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psnet.ahrq.gov/node/33860/psn-pdf
June 01, 2018 - Safety Considerations in Building a Point-of-Care
Ultrasound Program
June 1, 2018
Moore C. Safety Considerations in Building a Point-of-Care Ultrasound Program. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/safety-considerations-building-point-care-ultrasound-program
Perspective
At the American Colle…
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psnet.ahrq.gov/issue/defining-near-misses-towards-sharpened-definition-based-empirical-data-about-error-handling
June 28, 2011 - Study
Defining near misses: towards a sharpened definition based on empirical data about error handling processes.
Citation Text:
Kessels-Habraken M, Van der Schaaf T, De Jonge J, et al. Defining near misses: towards a sharpened definition based on empirical data about error handling pr…
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psnet.ahrq.gov/issue/potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-drug-events
April 22, 2015 - Study
Classic
Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in older hospitalized patients.
Citation Text:
Hamilton H, Gallagher P, Ryan C, et al. Potentially inappropriate medications defined by STOPP crit…
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psnet.ahrq.gov/node/38443/psn-pdf
February 25, 2009 - High-fidelity, simulation-based, interdisciplinary operating
room team training at the point of care.
February 25, 2009
Paige JT, Kozmenko V, Yang T, et al. High-fidelity, simulation-based, interdisciplinary operating room team
training at the point of care. Surgery. 2009;145(2):138-46. doi:10.1016/j.surg.2008.09.0…
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psnet.ahrq.gov/node/46409/psn-pdf
November 08, 2017 - 'No one is coming': hospice patients abandoned at
death's door.
November 8, 2017
Aleccia J; Bailey M.
https://psnet.ahrq.gov/issue/no-one-coming-hospice-patients-abandoned-deaths-door
Patient safety in ambulatory hospice care is ill defined. Reporting on safety concerns associated with
hospice care, including poo…
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psnet.ahrq.gov/web-mm/compare-and-contrast
July 16, 2019 - Case Objectives Define contrast nephropathy (CN) List risk factors for CN Implement pharmacologic
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psnet.ahrq.gov/node/47637/psn-pdf
January 16, 2019 - Case-based simulation empowering pediatric residents to
communicate about diagnostic uncertainty.
January 16, 2019
Olson ME, Borman-Shoap E, Mathias K, et al. Case-based simulation empowering pediatric residents to
communicate about diagnostic uncertainty. Diagnosis (Berl). 2018;5(4):243-248. doi:10.1515/dx-2018-
…
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psnet.ahrq.gov/issue/well-defined-pediatric-icu-active-surveillance-using-nonmedical-personnel-capture-less
July 13, 2010 - Study
The well-defined pediatric ICU: active surveillance using nonmedical personnel to capture less serious safety events.
Citation Text:
White WA, Kennedy K, Belgum HS, et al. The Well-Defined Pediatric ICU: Active Surveillance Using Nonmedical Personnel to Capture Less Serious Safety …
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psnet.ahrq.gov/web-mm/inadvertent-use-more-potent-acid-leads-burn
November 01, 2023 - Evidence-based treatment is also difficult to define.
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psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
November 25, 2020 - Various jurisdictions define transfer of care from EMS to the ED or hospital differently.
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psnet.ahrq.gov/node/35264/psn-pdf
June 29, 2009 - The Critical Care Safety Study: the incidence and nature
of adverse events and serious medical errors in intensive
care.
June 29, 2009
Rothschild JM, Landrigan CP, Cronin JW, et al. The Critical Care Safety Study: The incidence and nature
of adverse events and serious medical errors in intensive care. Crit Care M…
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psnet.ahrq.gov/node/49543/psn-pdf
September 01, 2007 - To design a robust medication reconciliation process, first define steps involved and decide who
should
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psnet.ahrq.gov/node/49549/psn-pdf
December 06, 2007 - https://psnet.ahrq.gov/web-mm/elopement
Case Objectives
Define elopement and differentiate it from
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psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd
October 06, 2021 - So, let's talk about care and how you define safe maternal care. What does that look like? … Certainly, at least the fourth trimester, which we loosely define as the three months postpartum. … We can conceptualize it more fully and better define what safety is and how we measure it.
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psnet.ahrq.gov/perspective/conversation-james-augustine-md
July 28, 2021 - And now, taking a patient-centric approach, we define what group of patients might present as an MI, … Prior to 2007, there was not a standard system to define EMS personnel licensure. 1 The creation of … The National EMS Education Standards define core competencies for each of these four levels, but specific
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psnet.ahrq.gov/perspective/health-equity-and-maternal-health
October 06, 2021 - So, let's talk about care and how you define safe maternal care. What does that look like? … Certainly, at least the fourth trimester, which we loosely define as the three months postpartum. … We can conceptualize it more fully and better define what safety is and how we measure it.
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psnet.ahrq.gov/issue/measurement-essential-improving-diagnosis-and-reducing-diagnostic-error-report-institute
January 23, 2017 - Commentary
Classic
Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute of Medicine.
Citation Text:
McGlynn EA, McDonald KM, Cassel C. Measurement Is Essential for Improving Diagnosis and Reducing Diagnostic…
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psnet.ahrq.gov/node/46782/psn-pdf
January 24, 2019 - Patient perspectives on how physicians communicate
diagnostic uncertainty: an experimental vignette study.
January 24, 2019
Bhise V, Meyer AND, Menon S, et al. Patient perspectives on how physicians communicate diagnostic
uncertainty: An experimental vignette study. Int J Qual Health Care. 2018;30(1):2-8.
doi:10.1…
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psnet.ahrq.gov/node/43694/psn-pdf
November 17, 2015 - Relationships within inpatient physician housestaff teams
and their association with hospitalized patient outcomes.
November 17, 2015
McAllister C, Leykum LK, Lanham H, et al. Relationships within inpatient physician housestaff teams and
their association with hospitalized patient outcomes. J Hosp Med. 2014;9(12):7…
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psnet.ahrq.gov/node/45872/psn-pdf
April 13, 2017 - Finding diagnostic errors in children admitted to the
PICU.
April 13, 2017
Davalos MC, Samuels K, Meyer AND, et al. Finding diagnostic errors in children admitted to the PICU.
Pediatr Crit Care Med. 2017;18(3):265-271. doi:10.1097/PCC.0000000000001059.
https://psnet.ahrq.gov/issue/finding-diagnostic-errors-childre…