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psnet.ahrq.gov/node/73899/psn-pdf
September 29, 2021 - Learning Objectives
Identify approaches to facilitate effective communication regarding pain management … Approaches to Improving Safety
Prescription Drug Monitoring Programs (PDMPs)
A Prescription Drug Monitoring
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psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
January 01, 2016 - Being able to apply concepts from human factors engineering will be one of the most productive approaches … September 29, 2017
Advances in Patient Safety: New Directions and Alternative Approaches
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psnet.ahrq.gov/node/865411/psn-pdf
March 27, 2024 - 1.2% reduction in nonparticipating hospitals, demonstrating the value of quality and safety efforts.6
Approaches
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psnet.ahrq.gov/node/863308/psn-pdf
February 28, 2024 - The emergency airway algorithm
dictates that “alternative intubation approaches” be attempted, including
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psnet.ahrq.gov/node/49506/psn-pdf
March 01, 2006 - Understand the alternative approaches to emergency radiology coverage, including teleradiology.
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psnet.ahrq.gov/node/33822/psn-pdf
January 01, 2017 - RW: Because the approaches and the culture are essentially the same.
PO: Exactly.
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psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
March 15, 2023 - suggesting that target location and characteristics affect risk more than proceduralist skill. 4 Two approaches
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psnet.ahrq.gov/web-mm/steroids-and-safety-preventing-medication-adverse-events-during-transitions-care
September 09, 2013 - Specific prophylactic approaches to reduce immunosuppression-related adverse effects include treatments
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psnet.ahrq.gov/perspective/implementing-fall-prevention-program
November 29, 2023 - exploration of spoken communication of patients' fall risks in hospitals and implications for multifactorial approaches
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psnet.ahrq.gov/web-mm/multiple-high-risk-events-involving-workflow-wasting-medications-used-anesthesia
August 29, 2021 - Medication errors--new approaches to prevention. Paediatr Anaesth 2011; 21:743.
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psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
January 01, 2020 - Advances in
Patient Safety: New Directions and Alternative Approaches (Vol. 4: Technology and Medication
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psnet.ahrq.gov/web-mm/standard-deviations
January 01, 2006 - ensure that any remediable impediments to adherence have been identified and that culturally appropriate approaches
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psnet.ahrq.gov/node/842919/psn-pdf
February 01, 2023 - Various approaches are used to obtain the most accurate
information, including use of at least two sources
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psnet.ahrq.gov/perspective/conversation-christine-cassel-md
February 26, 2025 - A number of states have different approaches to these measures.
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psnet.ahrq.gov/Information/Panel
January 01, 2012 - coordination of care, patient safety and quality improvement strategies, and human-centered design approaches
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psnet.ahrq.gov/node/843234/psn-pdf
January 01, 2013 - especially in patients with musculoskeletal and arthritic pain, with
monitoring of renal function.23
Approaches
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psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
February 10, 2021 - will discuss the specific errors highlighted by this case and identify individual and systems-based approaches
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psnet.ahrq.gov/sites/default/files/2020-11/final_nov_spotlight_case_premature_closing-snycope_11.20.2020-revised.pdf
January 01, 2020 - Microsoft PowerPoint - FINAL Nov_Spotlight Case_Premature Closing-Snycope_11.20.2020-revised.pptx
Spotlight
Premature Closure: Was it Just Syncope?
Source and Credits
• This presentation is based on the November 2020 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit i…
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psnet.ahrq.gov/node/72693/psn-pdf
January 29, 2021 - Unintentional Ketamine Overdose in the Operating Room
– Mixing Up the Ampules
January 29, 2021
Bohringer C. Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules. PSNet
[internet]. 2021.
https://psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
The Case
A…
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psnet.ahrq.gov/node/33772/psn-pdf
September 01, 2014 - In Conversation With… Rosemary Gibson, MSc
September 1, 2014
In Conversation With… Rosemary Gibson, MSc. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/conversation-rosemary-gibson-msc
Editor's note: Rosemary Gibson, MSc, is Senior Advisor to The Hastings Center and an editor for JAMA
Internal Medicin…