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psnet.ahrq.gov/web-mm/impatient-inpatient-dosing
June 24, 2020 - August 26, 2020
Defining and enhancing collaboration between community pharmacists and
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psnet.ahrq.gov/perspective/implementing-fall-prevention-program
November 29, 2023 - October 26, 2010
Defining the technical skills of teamwork in surgery.
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psnet.ahrq.gov/web-mm/painful-medication-reconciliation-mishap
May 01, 2008 - Defining optimal length of opioid pain medication prescription after common surgical procedures. 2018
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psnet.ahrq.gov/web-mm/diagnosing-diagnostic-mistakes
April 30, 2014 - identify chest x-ray signs of pneumonia with only “fair to good” reliability and were especially poor in defining
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psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
January 01, 2020 - more more individualized dosing
10
Opioid-Induced Respiratory Depression (1)
11
• Criteria defining
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psnet.ahrq.gov/node/33822/psn-pdf
January 01, 2017 - Wachter: One of the defining elements of your career has been a passion for the safety of
the workforce
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psnet.ahrq.gov/node/73200/psn-pdf
April 28, 2021 - Creating a
specialized diabetes team that is separate from the endocrinology consultation service, and
defining
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psnet.ahrq.gov/node/73302/psn-pdf
May 26, 2021 - When you talk about Just Culture and we talk about culture as defining behavior,
we've got to change
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psnet.ahrq.gov/node/49810/psn-pdf
November 01, 2017 - Defining advance care planning for adults: a consensus definition
from a multidisciplinary Delphi panel
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psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong
May 29, 2024 - Defining and measuring diagnostic uncertainty in medicine: a systematic review.
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psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
December 23, 2020 - Defining Key Health Information Technology Terms.
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psnet.ahrq.gov/web-mm/one-toxic-drug-not-another
October 02, 2019 - June 26, 2019
Drawing boundaries: the difficulty in defining clinical reasoning.
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psnet.ahrq.gov/web-mm/challenges-diabetes-management-and-medication-reconciliation
March 15, 2023 - In addition to hiring and training staff dedicated to performing BPMH, the MARQUIS study showed that defining
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psnet.ahrq.gov/web-mm/another-fall
June 01, 2010 - Long-Term Care Standards Manual (1996), Standards RI.2.6 (defining restraint), TX.8 (emphasizing a restraint-free
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psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
April 08, 2019 - April 3, 2024
Defining the landscape of patient harm after osteopathic manipulative treatment
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psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
February 10, 2021 - SPOTLIGHT CASE
A Fatal Twist in Pseudohyperkalemia
Citation Text:
Devera JL, Barnes DK, Lewis WR. A Fatal Twist in Pseudohyperkalemia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
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psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
July 01, 2017 - SPOTLIGHT CASE
“This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event
Citation Text:
Barnhard S. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Dep…
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psnet.ahrq.gov/issue/acting-locally-working-clinical-microsystems-cd-rom
May 20, 2019 - Special or Theme Issue
Acting Locally: Working in Clinical Microsystems CD-ROM.
Citation Text:
Acting Locally: Working in Clinical Microsystems CD-ROM. Oakbrook Terrance, IL: Joint Commission Resources; 2005. ISBN 9780866889865.
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psnet.ahrq.gov/issue/ahrq-funded-patient-safety-project-highlights-improving-patient-safety-enhancing-care
August 07, 2024 - Book/Report
AHRQ-Funded Patient Safety Project Highlights: Improving Patient Safety by Enhancing Care Coordination.
Citation Text:
AHRQ-Funded Patient Safety Project Highlights: Improving Patient Safety by Enhancing Care Coordination. Rockville, MD: Agency for Healthcare Research and Qua…
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psnet.ahrq.gov/issue/improving-safety-throughout-medication-use-process-neonatal-intensive-care-unit
January 27, 2012 - Commentary
Improving safety throughout the medication use process in a neonatal intensive care unit.
Citation Text:
Asdigha MN. Improving Safety Throughout the Medication Use Process in a Neonatal Intensive Care Unit. Hosp Pharm. 2010;41(11):1067-1075. doi:10.1310/hpj4111-1067.
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