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psnet.ahrq.gov/node/49517/psn-pdf
August 01, 2006 - Also, equianalgesic conversion algorithms could be programmed into CPOE
software to help prescribers choose
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psnet.ahrq.gov/node/33775/psn-pdf
December 01, 2014 - improvement efforts on a clear understanding of local context.(10) While different groups of partners
choose
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psnet.ahrq.gov/node/49599/psn-pdf
February 23, 2010 - Many obstetricians will
choose to avoid potential risk by performing a Caesarean delivery, even when
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psnet.ahrq.gov/node/33695/psn-pdf
April 01, 2010 - performance, exacerbating the transparency problem, as in
many instances these stakeholders may "pick and choose
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psnet.ahrq.gov/web-mm/dangerous-detour
November 28, 2018 - The suicidal patient is atypical in this system.( 3 ) Such a patient may not choose to be helped toward
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psnet.ahrq.gov/web-mm/wrong-blade-lack-familiarity-pediatric-emergency-equipment
June 01, 2018 - good data that it is helpful ( 12 ), and a proven alternative that will reliably allow ED personnel to choose
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psnet.ahrq.gov/innovation/behavioral-health-vital-signs-initiative-increases-patient-education-and-disclosure
February 26, 2025 - screened 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/node/49603/psn-pdf
June 01, 2010 - Fatal Error in Neonate: Does "Just Culture" Provide an
Answer?
June 1, 2010
Dekker SWA. Fatal Error in Neonate: Does "Just Culture" Provide an Answer? PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer
Case Objectives
Describe the just culture approach to in…
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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-beverley-h-johnson
February 01, 2013 - participation of patients and families in care and decision-making, particularly at the level they choose … RW : I notice you said at the level they choose.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.299_slideshow.ppt
May 01, 2013 - Spotlight Case July 2008
Spotlight Case
Right Regimen, Wrong Cancer: Patient Catches Medical Error
*
*
Source and Credits
This presentation is based on the May 2013
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Joseph O. Jacobson, MD, MSc…
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psnet.ahrq.gov/web-mm/triage-time-bomb
September 01, 2008 - Triage, derived from the French verb trier, meaning to sort or to choose, is the process by which patients
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psnet.ahrq.gov/node/49818/psn-pdf
January 01, 2018 - world in which financial harm represents a serious patient safety issue, physicians can no
longer choose
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psnet.ahrq.gov/sites/default/files/2019-12/spotlight_code_status_dec_2019_powerpoint.pdf
January 01, 2019 - “Allow natural death” versus “do not resuscitate”: What do
patients with advanced cancer choose?
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psnet.ahrq.gov/node/49596/psn-pdf
December 01, 2009 - The most pressing task for the American medical community is the education of patients who choose to
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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.
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psnet.ahrq.gov/node/49763/psn-pdf
June 01, 2016 - For example, hospitals may choose to reduce the initial trainee workload (e.g., through lower admission
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psnet.ahrq.gov/node/49610/psn-pdf
October 01, 2010 - such a "tell-tale" incision is not found
following laparoscopic exploration, and many surgeons will choose
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psnet.ahrq.gov/node/49674/psn-pdf
December 01, 2012 - According to the CDC, when a vascular access device is required, clinicians should choose the least
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psnet.ahrq.gov/node/33665/psn-pdf
March 01, 2008 - are twice as likely to be comfortable performing procedures (4), and that residents
preferentially choose