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psnet.ahrq.gov/perspective/conversation-christine-cassel-md
February 26, 2025 - up to the health care industry, the regulatory agencies, and the various government organizations to decide … Those committees are charged with trying to decide how this will play out if we use this measure in a
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.206_slideshow.ppt
October 01, 2009 - Spotlight Case
Spotlight Case
Difficult Encounters:
A CMO and CNO Respond
Source and Credits
This presentation is based on the October 2009
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Ernie Ring, MD; Jane Hirsch, RN, MS
UCSF Medical Cen…
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psnet.ahrq.gov/primer/clinical-decision-support-systems
September 07, 2019 - July 27, 2022
How health systems decide to use artificial intelligence for clinical decision support
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psnet.ahrq.gov/node/33637/psn-pdf
August 01, 2006 - In Conversation with...Lucian Leape, MD
August 1, 2006
In Conversation with..Lucian Leape, MD. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
Dr. Robert Wachter, Editor, AHRQ WebM&M: What kind of career did you fashion for yourself prior to
getting involved in safety an…
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psnet.ahrq.gov/node/33788/psn-pdf
June 01, 2015 - medicares-decision-withhold-payment-hospital-errors-devil-details
agencies, and the various government organizations to decide … Those committees are charged with trying to decide how this
will play out if we use this measure in
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psnet.ahrq.gov/node/33764/psn-pdf
April 01, 2014 - How do you decide as the head of NPSF whether to argue that this is all synergistic or argue for an … issue—it often feels like every implementation is standalone, where every hospital or clinic is
trying to decide
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.72_slideshow.ppt
September 01, 2004 - Spotlight Case [MONTH] 2003
Spotlight Case September 2004
Poor Prognosis?
Source and Credits
This presentation is based on the September 2004
AHRQ WebM&M Spotlight Case in Surgery
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Elizabeth B. Lamont, M…
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psnet.ahrq.gov/node/845472/psn-pdf
March 15, 2023 - Colton Hood: When setting up these systems, you have to decide the data governance structure on an
organizational … You can decide to accept the data as fact and put it into the medical record as data
coming from the … patient, or you can decide to have a clinician review the data that comes through, and then
accept
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psnet.ahrq.gov/issue/seeking-safer-surgery-some-states-crack-down-doctors-who-perform-unregulated-outpatient
August 17, 2016 - Newspaper/Magazine Article
Seeking a safer surgery: some states crack down on doctors who perform unregulated outpatient procedures.
Citation Text:
Seeking a safer surgery: some states crack down on doctors who perform unregulated outpatient procedures. Landro L.
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…
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psnet.ahrq.gov/web-mm/volume-too-low-and-out
July 01, 2017 - four adult colleagues sitting together in a room all simultaneously suffer from a headache and all decide … As each of you pulls out your pills or 'dose,' four of you decide to each take between 200 mg and 800
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psnet.ahrq.gov/perspective/conversation-tejal-k-gandhi-md-mph
February 26, 2025 - How do you decide as the head of NPSF whether to argue that this is all synergistic or argue for an independent … issue—it often feels like every implementation is standalone, where every hospital or clinic is trying to decide
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psnet.ahrq.gov/node/853981/psn-pdf
September 27, 2023 - and mental health
clinicians often will approach mental health crises together and collaboratively decide
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psnet.ahrq.gov/node/49695/psn-pdf
October 01, 2013 - that following the discovery that
too many alerts are being triggered in a system, it is difficult to decide
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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/issue/feds-stop-public-disclosure-many-serious-hospital-errors
September 17, 2014 - Newspaper/Magazine Article
Feds stop public disclosure of many serious hospital errors.
Citation Text:
Feds stop public disclosure of many serious hospital errors. O'Donnell J.
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psnet.ahrq.gov/issue/accuracy-medical-dispatch-systematic-review
March 12, 2025 - Review
The accuracy of medical dispatch—a systematic review.
Citation Text:
Bohm K, Kurland L. The accuracy of medical dispatch - a systematic review. Scand J Trauma Resusc Emerg Med. 2018;26(1):94. doi:10.1186/s13049-018-0528-8.
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Format:
DOI Google Scholar Pub…
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psnet.ahrq.gov/web-mm/transitions-adolescent-medicine
August 04, 2021 - This data could then help the clinic decide what other steps were needed, such as passport generation
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psnet.ahrq.gov/node/33594/psn-pdf
November 18, 2021 - They decide to focus on the
patient and staff safety concerns and identify gaps in systems, teamwork
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psnet.ahrq.gov/node/33879/psn-pdf
May 01, 2019 - They can decide what the right thing is to do for this patient in this
scenario. … How do you decide whether to stay or go?
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psnet.ahrq.gov/node/49794/psn-pdf
May 01, 2017 - Communication Error in a Closed ICU
May 1, 2017
Haas B, Conn LG. Communication Error in a Closed ICU. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/communication-error-closed-icu
The Case
A 70-year-old man with a complex medical history including end-stage renal disease (status post kidney
transplant), co…