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psnet.ahrq.gov/issue/moving-knowledge-action-improving-safety-and-quality-care-patients-limited-english
October 19, 2022 - Study
Moving from knowledge to action: improving safety and quality of care for patients with limited English proficiency.
Citation Text:
Fox MT, Godage SK, Kim JM, et al. Moving from knowledge to action: improving safety and quality of care for patients with limited English proficiency.…
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psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
December 01, 2012 - the bedside using a portable ultrasound machine, typically used when a health care provider seeks to answer … Take-Home Points
A point-of-care ultrasound examination enables the provider to answer a focused
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psnet.ahrq.gov/perspective/conversation-christopher-p-landrigan-md-mph
April 01, 2013 - In my mind it's pretty clear that the answer is: we need to do more and better. … Finding an answer to this question
Finding the answer to this question is not simple.
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psnet.ahrq.gov/issue/impact-pharmacist-involvement-transitional-care-high-risk-patients-through-medication
August 25, 2011 - Review
Impact of pharmacist involvement in the transitional care of high-risk patients through medication reconciliation, medication education, and postdischarge call-backs (IPITCH Study).
Citation Text:
Phatak A, Prusi R, Ward B, et al. Impact of pharmacist involvement in the transition…
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psnet.ahrq.gov/issue/redesign-health-care-systems-reduce-diagnostic-errors-leveraging-human-experience-and
December 04, 2016 - Commentary
Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence.
Citation Text:
Abid MH. Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. J Clin Outcomes M…
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psnet.ahrq.gov/issue/limits-safety-organizations-accidents-and-nuclear-weapons
July 28, 2013 - Book/Report
Classic
The Limits of Safety: Organizations, Accidents and Nuclear Weapons.
Citation Text:
The Limits of Safety: Organizations, Accidents and Nuclear Weapons. Sagan SD. Princeton NJ: Princeton University Press; 1993. ISBN: 9780691032214.
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psnet.ahrq.gov/perspective/are-residency-duty-hour-rules-improving-patient-safety
April 01, 2013 - Finding an answer to this question
Finding the answer to this question is not simple. … In my mind it's pretty clear that the answer is: we need to do more and better.
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psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
February 01, 2013 - If we're not able to answer all your questions or for you to share all your observations at that time … We need to help both attending clinicians and trainees understand that we are not there just to answer … What's the answer?
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psnet.ahrq.gov/issue/multi-stakeholder-consensus-driven-research-agenda-better-understanding-and-supporting
September 01, 2018 - Commentary
A multi-stakeholder consensus-driven research agenda for better understanding and supporting the emotional impact of harmful events on patients and families.
Citation Text:
Bell SK, Etchegaray J, Gaufberg E, et al. A Multi-Stakeholder Consensus-Driven Research Agenda for Bette…
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psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
March 01, 2015 - Missing ECG and Missed Diagnosis Lead to Dangerous Delay
Citation Text:
O'Connor RE. Missing ECG and Missed Diagnosis Lead to Dangerous Delay. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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G…
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psnet.ahrq.gov/web-mm/lost-black-hole
December 01, 2005 - Although computerization of information transfer is part of the answer, verbal handoffs will always occur
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psnet.ahrq.gov/perspective/conversation-cindy-brach
December 27, 2019 - With the CLAS Standards, the Office of Minority Health set out to answer the question: What do I do if
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psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety
June 15, 2024 - To answer the question, ‘are the CLABSI rates changing during these 2 years?’
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psnet.ahrq.gov/perspective/safety-dentistry
August 01, 2016 - On the surface, the answer is disturbingly clear: dental care, like medical care, is inherently risky … offer a glimpse into the risks of dental care, such stories cannot reveal the full picture, nor help us answer
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psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis
March 01, 2007 - The answer to this question points to the latent conditions that also must be resolved to reduce the
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psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
July 20, 2010 - We hope that the answer is yes, and, toward that end, we share our story with colleagues across the country
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psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
April 08, 2019 - In light of this answer (and the absence of data from the other hospitals), he was noted to have no medication
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psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
November 25, 2020 - EMS Perils from Hospital Overcrowding
Citation Text:
Brown S, Rose JS, Barnes DK. EMS Perils from Hospital Overcrowding. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
December 01, 2006 - And they all answer the question for themselves: Are you going to feel supported socially and emotionally … The honest answer is we're still trying to figure out why culture is resonating so much with frontline
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psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
January 01, 2015 - accepting it—when you ask, "did you involve the physicians in designing how this was going to work," the answer … And the answer is often no.