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psnet.ahrq.gov/web-mm/poor-prognosis
March 15, 2016 - and non-cancer-related) to guide cancer treatment decisions in elderly patients.( 14 ) For example, a comprehensive … Comprehensive geriatric oncology. 1st ed.
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psnet.ahrq.gov/web-mm/crossed-coverage
September 01, 2015 - A more comprehensive program would establish a pharmacy-directed anticoagulation dosing service on a … Comprehensive Hemostasis and Antithrombotic Service (CHAS), UCSF Medical Center. 12.
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psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
October 23, 2013 - focused on identifying how resilience manifests in different work systems rather than on building a comprehensive
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psnet.ahrq.gov/issue/root-cause-analysis-cases-involving-diagnosis
August 28, 2019 - Commentary
Root cause analysis of cases involving diagnosis.
Citation Text:
Graber ML, Castro GM, Danforth M, et al. Root cause analysis of cases involving diagnosis. Diagnosis (Berl). 2024;11(4):353-368. doi:10.1515/dx-2024-0102.
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psnet.ahrq.gov/issue/improving-communication-diagnostic-uncertainty-families-hospitalized-children
December 23, 2020 - Study
Improving communication of diagnostic uncertainty to families of hospitalized children.
Citation Text:
Young EE, Kane J, Timmons K, et al. Improving communication of diagnostic uncertainty to families of hospitalized children. Diagnosis (Berl). 2024;11(2):186-191. doi:10.1515/dx-20…
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psnet.ahrq.gov/issue/customized-triggers-program-childrens-hospitals-experience-improving-trigger-usability
September 01, 2021 - Study
A customized triggers program: a children's hospital's experience in improving trigger usability.
Citation Text:
Reinhart RM, Safari-Ferra P, Badh R, et al. A customized triggers program: a children's hospital's experience in improving trigger usability. Pediatrics. 2023;151(2):e20…
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psnet.ahrq.gov/issue/thematic-analysis-womens-perspectives-meaning-safety-during-hospital-based-birth
May 08, 2019 - Study
Thematic analysis of women's perspectives on the meaning of safety during hospital-based birth.
Citation Text:
Lyndon A, Malana J, Hedli LC, et al. Thematic Analysis of Women's Perspectives on the Meaning of Safety During Hospital-Based Birth. J Obstet Gynecol Neonatal Nurs. 2018;4…
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psnet.ahrq.gov/issue/neonatal-near-miss-audits-systematic-review-and-call-action
August 04, 2021 - Review
Neonatal near-miss audits: a systematic review and a call to action.
Citation Text:
Medeiros PB, Bailey C, Pollock D, et al. Neonatal near-miss audits: a systematic review and a call to action. BMC Pediatr. 2023;23(1):573. doi:10.1186/s12887-023-04383-6.
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psnet.ahrq.gov/perspective/role-health-literacy-patient-safety
March 22, 2009 - Act
It is essential for health systems, health care professionals, and policy makers to develop a comprehensive
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psnet.ahrq.gov/web-mm/discharge-fumbles
September 09, 2009 - Comprehensive discharge planning and home follow-up of hospitalized elders: a randomized clinical trial … Comprehensive discharge planning for hospitalized elderly: a pilot study.
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psnet.ahrq.gov/web-mm/harm-alarm-fatigue
February 14, 2018 - Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational … 2012
Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive
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psnet.ahrq.gov/node/49757/psn-pdf
April 01, 2016 - Situational Awareness and Patient Safety
April 1, 2016
Farnan JE. Situational Awareness and Patient Safety. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/situational-awareness-and-patient-safety
The Case
A 40-year-old woman with a history of cirrhosis and known esophageal varices was admitted to the hospit…
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psnet.ahrq.gov/issue/do-hospitals-support-second-victims-collective-insights-patient-safety-leaders-maryland
May 11, 2016 - Study
Do hospitals support second victims? Collective insights from patient safety leaders in Maryland.
Citation Text:
Edrees HH, Morlock L, Wu AW. Do Hospitals Support Second Victims? Collective Insights From Patient Safety Leaders in Maryland. Jt Comm J Qual Saf. 2017;43(9):471-483. do…
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psnet.ahrq.gov/issue/communicating-medication-changes-community-pharmacy-post-discharge-good-bad-and-improvements
June 11, 2014 - Study
Communicating medication changes to community pharmacy post-discharge: the good, the bad, and the improvements.
Citation Text:
Urban R, Paloumpi E, Rana N, et al. Communicating medication changes to community pharmacy post-discharge: the good, the bad, and the improvements. Int J…
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psnet.ahrq.gov/issue/health-literacy-and-mortality-among-elderly-persons
April 24, 2018 - Study
Health literacy and mortality among elderly persons.
Citation Text:
Baker DW, Wolf MS, Feinglass J, et al. Health literacy and mortality among elderly persons. Arch Intern Med. 2007;167(14):1503-9.
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psnet.ahrq.gov/issue/aiming-higher-enhance-professionalism-beyond-accreditation-and-certification
February 03, 2011 - Commentary
Aiming higher to enhance professionalism: beyond accreditation and certification.
Citation Text:
Chassin MR, Baker DW. Aiming higher to enhance professionalism: beyond accreditation and certification. JAMA. 2015;313(18):1795-6. doi:10.1001/jama.2015.3818.
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psnet.ahrq.gov/issue/bedside-shift-report-improves-patient-safety-and-nurse-accountability
April 16, 2010 - Commentary
Bedside shift report improves patient safety and nurse accountability.
Citation Text:
Baker SJ. Bedside shift report improves patient safety and nurse accountability. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 201…
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psnet.ahrq.gov/issue/what-ring-tone-should-be-used-patient-safety-early-results-blackberry-based-telementoring
February 28, 2011 - Study
What ring tone should be used for patient safety? Early results with a Blackberry-based telementoring safety solution.
Citation Text:
Parker A, Rubinfeld IS, Azuh O, et al. What ring tone should be used for patient safety? Early results with a Blackberry-based telementoring safety…
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psnet.ahrq.gov/issue/tool-concise-analysis-patient-safety-incidents
August 09, 2018 - Study
A tool for the concise analysis of patient safety incidents.
Citation Text:
Pham JC, Hoffman C, Popescu I, et al. A Tool for the Concise Analysis of Patient Safety Incidents. Jt Comm J Qual Patient Saf. 2016;42(1):26-33.
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psnet.ahrq.gov/issue/diagnostic-inaccuracy-smartphone-applications-melanoma-detection
April 24, 2018 - Study
Diagnostic inaccuracy of smartphone applications for melanoma detection.
Citation Text:
Wolf JA, Moreau JF, Akilov O, et al. Diagnostic inaccuracy of smartphone applications for melanoma detection. JAMA Dermatol. 2013;149(4):422-426. doi:10.1001/jamadermatol.2013.2382.
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