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psnet.ahrq.gov/web-mm/discharged-iv-antibiotics-when-issues-arise-who-manages-complications
October 10, 2017 - October 16, 2024
WebM&M Cases
A framework for assessing
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psnet.ahrq.gov/web-mm/anticoagulation-held-too-long
April 01, 2008 - 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/node/74251/psn-pdf
January 26, 2022 - Take-Home Points
Assessing the risk versus benefit of doing the procedure is not enough.
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psnet.ahrq.gov/web-mm/intraoperative-awareness-during-rhinoplasty
January 29, 2021 - Assessing the impact of preoperative anxiolytic medications helps anesthesia clinicians judge the amount
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psnet.ahrq.gov/node/49827/psn-pdf
April 01, 2018 - Walking Patient, Missing Drain
April 1, 2018
Olkowski BF, Ravenel M, Stiefel MF. Walking Patient, Missing Drain. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/walking-patient-missing-drain
The Case
A 43-year-old woman with a history of metastatic breast cancer was admitted to the hospital for an elective
…
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psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety
June 15, 2024 - Strategies and Approaches for Tracking Improvements in Patient Safety
Citation Text:
Shaikh U. Strategies and Approaches for Tracking Improvements in Patient Safety . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
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psnet.ahrq.gov/web-mm/communication-consultants
October 01, 2018 - Communication With Consultants
Citation Text:
Cohn SL. Communication With Consultants. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnot…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.137_slideshow.ppt
November 01, 2006 - Spotlight Case [MONTH] 2003
Spotlight Case November 2006
Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality
Source and Credits
This presentation is based on the November 2006
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.320_slideshow.ppt
January 01, 2020 - PowerPoint Presentation
Spotlight
A ʺReflexiveʺ Diagnosis in Primary Care
1
This presentation is based on the April 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: John Betjemann, MD, and S. Andrew Josephson, MD, University of California, San…
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psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
December 01, 2006 - Establishing a Safety Culture: Thinking Small
Timothy J. Hoff, PhD | December 1, 2006
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Hoff TJ. Establishing a Safety Culture: Thinking Small. PSNet [internet]. Rockville (MD): Age…
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psnet.ahrq.gov/perspective/conversation-withj-bryan-sexton-phd-ma
December 01, 2006 - In Conversation with...J. Bryan Sexton, PhD, MA
December 1, 2006
Also Read an Essay
Citation Text:
In Conversation with..J. Bryan Sexton, PhD, MA. PSNet [internet]. 2006.In Conversation with...J. Bryan Sexton, PhD, MA. PSNet [internet]. Rockville (MD): Agency for…
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psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers
August 01, 2010 - Assessing safety culture: guidelines and recommendations. Qual Saf Health Care. 2005;14:231-233.
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psnet.ahrq.gov/node/46027/psn-pdf
July 02, 2019 - Dissecting Leapfrog: how well do Leapfrog Safe Practices
Scores correlate with Hospital Compare ratings and
penalties, and how much do they matter?
July 2, 2019
Smith SN, Reichert HA, Ameling JM, et al. Dissecting Leapfrog: How Well Do Leapfrog Safe Practices
Scores Correlate With Hospital Compare Ratings and Pena…
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psnet.ahrq.gov/node/41461/psn-pdf
April 05, 2013 - Residents' response to duty-hour regulations—a follow-
up national survey.
April 5, 2013
Drolet BC, Christopher DA, Fischer SA. Residents' response to duty-hour regulations--a follow-up national
survey. N Engl J Med. 2012;366(24):e35. doi:10.1056/NEJMp1202848.
https://psnet.ahrq.gov/issue/residents-response-duty-h…
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psnet.ahrq.gov/node/46985/psn-pdf
July 02, 2019 - The impact of automated notification on follow-up of
actionable tests pending at discharge: a cluster-
randomized controlled trial.
July 2, 2019
Dalal A, Schaffer A, Gershanik EF, et al. The Impact of Automated Notification on Follow-up of Actionable
Tests Pending at Discharge: a Cluster-Randomized Controlled Tria…
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psnet.ahrq.gov/issue/toolkit-decolonization-non-icu-patients-devices
November 15, 2023 - Toolkit
Toolkit for Decolonization of Non-ICU Patients with Devices.
Citation Text:
Agency for Healthcare Research and Quality. Toolkit for Decolonization of Non-ICU Patients with Devices.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…
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psnet.ahrq.gov/issue/preventing-and-managing-impact-anesthesia-awareness
May 27, 2020 - Sentinel Event Alerts
Preventing, and managing the impact of, anesthesia awareness.
Citation Text:
Preventing, and managing the impact of, anesthesia awareness. Sentinel Event Alert. 2004;32:1-3.
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psnet.ahrq.gov/node/39948/psn-pdf
December 21, 2014 - Wrong-site and wrong-patient procedures in the Universal
Protocol era: analysis of a prospective database of
physician self-reported occurrences.
December 21, 2014
Stahel PF, Sabel A, Victoroff MS, et al. Wrong-site and wrong-patient procedures in the universal protocol
era: analysis of a prospective database of p…
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psnet.ahrq.gov/node/48168/psn-pdf
July 24, 2019 - Changes in hospital safety following penalties in the US
Hospital Acquired Condition Reduction Program:
retrospective cohort study.
July 24, 2019
Sankaran R, Sukul D, Nuliyalu U, et al. Changes in hospital safety following penalties in the US Hospital
Acquired Condition Reduction Program: retrospective cohort stud…
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psnet.ahrq.gov/issue/jcahos-safety-goals-clock-ticking-will-your-ed-be-compliant
April 10, 2019 - Commentary
JCAHO's safety goals—the clock is ticking, will your ED be compliant?
Citation Text:
JCAHO's safety goals--the clock is ticking, will your ED be compliant? ED Manag. 2005;17(7):73-5.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…