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psnet.ahrq.gov/node/49751/psn-pdf
January 01, 2016 - New Patient Mistakenly Checked in as Another
January 1, 2016
Green RA, Adelman JS. New Patient Mistakenly Checked in as Another. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/new-patient-mistakenly-checked-another
The Case
A 55-year-old man, presented to a primary care physician's office for an initial vis…
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psnet.ahrq.gov/node/49782/psn-pdf
January 01, 2017 - A Potent Medication Administered in a Not So Viable
Route
January 1, 2017
Loubani O. A Potent Medication Administered in a Not So Viable Route. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/potent-medication-administered-not-so-viable-route
The Case
A 55-year-old man with history of nonischemic cardiomyop…
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psnet.ahrq.gov/node/49686/psn-pdf
May 01, 2013 - Don't Use That Port: Insert a PICC
May 1, 2013
Ilan R. Don't Use That Port: Insert a PICC. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/dont-use-port-insert-picc
The Case
A 48-year-old woman receiving neoadjuvant therapy for breast cancer was admitted to the hospital with
fever and abdominal pain. A comp…
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psnet.ahrq.gov/node/49580/psn-pdf
March 21, 2009 - Medication Reconciliation Victory After an Avoidable
Error
March 21, 2009
Cutler TW. Medication Reconciliation Victory After an Avoidable Error. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error
The Case
A 91-year-old woman, previously active and indepen…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.134_slideshow.ppt
September 01, 2006 - Spotlight Case September 2006
Spotlight Case September 2006
Triple Handoff
Source and Credits
This presentation is based on the September 2006
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Arpana Vidyarthi, MD, UCSF Sc…
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psnet.ahrq.gov/web-mm/comanagement-whos-charge
July 01, 2011 - Comanagement: Who's in Charge?
Citation Text:
Cheng HQ. Comanagement: Who's in Charge?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…
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psnet.ahrq.gov/node/836892/psn-pdf
April 07, 2022 - should focus on:
Determining the problem that they are trying to solve and collecting baseline data
Establishing
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psnet.ahrq.gov/classics
August 01, 2023 - Healthcare Research and Quality
Safety culture has been described as a key to establishing
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psnet.ahrq.gov/node/49723/psn-pdf
January 01, 2015 - Improving communication on the labor and delivery unit and establishing an ultrasafe and resilient
culture
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psnet.ahrq.gov/node/49585/psn-pdf
May 01, 2009 - In addition to their role in establishing the historical, behavioral, and
cognitive baseline, family
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psnet.ahrq.gov/web-mm/challenging-case-multiple-suicide-attempts-complex-patient-psychiatric-comorbidities
September 27, 2023 - This case raises important questions about assessing suicide risk, establishing the most likely underlying
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psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy
March 18, 2020 - November 2, 2011
Perspective
Establishing a Safety Culture
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psnet.ahrq.gov/node/49579/psn-pdf
March 21, 2009 - A consequence of admitting teams not fully appreciating the ED approach to establishing the diagnosis
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psnet.ahrq.gov/node/33680/psn-pdf
March 22, 2009 - demonstrating
http://jama.ama-assn.org/cgi/content/full/288/4/475
https://psnet.ahrq.gov/issue/importance-establishing-regimen-concordance-preventing-medication-errors-anticoagulant-care
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psnet.ahrq.gov/web-mm/speaking-patient-safety-what-they-dont-tell-you-training-about-feedback-and-burnout
January 22, 2020 - Describe the role of leaders in establishing and maintaining a culture of safety.
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psnet.ahrq.gov/web-mm/tough-call-addressing-errors-previous-providers
July 17, 2024 - whether and how to disclose the error to the patient or family.( 2 ) Specifically, they must commit to establishing
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psnet.ahrq.gov/web-mm/transfer-troubles
December 29, 2014 - Establishing a centralized transfer center or dedicated hotline for organizing transport and facilitating
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psnet.ahrq.gov/web-mm/novel-drug-misuse
September 30, 2010 - Recognizing this, some hospitals are establishing teams of emergency department and intensive care unit
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psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
July 08, 2022 - way to mitigate this risk is by standardizing opioid prescribing patterns, leveraging technology and establishing
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psnet.ahrq.gov/node/33594/psn-pdf
November 18, 2021 - Establishing psychological safety for participants is
essential, regardless of the type of debriefing