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psnet.ahrq.gov/node/49672/psn-pdf
January 01, 2013 - patient's probability for malignancy (low, intermediate, high), clinicians can use these models to
choose … The next most common error is to choose a strategy of "wait and watch" but neglect to "watch." … Some might argue that it is an error to choose surveillance (as opposed to immediate intervention) for
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psnet.ahrq.gov/web-mm/tough-call-addressing-errors-previous-providers
July 17, 2024 - difficult, and physicians, who tend to be focused on the patient's present and future care, may simply choose … The uncovering clinician will want to choose his words carefully. … For example, the professional may choose to seek out further training, coaching, or continued education
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psnet.ahrq.gov/perspective/peacehealth-governance-journey-support-quality-and-safety
August 01, 2007 - JR: Well, Deming said that the job of a leader is to choose the boundaries of the system that he wishes … And he said that the smaller the boundaries of the system you choose, the more likely you will make an … And the greater the boundaries of the system you choose, the greater the impact of your improvement will … the measurement question, what's critical is for boards to, along with medical leadership support, choose
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psnet.ahrq.gov/perspective/conversation-withjames-l-reinertsen-md
August 01, 2007 - JR: Well, Deming said that the job of a leader is to choose the boundaries of the system that he wishes … And he said that the smaller the boundaries of the system you choose, the more likely you will make an … And the greater the boundaries of the system you choose, the greater the impact of your improvement will … the measurement question, what's critical is for boards to, along with medical leadership support, choose
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psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-useful-tool-risk-identification-and-injury-prevention
September 24, 2010 - Commentary
Failure mode and effects analysis: a useful tool for risk identification and injury prevention.
Citation Text:
Paparella S. Failure mode and effects analysis: a useful tool for risk identification and injury prevention. Journal of emergency nursing: JEN : official publicatio…
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psnet.ahrq.gov/issue/adverse-events-associated-sedatives-analgesics-and-other-drugs-provide-patient-comfort
March 11, 2011 - Review
Adverse events associated with sedatives, analgesics, and other drugs that provide patient comfort in the intensive care unit.
Citation Text:
Riker RR, Fraser GL. Adverse events associated with sedatives, analgesics, and other drugs that provide patient comfort in the intensiv…
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psnet.ahrq.gov/sites/default/files/2020-11/final_nov_spotlight_case_premature_closing-snycope_11.20.2020-revised.pdf
January 01, 2020 - serious non-
cardiac illness
• Categorize systemic anticoagulation as a high-risk clinical
situation
• Choose … with a cancer treatment survival rate
of 95% compared to a mortality rate of 5% is more likely to choose
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psnet.ahrq.gov/issue/how-trainees-would-disclose-medical-errors-educational-implications-training-programmes
February 16, 2011 - Study
How trainees would disclose medical errors: educational implications for training programmes.
Citation Text:
White AA, Bell SK, Krauss MJ, et al. How trainees would disclose medical errors: educational implications for training programmes. Med Educ. 2011;45(4):372-80. doi:10.1111…
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psnet.ahrq.gov/issue/safe-medication-prescribing-training-and-experience-medical-students-and-housestaff-large
December 22, 2008 - Study
Safe medication prescribing: training and experience of medical students and housestaff at a large teaching hospital.
Citation Text:
Garbutt J, Highstein G, Jeffe DB, et al. Safe medication prescribing: training and experience of medical students and housestaff at a large teachin…
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psnet.ahrq.gov/issue/how-surgeons-disclose-medical-errors-patients-study-using-standardized-patients
July 10, 2008 - Study
How surgeons disclose medical errors to patients: a study using standardized patients.
Citation Text:
Chan DK, Gallagher TH, Reznick R, et al. How surgeons disclose medical errors to patients: a study using standardized patients. Surgery. 2005;138(5):851-8.
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…
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psnet.ahrq.gov/issue/implementing-commercial-rule-base-medication-order-safety-net
January 03, 2017 - Study
Implementing a commercial rule base as a medication order safety net.
Citation Text:
Reichley RM, Seaton TL, Resetar E, et al. Implementing a commercial rule base as a medication order safety net. J Am Med Inform Assoc. 2005;12(4):383-9.
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Format:
Google…
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psnet.ahrq.gov/node/49702/psn-pdf
March 01, 2014 - difficult, and physicians, who tend to be focused on the patient's present and
future care, may simply choose … The uncovering clinician will want to choose his words carefully. … For example, the professional may choose to seek out further training, coaching, or continued
education
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psnet.ahrq.gov/issue/reporting-and-classification-patient-safety-events-cardiothoracic-intensive-care-unit-and
August 02, 2011 - Study
Reporting and classification of patient safety events in a cardiothoracic intensive care unit and cardiothoracic postoperative care unit.
Citation Text:
Nast PA, Avidan M, Harris CB, et al. Reporting and classification of patient safety events in a cardiothoracic intensive care uni…
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psnet.ahrq.gov/issue/patient-safety-event-reporting-critical-care-study-three-intensive-care-units
September 22, 2010 - Study
Patient safety event reporting in critical care: a study of three intensive care units.
Citation Text:
Harris CB, Krauss MJ, Coopersmith CM, et al. Patient safety event reporting in critical care: a study of three intensive care units. Crit Care Med. 2007;35(4):1068-76.
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psnet.ahrq.gov/issue/reporting-and-disclosing-medical-errors-pediatricians-attitudes-and-behaviors
April 30, 2014 - Study
Reporting and disclosing medical errors: pediatricians' attitudes and behaviors.
Citation Text:
Garbutt J, Brownstein DR, Klein EJ, et al. Reporting and disclosing medical errors: pediatricians' attitudes and behaviors. Arch Pediatr Adolesc Med. 2007;161(2):179-85.
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psnet.ahrq.gov/node/46870/psn-pdf
March 14, 2018 - Opioid Wisely.
March 14, 2018
Choosing Wisely Canada.
https://psnet.ahrq.gov/issue/opioid-wisely
Opioid misuse is a concern in both the United States and Canada. This campaign shares 19 specialty-
specific recommendations to improve opioid safety in Canadian hospitals. An Annual Perspective
discussed the opioid c…
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psnet.ahrq.gov/node/73886/psn-pdf
September 29, 2021 - When less is more: the role of overdiagnosis and
overtreatment in patient safety.
September 29, 2021
Kamzan AD, Ng E. When less is more: the role of overdiagnosis and overtreatment in patient safety. Adv
Pediatr. 2021;68:21-35. doi:10.1016/j.yapd.2021.05.013.
https://psnet.ahrq.gov/issue/when-less-more-role-overdi…
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psnet.ahrq.gov/node/73229/psn-pdf
May 26, 2021 - However, it is imperative that institutions choose
one dosing strategy for the adult population and … norepinephrine can be weight-based (mcg/kg/min) or non-weight-based
(mcg/min) – institutions should choose
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psnet.ahrq.gov/web-mm/lung-nodule-refused-grow
March 01, 2004 - patient's probability for malignancy (low, intermediate, high), clinicians can use these models to choose … The next most common error is to choose a strategy of "wait and watch" but neglect to "watch." … Some might argue that it is an error to choose surveillance (as opposed to immediate intervention) for
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psnet.ahrq.gov/node/49444/psn-pdf
May 01, 2004 - American College of Physicians Ethics Manual also suggests that physicians
exercise caution if they choose … If you choose to treat a colleague, it is wise to document the encounter and provide the same level of