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psnet.ahrq.gov/node/33782/psn-pdf
March 01, 2015 - Where Does Risk-Adjusted Mortality Fit Into a Safety
Measurement Program?
March 1, 2015
Scott IA. Where Does Risk-Adjusted Mortality Fit Into a Safety Measurement Program? PSNet [internet].
2015.
https://psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
Perspective
Much…
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psnet.ahrq.gov/node/49434/psn-pdf
February 01, 2004 - Undiagnosed Vaginal Bleeding
February 1, 2004
Mandelblatt J. Undiagnosed Vaginal Bleeding . PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/undiagnosed-vaginal-bleeding
The Case
The patient is a 34-year-old gravida 3, para 3 woman with a 2-year history of increasingly profuse vaginal
bleeding. Over the past…
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psnet.ahrq.gov/web-mm/collegiality-vs-competence
August 28, 2024 - Collegiality vs. Competence
Citation Text:
Sagin T. Collegiality vs. Competence. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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psnet.ahrq.gov/node/49769/psn-pdf
September 01, 2016 - Complaints as Safety Surveillance
September 1, 2016
Morris JL, Bismark M. Complaints as Safety Surveillance. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/complaints-safety-surveillance
The Case
A 42-year-old woman presented to the emergency department with abdominal pain. She said the pain
came on sudden…
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psnet.ahrq.gov/node/837658/psn-pdf
July 08, 2022 - Preventable Transfer to the Hospital
July 8, 2022
Agrawal G, Kashkouli P, Bakerjian D. Preventable Transfer to the Hospital. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/preventable-transfer-hospital
The Case
A 78-year-old veteran with dementia-associated aggressive behavior and multiple comorbidities had…
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psnet.ahrq.gov/node/865658/psn-pdf
April 24, 2024 - Managing Care Challenges in a Group Home Setting: Is
Staffing Adequate for Unplanned Incidents?
April 24, 2024
Ordona R, Bakerjian D. Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for
Unplanned Incidents? PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/managing-care-challenges-group-…
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psnet.ahrq.gov/node/49483/psn-pdf
June 01, 2005 - Most institutions, however, are reluctant
to commit the resources and effort required for such changes
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psnet.ahrq.gov/node/60267/psn-pdf
March 01, 2021 - As part of this effort, the coordinator pays particularly close attention to those residents
transitioning
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psnet.ahrq.gov/web-mm/respiratory-distress-after-neck-surgery-two-cases-postoperative-cervical-hematoma
August 14, 2024 - arrival, the patient was immediately evaluated, and the hematoma was recognized, with a coordinated effort
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psnet.ahrq.gov/innovation/affordable-housing-community-offers-seniors-onsite-health-care-coordination-and-support
March 27, 2024 - As part of this effort, the coordinator pays particularly close attention to those residents transitioning
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psnet.ahrq.gov/web-mm/robotic-surgery-risks-vs-rewards
October 31, 2023 - experienced than are ever reported to the FDA.( 21-23 ) There needs to be a more rigorous reporting effort
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psnet.ahrq.gov/perspective/conversation-dave-debronkart
June 01, 2014 - In Conversation With… Dave deBronkart
June 1, 2014
Also Read an Essay
Citation Text:
In Conversation With… Dave deBronkart. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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psnet.ahrq.gov/perspective/patient-safety-office-based-care-settings
January 31, 2024 - For instance, the patient in the care by me bucket is responsible for leading the effort to mitigate
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psnet.ahrq.gov/perspective/conversation-withrichard-ricciardi-about-office-based-patient-safety
January 31, 2024 - For instance, the patient in the care by me bucket is responsible for leading the effort to mitigate
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psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
February 01, 2013 - Patient Engagement and Patient Safety
Saul N. Weingart, MD, PhD | February 1, 2013
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Weingart SN. Patient Engagement and Patient Safety. PSNet [internet]. Rockville (MD): Agency fo…
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psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
May 01, 2016 - September 10, 2014
Project BOOST: effectiveness of a multihospital effort to reduce rehospitalization
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psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
January 01, 2015 - Innovation and Lean Thinking: Mutually Supportive Partners in the Transformation of Health Care
Paul E. Plsek, MS | January 1, 2015
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Plsek PE. Innovation and Lean Thinking: Mutuall…
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psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
January 01, 2015 - In Conversation With… Mark Graban, MS, MBA
January 1, 2015
Also Read an Essay
Citation Text:
In Conversation With… Mark Graban, MS, MBA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015…
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psnet.ahrq.gov/issue/reflecting-change
December 02, 2009 - Commentary
Reflecting on change.
Citation Text:
Wagstaff R. Reflecting on change. Nurs Manag (Harrow). 2006;13(2):12-7.
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…
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psnet.ahrq.gov/issue/computerized-physician-order-entry-and-medication-errors-finding-balance
March 15, 2006 - Commentary
Computerized physician order entry and medication errors: finding a balance.
Citation Text:
Bates DW. Computerized physician order entry and medication errors: finding a balance. J Biomed Inform. 2005;38(4):259-61.
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