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psnet.ahrq.gov/web-mm/cups-error
January 12, 2011 - There, the nurse can confirm the patient's identity (ensuring that it matches the name on the medication
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psnet.ahrq.gov/web-mm/situational-unawareness
August 01, 2009 - from technology and using clinical judgement to determine if management is appropriate is essential to ensuring
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psnet.ahrq.gov/web-mm/dnr-or-and-afterwards
July 01, 2003 - ’s decision to suspend a DNR order for a procedure should be respected, and systems should focus on ensuring
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psnet.ahrq.gov/web-mm/not-miscarriage
June 01, 2005 - The failure to diagnose a continuing pregnancy in this patient could have been prevented by ensuring
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psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
March 03, 2021 - SPOTLIGHT CASE
Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong.
Citation Text:
Ahmed SM, Ali M. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong.. PSNet [internet]. Rockville (MD): Agency fo…
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psnet.ahrq.gov/issue/improving-handoffs-perioperative-environment-conceptual-framework-key-theories-system-factors
November 16, 2022 - Commentary
Improving handoffs in the perioperative environment: a conceptual framework of key theories, system factors, methods, and core interventions to ensure success.
Citation Text:
Starmer AJ, Michael MM, Spector ND, et al. Improving handoffs in the perioperative environment: a conc…
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psnet.ahrq.gov/web-mm/framework-assessing-reasoning-about-controversial-end-life-clinical-decisions
November 30, 2023 - meaning that no care plan ought to be implemented without taking account of the patient’s preferences and ensuring … Approach to Improving Patient Safety
A Proposed Strategy for Ensuring Implementation of an Established
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psnet.ahrq.gov/issue/how-do-nurses-use-early-warning-scoring-systems-detect-and-act-patient-deterioration-ensure
June 16, 2021 - Review
Emerging Classic
How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review.
Citation Text:
Wood C, Chaboyer W, Carr P. How do nurses use early warning scoring systems to detect an…
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psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-medical-decisions
July 23, 2024 - Nudge Unit Supports Physician, Patient Behavioral Changes Towards Medical Decisions that Improve Care Value and Quality of Care
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December 23, 2020
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psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-postdischarge-needs
March 27, 2024 - internationally, additional results that include utilization and cost data, additional publications, and ensuring
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psnet.ahrq.gov/issue/leveraging-science-teamwork-sustain-handoff-improvements-cardiovascular-surgery
November 28, 2018 - Study
Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery.
Citation Text:
Keebler JR, Lynch I, Ngo F, et al. Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery. Jt Comm J Qual Patient Saf. 2023;49(8):373-3…
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psnet.ahrq.gov/issue/bipartisan-consensus-public-wants-well-rested-medical-residents-help-ensure-safe-patient-care
July 06, 2011 - Book/Report
Bipartisan Consensus: The Public Wants Well-Rested Medical Residents to Help Ensure Safe Patient Care.
Citation Text:
Bipartisan Consensus: The Public Wants Well-Rested Medical Residents to Help Ensure Safe Patient Care. Almashat S, Carome M, Wolfe S, Landrigan CP, Czeisler C…
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psnet.ahrq.gov/primer/nursing-and-patient-safety
September 15, 2024 - Background Nurses play a critically important role in ensuring patient safety while providing care directly
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psnet.ahrq.gov/web-mm/lost-black-hole
December 01, 2005 - I believe that the hospitalist does maintain responsibility for ensuring that critical laboratory tests
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psnet.ahrq.gov/innovation/critical-radiology-alert-process
November 16, 2022 - Critical Radiology Alert Process
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October 30, 2024
View more articles from the same authors.
Innovation
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psnet.ahrq.gov/issue/just-time-training-high-risk-low-volume-therapies-approach-ensure-patient-safety
April 24, 2018 - Commentary
Just-in-time training for high-risk low-volume therapies: an approach to ensure patient safety.
Citation Text:
Helman S, Lisanti AJ, Adams A, et al. Just-in-Time Training for High-Risk Low-Volume Therapies: An Approach to Ensure Patient Safety. J Nurs Care Qual. 2016;31(1):33-…
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psnet.ahrq.gov/innovation/risk-mitigation-using-anesthesia-risk-alert-program-applying-proactive-approach-data
February 26, 2025 - strategies associated with one of each of the five high-risk clinical scenarios mentioned above are:
Ensuring
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psnet.ahrq.gov/periodic-issue/periodic-issue-470
December 31, 2024 - Ensuring sufficient patient notification efforts after a large-scale adverse event.
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psnet.ahrq.gov/clinical-areas
March 24, 2025 - monitoring, and improvement of clinicians' competence as a means of addressing this unique component and ensuring
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psnet.ahrq.gov/web-mm/wrongful-resuscitation
October 12, 2012 - The Wrongful Resuscitation
Citation Text:
Teno JM. The Wrongful Resuscitation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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