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psnet.ahrq.gov/node/49799/psn-pdf
July 01, 2017 - Delayed Recognition of a Positive Blood Culture
July 1, 2017
Doernberg S. Delayed Recognition of a Positive Blood Culture. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/delayed-recognition-positive-blood-culture
The Case
A 58-year-old woman with metastatic breast cancer recently treated with immunosuppress…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.332_slideshow.ppt
September 01, 2014 - PowerPoint Presentation
Spotlight
A Lot of Pain (Medications)
1
This presentation is based on the September 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Shoshana J. Herzig, MD, MPH, Division of General Medicine, Beth Israel Deaconess Medic…
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psnet.ahrq.gov/Issues
June 23, 2021 - WebM&M
Choose … Perspectives
Choose
April 2021 March 2021 December 2020 October 2020 July 2020
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psnet.ahrq.gov/issues
June 23, 2021 - WebM&M
Choose … Perspectives
Choose
April 2021 March 2021 December 2020 October 2020 July 2020
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psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
April 27, 2022 - serious non-cardiac illness
Categorize systemic anticoagulation as a high-risk clinical situation
Choose … 3 For example, a patient presented with a cancer treatment survival rate of 95% is more likely to choose
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psnet.ahrq.gov/perspective/introducing-redesigned-ahrq-patient-safety-network
December 01, 2005 - (Opting out is easy if you choose to do so, but we hope you won't!)
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psnet.ahrq.gov/node/49524/psn-pdf
November 01, 2006 - Many anesthesiologists choose to avoid LMA use in these higher risk
patients.
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psnet.ahrq.gov/innovation/geisingers-outpatient-addiction-medicine-specialty-program-uses-data-driven-decision
October 30, 2024 - With physician agreement, patients can choose to move from the “harm reduction” to the “functional improvement
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psnet.ahrq.gov/print/pdf/node/848754
January 01, 2025 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Implementation of Patient Safety Projects
Curated Library
Foundations
Leading change: why transformation efforts fail.
Kotter JP. Harvard Bus Rev 1995;73(2);59-67.
Kotter, a professor at Harvard Business School, outlines the eight stages …
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psnet.ahrq.gov/perspective/conversation-david-urbach-md-msc
June 12, 2019 - In Conversation With… David Urbach, MD, MSc
April 1, 2015
Citation Text:
In Conversation With… David Urbach, MD, MSc. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
Copy Citation
…
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psnet.ahrq.gov/primer/detection-safety-hazards
March 30, 2022 - Health care providers may choose to work with a PSO and specify the scope and volume of patient safety
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psnet.ahrq.gov/node/73412/psn-pdf
August 01, 2022 - with the BHVS tool on an annual basis, but flexibilities should be built into how the clinics can choose
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.461_slideshow.ppt
November 01, 2018 - supervisors should estimate the difficulty of tasks related to the learner's competence and preferably choose
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psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
February 01, 2007 - errors: The physician chooses the most likely diagnosis over conditions that are more rare, or they choose
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.398_slideshow.ppt
February 01, 2017 - unique and can present with a wide range of symptoms
Most clinicians realize this and thus usually choose
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psnet.ahrq.gov/web-mm/supervision-and-entrustment-clinical-training-protecting-patients-protecting-trainees
February 22, 2017 - supervisors should estimate the difficulty of tasks related to the learner's competence and preferably choose
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.260_slideshow.ppt
February 01, 2012 - E-prescribing
Savings expected to arise from 4 factors:
Informing providers the point of care, allowing them to choose
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psnet.ahrq.gov/node/33747/psn-pdf
March 01, 2013 - these roles make sense conceptually.(12) However, we need more research aimed at
clarifying how to choose
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psnet.ahrq.gov/node/49682/psn-pdf
April 01, 2013 - Vasculitis was a parsimonious explanation for all of the patient's recent
symptoms, so it was reasonable to choose … years of a diagnosis of glioblastoma
multiforme.(20) Knowing the lethal diagnosis, the patient might choose
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psnet.ahrq.gov/web-mm/overdose-gabapentin-and-oxycodone-patient-end-stage-renal-disease-case-appropriate
June 24, 2020 - alerts only “On Demand”, whereby the clinician can look at the decision support recommendations if they choose … own without any behavioral nudge to do so (e.g., acknowledge the elevated creatinine and react, or choose