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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.200_slideshow.ppt
May 01, 2009 - Drugs that were recently stopped and may cause withdrawal syndrome (opioids, antidepressants, alcohol)
Basic
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.188_slideshow.ppt
November 01, 2008 - changes
Understand the limits of standardizing handoffs in preventing errors at shift change
Explain basic
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psnet.ahrq.gov/node/33686/psn-pdf
August 01, 2009 - That comes back to the basic premise of the
research I've been doing over many years, which is that … Fundamentally, it comes
down to this basic issue: If you're trying to engage many people in a collaborative
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psnet.ahrq.gov/perspective/conversation-withbrent-c-james-md-mstat
February 26, 2025 - In Conversation with...Brent C. James, MD, MStat
February 1, 2011
Citation Text:
In Conversation with..Brent C. James, MD, MStat. PSNet [internet]. 2011.In Conversation with...Brent C. James, MD, MStat. PSNet [internet]. Rockville (MD): Agency for Healthcare Researc…
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psnet.ahrq.gov/node/33869/psn-pdf
November 01, 2018 - In Conversation With… David Meltzer, MD, PhD
November 1, 2018
In Conversation With… David Meltzer, MD, PhD. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/conversation-david-meltzer-md-phd
Editor's note: Dr. Meltzer is the Fanny L. Pritzker Professor of Medicine, Chief of the Section of Hospital
Medici…
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psnet.ahrq.gov/node/33706/psn-pdf
February 01, 2011 - In Conversation with...Brent C. James, MD, MStat
February 1, 2011
In Conversation with..Brent C. James, MD, MStat. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/conversation-withbrent-c-james-md-mstat
Editor's note: Brent C. James, MD, MStat, is Chief Quality Officer and Executive Director of the Insti…
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psnet.ahrq.gov/perspective/conversation-enrico-coiera-mb-bs-phd
February 01, 2014 - Let's educate staff in basic interruption-handling strategies, empowering them to say no, or to rehearse … What we're talking about are very hardwired basic attributes of the human brain.
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psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes
July 01, 2012 - We already have a substantial number of hospitals, a third with basic electronic health records. … I am finding that some of the basic skills and requirements that pertain in public policy also pertain
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psnet.ahrq.gov/perspective/conversation-hardeep-singh-md-mph
January 01, 2014 - HS : Yes, we are still defining the "basic science" of diagnostic error but beginning to make some headway … and the Culture of Patient Safety in Teaching Settings
Medical schools are now required to provide basic … culture of safety at teaching hospitals, as many (if not most) teaching faculty also lack facility with basic
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psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp
July 01, 2012 - We already have a substantial number of hospitals, a third with basic electronic health records. … I am finding that some of the basic skills and requirements that pertain in public policy also pertain
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psnet.ahrq.gov/perspective/conversation-withbradley-t-rosen-md-mba
March 01, 2008 - shows how these sources of data span the levels of Kirkpatrick's framework for evaluation ( 2 ), from basic
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psnet.ahrq.gov/perspective/creation-medical-procedure-service-improve-patient-safety
March 01, 2008 - shows how these sources of data span the levels of Kirkpatrick's framework for evaluation ( 2 ), from basic
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psnet.ahrq.gov/perspective/conversation-andrew-gettinger-md
September 01, 2017 - New York, NY: Basic Books; 1984. ISBN: 978-0691004129.
32.
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psnet.ahrq.gov/node/60977/psn-pdf
January 08, 2020 - Multiple Levels Involved in Prescribing the Wrong
Medication
September 30, 2020
Chin K, Chau V, Spero H, et al. Multiple Levels Involved in Prescribing the Wrong Medication. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication
The Case
A 65-year-old woman co…
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psnet.ahrq.gov/node/49416/psn-pdf
September 01, 2003 - Check the Bags
September 1, 2003
Caldwell M, Dracup KA. Check the Bags. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/check-bags
The Case
A 50-year-old man with new atrial fibrillation was placed on a diltiazem drip in the emergency department
for rate control. After arriving at the cardiac care unit (CCU…
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psnet.ahrq.gov/node/49421/psn-pdf
October 01, 2003 - Urine a Tough Position
October 1, 2003
Gandhi TK. Urine a Tough Position. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/urine-tough-position
The Case
A 22-year-old unmarried woman came to her doctor’s office worried that she might be pregnant. Although
she did not want to have a baby at that time, she sta…
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psnet.ahrq.gov/node/33794/psn-pdf
November 01, 2015 - In Conversation With… Lorri Zipperer, MA
November 1, 2015
In Conversation With… Lorri Zipperer, MA. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/conversation-lorri-zipperer-ma
Editor's note: Lorri Zipperer, principal at Zipperer Project Management, was a founding staff member of
the National Patient…
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psnet.ahrq.gov/node/33753/psn-pdf
August 22, 2013 - Update on Safety Culture
August 22, 2013
Frankel A, Leonard M. Update on Safety Culture. PSNet [internet]. 2013.
https://psnet.ahrq.gov/perspective/update-safety-culture
Perspective
Safe and reliable care requires a culture of safety: a collaborative environment in which skilled clinicians
treat each other with r…
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psnet.ahrq.gov/node/49439/psn-pdf
March 01, 2004 - Finally, health professional
schools should incorporate basic educational curricula (14) to ensure that
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psnet.ahrq.gov/node/33681/psn-pdf
March 01, 2009 - outcomes.(1) Addressing health literacy—the capacity of
individuals to obtain, process, and understand basic