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psnet.ahrq.gov/node/33659/psn-pdf
October 01, 2007 - Making Just Culture a Reality: One Organization's
Approach
October 1, 2007
Page AH. Making Just Culture a Reality: One Organization's Approach. PSNet [internet]. 2007.
https://psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
Perspective
We've all been there...something goes wrong,…
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psnet.ahrq.gov/curated-article-libraries
March 18, 2025 - Curated Libraries
Curated Libraries are groupings of PSNet content, curated by AHRQ and by other experts in the patient safety field.
Watch the video to learn more about how this new feature works and how it can be of benefit to you.
Latest PSNet…
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psnet.ahrq.gov/node/49515/psn-pdf
July 01, 2006 - Over Not So Easy
July 1, 2006
Cucina R. Over Not So Easy. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/over-not-so-easy
The Case
A 62-year-old woman with end-stage liver disease was hospitalized for recurrent variceal bleeding. On
admission, she reported allergies to a number of medications as well as a …
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psnet.ahrq.gov/perspective/remote-patient-monitoring
March 15, 2023 - Remote Patient Monitoring
Colton Hood, MD, MBI,Neal Sikka, MD,Cindy Manaoat Van, MHSA,Sarah E. Mossburg, RN, PhD
| March 15, 2023
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Hood C, Sikka N, Van CM, et al. Remote Patien…
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psnet.ahrq.gov/perspective/conversation-dr-neal-sikka-and-dr-colton-hood-about-remote-patient-monitoring
March 15, 2023 - In Conversation with... Dr. Neal Sikka and Dr. Colton Hood about Remote Patient Monitoring
March 15, 2023
Also Read the Essay
Citation Text:
In Conversation with.. Dr. Neal Sikka and Dr. Colton Hood about Remote Patient Monitoring. PSNet [internet]. 2023.In Conve…
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psnet.ahrq.gov/perspective/patient-safety-perspective-office-practice
May 01, 2009 - Patient Safety: A Perspective from Office Practice
Richard J. Baron, MD | May 1, 2009
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Baron RJ. Patient Safety: A Perspective from Office Practice. PSNet [internet]. Rockville (MD…
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psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
June 01, 2005 - Interpreting the Patient Safety Literature
Kaveh G. Shojania, MD | June 1, 2005
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Shojania KG. Interpreting the Patient Safety Literature. PSNet [internet]. Rockville (MD): Agency f…
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psnet.ahrq.gov/perspective/safety-medical-devices
June 01, 2011 - software including computerized physician order entry (CPOE), electronic medical records (EMR), bar code
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psnet.ahrq.gov/innovation/veterans-health-administration-stratification-tool-opioid-risk-mitigation-storm-shows
October 30, 2024 - Veterans Health Administration Stratification Tool for Opioid Risk Mitigation (STORM) Shows Promise for Targeting Prevention Interventions to Reduce Mortality in Patients Who Are Prescribed Opioids
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psnet.ahrq.gov/perspective/conversation-withwilliam-b-weeks-md-mba
May 01, 2009 - In Conversation with…William B. Weeks, MD, MBA
May 1, 2009
Also Read an Essay
Citation Text:
In Conversation with…William B. Weeks, MD, MBA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …
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psnet.ahrq.gov/node/49588/psn-pdf
August 01, 2009 - A code blue
was called but, despite extensive resuscitation attempts, the previously "stable" ICU patient
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psnet.ahrq.gov/node/33714/psn-pdf
July 01, 2011 - If you've got two different systems that are supported by computer code, it's a rather more
expensive
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psnet.ahrq.gov/node/865656/psn-pdf
April 24, 2024 - is not feasible or possible for a provider to electronically place an order – for example, during a
code
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psnet.ahrq.gov/node/74251/psn-pdf
January 26, 2022 - A “code blue” was called and the child was successfully resuscitated after about 20 minutes,
https:/
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psnet.ahrq.gov/node/33738/psn-pdf
December 01, 2012 - To get approval to build your
facility you must meet code.
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psnet.ahrq.gov/node/49699/psn-pdf
February 01, 2014 - A covering nurse checked on the patient and found him unconscious—a code blue
was called.
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psnet.ahrq.gov/web-mm/hazards-distraction-ticking-all-ehr-boxes
April 09, 2014 - September 1, 2006
WebM&M Cases
Deciphering the Code
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psnet.ahrq.gov/node/33807/psn-pdf
May 01, 2016 - So the nurses would know who's
in trouble ahead of time, before the actual code blue happens.
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psnet.ahrq.gov/web-mm/failure-latch
November 27, 2012 - April 1, 2009
WebM&M Cases
Code Status vs.
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psnet.ahrq.gov/web-mm/falling-between-cracks-software
March 09, 2011 - Falling Between the Cracks in the Software
Citation Text:
Adler-Milstein J. Falling Between the Cracks in the Software. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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