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psnet.ahrq.gov/node/49594/psn-pdf
December 01, 2009 - Standard Deviations
December 1, 2009
Sabin JE. Standard Deviations. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/standard-deviations
Case Objectives
Understand the safety risks associated with patients being discharged against medical advice
(AMA).
Recognize safety risks associated with being part of a …
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psnet.ahrq.gov/node/49470/psn-pdf
December 01, 2004 - Discharge Fumbles
December 1, 2004
Forster AJ. Discharge Fumbles. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/discharge-fumbles
Case Objectives
List the types of adverse events that occur at discharge
Identify the characteristics that identify patients at high risk for errors at discharge
Understand th…
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psnet.ahrq.gov/node/49789/psn-pdf
April 01, 2017 - Engaging Seriously Ill Older Patients in Advance Care
Planning
April 1, 2017
Heyland DK. Engaging Seriously Ill Older Patients in Advance Care Planning. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/engaging-seriously-ill-older-patients-advance-care-planning
Case Objectives
Define advance care planning an…
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psnet.ahrq.gov/web-mm/bowel-injury-after-laparoscopic-surgery
January 19, 2016 - Bowel Injury After Laparoscopic Surgery
Citation Text:
Moorthy K. Bowel Injury After Laparoscopic Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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Format:
Google Scholar BibTeX EndNote X3 XML …
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psnet.ahrq.gov/node/49806/psn-pdf
September 01, 2017 - Failed Interpretation of Screening Tool: Delayed
Treatment
September 1, 2017
Cable CA, Murphy DJ, Martin GS. Failed Interpretation of Screening Tool: Delayed Treatment. PSNet
[internet]. 2017.
https://psnet.ahrq.gov/web-mm/failed-interpretation-screening-tool-delayed-treatment
The Case
An 88-year-old man present…
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psnet.ahrq.gov/perspective/conversation-edward-tenner-phd
June 01, 2011 - but one of the things that I discovered is when you start following this systematically, you start developing
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psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd
November 01, 2006 - working the water faucets, light switches, and doors that I realized that the same principles I was developing
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psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions
November 01, 2008 - Health Care–Acquired Urinary Tract Infection: The Problem and Solutions
Lindsay E. Nicolle, MD | November 1, 2008
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Nicolle LE. Health Care–Acquired Urinary Tract Infection: The Pr…
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psnet.ahrq.gov/perspective/conversation-amy-c-edmondson-phd-am
February 01, 2017 - reality and task environment present customer needs in constant flux, needs that cannot be served by developing … Opportunity now exists to validate the importance of teamwork by developing measures of how well care
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psnet.ahrq.gov/perspective/creation-medical-procedure-service-improve-patient-safety
March 01, 2008 - What would you see as the main obstacles for them to overcome—financial, political, logistical—in developing … December 19, 2014
Developing standardized "receiver-driven" handoffs between referring
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psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
January 01, 2008 - 2007 AHS Corporate Clinical priorities are: Implementing and optimizing clinical information systems Developing … Safe Practice #1, "Improving Patient Safety by Developing and Creating a Culture of Safety," constitutes
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psnet.ahrq.gov/web-mm/chest-pain-rural-hospital
June 02, 2021 - improve adherence with international guidelines.( 15 )
In addition to standardization of care and developing
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psnet.ahrq.gov/node/866618/psn-pdf
December 31, 2024 - based on severity and should include
indications for telemetry monitoring of patients at high risk of developing
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psnet.ahrq.gov/node/49831/psn-pdf
June 01, 2018 - to improve adherence
with international guidelines.(15)
In addition to standardization of care and developing
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psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
September 28, 2022 - groups. 31 Identifying the areas in which primary care has the most impact—for example, access—and then developing … During COVID-19, developing telemedicine literacy was a huge focus, and ultimately resulted in better … But all the time, primary care is about developing a relationship with a patient, with a family, and … One of the projects that we did with AHRQ was developing and strengthening a patient safety laboratory
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psnet.ahrq.gov/issue/making-dialysis-safer-patients-coalition
April 06, 2022 - Government Resource
Making Dialysis Safer for Patients Coalition.
Citation Text:
Making Dialysis Safer for Patients Coalition. Centers for Disease Control and Prevention.
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psnet.ahrq.gov/node/43814/psn-pdf
June 21, 2015 - Improving hand hygiene at eight hospitals in the United
States by targeting specific causes of noncompliance.
June 21, 2015
Chassin MR, Mayer C, Nether K. Improving hand hygiene at eight hospitals in the United States by
targeting specific causes of noncompliance. Jt Comm J Qual Patient Saf. 2015;41(1):4-12.
https…
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psnet.ahrq.gov/node/38289/psn-pdf
July 05, 2008 - Resident Duty Hours: Enhancing Sleep, Supervision, and
Safety.
July 5, 2008
Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident)
Hours and Work Schedule to Improve Patient Safety, Institute of Medicine. Washington, DC: The National
Academies Press; 2008. ISBN: 97803091277…
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psnet.ahrq.gov/node/43865/psn-pdf
May 01, 2015 - Computerised physician order entry-related medication
errors: analysis of reported errors and vulnerability
testing of current systems.
May 1, 2015
Schiff GD, Amato MG, Eguale T, et al. Computerised physician order entry-related medication errors:
analysis of reported errors and vulnerability testing of current sy…
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psnet.ahrq.gov/node/43362/psn-pdf
November 23, 2014 - A systematic review of teamwork in the intensive care
unit: what do we know about teamwork, team tasks, and
improvement strategies?
November 23, 2014
Dietz AS, Pronovost P, Mendez-Tellez PA, et al. A systematic review of teamwork in the intensive care
unit: what do we know about teamwork, team tasks, and improveme…