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psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
March 15, 2023 - Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose
Citation Text:
Jain NP, Dakwa D. Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose. PSNet [internet]. Rockville (MD): Agency for Healthcare Rese…
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psnet.ahrq.gov/web-mm/check-twice-transport-once
March 15, 2023 - Check Twice, Transport Once
Citation Text:
DePew A, Rice J, Chou J. Check Twice, Transport Once. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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psnet.ahrq.gov/web-mm/complaints-safety-surveillance
May 05, 2021 - Complaints as Safety Surveillance
Citation Text:
Morris JL, Bismark M. Complaints as Safety Surveillance. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/print/pdf/node/867461
January 31, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Patient and Family Engagement in Long
Term Care
Curated Library
Foundations
Long-term Care and Patient Safety
Deb Bakerjian PhD, APRN, FAAN, FAANP, FGSA | April, 10 2024
A large and growing number of Americans require care in skilled nursin…
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psnet.ahrq.gov/sites/default/files/2024-09/final_spotlight_case_open_wound_of_the_elbow_slides_09.19.2024.pptx
January 01, 2024 - Cultural or linguistic barriers, or fears of legal or occupational consequences, may interfere with obtaining
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psnet.ahrq.gov/perspective/conversation-witheric-g-poon-md-mph
September 01, 2008 - commonly are due to design flaws related to human factors and real world use, unexpected or unaccounted cultural
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psnet.ahrq.gov/perspective/peacehealth-governance-journey-support-quality-and-safety
August 01, 2007 - discussions about the appropriate role for leadership over quality and safety, and consideration of the cultural
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psnet.ahrq.gov/perspective/conversation-beverley-h-johnson
February 01, 2013 - The acuity and severity of illness, delirium, dementia, low health literacy, and cultural factors all
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psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
September 01, 2008 - commonly are due to design flaws related to human factors and real world use, unexpected or unaccounted cultural
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psnet.ahrq.gov/perspective/conversation-reed-v-tuckson-md
September 01, 2016 - Patient-Centered Medical Homes , has taught us the fundamental principle that unless physicians are driving the cultural
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psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph
April 01, 2009 - This is consistent with the pattern in other safe industries; outside pressure can help promote the cultural
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psnet.ahrq.gov/perspective/literature-health-care-simulation-education-what-does-it-show
March 01, 2013 - Development and testing of an objective structured clinical exam (OSCE) to assess socio-cultural
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psnet.ahrq.gov/perspective/conversation-withthomas-h-gallagher-md
January 01, 2009 - For example, we know very little about how preferences for disclosure might be different in different cultural
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psnet.ahrq.gov/perspective/disclosure-medical-error
January 01, 2009 - For example, we know very little about how preferences for disclosure might be different in different cultural
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psnet.ahrq.gov/perspective/conversation-withjames-l-reinertsen-md
August 01, 2007 - discussions about the appropriate role for leadership over quality and safety, and consideration of the cultural
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psnet.ahrq.gov/perspective/conversation-witheric-coleman-md-mph
December 01, 2007 - raise all kinds of other questions—about literacy, about cognitive function, about language, and about cultural
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psnet.ahrq.gov/perspective/telemedicine-and-patient-safety
September 01, 2016 - Patient-Centered Medical Homes , has taught us the fundamental principle that unless physicians are driving the cultural
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psnet.ahrq.gov/perspective/care-transitions
December 01, 2007 - raise all kinds of other questions—about literacy, about cognitive function, about language, and about cultural
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psnet.ahrq.gov/node/865419/psn-pdf
March 27, 2024 - Do Not Miss Sepsis Needles in Viral Haystacks!
March 27, 2024
Hamline M, Shaikh U. Do Not Miss Sepsis Needles in Viral Haystacks!. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks
Disclosure of Relevant Financial Relationships: As a provider accredited by the Accredit…
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psnet.ahrq.gov/node/852807/psn-pdf
August 30, 2023 - Sleep Deprivation Leads to Medication Error During
Spinal Epidural Anesthesia
August 30, 2023
Bohringer C, Osborne R. Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia.
PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-…