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psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
November 27, 2023 - patient care learning activities in four spheres of care across the lifespan: wellness and disease prevention … March 27, 2024
Perspectives on Safety
Suicide Prevention … Interview
In Conversation with Edwin Boudreaux about Suicide Prevention
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psnet.ahrq.gov/perspective/cultural-competence-and-patient-safety
December 27, 2019 - Cultural Competence and Patient Safety
December 27, 2019
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Brach C, Hall KK, Fitall E. Cultural Competence and Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthc…
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psnet.ahrq.gov/node/857059/psn-pdf
November 29, 2023 - .7,8,10,11 In this case, the patient had none of these risk
factors, so there was no missed opportunity for prevention … Prevention and management of major complications in percutaneous
endoscopic gastrostomy.
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psnet.ahrq.gov/web-mm/see-patient-first
September 27, 2023 - 2) activation of a code or rapid response, 3) a significant change in clinical status, 4) a patient fall
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psnet.ahrq.gov/node/33750/psn-pdf
May 01, 2013 - measures, it's pretty hard to measure diagnostic
errors for example, and some of the other issues that fall
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psnet.ahrq.gov/web-mm/nurse-staffing-ratios-crucible-money-policy-research-and-patient-care
June 01, 2003 - May 26, 2021
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/node/863649/psn-pdf
February 28, 2024 - In Conversation With...Stephen Hines, PhD and Monika
Haugstetter, MHA, MSN, RN, CPHQ about TeamSTEPPS
3.0
February 28, 2024
In Conversation With..Stephen Hines, PhD and Monika Haugstetter, MHA, MSN, RN, CPHQ about
TeamSTEPPS 3.0. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/conversation-withstephen-…
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psnet.ahrq.gov/perspective/conversation-joan-stanley-about-role-undergraduate-nursing-education-patient-safety
November 27, 2023 - patient care learning activities in four spheres of care across the lifespan: wellness and disease prevention … September 30, 2020
Effect of an emergency department process improvement package on suicide prevention
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psnet.ahrq.gov/node/864867/psn-pdf
April 10, 2024 - Clinicians in these high risk, high
reward situations may also fall prey to commission bias, which is
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psnet.ahrq.gov/web-mm/infection-after-carpal-tunnel-surgery
May 28, 2014 - predictive value for postoperative complications, but the practical threshold for elevated risk may fall
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psnet.ahrq.gov/perspective/integrating-multiple-medication-decision-support-systems-how-will-we-make-it-all-work
May 01, 2008 - RW: It's interesting that, if you go through that list, it seems that where things might fall apart
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psnet.ahrq.gov/web-mm/hindsight-2020-thrombolytics-alcohol-intoxication
December 18, 2024 - Clinicians in these high risk, high reward situations may also fall prey to commission bias , which
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psnet.ahrq.gov/perspective/conversation-withdavid-w-bates-md-msc
May 01, 2018 - RW: It's interesting that, if you go through that list, it seems that where things might fall apart
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psnet.ahrq.gov/node/74120/psn-pdf
November 30, 2021 - The patient re-presented to
the ED after a fall at home. He had been living independently.
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psnet.ahrq.gov/perspective/conversation-james-augustine-md
July 28, 2021 - I serve as a subject matter expert with CDC [the Centers for Disease Control and Prevention] in emergency … diagnostic decision making, but also fundamental patient safety topics such as teamwork, infection prevention
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psnet.ahrq.gov/web-mm/dangers-missing-epidural-abscess-multiple-visits-and-delayed-diagnosis-severely-negative
April 27, 2022 - or paravertebral steroid injections. 14 Blunt spinal trauma, such as a motor vehicle collision or fall
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psnet.ahrq.gov/sites/default/files/2021-09/spotlight_missed_sea_09.17.2021_-_final.pdf
January 01, 2021 - Blunt spinal trauma, such as a motor vehicle collision or fall,
can lead to disruption of normal anatomic
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psnet.ahrq.gov/sites/default/files/2021-11/spotlight_integration_and_coordination_of_disesase_treatment_and_palliative_care_final.pdf
January 01, 2021 - and then was lost to follow up.
5
Case Details (2)
• The patient re-presented to the ED after a fall
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psnet.ahrq.gov/perspective/conversation-withjoseph-britto-md
February 01, 2007 - The real world of medicine doesn't fall neatly into lists like that.
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psnet.ahrq.gov/node/49849/psn-pdf
January 01, 2019 - Spotlight: Mistaken Attribution, Diagnostic Misstep
January 1, 2019
Kreider TR, Young JQ. Spotlight: Mistaken Attribution, Diagnostic Misstep. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
Case Objectives
List the patient safety events that are unique to in…