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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/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
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*
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/round-trip-service
April 26, 2023 - 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/recurrent-appendicitis
January 15, 2020 - such a "tell-tale" incision is not found following laparoscopic exploration, and many surgeons will choose
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psnet.ahrq.gov/perspective/what-makes-good-checklist
October 01, 2010 - "If you had five items to pick to treat diabetes, or to prevent catheter infections, what would you choose
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psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0
October 01, 2010 - "If you had five items to pick to treat diabetes, or to prevent catheter infections, what would you choose
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psnet.ahrq.gov/node/33679/psn-pdf
January 01, 2009 - Disclosure of Medical Error
January 1, 2009
Kachalia A. Disclosure of Medical Error. PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/disclosure-medical-error
Perspective
Disclosure of medical error is inextricably linked to today's patient safety efforts. Health care experts
advocate that greater discl…
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psnet.ahrq.gov/node/49716/psn-pdf
August 21, 2014 - Benefits vs. Risks of Intraosseous Vascular Access
August 21, 2014
Fowler RL, Lippmann MJ. Benefits vs. Risks of Intraosseous Vascular Access. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/benefits-vs-risks-intraosseous-vascular-access
The Case
A 72-year-old woman with a history of asthma, congestive heart…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.314_slideshow.ppt
February 01, 2014 - PowerPoint Presentation
Spotlight Case
Multifactorial Medication Mishap
1
This presentation is based on the February 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Annie Yang, PharmD, BCPS
NYU Langone Medical Center
Editor, AHRQ WebM&M: Robe…
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psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
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/web-mm/fatal-error-neonate-does-just-culture-provide-answer
June 24, 2020 - SPOTLIGHT CASE
Fatal Error in Neonate: Does "Just Culture" Provide an Answer?
Citation Text:
Dekker SWA. Fatal Error in Neonate: Does "Just Culture" Provide an Answer?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. …
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psnet.ahrq.gov/web-mm/preventing-picc-complications-whose-line-it
October 01, 2017 - According to the CDC, when a vascular access device is required, clinicians should choose the least invasive
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psnet.ahrq.gov/web-mm/defensive-medicine-glowing-pain
November 01, 2012 - Many obstetricians will choose to avoid potential risk by performing a Caesarean delivery, even when
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psnet.ahrq.gov/web-mm/departure-central-line-ritual
October 13, 2018 - number of constructs to examine the specific situational components surrounding the root causes, and we choose
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psnet.ahrq.gov/node/33691/psn-pdf
December 01, 2009 - casestudyback
be committed to follow the right course of action (by recognizing the ramifications if they choose
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psnet.ahrq.gov/node/33743/psn-pdf
December 01, 2012 - Choose less deliriogenic agents when possible
(e.g., analgesics, dexmedetomidine, propofol).
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psnet.ahrq.gov/node/33682/psn-pdf
April 01, 2009 - How you
choose to do that—you have a lot of leeway.
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psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
September 01, 2014 - a world in which financial harm represents a serious patient safety issue, physicians can no longer choose
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psnet.ahrq.gov/node/49747/psn-pdf
December 01, 2015 - Some hospitals choose to utilize monitor watchers to identify alarms and notify
nurses.
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psnet.ahrq.gov/node/73434/psn-pdf
June 30, 2021 - 2% never read the
radiologist’s report.6 To improve patient safety, non-radiologist clinicians who choose