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psnet.ahrq.gov/node/33637/psn-pdf
August 01, 2006 - We don't have good
systems for assessing their performance.
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psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions
November 13, 2024 - The Second Victim Experience and Support Tool: validation of an organizational resource for assessing
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psnet.ahrq.gov/web-mm/code-status-confusion
September 01, 2006 - February 17, 2017
A World Health Organization field trial assessing a proposed ICD-11
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psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_mismanagement_of_acute_decompensated_heart_failure_slides_final.pptx
January 01, 2024 - A more thoughtful, evidence-based approach to fluid and volume management1 might emphasize assessing
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psnet.ahrq.gov/node/850675/psn-pdf
June 14, 2023 - presence in the healthcare settings during a pandemic.15 IPFCC suggests using an iterative process for
assessing
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psnet.ahrq.gov/node/49669/psn-pdf
November 01, 2012 - We
advise carefully assessing each patient for the need of transfusion.
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psnet.ahrq.gov/node/73526/psn-pdf
July 28, 2021 - Improving Medication Safety in Community Pharmacy: Assessing Risk and Opportunities for
Change.
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psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
May 19, 2021 - The organization is responsible for training and assessing clinician competencies for technology and
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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/sites/default/files/2020-06/final_june-spotlight_case_slides_06.12.2020.pdf
January 01, 2020 - Microsoft PowerPoint - FINAL June-Spotlight Case Slides_06.12.2020.pptx
Spotlight
When the Indications for Drug
Administration Blur
Source and Credits
• This presentation is based on the June 2020 AHRQ
WebM&M Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
• Commentary by: Julia Munsch,…
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psnet.ahrq.gov/node/33582/psn-pdf
September 15, 2024 - Detection of Safety Hazards
September 15, 2024
Detection of Safety Hazards. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/detection-safety-hazards
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 s…
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psnet.ahrq.gov/primer/detection-safety-hazards
March 30, 2022 - Detection of Safety Hazards
Citation Text:
Detection of Safety Hazards. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMed…
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psnet.ahrq.gov/issue/ehealth-safety-impact-ict-patient-safety-and-risk-management
June 18, 2013 - Book/Report
eHealth for Safety: Impact of ICT on Patient Safety and Risk Management.
Citation Text:
eHealth for Safety: Impact of ICT on Patient Safety and Risk Management. European Commission Information Society and Media. October 2007
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psnet.ahrq.gov/issue/quality-and-safety-healthcare-switzerland
March 23, 2022 - Book/Report
Quality and Safety of Healthcare in Switzerland.
Citation Text:
Quality and Safety of Healthcare in Switzerland. Vincent C, Staines A. Bern, Switzerland: Federal Department of Home Affairs, Federal Office of Public Health; 2019.
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psnet.ahrq.gov/issue/supplementary-advisory-results-pa-psrs-workgroup-pharmacy-computer-system-safety
October 21, 2020 - Government Resource
Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety.
Citation Text:
Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety. Patient Safety Advisory
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psnet.ahrq.gov/issue/rudeness-work
May 29, 2014 - Commentary
Rudeness at work.
Citation Text:
Flin R. Rudeness at work. BMJ. 2010;340:c2480. doi:10.1136/bmj.c2480.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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Sa…
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psnet.ahrq.gov/issue/2012-john-m-eisenberg-patient-safety-and-quality-awards
November 30, 2016 - Award Recipient
2012 John M. Eisenberg Patient Safety and Quality Awards.
Citation Text:
2012 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2013;39(6):243-266.
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psnet.ahrq.gov/issue/stop-measure-safe-and-transparent-opioid-prescribing-promote-patient-safety-and-reduced-risk
October 30, 2019 - Book/Report
The STOP Measure. Safe and Transparent Opioid Prescribing to Promote Patient Safety and Reduced Risk of Opioid Misuse.
Citation Text:
The STOP Measure. Safe and Transparent Opioid Prescribing to Promote Patient Safety and Reduced Risk of Opioid Misuse. Washington, DC: America…
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psnet.ahrq.gov/issue/qi-gateway-quality-improvement-residents
May 26, 2021 - Multi-use Website
QI Gateway: Quality Improvement for Residents.
Citation Text:
QI Gateway: Quality Improvement for Residents. The Committee of Interns and Residents; CIR; SEIU Healthcare.
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