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psnet.ahrq.gov/perspective/conversation-thomas-j-nasca-md-macp
July 10, 2024 - That's the basic framework. … in general surgery, to try to understand whether parsing the rules beyond those core three or four basic
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psnet.ahrq.gov/node/40046/psn-pdf
June 15, 2012 - Applying HFMEA to prevent chemotherapy errors.
June 15, 2012
Cheng C-H, Chou C-J, Wang P-C, et al. Applying HFMEA to prevent chemotherapy errors. J Med Syst.
2012;36(3):1543-51. doi:10.1007/s10916-010-9616-7.
https://psnet.ahrq.gov/issue/applying-hfmea-prevent-chemotherapy-errors
This study provides a practical ex…
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psnet.ahrq.gov/web-mm/diagnostic-delay-emergency-department
September 18, 2024 - The ED provider ordered basic laboratory tests and a right upper quadrant ultrasound to look for cholecystitis … This case highlights how a focus on basic clinical skills, cognitive processes, and team-based care is
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psnet.ahrq.gov/node/844802/psn-pdf
September 18, 2019 - Using proactive risk assessment (HFMEA) to improve
patient safety and quality associated with intraocular lens
selection and implantation in cataract surgery.
September 18, 2019
DeRosier JM, Hansemann BK, Smith-Wheelock MW, et al. Using Proactive Risk Assessment (HFMEA) to
Improve Patient Safety and Quality Associ…
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psnet.ahrq.gov/node/851870/psn-pdf
July 31, 2023 - Regina Hoffman: All clinical staff should be able to understand and demonstrate basic patient safety … When we move into administrative staff and leadership teams, at a minimum they need to understand basic
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psnet.ahrq.gov/node/33798/psn-pdf
January 01, 2015 - found that both health
professionals and patients believe clinicians should be held accountable for basic
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.215_slideshow.ppt
April 01, 2010 - www.ncbi.nlm.nih.gov/pubmed/20064806
Office-Based Physician Practices
Approximately 17% use a “basic
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psnet.ahrq.gov/node/49532/psn-pdf
March 15, 2007 - Back to Basics
March 1, 2007
Hellman R. Back to Basics. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/back-basics
The Case
A 48-year-old woman with insulin-dependent diabetes mellitus presents to the emergency department with
right upper quadrant pain, fever, and leukocytosis, prompting admission for pres…
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psnet.ahrq.gov/node/33755/psn-pdf
September 01, 2013 - New York, NY: Basic Books; 1974.
5. Podolny JM, Khurana R, Hill-Popper M.
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psnet.ahrq.gov/node/74056/psn-pdf
January 01, 2022 - Critical care simulation education program during the
COVID-19 pandemic.
November 10, 2021
Leibner ES, Baron EL, Shah RS, et al. Critical care simulation education program during the COVID-19
pandemic. J Patient Saf. 2022;18(4):e810-e815. doi:10.1097/pts.0000000000000928.
https://psnet.ahrq.gov/issue/critical-care…
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psnet.ahrq.gov/node/838325/psn-pdf
October 12, 2022 - Comprehensive Healthcare Inspection Summary Report:
Evaluation of Care Coordination in Veterans Health
Administration Facilities, Fiscal Year 2021.
October 12, 2022
Washington, DC: VA Office of the Inspector General; September 15, 2022. Report no. 22-00815-232.
https://psnet.ahrq.gov/issue/comprehensive-healthcare…
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psnet.ahrq.gov/node/843326/psn-pdf
February 01, 2023 - Surgical site infection prevention: a review.
February 1, 2023
Seidelman JL, Mantyh CR, Anderson DJ. Surgical site infection prevention: a review. JAMA.
2023;329(3):244-252. doi:10.1001/jama.2022.24075.
https://psnet.ahrq.gov/issue/surgical-site-infection-prevention-review
Surgical site infections (SSIs) remain a …
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psnet.ahrq.gov/web-mm/navigating-chaos-fatal-iatrogenic-liver-injury-patient-admitted-leg-fractures
November 27, 2019 - The American College of Surgeons adapted a course that was adopted in 1980. 1 The basic approach to … trauma under ATLS guidelines is often summarized by the “ABCs of trauma.”The basic approach to trauma
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psnet.ahrq.gov/node/40060/psn-pdf
December 15, 2010 - Failure mode and effects analysis: an empirical
comparison of failure mode scoring procedures.
December 15, 2010
Ashley L, Armitage G. Failure Mode and Effects Analysis. J Patient Saf. 2010;6(4):210-215.
doi:10.1097/pts.0b013e3181fc98d7.
https://psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-empirical-comp…
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psnet.ahrq.gov/node/72856/psn-pdf
March 17, 2021 - The fusion of incident learning and failure mode and
effects analysis for data-driven patient safety
improvements.
March 17, 2021
Paradis KC, Naheedy KW, Matuszak MM, et al. The fusion of incident learning and failure mode and
effects analysis for data-driven patient safety improvements. Pract Radiat Oncol. 2020;1…
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psnet.ahrq.gov/node/46290/psn-pdf
January 01, 2021 - Using prospective risk analysis tools to improve safety in
pharmacy settings: a systematic review and critical
appraisal.
August 2, 2017
Stojkovic T, Marinkovic V, Manser T. Using Prospective Risk Analysis Tools to Improve Safety in Pharmacy
Settings: A Systematic Review and Critical Appraisal. J Patient Saf. 2021…
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psnet.ahrq.gov/node/46286/psn-pdf
September 13, 2017 - Preventing blood transfusion failures: FMEA, an effective
assessment method.
September 13, 2017
Najafpour Z, Hasoumi M, Behzadi F, et al. Preventing blood transfusion failures: FMEA, an effective
assessment method. BMC Health Serv Res. 2017;17(1):453. doi:10.1186/s12913-017-2380-3.
https://psnet.ahrq.gov/issue/pre…
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psnet.ahrq.gov/node/33785/psn-pdf
May 01, 2015 - JB: On the one hand, I don't think that too many surgeons were surprised by the basic finding that
operative … other military-associated fields, very early rigorous aptitude testing
assesses whether you have the basic
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psnet.ahrq.gov/node/38727/psn-pdf
November 25, 2009 - FMEA team performance in health care: a qualitative
analysis of team member perceptions.
November 25, 2009
Wetterneck TB, Hundt AS, Carayon P. FMEA Team Performance in Health Care. J Patient Saf. 2009;5(2).
doi:10.1097/pts.0b013e3181a852be.
https://psnet.ahrq.gov/issue/fmea-team-performance-health-care-qualitative…
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psnet.ahrq.gov/web-mm/chest-tube-complications
September 27, 2023 - Chest Tube Complications
Citation Text:
Santhosh L, Broaddus C. Chest Tube Complications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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