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psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd
October 06, 2021 - from the patient’s entry point into the hospital and then through all of the steps of the process and assessing … However, when assessing maternal safety, it is also essential to also take a whole-person view.
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psnet.ahrq.gov/web-mm/speaking-patient-safety-what-they-dont-tell-you-training-about-feedback-and-burnout
January 22, 2020 - Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study
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psnet.ahrq.gov/node/50755/psn-pdf
December 18, 2019 - The Need to Eat
December 18, 2019
Widaman AM. The Need to Eat. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/need-eat
The Case
A 62-year-old man with a history of Wernicke–Korsakoff encephalopathy – a degenerative brain disorder
caused by the lack of vitamin B1 – was admitted for possible aspiration pneum…
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psnet.ahrq.gov/node/49834/psn-pdf
July 01, 2018 - "The Ultrasound Looked Fine": Point-of-Care Ultrasound
and Patient Safety
July 1, 2018
Lewiss RE. "The Ultrasound Looked Fine": Point-of-Care Ultrasound and Patient Safety. PSNet [internet].
2018.
https://psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
Case Objectives
Unders…
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psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia
January 29, 2021 - Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia
Citation Text:
Bohringer C. Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and…
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psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
January 29, 2021 - Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation.
Citation Text:
Bohringer C, Godoy L. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation.. PSNet [internet]. Rockville (MD): Ag…
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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.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Dow…
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psnet.ahrq.gov/node/49806/psn-pdf
September 01, 2017 - Failed Interpretation of Screening Tool: Delayed
Treatment
September 1, 2017
Cable CA, Murphy DJ, Martin GS. Failed Interpretation of Screening Tool: Delayed Treatment. PSNet
[internet]. 2017.
https://psnet.ahrq.gov/web-mm/failed-interpretation-screening-tool-delayed-treatment
The Case
An 88-year-old man present…
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psnet.ahrq.gov/node/33743/psn-pdf
December 01, 2012 - Quality and Safety Challenges in Critical Care: Preventing
and Treating Delirium in the Intensive Care Unit
December 1, 2012
Vasilevskis EE, Ely WE, Dittus RS. Quality and Safety Challenges in Critical Care: Preventing and Treating
Delirium in the Intensive Care Unit. PSNet [internet]. 2012.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/49606/psn-pdf
August 01, 2010 - For patients with limited exercise tolerance or difficulty assessing this
tolerance, additional evaluation
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psnet.ahrq.gov/node/33662/psn-pdf
January 01, 2008 - Then they have a hard time assessing in a comprehensive
way the clinical and operational systems that
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psnet.ahrq.gov/sites/default/files/2020-12/final_dec_spotlight_code_status_vs_care_status.pdf
January 01, 2020 - Assessing competence to consent to treatment: A guide for physicians and other health professionals.
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psnet.ahrq.gov/node/49602/psn-pdf
April 01, 2010 - The use of
electronic systems to prompt clinicians when key aspects of management are due, such as assessing
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psnet.ahrq.gov/perspective/conversation-withtroyen-brennan-md-jd-mph
December 21, 2022 - We published a number of studies from the original data set assessing risk factors for poor quality care
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psnet.ahrq.gov/perspective/are-we-getting-better-measuring-patient-safety
November 10, 2015 - Sections
Perspective
Related Resources From the Same Author(s)
Assessing
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psnet.ahrq.gov/web-mm/spinal-epidural-abscess
November 13, 2019 - Why patients visit their doctors: assessing the most prevalent conditions in a defined American population
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psnet.ahrq.gov/primer/burnout
November 20, 2024 - May 22, 2024
Burnout in Primary Care: Assessing and Addressing It in Your Practice.
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psnet.ahrq.gov/web-mm/discharge-fumbles
September 09, 2009 - September 9, 2009
A randomised controlled trial assessing the efficacy of an electronic
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psnet.ahrq.gov/web-mm/emergency-error
January 18, 2013 - More senior surgeons appear to have a greater degree of certainty when assessing a patient's likely outcome
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psnet.ahrq.gov/web-mm/empty-handoff
August 01, 2017 - Assessing the quality of patient handoffs at care transitions. Qual Saf Health Care. 2010;19:e44.