-
psnet.ahrq.gov/node/41762/psn-pdf
May 03, 2017 - Improving the Measurement of Surgical Site Infection
Risk Stratification/Outcome Detection: Final Contract
Report.
May 3, 2017
Price CS, Savitz LA. Rockville, MD: Agency for Healthcare Research and Quality; March 2012. AHRQ
Publication No. 12-0046-EF.
https://psnet.ahrq.gov/issue/improving-measurement-surgical-si…
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psnet.ahrq.gov/node/854849/psn-pdf
October 31, 2023 - Finally, the nursing documentation of ‘team aware’ implies unprofessionalism if the physician team
continued … Finally, structured information can be
reformatted into coherent clinical documentation.
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psnet.ahrq.gov/web-mm/empty-handoff
August 01, 2017 - Finally, in phase 4, the whole team (referring and receiving) agrees on a patient plan and contingencies … Finally, continual review and improvement, based on new standards, studies, or local events, is a growing
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psnet.ahrq.gov/web-mm/low-totem-pole
October 01, 2003 - 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 imperative
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psnet.ahrq.gov/web-mm/inside-time-out
March 01, 2004 - prior to the procedure, some have suggested that a debriefing occur after the procedure as well.( 1 ) Finally … Finally, it would seem appropriate for all members of the team to perform documentation of the time out
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psnet.ahrq.gov/node/33570/psn-pdf
June 15, 2024 - Finally, there are aggressive efforts to teach clinicians and trainees about the relevant parts of cognitive
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psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
September 25, 2019 - Finally, the post-analytic phase entails the conveyance of pathology results to the clinical team and
-
psnet.ahrq.gov/node/852270/psn-pdf
August 09, 2023 - Final Report on Prioritization of Patient Safety Practices
for a New Rapid Review or Rapid Response. Making
Healthcare Safer IV Series.
August 9, 2023
Rosen M, Dy SM, Stewart CM, et al. Making Healthcare Safer IV Series. Rockville, MD: Agency for
Healthcare Research and Quality; July 2023. AHRQ Publication n…
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psnet.ahrq.gov/issue/reducing-risk-and-promoting-patient-safety-nih-intramural-clinical-research-draft-report
November 18, 2020 - Book/Report
Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final Report.
Citation Text:
Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final Report. The Clinical Center Working Group Report to the Advisory Committee to the…
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psnet.ahrq.gov/web-mm/right-left-neither
November 16, 2022 - We suspect that the orthopedic surgeon was prompted to review the x-rays in the OR after finally recognizing … Finally, the actions of the orthopedist should be examined by the appropriate peer review committee.
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psnet.ahrq.gov/perspective/response-failure-report-march-2007
June 01, 2007 - Finally, independent double-checks at the bedside or point-of-care barcode systems are other potentially
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psnet.ahrq.gov/primer/patient-engagement-and-safety
August 30, 2023 - Emphasizing patient involvement as a means of improving the culture of safety Finally, hospitals are
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psnet.ahrq.gov/sites/default/files/2021-02/final_feb_2021_spotlight_delay_in_appropriate_dx.pdf
January 01, 2021 - Microsoft PowerPoint - FINAL Feb 2021 Spotlight_Delay in Appropriate DX.pptx - Read-Only
Spotlight
Delay in Appropriate Diagnosis and
Treatment Leading to Death from
Pulmonary Embolism
Source and Credits
• This presentation is based on the February 2021 AHRQ WebM&M
Spotlight Case
o See the full article at ht…
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psnet.ahrq.gov/sites/default/files/2020-09/final_slides_sept_spotlight_case_when_the_lytes_go_out_slides_08.25.2020-revised.pdf
January 01, 2020 - Microsoft PowerPoint - FINAL SLIDES Sept_Spotlight Case_When the Lytes Go Out_SLIDES_08.25.2020-revised.pptx
Spotlight
When the Lytes Go Out: A Case
of Inpatient Cardiac Arrest
Source and Credits
• This presentation is based on the September 2020 AHRQ WebM&M
Spotlight Case
o See the full article at https://psne…
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psnet.ahrq.gov/issue/high-quality-care-all-nhs-next-stage-review-final-report
October 20, 2021 - Government Resource
High Quality Care for All: NHS Next Stage Review Final Report.
Citation Text:
High Quality Care for All: NHS Next Stage Review Final Report. Darzi A. National Health Service. London, England: Crown Publishing; June 2008. ISBN: 9780101743228.
Copy Citation
…
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psnet.ahrq.gov/node/61057/psn-pdf
October 28, 2020 - Improving Diagnostic Quality and Safety/Reducing
Diagnostic Error: Measurement Considerations. Final
Report
October 28, 2020
Washington DC; National Quality Forum: October 6, 2020.
https://psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safetyreducing-diagnostic-error-
measurement-considerations
With input…
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psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
February 28, 2024 - Finally, remember that the treatment is not benign. … Finally, we get to the Plateau of Productivity, where use of technology occurs in a balanced way. … Finally, as I said earlier, I would love for there to be a day where every patient has one device for
-
psnet.ahrq.gov/node/39573/psn-pdf
June 02, 2010 - Standing Up for Doctors, Speaking Out for Patients. Final
Report.
June 2, 2010
London, UK: Health Policy & Economic Research Unit, British Medical Association Scotland; May 2010.
https://psnet.ahrq.gov/issue/standing-doctors-speaking-out-patients-final-report
This report summarizes findings from a survey querying…
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psnet.ahrq.gov/issue/strategies-improve-patient-safety-final-report-congress-required-patient-safety-and-quality
June 21, 2016 - Book/Report
Strategies to Improve Patient Safety: Final Report to Congress Required by the Patient Safety and Quality Improvement Act of 2005.
Citation Text:
Strategies to Improve Patient Safety: Final Report to Congress Required by the Patient Safety and Quality Improvement Act of 2005.…
-
psnet.ahrq.gov/node/42420/psn-pdf
July 05, 2013 - Standing Up for Doctors, Speaking Out for Patients. Final
Report.
July 5, 2013
London, UK: Health Policy & Economic Research Unit, British Medical Association Scotland; May 2010.
https://psnet.ahrq.gov/issue/standing-doctors-speaking-out-patients-final-report-0
This report summarizes findings from a survey queryin…