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  1. Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures | PSNet

    psnet.ahrq.gov/web-mm/navigating-chaos-fatal-iatrogenic-liver-injury-patient-admitted-leg-fractures
    November 27, 2019 - The best chances to have helped this patient would have been to (1) immediately initiate MTP and correct

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33765/psn-pdf
    April 01, 2014 - Then we decide how we can best do that. That requires some edginess.

  3. A Double “Never Event”: Wrong Patient and Wrong Side. | PSNet

    psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
    August 20, 2018 - Key themes identified by a systematic review exploring the best course of action after adverse events

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49519/psn-pdf
    September 01, 2006 - UHC best practice recommendation: patient handoff communication white paper.

  5. In Conversation With... John G. Reiling, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-john-g-reiling-phd
    June 01, 2014 - You need to decide what the best features are that will match the safety needs for the amount of capital

  6. When the Lytes Go Out: A Case of Inpatient Cardiac Arrest | PSNet

    psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest
    February 01, 2023 - However, the overall increase in any action taken after instituting the alert was modest at best and

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840174/psn-pdf
    August 28, 2024 - The family’s opportunity to ask questions and to be provided answers by those best able to answer—their

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49651/psn-pdf
    May 01, 2012 - methods have been developed to promote effective handoff communication, there is no consensus on "best

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49811/psn-pdf
    November 01, 2017 - Best Pract Res Clin Endocrinol Metab. 2009;23:735- 751. [go to PubMed] 6. Croskerry P.

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49777/psn-pdf
    December 01, 2016 - Another best practice is counseling patients specifically on lethal means, methods for suicide with high

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33879/psn-pdf
    May 01, 2019 - There's also the concept of getting the not really sick patients to the right place so that they get the best

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49648/psn-pdf
    March 01, 2012 - Develop a script that can best elicit patient concerns with a mix of closed and open-ended questions

  13. Final Progress Report: Development and Validation of a Tool to Evaluate Handoff Quality (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/arora-report.pdf
    January 01, 2024 - 2011 Association of American Medical Colleges Annual Meeting in Denver, where it won the award for best

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49486/psn-pdf
    August 21, 2005 - physician should order another INR later in the day (at about 3:00 pm) and use this result to judge the best

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49858/psn-pdf
    April 01, 2019 - other common safety issues with telemetry monitoring, particularly remote monitoring, and identify best

  16. Appendix B: Risk Assessment Models, Protocols, and Order Sets (continued) | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/vtguide/appb2.html
    January 01, 2020 - Outline the Evidence and Identify Best Practices Chapter 4.

  17. Microsoft PowerPoint - FINAL Spotlight Case_Under Pressure.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
    January 01, 2023 - Gadkaree S, Pandian V, Best S, et al.

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49527/psn-pdf
    December 01, 2006 - They also identify best practices associated with better performance.(5,7) For example, a Q probes study

  19. U.S. Department of Veterans Affairs Medical Center, Houston, TX, and Baylor College of Medicine Revised Safer Diagnosis (Safer Dx) Instrument | PSNet

    psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor-college-medicine
    February 26, 2025 - adaptations of the tool (e.g., Safer Stroke Dx) have found it to yield accurate results. 4 , 5 For the best

  20. An Overview of the CANDOR Process

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
    September 10, 2015 - Many organizations implement the best practice of creating a hotline for staff to call when they feel
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