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psnet.ahrq.gov/node/49445/psn-pdf
May 01, 2004 - No Blood, Please
May 1, 2004
Liang BA. No Blood, Please. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/no-blood-please
The Case
A young woman, about 30 years of age, was injured in an automobile collision. She was brought to the
emergency department (ED) via ambulance, where she was found to be suffering …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.206_slideshow.ppt
October 01, 2009 - Spotlight Case
Spotlight Case
Difficult Encounters:
A CMO and CNO Respond
Source and Credits
This presentation is based on the October 2009
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Ernie Ring, MD; Jane Hirsch, RN, MS
UCSF Medical Cen…
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psnet.ahrq.gov/node/33572/psn-pdf
December 15, 2024 - Checklists
December 15, 2024
Checklists. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/checklists
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in 2024.
Background
…
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psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
December 14, 2022 - Sarah Mossburg: Thinking about embedding systems approaches, how does that come together with national … Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 1: Assessment).
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psnet.ahrq.gov/perspective/measuring-patient-safety
December 14, 2022 - Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 1: Assessment). … Sarah Mossburg: Thinking about embedding systems approaches, how does that come together with national
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psnet.ahrq.gov/perspective/conversation-katie-j-suda-pharmd-ms
December 07, 2020 - Stewardship Initiative Resources
Despite these challenges, there are effective stewardship approaches
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psnet.ahrq.gov/web-mm/framework-assessing-reasoning-about-controversial-end-life-clinical-decisions
November 30, 2023 - If the previous two approaches fail, and a member of a care team continues to fail to follow the care
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psnet.ahrq.gov/periodic-issue/periodic-issue-312
October 27, 2021 - Study findings suggest that all approaches resulted in some improvement in compliance.
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psnet.ahrq.gov/periodic-issue/periodic-issue-316
November 30, 2021 - This commentary describes how the systemic weaknesses catalyzed by poor data collection approaches contribute
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psnet.ahrq.gov/periodic-issue/periodic-issue-354
August 05, 2022 - successful patient safety improvement efforts, including those leveraging health information technology (IT) approaches
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psnet.ahrq.gov/periodic-issue/periodic-issue-342
May 16, 2022 - requisite imagination, this article outlines six recommendations for safe EHR transitions through proactive approaches
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psnet.ahrq.gov/periodic-issue/periodic-issue-413
October 31, 2023 - qualitative study with primary care teams across four sites in the southwestern United States explored approaches
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psnet.ahrq.gov/periodic-issue/periodic-issue-375
December 14, 2022 - assessments in the patient’s own language and the role of medical interpreting services, as well as approaches
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psnet.ahrq.gov/periodic-issue/periodic-issue-374
December 14, 2022 - assessments in the patient’s own language and the role of medical interpreting services, as well as approaches
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psnet.ahrq.gov/periodic-issue/periodic-issue-380
March 15, 2023 - The commentary summarizes risk factors for medication discrepancies and approaches for safer medication
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psnet.ahrq.gov/periodic-issue/periodic-issue-429
February 28, 2024 - monitoring and good communication to identify and respond to life-threatening events and describes approaches
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psnet.ahrq.gov/node/33788/psn-pdf
June 01, 2015 - A number of states have different approaches to these measures.
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psnet.ahrq.gov/node/838855/psn-pdf
October 27, 2022 - suggesting that target location and characteristics affect risk more
than proceduralist skill.4 Two approaches
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psnet.ahrq.gov/web-mm/inadequate-preanesthetic-evaluation-airway-trouble
November 01, 2023 - the Same Author(s)
Perioperative Safety Culture: Principles, Practices, and Pragmatic Approaches
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psnet.ahrq.gov/node/73300/psn-pdf
July 01, 2022 - primer-pdsa-executing-plan-do-study-act-cycles-practice-not-just-name
https://psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety