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psnet.ahrq.gov/node/49858/psn-pdf
April 01, 2019 - Identify critical safety points to consider during initial decision-making about incorporation of remote
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psnet.ahrq.gov/node/849679/psn-pdf
June 28, 2023 - After multiple air leak episodes treated by adding more air into the cuff, the decision was made to change
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psnet.ahrq.gov/node/33885/psn-pdf
August 01, 2019 - work well are the specialties
that have more in that note, more details and both the history and the decision
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psnet.ahrq.gov/node/33770/psn-pdf
August 01, 2014 - from a freestanding ambulatory practice now to now being part of an
ACO, why does that change the decision
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psnet.ahrq.gov/node/49491/psn-pdf
September 01, 2005 - use simulation to provide practice and feedback in the
performance of non-technical skills such as decision
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psnet.ahrq.gov/perspective/conversation-shantanu-agrawal-md-mphil
February 26, 2025 - We've done similar work on shared decision-making and on antibiotic stewardship.
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psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
April 01, 2005 - Decision-support systems for CT scans and CEA tests at appropriate intervals post-surgery were implemented
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psnet.ahrq.gov/node/49615/psn-pdf
December 01, 2010 - Medicare's decision to withhold payment for hospital errors: the
devil is in the details.
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psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
October 31, 2023 - bleeding is brisk, laboratory results are typically not available fast enough to help guide clinical decision
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psnet.ahrq.gov/web-mm/lost-start-date-unknown-risk-e-prescribing
December 02, 2020 - structured, standardized, readily available dosing information and enhanced by thoughtful and timely decision
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psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
July 08, 2022 - Events Related to Diagnostic Imaging
July 8, 2022
The effect of computerised decision
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psnet.ahrq.gov/perspective/patient-safety-ambulatory-care-setting
April 27, 2022 - intended to address well-established harms are being investigated, such as the increasing use of clinical decision
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psnet.ahrq.gov/curated-library/implementation-patient-safety-projects
August 10, 2025 - This article highlights machine learning applications in quality improvement and patient safety (e.g., decision
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psnet.ahrq.gov/web-mm/contaminated-or-not-guidelines-interpretation-positive-blood-cultures
November 16, 2022 - December 21, 2014
Implicit bias in healthcare: clinical practice, research and decision
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psnet.ahrq.gov/web-mm/triple-handoff
March 01, 2004 - successful in the past–thus giving the cross-coverage provider important historical background to assist in decision
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psnet.ahrq.gov/web-mm/perils-cross-coverage
September 22, 2010 - knowledge in other clinical scenarios, such as long-term retention of the Ottawa Ankle Rules or improved decision
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psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
August 01, 2009 - the Front Lines of Health Care
August 1, 2009
The MedSafer study-electronic decision
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psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy
March 18, 2020 - either MAC or GA considered to be an acceptable choice, and no currently standardized guidelines, the decision
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psnet.ahrq.gov/web-mm/abdominal-pain-early-pregnancy
November 13, 2024 - The decision to use contrast should balance the potential fetal harm with the possible delay in diagnosis
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psnet.ahrq.gov/web-mm/fumbled-handoff-inpatient-rehab
December 21, 2018 - A Fumbled Handoff to Inpatient Rehab
Citation Text:
Ashcraft LE, Kahn JM. A Fumbled Handoff to Inpatient Rehab. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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