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psnet.ahrq.gov/web-mm/acute-care-admission-behavioral-health-patient
July 19, 2023 - Koller EA, Cross JT, Doraiswamy PM, Malozowski SN.
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psnet.ahrq.gov/perspective/context-intervention
August 05, 2020 - The Context Is the Intervention
Dr. John Øvretveit | October 1, 2011
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Øvretveit J. The Context Is the Intervention. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department …
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psnet.ahrq.gov/web-mm/raise-bar
May 29, 2024 - e.g., implementing visual cues: Figure 1 and Figure 2 ), and developing methods for individual and cross-monitoring
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psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin
May 11, 2014 - and administered what he thought was 7000 units of heparin as the surgeon grew concerned about the cross
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psnet.ahrq.gov/web-mm/electronic-err
April 01, 2014 - multiple sources to verify the accuracy of information critical to making key clinical decisions (eg, cross
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psnet.ahrq.gov/web-mm/do-me-favor
September 12, 2016 - Do Me a Favor
Citation Text:
Williamson A. Do Me a Favor. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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psnet.ahrq.gov/web-mm/correct-treatment-plan-incorrect-diagnosis-pharmacist-intervention
May 01, 2011 - Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention
Citation Text:
Nelson SD. Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/web-mm/undiagnosed-vaginal-bleeding
July 06, 2022 - April 1, 2016
WebM&M Cases
The Perils of Cross
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psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit
June 01, 2005 - Diagnostic Failure: The Growing Deficit
Citation Text:
Chang R, Flanders S. Diagnostic Failure: The Growing Deficit. 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/web-mm/reconciling-records
September 01, 2017 - The Ontology Lookup Service, a lightweight cross-platform tool for controlled vocabulary queries.
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psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
October 01, 2009 - unwelcome media scrutiny, it may well be that such hospitals are less risky for having been in the media's cross … At what level or at what point do you cross the threshold between the two?
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psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
August 01, 2015 - Because I get to do all those things and they cross-fertilize one another. … A cross-industry comparison.
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psnet.ahrq.gov/web-mm/liver-failure-after-chemotherapy-did-we-forget-something
May 01, 2019 - Liver Failure After Chemotherapy: Did We Forget Something?
Citation Text:
Lubel J. Liver Failure After Chemotherapy: Did We Forget Something?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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psnet.ahrq.gov/web-mm/discontinued-medications-are-they-really-discontinued
January 05, 2017 - Closing the loop: best practices for cross-setting communication at ED discharge.
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psnet.ahrq.gov/node/49677/psn-pdf
February 01, 2013 - Transverse ultrasound view of subclavian vein, with cross-section of catheter (arrow).
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psnet.ahrq.gov/web-mm/real-heartache
October 01, 2018 - A Real Heartache
Citation Text:
Polevoi SK. A Real Heartache. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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psnet.ahrq.gov/node/49780/psn-pdf
January 01, 2017 - in-person consultation rate for general
radiography ("plain films") and other major reductions for cross
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psnet.ahrq.gov/web-mm/other-hand
December 12, 2012 - On the Other Hand
Citation Text:
Henneman EA. On the Other Hand. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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psnet.ahrq.gov/web-mm/discharge-against-medical-advice
July 01, 2017 - Discharge Against Medical Advice
Citation Text:
Hwang SW. Discharge Against Medical Advice. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
June 01, 2016 - training.( 15 ) Fourth, the year-end handoff is a permanent provider change rather than the more customary cross-coverage