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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.341_slideshow.ppt
March 01, 2015 - PowerPoint Presentation
Spotlight
Two Wrongs Don't Make a Right (Kidney)
This presentation is based on the March 2015
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: John G. DeVine, MD, Professor of Orthopaedic Surgery, Medical College of Georgia
Ed…
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psnet.ahrq.gov/node/33588/psn-pdf
March 15, 2025 - Second Victims: Support for Clinicians Involved in Errors
and Adverse Events
March 15, 2025
Second Victims: Support for Clinicians Involved in Errors and Adverse Events. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
PSNet primers are regu…
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psnet.ahrq.gov/primer/checklists
September 15, 2024 - Checklists
Citation Text:
Checklists. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/primer/rapid-response-systems
July 18, 2024 - Rapid Response Systems
Citation Text:
Rapid Response Systems. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
September 28, 2022 - In Conversation With... Freya Spielberg, MD, MPH
September 28, 2022
Also Read the Essay
Citation Text:
In Conversation With.. Freya Spielberg, MD, MPH. PSNet [internet]. 2022.In Conversation With... Freya Spielberg, MD, MPH. PSNet [internet]. Rockville (MD): Agen…
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psnet.ahrq.gov/periodic-issue/periodic-issue-297
June 30, 2021 - The commentary discusses the diagnostic challenges of PSVT and approaches to reduce diagnostic uncertainty
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psnet.ahrq.gov/periodic-issue/periodic-issue-326
January 07, 2022 - For example, research on incident reporting and systems approaches to improving safety are underrepresented
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psnet.ahrq.gov/periodic-issue/periodic-issue-332
March 31, 2022 - Low reliability processes, such as workarounds, were identified and human factors approaches were recommended
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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/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/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/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/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/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/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/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/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/perspective/rapid-response-teams-lessons-early-experience
November 01, 2005 - Rapid Response Teams: Lessons from the Early Experience
William S. Krimsky, MD | November 1, 2005
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Krimsky WS. Rapid Response Teams: Lessons from the Early Experience. PSNet [inter…
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psnet.ahrq.gov/perspective/conversation-reed-v-tuckson-md
September 01, 2016 - In Conversation With… Reed V. Tuckson, MD
September 1, 2016
Also Read an Essay
Citation Text:
In Conversation With… Reed V. Tuckson, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016…
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psnet.ahrq.gov/perspective/telemedicine-and-patient-safety
September 01, 2016 - Telemedicine and Patient Safety
Stephen Agboola, MD, MPH, and Joseph Kvedar, MD | September 1, 2016
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Agboola SO, Kvedar JC. Telemedicine and Patient Safety. PSNet [internet]. Rockv…