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psnet.ahrq.gov/web-mm/complaints-safety-surveillance
May 05, 2021 - Complaints as Safety Surveillance
Citation Text:
Morris JL, Bismark M. Complaints as Safety Surveillance. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/perspective/conversation-francoise-marvel-md
August 05, 2022 - In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls
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psnet.ahrq.gov/perspective/conversation-richard-c-boothman-jd
March 01, 2012 - In Conversation With… Richard C. Boothman, JD
March 1, 2012
Also Read an Essay
Citation Text:
In Conversation With… Richard C. Boothman, JD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …
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psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system
March 01, 2012 - Can Research Help Us Improve the Medical Liability System?
Allen Kachalia, MD, JD | March 1, 2012
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Kachalia A. Can Research Help Us Improve the Medical Liability System?. PSNet [in…
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psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
March 09, 2022 - SPOTLIGHT CASE
Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis
Citation Text:
Castillo JA, Price R, Kim KD. Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis. PSNet [internet]. …
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psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_missed_connection-a_case_of_inadequate_ecg_oversight_in_cardiac_surgery_slides_-_final.pdf
January 01, 2024 - the cardioversion shock must be synchronized with the ECG
to prevent the shock from inadvertently falling
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psnet.ahrq.gov/node/865429/psn-pdf
April 24, 2024 - the cardioversion shock must be
synchronized with the ECG to prevent the shock from inadvertently falling
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psnet.ahrq.gov/node/33789/psn-pdf
August 01, 2015 - If a second report
was released next week, where do you see health IT falling in the pecking order relative
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psnet.ahrq.gov/perspective/conversation-cindy-brach
December 27, 2019 - to a lack of timely language assistance include performing an x-ray on the wrong part of the body, falls
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psnet.ahrq.gov/perspective/cultural-competence-and-patient-safety
December 27, 2019 - to a lack of timely language assistance include performing an x-ray on the wrong part of the body, falls
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psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
April 24, 2024 - functionally frail patients who are also at higher risk for patient safety events such as medication errors, falls
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psnet.ahrq.gov/web-mm/framework-assessing-reasoning-about-controversial-end-life-clinical-decisions
November 30, 2023 - May 31, 2023
Patient Safety Innovations
Preventing Falls
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psnet.ahrq.gov/perspective/building-safety-program-vast-health-care-network
March 01, 2019 - And EHR certainly falls into that.
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psnet.ahrq.gov/innovation/statewide-telehealth-program-enhances-access-care-improves-outcomes-high-risk
November 13, 2024 - April 17, 2024
Patient Safety Innovations
Preventing Falls
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psnet.ahrq.gov/perspective/conversation-susan-haas-md-msc
March 01, 2019 - And EHR certainly falls into that.
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psnet.ahrq.gov/node/836941/psn-pdf
April 27, 2022 - functionally frail patients who are also at higher risk for patient safety
events such as medication errors, falls
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psnet.ahrq.gov/perspective/conversation-eric-thomas-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - found a 37% increase in reporting, and decreases in preventable harm: 39% decrease in injuries with falls
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psnet.ahrq.gov/perspective/conversation-gregg-s-meyer-md-msc
June 01, 2016 - When a patient falls victim to a medication error, the employees may experience heightened emotions and
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psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
November 11, 2020 - Missed CANDOR Implementation Opportunities.
Citation Text:
Schweitzer L. Missed CANDOR Implementation Opportunities.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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psnet.ahrq.gov/web-mm/near-miss-bedside-medications
February 01, 2006 - SPOTLIGHT CASE
Near Miss with Bedside Medications
Citation Text:
Wu AW. Near Miss with Bedside Medications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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