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psnet.ahrq.gov/node/49615/psn-pdf
December 01, 2010 - Rapid onset of purple discoloration in the sacral/buttocks area is
also seen with skin failure at the … Panel—2007.(8)
Stage Description
Stage I
Intact skin with non-blanchable redness of a localized area … Darkly pigmented skin may not have visible blanching; its color may differ
from the surrounding area … Suspected deep
tissue injury
Purple or maroon localized area of discolored intact skin or blood-filled … The area may be
preceded by tissue that is painful, firm, mushy, boggy, warmer, or cooler as compared
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psnet.ahrq.gov/issue/please-write-me-writing-outpatient-clinic-letters-patients-guidance
March 04, 2020 - September 30, 2020
Infection prevention in the operating room anesthesia work area
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psnet.ahrq.gov/issue/speaking-being-heard-registered-nurses-perceptions-workplace-communication
June 12, 2019 - Perceptions of patient safety culture among physicians and RNs in the perioperative area
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psnet.ahrq.gov/node/49845/psn-pdf
October 01, 2018 - specialized training in preparing IV medications, there
should be minimal distractions in the compound area … To improve the safety environment of the compounding area, the area should
contain only the products
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psnet.ahrq.gov/node/866846/psn-pdf
September 24, 2024 - Zero Harm: Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement
September 24, 2024
Stockmeier CA, Thomas E, Mossburg S, et al. Zero Harm: Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/zero…
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psnet.ahrq.gov/node/44434/psn-pdf
June 21, 2016 - data from a large sample of hospitals in the United States and England, advances
knowledge in this area
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psnet.ahrq.gov/issue/pump-volume-tips-increasing-error-reporting
March 14, 2023 - Newspaper/Magazine Article
Pump up the volume—tips for increasing error reporting.
Citation Text:
Pump up the volume—tips for increasing error reporting. ISMP Medication Safety Alert! Acute Care Edition. February 9, 2006;11:1-2,4.
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psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
August 30, 2023 - The first foundational area is culture, leadership, and governance—ensuring that there is a core value … The second area is meaningful patient and family engagement in their own care, and all aspects of care … The fourth area is the learning system, with the establishment of networked and continuous learning and … This means that if organizations focus only on one foundational area, such as culture, leadership, and … have used the Organizational Self-Assessment Tool is the patient and family engagement foundational area
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psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
August 30, 2023 - The first foundational area is culture, leadership, and governance—ensuring that there is a core value … The second area is meaningful patient and family engagement in their own care, and all aspects of care … The fourth area is the learning system, with the establishment of networked and continuous learning and … This means that if organizations focus only on one foundational area, such as culture, leadership, and … have used the Organizational Self-Assessment Tool is the patient and family engagement foundational area
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psnet.ahrq.gov/node/33809/psn-pdf
June 01, 2016 - There
are ways to start to define the core characteristics of people who have expertise in this area … culture is higher on Maslow's
scale than satisfied and joyful clinicians or other workers in this area … Just like we see in other fields, we're going to have
individuals who are working in the area who are … very focused in one area and not capable of rising up to
that more general competency that we would
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psnet.ahrq.gov/node/33818/psn-pdf
November 01, 2016 - for its work in patient safety, and there are a tremendous
number of assets at AHRQ related to this area … I've learned from him about the robust nature of the
investments that AHRQ makes in research in this area … AB: AHRQ does have a robust research portfolio in the area of health IT. … In the area that I know best, primary care, substantial questions must be asked about whether we have
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psnet.ahrq.gov/issue/critical-incident-technique-bibliography-2001
February 15, 2011 - Perceptions of patient safety culture among physicians and RNs in the perioperative area
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psnet.ahrq.gov/web-mm/forgotten-turn
August 01, 2018 - Rapid onset of purple discoloration in the sacral/buttocks area is also seen with skin failure at the … Stage
Description
Stage I
Intact skin with non-blanchable redness of a localized area … Darkly pigmented skin may not have visible blanching; its color may differ from the surrounding area. … Suspected deep tissue injury
Purple or maroon localized area of discolored intact skin or blood-filled … The area may be preceded by tissue that is painful, firm, mushy, boggy, warmer, or cooler as compared
-
psnet.ahrq.gov/node/60264/psn-pdf
January 14, 2021 - COVID-19 Content. ISMP Medication Safety Alert!
January 14, 2021
March 2020--January 2021.
https://psnet.ahrq.gov/issue/special-editions-covid-19-ismp-medication-safety-alert
Medication safety is improved through the sharing of frontline improvement experiences and concerns.
These articles share recommendations to…
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psnet.ahrq.gov/node/836867/psn-pdf
April 06, 2022 - Safer Dx Checklist: 10 High-Priority Practices for
Diagnostic Excellence.
April 6, 2022
Houston TX; Baylor College of Medicine: 2022.
https://psnet.ahrq.gov/issue/safer-dx-checklist-10-high-priority-practices-diagnostic-excellence
Assessment can identify the current state of a process or program to reveal ar…
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psnet.ahrq.gov/node/49709/psn-pdf
May 01, 2014 - physician proceeded with regional anesthesia and performed a right
iliac block in the preoperative holding area … Nurses working in the perianesthesia area should be competent in ACLS/PALS [advanced cardiac life
support … the orientation of new clinicians to cursory on-the-job
guidance by nurses or physicians within the area
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psnet.ahrq.gov/node/33788/psn-pdf
June 01, 2015 - until we got another
contract from CMS that we had the resources to revisit any new evidence in that area—very … The committees may need to bring in a few
content area experts. … Society to Improve Diagnosis in Medicine, is addressing
the academic and methodological issues in this area … Graber with the John
Eisenberg Patient Safety and Quality Award for his individual leadership is this area
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psnet.ahrq.gov/node/50716/psn-pdf
December 04, 2019 - Organisation for Economic Co-operation and
Development: Health at a Glance 2019.
December 4, 2019
Paris, France: OECD Publishing: 2019.
https://psnet.ahrq.gov/issue/organisation-economic-co-operation-and-development-health-glance-2019
This report documents the overall state of health care, based on an internationa…
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psnet.ahrq.gov/node/866245/psn-pdf
July 10, 2024 - Assessing nourishment problems at a hospital: what can
we learn from them?
July 10, 2024
Clausen MK, Bogh SB, Schmidt-Petersen M, et al. Assessing nourishment problems at a hospital: what
can we learn from them? BMJ Open Qual. 2024;13(2):e002745. doi:10.1136/bmjoq-2024-002745.
https://psnet.ahrq.gov/issue/assessin…
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psnet.ahrq.gov/perspective/integrating-multiple-medication-decision-support-systems-how-will-we-make-it-all-work
May 01, 2008 - It's clear that chronic disease management is a pretty complicated area. … DB: It's a very important area and quite a hot issue. … RW: You have done remarkably powerful and important research in an area of great complexity. … Our group has done some work in that area, but I'd like to see it do even more. … And it's certainly an underaddressed area.