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psnet.ahrq.gov/node/867428/psn-pdf
December 18, 2024 - In Conversation with Patricia Dykes about The Ongoing
Journey to Prevent Patient Falls
December 18, 2024
Dykes PC, Sousane Z, Mossburg SE. In Conversation with Patricia Dykes about The Ongoing Journey to
Prevent Patient Falls. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/conversation-patricia-dykes-a…
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psnet.ahrq.gov/web-mm/failure-adhere-dietary-restrictions-leading-complications-and-poor-follow
September 27, 2023 - Failure to Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up
Citation Text:
Bohringer C, Bourgeois J, Xiong G, et al. Failure to adhere to dietary restrictions leading to complications and poor follow-up.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality,…
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psnet.ahrq.gov/web-mm/when-meds-dont-reach-bed
May 16, 2022 - When the Meds Don’t Reach the Bed
Citation Text:
Molla M, Le K, Mendoza P. When the Meds Don’t Reach the Bed. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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psnet.ahrq.gov/perspective/conversation-withdavid-w-bates-md-msc
May 01, 2018 - In Conversation with…David W. Bates, MD, MSc
May 1, 2008
Also Read an Essay
Citation Text:
In Conversation with…David W. Bates, MD, MSc. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008…
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psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
September 01, 2006 - Errors and Near Misses: What Health Care Could Learn From Aviation
Carl Macrae, PhD | December 1, 2016
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Macrae C. Errors and Near Misses: What Health Care Could Learn From Aviation…
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psnet.ahrq.gov/perspective/integrating-multiple-medication-decision-support-systems-how-will-we-make-it-all-work
May 01, 2008 - Integrating Multiple Medication Decision Support Systems: How Will We Make It All Work?
Josh Peterson, MD, MPH | May 1, 2018
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Citation Text:
Peterson JF. Integrating Multiple Medication Decision …
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psnet.ahrq.gov/perspective/role-patient-facing-technologies-empower-patients-and-improve-safety
November 01, 2017 - The Role of Patient-facing Technologies to Empower Patients and Improve Safety
Ronen Rozenblum, MD, MPH, and David Bates, MD, MS | November 1, 2017
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Citation Text:
Rozenblum R, Bates DW. The Role…
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psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-implements-methods
June 19, 2024 - The Johns Hopkins Venous Thromboembolism (VTE) Collaborative Studies and Implements Methods to Prevent Avoidable Cases of Hospital Associated VTE
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psnet.ahrq.gov/node/42287/psn-pdf
November 26, 2014 - What do patients think about year-end resident continuity
clinic handoffs?: a qualitative study.
November 26, 2014
Pincavage A, Lee WW, Beiting KJ, et al. What do patients think about year-end resident continuity clinic
handoffs? A qualitative study. J Gen Intern Med. 2013;28(8):999-1007. doi:10.1007/s11606-013-239…
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psnet.ahrq.gov/node/45501/psn-pdf
October 28, 2016 - Effectiveness of continuous or intermittent vital signs
monitoring in preventing adverse events on general
wards: a systematic review and meta-analysis.
October 28, 2016
Cardona-Morrell M, Prgomet M, Turner RM, et al. Effectiveness of continuous or intermittent vital signs
monitoring in preventing adverse events o…
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psnet.ahrq.gov/node/43927/psn-pdf
December 04, 2015 - Patient safety, resident well-being and continuity of care
with different resident duty schedules in the intensive
care unit: a randomized trial.
December 4, 2015
Parshuram CS, Amaral ACKB, Ferguson ND, et al. Patient safety, resident well-being and continuity of
care with different resident duty schedules in the …
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psnet.ahrq.gov/node/44569/psn-pdf
October 21, 2015 - Continuing education in patient safety: massive open
online courses as a new training tool.
October 21, 2015
Sarabia-Cobo CM, Torres-Manrique B, Ortego-Mate MC, et al. Continuing Education in Patient Safety:
Massive Open Online Courses as a New Training Tool. J Contin Educ Nurs. 2015;46(10):439-447.
doi:10.3928/00…
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psnet.ahrq.gov/node/45644/psn-pdf
March 15, 2017 - Gender-based differences in surgical residents'
perceptions of patient safety, continuity of care, and well-
being: an analysis from the Flexibility in Duty Hour
Requirements for Surgical Trainees (FIRST) trial.
March 15, 2017
Ban KA, Chung JW, Matulewicz RS, et al. Gender-Based Differences in Surgical Residents' …
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psnet.ahrq.gov/node/49776/psn-pdf
November 01, 2016 - Continuity Errors in Resident Clinic
November 1, 2016
Warm EJ. Continuity Errors in Resident Clinic. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/continuity-errors-resident-clinic
The Case
A 32-year-old woman presented to internal medicine clinic for evaluation of headaches and difficulty
concentrating. …
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psnet.ahrq.gov/node/38467/psn-pdf
March 11, 2009 - Patients' perceptions of safety if interpersonal continuity
of care were to be disrupted.
March 11, 2009
Pandhi N, Schumacher J, Flynn KE, et al. Patients' perceptions of safety if interpersonal continuity of care
were to be disrupted. Health Expect. 2008;11(4):400-8. doi:10.1111/j.1369-7625.2008.00503.x.
https://…
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psnet.ahrq.gov/node/36854/psn-pdf
May 11, 2014 - Ordering of continuous renal replacement therapy in a
computerized provider order entry system.
May 11, 2014
Oh SS; Sinclair-Pingel J; Feldott CC; Hargrove FR.
https://psnet.ahrq.gov/issue/ordering-continuous-renal-replacement-therapy-computerized-provider-order-
entry-system
The authors discuss the development o…
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psnet.ahrq.gov/node/35014/psn-pdf
August 17, 2011 - A team performance measurement model for continuous
improvement.
August 17, 2011
Çiçek MC, Köksal G, Özdemirel NE. A team performance measurement model for continuous
improvement. Total Quality Management & Business Excellence. 2007;16(3).
doi:10.1080/14783360500054129.
https://psnet.ahrq.gov/issue/team-performan…
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psnet.ahrq.gov/sites/default/files/2024-03/final_spotlight_case_not_missing_sepsis_needles_in_viral_haystacks_slides_march_date.pdf
January 01, 2024 - Spotlight
Spotlight
Do Not Miss Sepsis Needles in Viral Haystacks!
Source and Credits
• This presentation is based on the March 2024 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Michelle Hamline, MD, PhD, MAS and Ulfat
Shaikh, MD, M…
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psnet.ahrq.gov/perspective/peacehealth-governance-journey-support-quality-and-safety
August 01, 2007 - The PeaceHealth Governance Journey in Support of Quality and Safety
John L. Haughom,
MD | August 1, 2007
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Citation Text:
Haughom JL. The PeaceHealth Governance Journey in Support of Quality and …
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psnet.ahrq.gov/node/841566/psn-pdf
December 14, 2022 - In Conversation With... Dr. Michelle Schreiber on
Measuring Patient Safety
December 14, 2022
In Conversation With.. Dr. Michelle Schreiber on Measuring Patient Safety. PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
Editor’s Note: Michelle Schr…