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psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
January 01, 2015 - The top-down role that leaders still have is to help define strategy, set direction, and define what … set direction, look at the big picture, and then rely much more on the people doing the work to help define
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psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
January 01, 2015 - The top-down role that leaders still have is to help define strategy, set direction, and define what … set direction, look at the big picture, and then rely much more on the people doing the work to help define
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psnet.ahrq.gov/node/836794/psn-pdf
March 31, 2022 - Reasoning: The ability to compare and infer consequences of choices.5
The first course of action is to define … More recently, a
new consensus has emerged to define palliative care as specialized medical care for
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psnet.ahrq.gov/sites/default/files/2022-03/final_spotlight_case_mistaken_capacity.pdf
January 01, 2022 - consequences of
choices.
17
Assessing Mental Capacity (7)
• The first course of action is to define … Approach to Improving Systemic Safety (4)
32
• More recently, a new consensus has emerged to define
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psnet.ahrq.gov/web-mm/another-fall
June 01, 2010 - This latter circumstance would not require a professional standard of care to define what is acceptable … must be made to identify critical information elements that must be transmitted with a patient, and to define
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psnet.ahrq.gov/node/60188/psn-pdf
January 01, 2021 - Uncertain diagnoses in a children's hospital: patient
characteristics and outcomes.
April 1, 2020
Sump CA, Marshall TL, Ipsaro AJ, et al. Uncertain diagnoses in a children’s hospital: patient characteristics
and outcomes. Diagnosis. 2021;8(3):353-357. doi:10.1515/dx-2019-0058.
https://psnet.ahrq.gov/issue/uncertai…
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psnet.ahrq.gov/node/851185/psn-pdf
July 05, 2023 - Prevalence of potentially inappropriate medication
prescribing in US nursing homes, 2013-2017.
July 5, 2023
Riester MR, Goyal P, Steinman MA, et al. Prevalence of potentially inappropriate medication prescribing in
US nursing homes, 2013-2017. J Gen Intern Med. 2023;38(6):1563-1566. doi:10.1007/s11606-022-07825-
6…
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psnet.ahrq.gov/issue/how-doctors-think-common-diagnostic-errors-clinical-judgment-lessons-undiagnosed-and-rare
September 14, 2022 - Review
How doctors think: common diagnostic errors in clinical judgment--lessons from an undiagnosed and rare disease program.
Citation Text:
Kliegman RM, Bordini BJ, Basel D, et al. How Doctors Think: Common Diagnostic Errors in Clinical Judgment-Lessons from an Undiagnosed and Rare Dis…
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psnet.ahrq.gov/issue/defining-incidence-cardiorespiratory-instability-patients-step-down-units-using-electronic
September 04, 2013 - Study
Defining the incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring system.
Citation Text:
Hravnak M, Edwards L, Clontz A, et al. Defining the incidence of cardiorespiratory instability in patients in step-down units us…
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psnet.ahrq.gov/issue/transferring-responsibility-and-accountability-maternity-care-clinicians-defining-their
August 19, 2009 - Study
Transferring responsibility and accountability in maternity care: clinicians defining their boundaries of practice in relation to clinical handover.
Citation Text:
Chin GSM, Warren N, Kornman L, et al. Transferring responsibility and accountability in maternity care: clinicians d…
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psnet.ahrq.gov/issue/international-perspective-definitions-and-terminology-used-describe-serious-reportable
August 04, 2021 - Review
An international perspective on definitions and terminology used to describe serious reportable patient safety incidents: a systematic review.
Citation Text:
Hegarty J, Flaherty SJ, Saab MM, et al. An international perspective on definitions and terminology used to describe seri…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.335_slideshow.ppt
December 01, 2014 - the current timing parameters, risks, and benefits for rtPA administration in acute ischemic stroke
Define
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.107_slideshow.ppt
November 01, 2005 - Developing the Reconciliation Process
Identify who should participate in each step and define the responsibility
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psnet.ahrq.gov/node/46620/psn-pdf
January 30, 2018 - Where should patient safety be installed?
January 30, 2018
Sine DM, Paull D. Where should patient safety be installed? J Healthc Risk Manag. 2017;37(3):14-17.
doi:10.1002/jhrm.21285.
https://psnet.ahrq.gov/issue/where-should-patient-safety-be-installed
Organizational structure influences the prioritization of safe…
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psnet.ahrq.gov/node/45606/psn-pdf
October 27, 2016 - Unprofessional workplace conduct...defining and
defusing it.
October 27, 2016
MacLean L, Coombs C, Breda K. Unprofessional workplace conduct..defining and defusing it. Nurs
Manage. 2016;47(9):30-34. doi:10.1097/01.NUMA.0000491126.68354.be.
https://psnet.ahrq.gov/issue/unprofessional-workplace-conductdefining-and-d…
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psnet.ahrq.gov/node/841149/psn-pdf
December 07, 2022 - A structured approach to EHR surveillance of diagnostic
error in acute care: an exploratory analysis of two
institutionally-defined case cohorts.
December 7, 2022
Malik MA, Motta-Calderon D, Piniella N, et al. A structured approach to EHR surveillance of diagnostic
error in acute care: an exploratory analysis of t…
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psnet.ahrq.gov/node/35749/psn-pdf
May 09, 2014 - Chemotherapy dose limits set by users of a computer
order entry system.
May 9, 2014
DuBeshter B; Griggs J; Angel C; Loughner J.
https://psnet.ahrq.gov/issue/chemotherapy-dose-limits-set-users-computer-order-entry-system
To avoid excessive dosing of chemotherapeutic agents, standardized dose limits must be agreed u…
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psnet.ahrq.gov/node/41138/psn-pdf
February 15, 2012 - Potentially inappropriate prescribing in older people with
dementia in care homes: a retrospective analysis.
February 15, 2012
Parsons C, Johnston S, Mathie E, et al. Potentially inappropriate prescribing in older people with dementia
in care homes: a retrospective analysis. Drugs Aging. 2012;29(2):143-155. doi:10.…
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psnet.ahrq.gov/node/867845/psn-pdf
February 26, 2025 - Concept sheets define all key terms and note which items should be included or
excluded.2 A unique concept
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psnet.ahrq.gov/node/837958/psn-pdf
December 01, 2021 - Various jurisdictions define transfer of care from EMS to the ED or hospital differently.