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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/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/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/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/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/perspective/conversation-kathleen-sanford-and-sue-schuelke-about-virtual-nursing
August 30, 2023 - our own, but if other organizations are looking for technology, there are many companies out there to choose … screen monitor in the room on the wall, and the patient can hit a button and call the nurse when they choose
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psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workforce-challenges
August 30, 2023 - our own, but if other organizations are looking for technology, there are many companies out there to choose … screen monitor in the room on the wall, and the patient can hit a button and call the nurse when they choose
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psnet.ahrq.gov/perspective/conversation-withgerald-b-hickson-md
December 01, 2009 - Some individuals simply choose to take what we call the "geographic" solution. … need to be committed to follow the right course of action (by recognizing the ramifications if they choose
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psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
December 01, 2009 - need to be committed to follow the right course of action (by recognizing the ramifications if they choose … Some individuals simply choose to take what we call the "geographic" solution.
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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/harm-alarm-fatigue
February 14, 2018 - Some hospitals choose to utilize monitor watchers to identify alarms and notify nurses.
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psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
May 11, 2019 - 2% never read the radiologist’s report. 6 To improve patient safety, non-radiologist clinicians who choose
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psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
December 23, 2020 - interoperability.( 12 ) It is likely that every patient or health care organization will soon be able to choose
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psnet.ahrq.gov/web-mm/elopement
July 14, 2010 - Competent patients who choose to leave without completing treatment cannot be held against their wishes
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psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem
July 01, 2012 - "Superficial" Report Leads to "Deep" Problem
Citation Text:
Dhaliwal G. "Superficial" Report Leads to "Deep" Problem. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety
April 26, 2023 - Because of this, many health systems choose to use out-of-the-box AI algorithms, which may be of poor
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psnet.ahrq.gov/web-mm/incomplete-anesthesia-history-leads-adverse-outcomes
January 29, 2021 - an online report of TMJ dislocation during an earlier bronchoscopy may have led the pulmonologist to choose
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psnet.ahrq.gov/web-mm/unseen-perils-urinary-catheters
January 31, 2024 - male patient has a history of previous IUC and/or an enlarged prostate, the clinician should probably choose
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psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
August 28, 2024 - Root Cause Analysis Gone Wrong
Citation Text:
Peerally MF, Dixon-Woods M. Root Cause Analysis Gone Wrong. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/web-mm/danger-10-intravenous-calcium-chloride-extravasation
April 24, 2024 - The Danger of 10% Intravenous Calcium Chloride Extravasation.
Citation Text:
The Danger of 10% Intravenous Calcium Chloride Extravasation.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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