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psnet.ahrq.gov/node/33612/psn-pdf
May 01, 2005 - Organizational Change in the Face of Highly Public
Errors—I. The Dana-Farber Cancer Institute Experience
May 1, 2005
Conway JB, Weingart SN. Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber
Cancer Institute Experience. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/organizat…
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psnet.ahrq.gov/node/50858/psn-pdf
January 31, 2020 - Artificial Intelligence and Diagnostic Errors
January 31, 2020
Hall KK, Fitall E. Artificial Intelligence and Diagnostic Errors. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/artificial-intelligence-and-diagnostic-errors
Definition of Artificial Intelligence
The definition of artificial intelligence (…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.191_slideshow.ppt
January 01, 2009 - Spotlight Case July 2008
Spotlight Case January 2009
To Transfer or Not to Transfer
Source and Credits
This presentation is based on the January 2009
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Jesse M. Pines, MD, MBA, MSCE
University o…
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psnet.ahrq.gov/primer/pharmacists-role-medication-safety
March 14, 2018 - Pharmacist's Role in Medication Safety
Citation Text:
The Pharmacist's Role in Medication Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
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psnet.ahrq.gov/primer/root-cause-analysis
March 30, 2022 - Root Cause Analysis
Citation Text:
Root Cause Analysis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
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…
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psnet.ahrq.gov/node/60790/psn-pdf
February 23, 2022 - return to work guidance, small business assistance information,
and regulatory resources.78
Future Considerations … Considerations for the provision of essential oral health services in the context of COVID-19: interim
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psnet.ahrq.gov/perspective/conversation-richard-hoppmann-md
June 01, 2018 - Safety Considerations in Building a Point-of-Care Ultrasound Program
June 1, 2018
Perspective … Schiff, MD
July 1, 2018
Perspective
Safety Considerations
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psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
February 26, 2025 - Jessica Behrhorst: Strong actions tend to include human factors considerations, adding things like forcing … for innovation from organizations that want to expand their scope to address modern patient safety considerations
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psnet.ahrq.gov/perspective/evolution-root-cause-analysis
February 26, 2025 - for innovation from organizations that want to expand their scope to address modern patient safety considerations … Jessica Behrhorst: Strong actions tend to include human factors considerations, adding things like forcing
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psnet.ahrq.gov/sites/default/files/2024-06/spotlight_case_hemorrhagic_shock_slides_final.pptx
January 01, 2024 - Management of Intraoperative Bleeding (1)
12
The management of intraoperative bleeding includes two main considerations
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psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
May 19, 2021 - hospital after electronic health record implementation: sociotechnical and human factors engineering considerations
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psnet.ahrq.gov/node/843151/psn-pdf
February 01, 2023 - Addressing diversity in PTSD treatment: clinical considerations
and guidance for the treatment of PTSD
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psnet.ahrq.gov/node/836841/psn-pdf
June 01, 2020 - Adoption Considerations Use by Others (Use By Other Organizations)
Numerous health systems have post-discharge
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psnet.ahrq.gov/node/852808/psn-pdf
August 30, 2023 - Prescribing in Pregnancy-Associated Nausea and Vomiting
Choice of medications in pregnancy should include considerations
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psnet.ahrq.gov/sites/default/files/2023-08/spotlight_case_prolonged_dka_in_pregnancy_-_slides_-_revised.pdf
January 01, 2023 - in Pregnancy-Associated Nausea and Vomiting (1)
• Choice of medications in pregnancy should include considerations
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psnet.ahrq.gov/issue/capturing-essential-information-achieve-safe-interoperability
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Drone delivery of medications: review of the landscape and legal considerations
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psnet.ahrq.gov/issue/effect-organizational-network-patient-safety-safety-event-reporting
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Grand rounds in methodology: key considerations for implementing machine
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psnet.ahrq.gov/issue/implementing-standardized-reporting-and-safety-checklists
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psnet.ahrq.gov/issue/nursing-and-physician-attire-possible-source-nosocomial-infections
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