-
psnet.ahrq.gov/node/49608/psn-pdf
August 01, 2010 - encouraged to err on the side of over-triage if patients seem to be on the border between two
levels; this approach
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psnet.ahrq.gov/node/33769/psn-pdf
June 01, 2014 - This approach risks oppressing the patient, sidelining serious issues of system
performance, and undermining
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psnet.ahrq.gov/node/33767/psn-pdf
May 01, 2014 - 'My five moments for hand hygiene': a user-
centred design approach to understand, train, monitor and
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psnet.ahrq.gov/node/33702/psn-pdf
November 01, 2010 - It really requires a multi-modality approach.
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psnet.ahrq.gov/node/60745/psn-pdf
October 01, 2020 - Patient Safety Goals (NPSG) with the most recent 2020 update.7,8
Systems Changes and Quality Improvement Approach
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psnet.ahrq.gov/node/49552/psn-pdf
January 01, 2008 - How Do Providers Recover From Errors?
January 1, 2008
West CP. How Do Providers Recover From Errors? PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/how-do-providers-recover-errors
Case Objectives
Describe the provider-specific prevalence of medical errors.
Appreciate the impact of medical errors on care pr…
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psnet.ahrq.gov/node/49540/psn-pdf
August 21, 2007 - CPR committees at hospitals can serve as crucial champions in this systems
approach and should advocate
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psnet.ahrq.gov/node/49816/psn-pdf
January 01, 2018 - A Painful Medication Reconciliation Mishap
January 1, 2018
Chou R. A Painful Medication Reconciliation Mishap. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/painful-medication-reconciliation-mishap
Case Objectives
Recognize that substance use disorders are common in patients with acute pain.
Understand th…
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psnet.ahrq.gov/perspective/what-makes-good-checklist
October 01, 2010 - I think the other reason for our success is that we approach this work with the mental model that doctors
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psnet.ahrq.gov/web-mm/overdose-gabapentin-and-oxycodone-patient-end-stage-renal-disease-case-appropriate
June 24, 2020 - There is no universally accepted dosing regimen for patients on hemodialysis, but a conservative approach … This approach entailshaving governance for initiation of new alerts and monitoring the impact of alerts
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psnet.ahrq.gov/node/841467/psn-pdf
December 14, 2022 - Approach to Improving Patient Safety
A Proposed Strategy for Ensuring Implementation of an Established … Improving end of life care: an information systems approach to
reducing medical errors.Stud Health Technol
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psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
April 27, 2022 - Approach to Improving Safety and Systems Change Needed
To help clinicians avoid similar errors, hospitals … Your Case
Sections
Learning Objectives
The Case
The Commentary
Background
Approach
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psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0
October 01, 2010 - I think the other reason for our success is that we approach this work with the mental model that doctors
-
psnet.ahrq.gov/perspective/conversation-withdonald-m-berwick-md-mpp
November 01, 2005 - broaden the discussion to the tension between waiting for perfect evidence vs. a more commonsensical approach
-
psnet.ahrq.gov/node/843234/psn-pdf
January 01, 2013 - There is no universally accepted dosing regimen for
patients on hemodialysis, but a conservative approach … This approach
entailshaving governance for initiation of new alerts and monitoring the impact of alerts
-
psnet.ahrq.gov/node/60363/psn-pdf
March 01, 2021 - Transition Coaches® Reduce Readmissions for Medicare
Patients With Complex Postdischarge Needs
Originally published on June 12, 2020
Last updated on January 11, 2021
https://psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-
postdischarge-needs
Summary
Under a program kn…
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psnet.ahrq.gov/perspective/long-term-care-and-response-covid-19
October 28, 2020 - during an outbreak, 8 LTC providers must address the unintended harms that result from this prevention approach … with the COVID-19 response – how are you using the work and the lessons from the initiative in your approach … Related Resources From the Same Author(s)
Annual Perspective
Approach
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psnet.ahrq.gov/perspective/conversation-urmimala-sarkar-md-mph
August 22, 2014 - patients with a disease or condition and examine whether there are gaps in care systematically—that approach … We use a team-based approach. … A clinician-based approach. J Gen Intern Med. 2004;19:719-725. [go to PubMed]
13.
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psnet.ahrq.gov/web-mm/lost-transitions-care-managing-opioid-dependent-patient-frequent-hospitalizations
October 27, 2022 - the CDC has published conversion factors for calculating morphine milligram-equivalents (MME), this approach … drug's absorption, metabolism, and relative analgesic potency necessitates a highly individualized approach
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psnet.ahrq.gov/node/836878/psn-pdf
April 27, 2022 - The rise of social media, which is particularly amenable to that
approach, leads to the question of