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psnet.ahrq.gov/issue/attention-wanders-rethinking-autopilot
October 26, 2011 - Newspaper/Magazine Article
As attention wanders, rethinking the autopilot.
Citation Text:
Negroni C.
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June 2, 2010
Negroni…
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psnet.ahrq.gov/periodic-issue/periodic-issue-319
November 30, 2021 - Study
Artificial intelligence for identifying the prevention of medication incidents … The patient subsequently presented to Emergency Department after a fall at home and was found to have
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psnet.ahrq.gov/node/73104/psn-pdf
January 04, 2021 - Additionally, it is essential to ensure that other critical patient safety efforts do not
fall by the … Centers for Disease Control and Prevention. Updated January
4, 2021. … Centers for Disease
Control and Prevention. Published January 11, 2021. … Emergency call to action: for measles and polio outbreak prevention and response. … Centers for Disease Control and Prevention. Updated December 16, 2020.
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psnet.ahrq.gov/node/49522/psn-pdf
November 01, 2006 - reporting hospital-specific mortality following
coronary bypass surgery, mortality rates were observed to fall … Smoking cessation advice/counseling
Appropriate Initial Antibiotic Selection
Surgical Infection Prevention
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psnet.ahrq.gov/perspective/patient-safety-home-dialysis
April 28, 2021 - Open Communication between the Clinic and Patient Clear communication provides a critical role in the prevention … Centers for Disease Control and Prevention . Reviewed March 11, 2019. Accessed February 13, 2020. … May 8, 2024
The challenge of risk prevention in home healthcare-an interview study with
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psnet.ahrq.gov/innovations-exchange
May 01, 2021 - Patient Safety Innovations Exchange
The Patient Safety Innovations Exchange highlights important innovations that can lead to improvements in patient safety. It is based on AHRQ’s Health Care Innovations Exchange , which shares many health care innovations,…
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psnet.ahrq.gov/node/33660/psn-pdf
December 01, 2007 - know health care delivery backwards and forwards—are themselves not immune from seeing these
issues fall
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psnet.ahrq.gov/node/33721/psn-pdf
November 01, 2011 - Reducing falls and fall-related injuries in
the VA system. J Healthc Saf Q. 2003;1:25-33.
8.
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psnet.ahrq.gov/web-mm/reflexive-diagnosis-primary-care
April 01, 2008 - SPOTLIGHT CASE
A "Reflexive" Diagnosis in Primary Care
Citation Text:
Betjemann J, Josephson AS. A "Reflexive" Diagnosis in Primary Care. 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/conversation-francoise-marvel-md
August 05, 2022 - I am core faculty of the Johns Hopkins Ciccarone Center for the Prevention of Cardiovascular Disease. … devices or have internet access but for people who don’t have those things; it is for people who might fall … plenty of use cases for smartphone applications in the cardiology space demonstrating that secondary prevention … , Johns Hopkins Digital Health Innovation Lab
Core Faculty, Johns Hopkins Ciccarone Center for the Prevention
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psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
January 03, 2017 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
September 27, 2017 - Misidentifying the Unidentified – John Doe and the EHR
Citation Text:
Janowak CF, Janowak LM. Misidentifying the Unidentified – John Doe and the EHR. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/sites/default/files/2020-06/final_june-spotlight_case_slides_06.12.2020.pdf
January 01, 2020 - Microsoft PowerPoint - FINAL June-Spotlight Case Slides_06.12.2020.pptx
Spotlight
When the Indications for Drug
Administration Blur
Source and Credits
• This presentation is based on the June 2020 AHRQ
WebM&M Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
• Commentary by: Julia Munsch,…
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psnet.ahrq.gov/web-mm/picture-speaks-1000-words
July 16, 2015 - A Picture Speaks 1000 Words
Citation Text:
Hemphill RR. A Picture Speaks 1000 Words. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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psnet.ahrq.gov/node/33856/psn-pdf
April 01, 2018 - Patient Safety During Hospital Discharge
April 1, 2018
Liang K, Alper E. Patient Safety During Hospital Discharge. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
Perspective
Patients are admitted to the hospital in the United States 35 million times per year.(1)…
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psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
September 07, 2019 - Patient Safety Primers
Retained Surgical Items: Causation and Prevention … Patient Safety Primers
Retained Surgical Items: Causation and Prevention
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psnet.ahrq.gov/perspective/conversation-sharon-k-inouye-md-mph
December 01, 2012 - Delirium often sets off a spiral where someone is very confused and a fall risk, so they get assigned … RW : Can you talk a little bit about what you've learned about prevention strategies? … As with these other important end-organ injuries, delirium is a clinical event for which prevention and … The next is to systematically implement effective screening, prevention, and management strategies. … The ABCDE model is an initial framework on which new prevention and treatment strategies can be added
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psnet.ahrq.gov/perspective/revising-teamstepps-evolution-patient-safety-teamwork-training
February 28, 2024 - Revising TeamSTEPPS: The Evolution of Patient Safety Teamwork Training
Monika Haugstetter, MHA, MSN, RN, CPHQ; Stephen Hines, PhD; Zoe Sousane, BS; Sarah Mossburg, RN, PhD
| February 28, 2024
Also Read the Conversation
View more articles from the same authors.
…
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psnet.ahrq.gov/node/73398/psn-pdf
June 30, 2021 - In healthcare design,
sometimes we can fall into a routine that we think we know the answer, but we … WHO [World
Health Organization] and CDC [Centers for Disease Control and Prevention] documents had mentioned … patient getting up to
go to the bathroom without calling a nurse and putting themselves at risk for a fall
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psnet.ahrq.gov/web-mm/inadvertent-castration
October 27, 2010 - team members to the task at hand and enable them to "speak up" or challenge something that seems to fall … Prevention of similar events may depend on our ability to adopt more effective human-factors-oriented