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psnet.ahrq.gov/node/33609/psn-pdf
September 07, 2019 - decision support systems use specific
parameters (such as diagnoses, laboratory results, medication choices
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psnet.ahrq.gov/node/50614/psn-pdf
October 30, 2019 - my colleagues to make those decisions about the PICC, and often there was no
clear reason for their choices … So, the PICC is just one of those six choices. … reflect on why you need a catheter and what aspects you should consider changes
how we approach these choices
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psnet.ahrq.gov/node/49699/psn-pdf
February 01, 2014 - In all, the physician saw eight different choices for oxycodone products. … The list of choices that resulted when oxycodone was searched in
the CPOE system was confusing. … Shaping systems for better behavioral choices: lessons
learned from a fatal medication error.
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psnet.ahrq.gov/issue/patient-safety-improvement-act-2020
February 12, 2020 - Government Resource
Patient Safety Improvement Act of 2020.
Citation Text:
Patient Safety Improvement Act of 2020. SB 3380. 116th Congress (2020).
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.137_slideshow.ppt
November 01, 2006 - Goals of Public Reporting
Improves transparency in health care and can empower patients to make better choices … : Indirect Harm
Patients and payers may misinterpret quality performance information and make poor choices
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psnet.ahrq.gov/node/49515/psn-pdf
July 01, 2006 - Typically, a lexicon of choices is presented from which the documenting clinician must choose. … documented egg allergy (12), and so eggs (as well as latex and shellfish) are
commonly included as choices
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psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
February 28, 2024 - my colleagues to make those decisions about the PICC, and often there was no clear reason for their choices … So, the PICC is just one of those six choices. … reflect on why you need a catheter and what aspects you should consider changes how we approach these choices
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psnet.ahrq.gov/node/72586/psn-pdf
December 23, 2020 - After
presenting information about a patient’s condition and care choices, a provider should check the … The patient
must show how the information and choices relate to them personally.
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psnet.ahrq.gov/web-mm/dnr-or-and-afterwards
July 01, 2003 - there may be a tension between wanting to provide beneficial interventions and respecting her informed choices … should discuss these issues with patients or surrogates and be guided by their informed preferences and choices
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psnet.ahrq.gov/node/33743/psn-pdf
December 01, 2012 - raises the risk of delirium in a dose-dependent fashion.(10,11) Importantly, alternative
sedative choices
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psnet.ahrq.gov/web-mm/code-status-vs-care-status
September 30, 2020 - After presenting information about a patient’s condition and care choices, a provider should check the … The patient must show how the information and choices relate to them personally.
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psnet.ahrq.gov/node/36357/psn-pdf
December 19, 2009 - Error reporting in organizations.
December 19, 2009
Zhao B; Olivera F. Acad Manag Rev. 2006;31(4):1012-1030.
https://psnet.ahrq.gov/issue/error-reporting-organizations
The authors provide a framework for individual error reporting behavior that follows three phases: error
detection, situation assessment, and choic…
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psnet.ahrq.gov/node/844756/psn-pdf
September 18, 2019 - Emerging Concepts in Patient Safety.
September 18, 2019
Shapiro FE, ed. Int Anesthesiol Clin. 2019;57:1-162.
https://psnet.ahrq.gov/issue/emerging-concepts-patient-safety
This publication presents patient safety concepts for anesthesia practice, including decision aids to educate
and empower patients about anesthe…
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psnet.ahrq.gov/perspective/conversation-eric-j-topol-md
February 26, 2025 - there is an infection and maybe suggests consideration for antibiotics, and even gives a couple of choices … They can make those choices, and it is not the job of authorities like the FDA and others to choose for … Another says that people have to be protected against bad information or bad choices.
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psnet.ahrq.gov/primer/clinical-decision-support-systems
September 07, 2019 - decision support systems use specific parameters (such as diagnoses, laboratory results, medication choices
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psnet.ahrq.gov/node/863308/psn-pdf
February 28, 2024 - When Vomit Gets in the Way: Aspiration Resulting in
Death During Endoscopy
February 28, 2024
Do T, Scott FJ. When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy. PSNet
[internet]. 2024.
https://psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy
The Case
A…
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psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
September 01, 2016 - In all, the physician saw eight different choices for oxycodone products. … The list of choices that resulted when oxycodone was searched in the CPOE system was confusing. … Shaping systems for better behavioral choices: lessons learned from a fatal medication error.
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psnet.ahrq.gov/training-catalog/acs-quality-and-safety-conference
ACS Quality and Safety Conference
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Organization:
Organization
American College of Surgeons (ACS)
Event Description: This …
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psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy
March 18, 2020 - When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy
Citation Text:
Do T, Scott FJ. When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024…
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psnet.ahrq.gov/web-mm/over-not-so-easy
April 01, 2005 - Typically, a lexicon of choices is presented from which the documenting clinician must choose. … documented egg allergy ( 12 ), and so eggs (as well as latex and shellfish) are commonly included as choices