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psnet.ahrq.gov/perspective/building-capacity-patient-safety
July 31, 2023 - One provision in that act states that every effort must be made to reduce and eliminate medical errors
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psnet.ahrq.gov/web-mm/framework-assessing-reasoning-about-controversial-end-life-clinical-decisions
November 30, 2023 - Escalate effort as needed .
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psnet.ahrq.gov/perspective/conversation-ellen-deutsch-md-ms-facs-faap-fssh-cpps
December 14, 2022 - understand and improve work processes, patient care experiences, and organizational practices in an effort
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psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience
November 01, 2005 - the institution has an RRT, (ii) the RRT will be involved in the care of deteriorating patients in an effort
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psnet.ahrq.gov/sites/default/files/2024-03/final_spotlight_case_not_missing_sepsis_needles_in_viral_haystacks_slides_march_date.pdf
January 01, 2024 - Spotlight
Spotlight
Do Not Miss Sepsis Needles in Viral Haystacks!
Source and Credits
• This presentation is based on the March 2024 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Michelle Hamline, MD, PhD, MAS and Ulfat
Shaikh, MD, M…
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psnet.ahrq.gov/node/74021/psn-pdf
October 25, 2021 - From an operational standpoint, there's an effort to provide broader access
to key providers and ensure
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psnet.ahrq.gov/perspective/conversation-derek-feeley
April 10, 2024 - There was some time and negotiation involved, but it was well worth the effort.
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psnet.ahrq.gov/node/33688/psn-pdf
October 01, 2009 - details that came out when the state report came out, but generally the
institution did not make an effort
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psnet.ahrq.gov/node/60329/psn-pdf
May 14, 2020 - Over the last
5 years or so, we’ve really made an additional effort to leverage our remote medicine
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psnet.ahrq.gov/perspective/conversation-kaveh-shojania-md
February 26, 2025 - If you're talking about something like abbreviations to avoid, well there's minimal effort and little
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psnet.ahrq.gov/node/72613/psn-pdf
December 22, 2020 - However, measuring adverse events and
interpreting that data takes a lot more effort than measuring
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psnet.ahrq.gov/perspective/weekend-effect-cardiology-it-real-if-so-can-it-be-fixed
June 01, 2017 - Significant effort has gone into trying to explain why.
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psnet.ahrq.gov/node/865413/psn-pdf
March 27, 2024 - This effort is critical to prevent further harm to other patients and to best manage any harm
that has
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psnet.ahrq.gov/issue/understanding-and-improving-everyday-work-healthcare
May 13, 2020 - International Meeting/Conference
Understanding and Improving Everyday Work in Healthcare.
Citation Text:
Clinical Human Factors Group. May 16, 2023, 9:00 AM--12:30 PM (eastern).
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psnet.ahrq.gov/issue/decade-patient-safety-2020-2030
December 21, 2005 - Press Release/Announcement
A Decade of Patient Safety 2020-2030
Citation Text:
A Decade of Patient Safety 2020-2030. Geneva, Switzerland; World Health Organization: February 2020.
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psnet.ahrq.gov/issue/exploring-harmful-effects-health-care
January 25, 2023 - Commentary
Exploring the harmful effects of health care.
Citation Text:
Kilo CM. Exploring the Harmful Effects of Health Care. JAMA. 2009;302(1). doi:10.1001/jama.2009.957.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…
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psnet.ahrq.gov/issue/piece-my-mind-mistakes
March 19, 2008 - Commentary
A piece of my mind. Mistakes.
Citation Text:
Lesnewski R. A piece of my mind. Mistakes. JAMA. 2006;296(11):1327-8.
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psnet.ahrq.gov/issue/annual-diagnostic-excellence-summit
May 09, 2024 - United States Meeting/Conference
Annual Diagnostic Excellence Summit.
Citation Text:
The Armstrong Institute Center for Diagnostic Excellence. Johns Hopkins University, Baltimore, MD, May 22, 2024, 9:00 AM-4:00 PM (eastern).
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psnet.ahrq.gov/issue/virtual-ambulatory-cusp-training
June 05, 2024 - International Meeting/Conference
Ambulatory CUSP (Comprehensive Unit Based Safety Program) Training.
Citation Text:
Armstrong Institute for Patient Safety and Quality. May 9-10, 2024, 8:00 AM - 12:00 PM (eastern).
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psnet.ahrq.gov/issue/international-drug-name-confusion
September 30, 2020 - Commentary
International drug name confusion.
Citation Text:
Levien TL.
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