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psnet.ahrq.gov/perspective/conversation-cindy-brach
December 27, 2019 - Interview
In Conversation with Edwin Boudreaux about Suicide Prevention
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psnet.ahrq.gov/web-mm/framework-assessing-reasoning-about-controversial-end-life-clinical-decisions
November 30, 2023 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal-mental-health
March 29, 2023 - Review Committee (MMRC) data or use national MMRC data published by the Centers for Disease Control and Prevention … Each bundle is organized into a framework under five Rs: readiness, recognition and prevention, response … August 30, 2023
‘I felt like I was dying’: how women with postpartum depression fall
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psnet.ahrq.gov/node/49415/psn-pdf
September 01, 2003 - In general, events which
fall in the A to C categories (intermediate to high risk and moderate to severe
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psnet.ahrq.gov/perspective/introducing-new-ahrq-webmm-and-ahrq-patient-safety-network-psnet
April 01, 2005 - Introducing the New AHRQ WebM&M and AHRQ Patient Safety Network (PSNet)
Robert M. Wachter, MD | April 1, 2005
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Wachter R. Introducing the New AHRQ WebM&M and AHRQ Patient Safety Ne…
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psnet.ahrq.gov/perspective/conversation-withchristopher-p-landrigan-md
April 01, 2005 - In Conversation with…Christopher P. Landrigan, MD
April 1, 2005
Also Read an Essay
Citation Text:
In Conversation with…Christopher P. Landrigan, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Se…
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psnet.ahrq.gov/web-mm/antiseizure-medication-disorder
April 01, 2006 - SPOTLIGHT CASE
Antiseizure Medication Disorder
Citation Text:
Alldredge BK. Antiseizure Medication Disorder. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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Format:
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psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
March 07, 2018 - admitted to a major trauma center for a pathologic pelvic fracture (secondary to osteoporosis) after a fall … Pressure Ulcer Prevention in the Hospital Setting Using Silicone Foam Dressings.
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psnet.ahrq.gov/web-mm/delayed-symptomatic-subdural-hematoma-following-initially-normal-ct-head
March 27, 2024 - dangerous mechanism (i.e., pedestrian struck by motor vehicle, occupant ejected from motor vehicle, or fall … negative CT interpretation would result in a treatment plan that does not include measures aimed at prevention
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psnet.ahrq.gov/perspective/conversation-withdean-schillinger-md
March 01, 2009 - Francisco, Director of the UCSF Center for Vulnerable Populations, and Chief of the California Diabetes Prevention … thinking about the period of time between visits as an opportunity to be proactive before patients fall … Medication errors in chemotherapy: incidence, types and involvement of patients in prevention
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psnet.ahrq.gov/perspective/role-health-literacy-patient-safety
March 22, 2009 - Francisco, Director of the UCSF Center for Vulnerable Populations, and Chief of the California Diabetes Prevention … thinking about the period of time between visits as an opportunity to be proactive before patients fall … Medication errors in chemotherapy: incidence, types and involvement of patients in prevention
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psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-pharmacists-perspective
June 01, 2016 - Neonatal heparin overdose-a multidisciplinary team approach to medication error prevention.
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psnet.ahrq.gov/node/49783/psn-pdf
February 01, 2017 - The Hazards of Distraction: Ticking All the EHR Boxes
February 1, 2017
Easty AC. The Hazards of Distraction: Ticking All the EHR Boxes. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/hazards-distraction-ticking-all-ehr-boxes
Case Objectives
List the goals of having order sets in the electronic health record…
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psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
November 08, 2013 - Diffusion of Responsibility Leads to Danger
Citation Text:
Balcezak TJ, Deshpande O. Diffusion of Responsibility Leads to Danger. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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Format:
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psnet.ahrq.gov/node/73953/psn-pdf
October 27, 2021 - Deprescribing as a Patient Safety Strategy
October 27, 2021
Takhar S, Nelson N. Deprescribing as a Patient Safety Strategy. PSNet [internet]. 2021.
https://psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
Background
Polypharmacy is defined as the act of taking five or more medications on a regular basis…
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psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workforce-challenges
August 30, 2023 - VIC takes some of the pressure off of the nurses on the floor with good catches and error prevention. … It’s like Kathy says, that whole continuum of care, and how can we make it seamless so people don’t fall … July 23, 2024
Patient Safety Innovations
Suicide Prevention
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psnet.ahrq.gov/perspective/conversation-kathleen-sanford-and-sue-schuelke-about-virtual-nursing
August 30, 2023 - VIC takes some of the pressure off of the nurses on the floor with good catches and error prevention. … It’s like Kathy says, that whole continuum of care, and how can we make it seamless so people don’t fall … July 23, 2024
Patient Safety Innovations
Suicide Prevention
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psnet.ahrq.gov/perspective/building-systems-citizenship-health-professions-education-continued-call-health-systems
February 01, 2019 - these lessons for trainees in the actual clinical environment, the education will transiently rise and fall … Patterns of disrespectful physician behavior at an academic medical center: implications for training, prevention
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psnet.ahrq.gov/node/49591/psn-pdf
October 01, 2009 - Often, individuals feel that their complaints fall into
a black hole, are not taken seriously, or will
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psnet.ahrq.gov/node/865884/psn-pdf
May 29, 2024 - Managing Complexity in Diagnosis: Life-threatening
Complications after Gastric Bypass Surgery.
May 29, 2024
Olson APJ. Managing Complexity in Diagnosis: Life-threatening Complications after Gastric Bypass
Surgery. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/managing-complexity-diagnosis-life-threatening-…