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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-final-rule
December 24, 2008 - Government Resource
Patient Safety and Quality Improvement; Final Rule.
Citation Text:
Patient Safety and Quality Improvement; Final Rule. US Department of Health and Human Services; Agency for Healthcare Research and Quality; Federal Register. November 21, 2008;73:70731-70814.
C…
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psnet.ahrq.gov/web-mm/are-two-insulin-pumps-better-one
March 01, 2005 - Finally, was the presence of the pump recognized and addressed intraoperatively? … staff nursing and quality managers, and were subjected to repeated cycles of review and revisions until finally
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psnet.ahrq.gov/web-mm/mistaken-identity
December 18, 2014 - the patient grew increasingly uncomfortable with the conversation, the patient in the neighboring bed finally … Finally, awareness of language barriers should alert providers of the need for an increased focus on
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psnet.ahrq.gov/node/49466/psn-pdf
October 14, 2004 - obtain the practice brief published by the
American Health Information Management Association.[10]) Finally … Finally, let's consider some of the specifics of this case.
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psnet.ahrq.gov/node/49625/psn-pdf
May 01, 2011 - Finally, the committee strongly
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references … It is
expected that commercial devices will be available sometime in 2013.(11)
Finally, it has been
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psnet.ahrq.gov/web-mm/reconciling-records
September 01, 2017 - Defense 4: A New Attitude and Culture
With EHRs, we can finally find the information that we are looking … And finally, patients and caregivers must also continuously monitor and develop a healthy amount of skepticism
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psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safety-final-report
September 06, 2011 - Book/Report
Classic
Improving Diagnostic Quality and Safety Final Report.
Citation Text:
Improving Diagnostic Quality and Safety Final Report. Washington, DC: National Quality Forum. September 19, 2017.
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psnet.ahrq.gov/issue/patient-safety-2015-final-technical-report
September 29, 2017 - Book/Report
Patient Safety 2015: Final Technical Report.
Citation Text:
Patient Safety 2015: Final Technical Report. Washington, DC: National Quality Forum; 2016.
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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_hindsight_is_2020_slides_final_revised_05.03.2024.pdf
January 01, 2024 - Spotlight
Hindsight is 20/20: Thrombolytics for Alcohol
Intoxication
Source and Credits
• This presentation is based on the April 2024 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Eric Signoff, MD, Noelle Boctor, MD, and David K.
B…
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psnet.ahrq.gov/issue/health-information-technology-leadership-panel-final-report
March 30, 2022 - Government Resource
Health Information Technology Leadership Panel: Final Report.
Citation Text:
Health Information Technology Leadership Panel: Final Report. Lewin Group: Falls Church, VA; March 2005.
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psnet.ahrq.gov/issue/patient-safety-spring-2019-final-cdp-report
October 28, 2020 - Book/Report
Patient Safety, Spring 2019 Final CDP Report.
Citation Text:
Patient Safety, Spring 2019 Final CDP Report. Patient Safety Standing Committee. February 6, 2020. Washington DC; National Quality Forum. February 2020.
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psnet.ahrq.gov/sites/default/files/2020-11/final_nov_spotlight_case_premature_closing-snycope_11.20.2020-revised.pdf
January 01, 2020 - Microsoft PowerPoint - FINAL Nov_Spotlight Case_Premature Closing-Snycope_11.20.2020-revised.pptx
Spotlight
Premature Closure: Was it Just Syncope?
Source and Credits
• This presentation is based on the November 2020 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit i…
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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/perspective/safety-dentistry
August 01, 2016 - separately from medical insurance, and federal and state assistance for dental care is limited.( 15 ) Finally … Finally, the potential for undertaking education campaigns that reach our dentists is limited due to … Finally, I believe that the only way to achieve these goals is for prestigious institutions to accredit
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psnet.ahrq.gov/perspective/conversation-bernardo-perea-perez-md-dds-phd
August 01, 2016 - Finally, the potential for undertaking education campaigns that reach our dentists is limited due to … Finally, I believe that the only way to achieve these goals is for prestigious institutions to accredit … separately from medical insurance, and federal and state assistance for dental care is limited.( 15 ) Finally
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psnet.ahrq.gov/web-mm/pocket-syringe-swap
July 01, 2006 - Finally, the committee strongly advocated establishing a "just culture" for reporting errors, cooperation … It is expected that commercial devices will be available sometime in 2013.( 11 ) Finally, it has been
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psnet.ahrq.gov/perspective/team-training-classroom-training-vs-high-fidelity-simulation
January 12, 2011 - Finally, class-based teaching is easy to schedule as part of the staff orientation process, as it does … Finally, encouragement and feedback, especially from leadership, are essential to the implementation
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psnet.ahrq.gov/web-mm/dropping-ball-despite-integrated-emr
January 07, 2015 - Luckily, the error was recognized when the patient finally saw his PCP. … this case, the lack of feedback was risky and the evidence is that it was not caught until the patient finally
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psnet.ahrq.gov/web-mm/reaction-dye
March 01, 2007 - Finally, the patient should be "flagged" as being at high-risk, so that if he or she returns to the radiology … Finally, the patient should be "flagged" as being at high-risk, so that if he or she returns to the radiology
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psnet.ahrq.gov/node/49495/psn-pdf
December 01, 2005 - This is certainly the message
this student received from the first attending when he finally spoke up … Finally, an unmistakable message needs to be set by senior leadership about the necessity and moral