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3181. As attention wanders, rethinking the autopilot. | PSNet
      psnet.ahrq.gov/issue/attention-wanders-rethinking-autopilot
      October 26, 2011 - Newspaper/Magazine Article As attention wanders, rethinking the autopilot. Citation Text: Negroni C. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL June 2, 2010 Negroni…

3182. Periodic Issue | PSNet
      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

3183. Psn-Pdf (pdf file)
      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.

3184. Psn-Pdf (pdf file)
      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

3185. Patient Safety in Home Dialysis | PSNet
      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

3186. Patient Safety Innovations Exchange | PSNet
      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,…

3187. Psn-Pdf (pdf file)
      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

3188. Psn-Pdf (pdf file)
      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.

3189. A "Reflexive" Diagnosis in Primary Care | PSNet
      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. Copy Citation Format: …

3190. In Conversation With... Francoise Marvel, MD | PSNet
      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

3191. Treatment Challenges After Discharge | PSNet
      psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
      January 03, 2017 - Innovations Preventing Falls Through Patient and Family Engagement to Create Customized Prevention

3192. Misidentifying the Unidentified – John Doe and the EHR | PSNet
      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. Copy Citation Format: …

3193. Microsoft PowerPoint - FINAL June-Spotlight Case Slides_06.12.2020.pptx (pdf file)
      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,…

3194. A Picture Speaks 1000 Words | PSNet
      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. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …

3195. Psn-Pdf (pdf file)
      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)…

3196. Retained Surgical Items: Definition and Epidemiology. | PSNet
      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

3197. In Conversation With… Sharon K. Inouye, MD, MPH | PSNet
      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

3198. Revising TeamSTEPPS: The Evolution of Patient Safety Teamwork Training | PSNet
      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. …

3199. Psn-Pdf (pdf file)
      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

3200. Inadvertent Castration | PSNet
      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