinicians
Think. JAMA. 2019;321(8):737-738. doi:10.1001/jama.2019.0113.
https://psnet.ahrq.gov/issue/path-diagnostic-excelle…
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psnet.ahrq.gov/node/74243/psn-pdf
April 22, 2020 - Racial and ethnic differences in emergency department
pain management of children with fractures.
April 22, 2020
Goyal MK, Johnson TJ, Chamberlain JM, et al. Racial and ethnic differences in emergency department
pain management of children with fractures. Pediatrics. 2020;145(5):e20193370. doi:10.1542/peds.2019-
3…
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psnet.ahrq.gov/node/61058/psn-pdf
October 28, 2020 - Interventions and measurements of highly
reliable/resilient organization implementations: a
literature review.
October 28, 2020
Cantu J, Tolk J, Fritts S, et al. Interventions and measurements of highly reliable/resilient organization
implementations: a literature review. Appl Ergon. 2020;90:103241. doi:10.1016/j.…
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psnet.ahrq.gov/node/34743/psn-pdf
March 28, 2005 - Juran's Quality Handbook. 5th ed.
March 28, 2005
Juran JM; Blanton GA. New York: McGraw Hill; 1999. ISBN: 9780071165396.
https://psnet.ahrq.gov/issue/jurans-quality-handbook-5th-ed
This reference on quality engineering and management practices provides a wealth of background and
scholarship on the elemen…
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psnet.ahrq.gov/issue/achieving-high-reliability-organization-through-implementation-arcc-model-systemwide
March 21, 2018 - Commentary
Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice.
Citation Text:
Melnyk BM. Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainabi…
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psnet.ahrq.gov/issue/ncicle-pathways-excellence-expectations-optimal-clinical-learning-environment-achieve-safe
October 18, 2017 - Book/Report
NCICLE Pathways to Excellence: Expectations for an Optimal Clinical Learning Environment to Achieve Safe and High-Quality Patient Care, 2021.
Citation Text:
NCICLE Pathways to Excellence: Expectations for an Optimal Clinical Learning Environment to Achieve Safe and High-Quali…
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psnet.ahrq.gov/issue/four-hospitals-honored-commitment-quality
January 19, 2011 - Press Release/Announcement
Four hospitals honored for commitment to quality.
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August 6, 2008
This announcement and accompanying magazine insert profiles recipi…
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psnet.ahrq.gov/node/839313/psn-pdf
November 02, 2022 - The impact of meaningful use and electronic health
records on hospital patient safety.
November 2, 2022
Trout KE, Chen L-W, Wilson FA, et al. The impact of meaningful use and electronic health records on
hospital patient safety. Int J Environ Res Public Health. 2022;19(19):12525. doi:10.3390/ijerph191912525.
https…
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psnet.ahrq.gov/node/60050/psn-pdf
March 18, 2020 - Zero harm in health care.
March 18, 2020
Gandhi TK, Feeley D, Schummers D. Zero Harm in Health Care. NEJM Catal Innov Care Deliv. 2020;1(2).
doi:10.1056/cat.19.1137.
https://psnet.ahrq.gov/issue/zero-harm-health-care
Health systems are encouraged to strive for zero preventable harm, but achieving this goal require…
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psnet.ahrq.gov/node/838248/psn-pdf
October 05, 2022 - The relationship between resident physician burnout and
its’ effects on patient care, professionalism, and
academic achievement: a review of the literature.
October 5, 2022
McTaggart LS, Walker JP. The relationship between resident physician burnout and its’ effects on patient
care, professionalism, and academic a…
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psnet.ahrq.gov/issue/jurans-quality-handbook-5th-ed
October 18, 2017 - Book/Report
Classic
Juran's Quality Handbook. 5th ed.
Citation Text:
Juran's Quality Handbook. 5th ed. Juran JM; Blanton GA. New York: McGraw Hill; 1999. ISBN: 9780071165396.
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Pri…
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psnet.ahrq.gov/issue/advancing-diagnostic-excellence-older-adults-proceedings-workshop-brief
April 20, 2022 - Book/Report
Advancing Diagnostic Excellence for Older Adults: Proceedings of a Workshop in Brief.
Citation Text:
Advancing Diagnostic Excellence for Older Adults: Proceedings of a Workshop in Brief. National Academies of Sciences, Engineering, and Medicine. Washington, DC: The…
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psnet.ahrq.gov/issue/advancing-maternal-health-equity-and-reducing-maternal-mortality-workshop
May 19, 2021 - Meeting/Conference Proceedings
Advancing Maternal Health Equity and Reducing Maternal Mortality Workshop.
Citation Text:
Advancing Maternal Health Equity and Reducing Maternal Mortality Workshop. National Academies of Sciences, Engineering, and Medicine. June 7-8, 2021.
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psnet.ahrq.gov/issue/electronic-health-record-programs-participation-has-increased-action-needed-achieve-goals
September 07, 2016 - Book/Report
Electronic Health Record Programs: Participation Has Increased, but Action Needed to Achieve Goals, Including Improved Quality of Care.
Citation Text:
Electronic Health Record Programs: Participation Has Increased, but Action Needed to Achieve Goals, Including Improved Quali…
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psnet.ahrq.gov/issue/viewpoint-patient-safety-primary-care-patients-are-not-just-beneficiary-critical-component
August 16, 2017 - Commentary
Viewpoint: Patient safety in primary care - patients are not just a beneficiary but a critical component in its achievement.
Citation Text:
Kavanagh KT, Cormier LE. Viewpoint: Patient safety in primary care – patients are not just a beneficiary but a critical component in its …
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psnet.ahrq.gov/issue/national-quality-program-achieves-improvements-safety-culture-and-reduction-preventable-harms
November 02, 2022 - Study
National quality program achieves improvements in safety culture and reduction in preventable harms in community hospitals.
Citation Text:
Frush K, Chamness C, Olson B, et al. National Quality Program Achieves Improvements in Safety Culture and Reduction in Preventable Harms in Com…
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psnet.ahrq.gov/issue/going-covid-19-gemba-using-observation-and-high-reliability-strategies-achieve-safety-time
May 12, 2021 - Commentary
Going to the COVID-19 Gemba: using observation and high reliability strategies to achieve safety in a time of crisis.
Citation Text:
Thull-Freedman J, Mondoux S, Stang A, et al. Going to the COVID-19 Gemba: Using observation and high reliability strategies to achieve safety in…
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psnet.ahrq.gov/web-mm/stroke-error
February 01, 2016 - Through streamlined systems of care, a rapid and coordinated response can be achieved when a stroke patient … placebo or intravenous rtPA (0.9 mg/kg, maximum dose 90 mg).( 10 ) Favorable outcomes at 3 months were achieved … Patients treated within 90 minutes of onset achieved better outcomes than those who were treated between