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psnet.ahrq.gov/web-mm/or
August 22, 2013 - team rounded on the patient later that evening, he was asleep, so the surgeons chose to defer their discussion
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psnet.ahrq.gov/web-mm/perils-cross-coverage
September 22, 2010 - knowledge of the patient is present during handovers can preserve team–patient continuity and informed discussion
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psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
September 01, 2004 - After a discussion, they decided to order the scan without intravenous contrast, out of concern for causing
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psnet.ahrq.gov/web-mm/nurse-staffing-ratios-crucible-money-policy-research-and-patient-care
June 01, 2003 - Commonly Used but Inadequate Options
The previous discussion focused on policies at the hospital level
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psnet.ahrq.gov/web-mm/defensive-medicine-glowing-pain
November 01, 2012 - A full discussion of developing and employing practice guidelines is beyond the scope of this commentary
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psnet.ahrq.gov/web-mm/poor-prognosis
March 15, 2016 - Case & Commentary: Part 2
After further discussion, the family decided to withdraw care, because the
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psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
March 01, 2004 - These objections can often be addressed by open discussion regarding the purposes of video recording,
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psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
July 01, 2004 - After discussion with his family, the patient was ultimately transitioned to hospice and died several
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psnet.ahrq.gov/web-mm/forgotten-radiographic-read
June 07, 2016 - After discussion between surgery, the primary team, and the family, the decision was made not to pursue
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psnet.ahrq.gov/web-mm/staggered-sensitivity-results
May 01, 2013 - likely had little bearing on the outcome of this particular case, although the issue warrants some discussion
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psnet.ahrq.gov/web-mm/bloody-bp-cuff
June 21, 2016 - J Trauma. 1995;39:533-7;discussion 537-8.[ go to PubMed ] 5.
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psnet.ahrq.gov/web-mm/missing-trauma
March 03, 2011 - I'll analyze this case by first focusing on the injury itself, and then broaden the discussion to common
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psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
January 01, 2016 - MG : That was a topic of very active discussion.
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psnet.ahrq.gov/node/40283/psn-pdf
February 15, 2017 - Principles of Risk Management and Patient Safety.
February 15, 2017
Youngberg BJ, ed. Sudbury, MA: Jones Bartlett; 2011. ISBN: 9780763774059.
https://psnet.ahrq.gov/issue/principles-risk-management-and-patient-safety
This textbook discusses claims management, risk financing, and proactive risk reduction within the …
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psnet.ahrq.gov/node/38268/psn-pdf
December 03, 2008 - Anticoagulant safety practices call for pharmacist
supervision.
December 3, 2008
Scott A.
https://psnet.ahrq.gov/issue/anticoagulant-safety-practices-call-pharmacist-supervision
This article discusses hospital efforts to respond to the Joint Commission sentinel event alert regarding
anticoagulants and highlights …
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psnet.ahrq.gov/node/39307/psn-pdf
February 24, 2010 - Intimidation: a concept analysis.
February 24, 2010
Lamontagne C. Intimidation: a concept analysis. Nurs Forum. 2010;45(1):54-65. doi:10.1111/j.1744-
6198.2009.00162.x.
https://psnet.ahrq.gov/issue/intimidation-concept-analysis
This piece discusses intimidation and its relationship to medical errors and patient sa…
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psnet.ahrq.gov/node/36818/psn-pdf
August 26, 2011 - Patient safety in women's health care: a framework for
progress.
August 26, 2011
Gluck PA. Patient safety in women's health care: a framework for progress. Best Pract Res Clin Obstet
Gynaecol. 2007;21(4):525-36.
https://psnet.ahrq.gov/issue/patient-safety-womens-health-care-framework-progress
The author provides …
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psnet.ahrq.gov/web-mm/supervision-and-entrustment-clinical-training-protecting-patients-protecting-trainees
February 22, 2017 - SPOTLIGHT CASE
Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees
Citation Text:
Cate O ten-. Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu…
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psnet.ahrq.gov/node/36984/psn-pdf
September 14, 2011 - TeamSTEPPS: assuring optimal teamwork in clinical
settings.
September 14, 2011
Clancy CM, Tornberg DN. TeamSTEPPS: assuring optimal teamwork in clinical settings. Am J Med Qual.
2007;22(3):214-7.
https://psnet.ahrq.gov/issue/teamstepps-assuring-optimal-teamwork-clinical-settings
The authors discuss the TeamSTEPPS…
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psnet.ahrq.gov/node/47262/psn-pdf
August 22, 2018 - The Case for Medication Safety Officers (MSO).
August 22, 2018
Horsham, PA: Institute for Safe Medication Practices; 2018.
https://psnet.ahrq.gov/issue/case-medication-safety-officers-mso
Medication safety is a concern in various settings across an organization. This white paper discusses the
role of a medication …