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psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience
November 01, 2005 - broaden the discussion to the tension between waiting for perfect evidence vs. a more commonsensical approach
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psnet.ahrq.gov/periodic-issue/periodic-issue-283
March 15, 2021 - Annual Perspective
Approach to Improving Patient Safety: Communication March 10, 2021
In this
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psnet.ahrq.gov/periodic-issue/periodic-issue-287
April 28, 2021 - patients and providers on risk factors for DKA and symptoms in type 1 diabetics, the use of a stepwise approach
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psnet.ahrq.gov/periodic-issue/periodic-issue-339
April 27, 2022 - April 27, 2022 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, reports,…
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psnet.ahrq.gov/periodic-issue/periodic-issue-333
March 31, 2022 - This study examined whether a full-integration approach to a hospital merger and acquisitions (consisting
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psnet.ahrq.gov/periodic-issue/periodic-issue-403
August 30, 2023 - August 9, 2023 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, reports,…
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psnet.ahrq.gov/periodic-issue/periodic-issue-378
February 01, 2023 - February 15, 2023 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/periodic-issue/periodic-issue-376
February 01, 2023 - February 1, 2023 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, report…
-
psnet.ahrq.gov/periodic-issue/periodic-issue-416
November 29, 2023 - November 8, 2023 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, report…
-
psnet.ahrq.gov/periodic-issue/periodic-issue-422
January 04, 2024 - January 10, 2024 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, report…
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psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms
April 19, 2023 - In Conversation With… Karl Bilimoria, MD, MS
August 1, 2017
Citation Text:
In Conversation With… Karl Bilimoria, MD, MS. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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…
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psnet.ahrq.gov/node/49840/psn-pdf
September 01, 2018 - A multifaceted approach is needed to address each of these
factors and ensure that systems issues do
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psnet.ahrq.gov/node/61082/psn-pdf
July 23, 2020 - during an outbreak,8 LTC
providers must address the unintended harms that result from this prevention approach
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psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
May 31, 2023 - decision support systems that guide critical decisions, yet few hospitals or trauma centers use this approach
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psnet.ahrq.gov/web-mm/emergent-triage-miss
March 06, 2015 - 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/web-mm/multiple-high-risk-events-involving-workflow-wasting-medications-used-anesthesia
August 29, 2021 - Safety Goals (NPSG) with the most recent 2020 update. 7,8
Systems Changes and Quality Improvement Approach
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psnet.ahrq.gov/web-mm/painful-medication-reconciliation-mishap
May 01, 2008 - SPOTLIGHT CASE
A Painful Medication Reconciliation Mishap
Citation Text:
Chou R. A Painful Medication Reconciliation Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/node/49506/psn-pdf
March 01, 2006 - psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
Another approach
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psnet.ahrq.gov/node/49546/psn-pdf
October 17, 2007 - patients, and some
cases of unprofessional behavior are so egregious that this type of disciplinary approach
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psnet.ahrq.gov/web-mm/death-pca
January 06, 2017 - Death by PCA
Citation Text:
Hicks RW. Death by PCA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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Format:
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