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psnet.ahrq.gov/node/33866/psn-pdf
September 01, 2018 - At BIDMC, we
https://psnet.ahrq.gov/issue/transforming-concepts-patient-safety-progress-report
built
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psnet.ahrq.gov/web-mm/mark-my-limb
February 10, 2015 - Mark My Limb
Citation Text:
Jacott WE, O'Leary D. Mark My Limb. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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…
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psnet.ahrq.gov/node/73905/psn-pdf
October 06, 2021 - Health Equity and Maternal Health
October 6, 2021
Tully K, Stuebe AM, Gibson A, et al. Health Equity and Maternal Health. PSNet [internet]. 2021.
https://psnet.ahrq.gov/perspective/health-equity-and-maternal-health
Redefining Maternal Safety
Maternal safety refers to the safety of a person during pregnancy, childb…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.143_slideshow.ppt
January 01, 2015 - Spotlight Case [MONTH] 2003
Spotlight Case February 2007
The ‘Customer’ Is Always Right
Source and Credits
This presentation is based on the February 2007
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Niraj L. Sehgal,…
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psnet.ahrq.gov/node/33617/psn-pdf
August 01, 2005 - In Conversation with…Barbara A. Blakeney, MS, RN
August 1, 2005
In Conversation with…Barbara A. Blakeney, MS, RN. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/conversation-withbarbara-blakeney-ms-rn
Editor's Note: Barbara A. Blakeney, MS, RN, is President of the 150,000-member American Nurses
Associa…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.188_slideshow.ppt
November 01, 2008 - Spotlight Case [MONTH] 2003
Spotlight Case November 2008
Dangerous Shift
Source and Credits
This presentation is based on the November 2008
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Emily S. Patterson, PhD
Institute for Ergonomics, Ohi…
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psnet.ahrq.gov/node/49559/psn-pdf
April 01, 2008 - The Forgotten Drip
April 1, 2008
Josephson AS. The Forgotten Drip. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/forgotten-drip
The Case
A 45-year-old man was brought to the emergency department by his friends because of a 1-day history of a
severe headache and "bizarre behavior." A computed tomography (C…
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psnet.ahrq.gov/primer/never-events
June 15, 2024 - Never Events
Citation Text:
Never Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/primer/high-reliability
January 29, 2020 - High Reliability
Citation Text:
High Reliability. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Downl…
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psnet.ahrq.gov/perspective/conversation-chris-cebollero-bs-ccemt-p
May 26, 2021 - Including the concepts of Just Culture in EMS education can develop the foundation for the future EMS
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psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
May 14, 2020 - these emergency provisions, the use of telehealth technologies, and broader application of telehealth concepts … tutorials, like the one that they offer here at GW, and familiarizing yourself with some of the basic concepts
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psnet.ahrq.gov/web-mm/thin-air
March 01, 2006 - However, employing human factors engineering concepts to this case would be more productive.
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psnet.ahrq.gov/node/854849/psn-pdf
October 31, 2023 - microphones in clinical care areas and perform both speech recognition and
NLP to capture the clinical concepts
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psnet.ahrq.gov/node/49454/psn-pdf
July 01, 2004 - While these concepts apply to any novel therapeutic, specific issues surround the use of high-cost
biopharmaceutical
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psnet.ahrq.gov/web-mm/hazards-distraction-ticking-all-ehr-boxes
April 09, 2014 - Cockpit checklists: concepts, design, and use. Hum Factors. 1993;35:345-359. [Available at]
2.
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psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
March 19, 2019 - Available at: https://www.amcp.org/about/managed-care-pharmacy-101/concepts-managed-care-pharmacy/medication-errors
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psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
February 26, 2025 - and tailoring interventions to fix the root causes of any deficiencies : Interventions should use the concepts
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psnet.ahrq.gov/perspective/safety-culture-ems
May 26, 2021 - Including the concepts of Just Culture in EMS education can develop the foundation for the future EMS
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psnet.ahrq.gov/perspective/conversation-remle-p-crowe-phd
May 16, 2022 - At national conferences there's a lot of great speakers who talk about these concepts, there's a lot
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psnet.ahrq.gov/perspective/identifying-safety-events-prehospital-setting
May 16, 2022 - At national conferences there's a lot of great speakers who talk about these concepts, there's a lot