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psnet.ahrq.gov/node/49494/psn-pdf
January 01, 2006 - In
considering this question, it is important to recognize that it is essential that physicians in training
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psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
August 21, 2016 - leadership, focusing on stronger corrective actions, measuring implementation and impact on outcomes, and considering
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psnet.ahrq.gov/node/33661/psn-pdf
December 01, 2007 - record and requires that they be completed within 30 days
of discharge.(8) This is far too permissive, considering
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psnet.ahrq.gov/web-mm/easily-forgotten-tube
June 01, 2016 - The NICE guideline provides the most specific recommendations related to FMS.( 9 ) Before considering
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psnet.ahrq.gov/web-mm/bloody-bp-cuff
June 21, 2016 - Considering the liability that a hospital may incur, cleansing or disposing of this equipment may result
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psnet.ahrq.gov/node/49592/psn-pdf
October 01, 2009 - Answers to these questions provide a framework for considering solutions
based on patterns of behavior
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psnet.ahrq.gov/node/49560/psn-pdf
April 01, 2008 - include taking steps to ensure that the goals of care are
communicated across settings of care and considering
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psnet.ahrq.gov/node/49596/psn-pdf
December 01, 2009 - This patient's experience illustrates several key points for those considering or advising others about
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psnet.ahrq.gov/perspective/care-transitions
December 01, 2007 - record and requires that they be completed within 30 days of discharge.( 8 ) This is far too permissive, considering … mandated that all hospitals publicly report care transition measure scores, and two other states are considering
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psnet.ahrq.gov/perspective/conversation-witheric-coleman-md-mph
December 01, 2007 - mandated that all hospitals publicly report care transition measure scores, and two other states are considering … record and requires that they be completed within 30 days of discharge.( 8 ) This is far too permissive, considering
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psnet.ahrq.gov/node/44021/psn-pdf
March 25, 2015 - Quick Safety.
March 25, 2015
Oakbrook Terrace, IL: The Joint Commission.
https://psnet.ahrq.gov/issue/quick-safety
This newsletter provides brief introductions to specific patient safety concerns or incidents and includes
recommendations to consider for improvement.
https://psnet.ahrq.gov/issue/quick-safety
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psnet.ahrq.gov/node/35065/psn-pdf
October 05, 2005 - Why the need to reduce medical errors is not obvious.
October 5, 2005
Buetow S.
https://psnet.ahrq.gov/issue/why-need-reduce-medical-errors-not-obvious
The author considers whether medical errors are always problematic and asserts a distinction between
desirable and undesirable errors.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/35370/psn-pdf
November 28, 2016 - Going to the hospital? Don't forget to pack a nurse.
November 28, 2016
Tugend A.
https://psnet.ahrq.gov/issue/going-hospital-dont-forget-pack-nurse
This article discusses concerns about nurse shortages and why a patient or family might consider retaining
a private-duty nurse for a hospital stay.
https://psnet.ahr…
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psnet.ahrq.gov/web-mm/clostridium-difficile-relapse-secondary-medication-access-issue
October 01, 2015 - Clostridium Difficile Relapse Secondary to Medication Access Issue
Citation Text:
Walker PC, Nagel J. Clostridium Difficile Relapse Secondary to Medication Access Issue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
Copy Cit…
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psnet.ahrq.gov/node/49741/psn-pdf
September 01, 2015 - Abdominal Pain in Early Pregnancy
September 1, 2015
Kilpatrick CC. Abdominal Pain in Early Pregnancy. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/abdominal-pain-early-pregnancy
Case Objectives
Recognize when nausea and vomiting in pregnancy is abnormal.
Identify the most common causes of non-obstetric a…
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psnet.ahrq.gov/node/36673/psn-pdf
January 18, 2011 - Patient safety: honoring advanced directives.
January 18, 2011
Tice MA. Patient safety: honoring advanced directives. Home Healthc Nurse. 2007;25(2):79-81.
https://psnet.ahrq.gov/issue/patient-safety-honoring-advanced-directives
The author discusses why failure to follow an advance directive should be considered a …
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psnet.ahrq.gov/node/36125/psn-pdf
April 03, 2012 - Safe handover in psychiatry: is it time to set standards?
April 3, 2012
Gulati G.
https://psnet.ahrq.gov/issue/safe-handover-psychiatry-it-time-set-standards
The investigators asked National Health Service consultants and house officers what they would
consider an ideal handoff in psychiatric care. They found that…
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psnet.ahrq.gov/node/49673/psn-pdf
December 01, 2012 - A Real Heartache
December 1, 2012
Polevoi SK. A Real Heartache. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/real-heartache
The Case
A 60-year-old man presented to the emergency department (ED) with 2 hours of burning chest pain. The
pain began at rest, and it radiated to his back and left axilla. He had…
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psnet.ahrq.gov/node/39849/psn-pdf
September 15, 2010 - The need for risk profiling in patient safety.
September 15, 2010
Donaldson LJ, Noble DJ. The need for risk profiling in patient safety. J Patient Saf. 2010;6(3):125-7.
doi:10.1097/PTS.0b013e3181ed73a3.
https://psnet.ahrq.gov/issue/need-risk-profiling-patient-safety
This commentary describes the need for health ca…
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psnet.ahrq.gov/node/35194/psn-pdf
December 09, 2008 - Drug errors, qualitative research and some reflections on
ethics.
December 9, 2008
Armitage G. Drug errors, qualitative research and some reflections on ethics. J Clin Nurs. 2005;14(7):869-
75.
https://psnet.ahrq.gov/issue/drug-errors-qualitative-research-and-some-reflections-ethics
In this position paper, the au…