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psnet.ahrq.gov/node/50929/psn-pdf
February 26, 2020 - A lead clinician (pharmacist, advanced
practice provider, or physician) must take responsibility to
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psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
August 01, 2018 - How Does Health Care Simulation Affect Patient Care?
Joseph O. Lopreiato, MD, MPH | August 1, 2018
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View more articles from the same authors.
Citation Text:
Lopreiato JO. How Does Health Care Simulation Affect Patient Care?. PSNet [inter…
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psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
February 26, 2025 - Think about a clinician getting 15 different alerts all the time; that causes alert fatigue.
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psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
February 26, 2025 - Think about a clinician getting 15 different alerts all the time; that causes alert fatigue.
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psnet.ahrq.gov/web-mm/lost-transitions-care-managing-opioid-dependent-patient-frequent-hospitalizations
October 27, 2022 - A telephone call from the prescribing clinician to the outpatient pharmacy before hospital discharge, … Conversions to methadone or buprenorphine are best implemented by an experienced clinician. 25 Third
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psnet.ahrq.gov/web-mm/inflicting-confusion
August 04, 2021 - learning healthcare system with automated computer protocols that produce replicable and personalized clinician
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psnet.ahrq.gov/web-mm/poor-prognosis
March 15, 2016 - Although a clinician might be tempted to assume that a large mass is cancerous, studies of consecutive
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psnet.ahrq.gov/web-mm/pocket-syringe-swap
July 01, 2006 - And it's not just the occasionally incompetent clinician who commits these errors: in anonymous surveys
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psnet.ahrq.gov/innovation/generalizability-medication-administration-discrepancy-detection-system-quantitative
November 04, 2020 - EMERGING INNOVATIONS
The generalizability of a medication administration discrepancy detection system: quantitative comparative analysis
Citation Text:
Kirkendall E, Huth H, Rauenbuehler B, et al. The generalizability of a medication administration discrepancy detection system: quantitative compar…
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psnet.ahrq.gov/node/847934/psn-pdf
April 26, 2023 - Irina Tokareva, RN, BSN, MAS, CPHQ
Quality Measurement Clinician Researcher
https://www.cms.gov/files
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psnet.ahrq.gov/web-mm/medication-safety-events-related-diagnostic-imaging
January 26, 2022 - Validated sedation assessment tools should also be used for clinician decision support.
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psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
September 15, 2024 - Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery
Citation Text:
Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar Bib…
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psnet.ahrq.gov/node/33563/psn-pdf
September 16, 2024 - Culture of Safety
September 16, 2024
Culture of Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/culture-safety
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in …
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psnet.ahrq.gov/node/33598/psn-pdf
June 15, 2024 - Falls
June 15, 2024
Falls. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/falls
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in 2024.
Background
Falls are a common …
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psnet.ahrq.gov/node/33569/psn-pdf
June 15, 2024 - Readmissions and Adverse Events After Discharge
June 15, 2024
Readmissions and Adverse Events After Discharge. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
t…
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psnet.ahrq.gov/perspective/disclosure-medical-error
January 01, 2009 - Disclosure of Medical Error
Allen Kachalia, MD, JD | January 1, 2009
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Kachalia A. Disclosure of Medical Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and …
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psnet.ahrq.gov/perspective/conversation-withthomas-h-gallagher-md
January 01, 2009 - In Conversation with…Thomas H. Gallagher, MD
January 1, 2009
Also Read an Essay
Citation Text:
In Conversation with…Thomas H. Gallagher, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …
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psnet.ahrq.gov/perspective/conversation-eric-thomas-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - In Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement
Eric Thomas, Sarah Mossburg, Merton Lee | September 24, 2024
Also Read the Essay
View more articles from the same authors.
Citatio…
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psnet.ahrq.gov/sites/default/files/2021-05/final_psnet_spotlight_inadvertent_bolus_of_norepinephrine_pp.pdf
January 01, 2021 - Spotlight
Spotlight
An Inadvertent Bolus of Norepinephrine
Source and Credits
• This presentation is based on the May 2021 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Sarina Fazio, PhD, RN, Emma Blackmon, PhD,
RN, Amy Doroy, PhD,…
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psnet.ahrq.gov/perspective/conversation-libby-hoy-and-stephen-hoy
March 10, 2021 - In Conversation With... Libby Hoy and Stephen Hoy
March 10, 2021
Also Read the Essay
Citation Text:
In Conversation With.. Libby Hoy and Stephen Hoy. PSNet [internet]. 2021.In Conversation With... Libby Hoy and Stephen Hoy. PSNet [internet]. Rockville (MD): Agenc…