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psnet.ahrq.gov/web-mm/watch-warfarin
December 01, 2013 - treated the patient with antibiotics (ceftriaxone and doxycycline) that may increase INR levels.( 9 ) And finally … coordinating care if the inpatient and outpatient electronic medical records are not fully integrated.( 5 ) Finally … Finally, dabigatran is renally cleared and therefore not recommended for people with severe renal insufficiency
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psnet.ahrq.gov/issue/structured-interdisciplinary-rounds-medical-teaching-unit-improving-patient-safety
November 26, 2014 - August 10, 2011
Are we finally getting serious about medical errors?
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psnet.ahrq.gov/issue/revealing-and-resolving-patient-safety-defects-impact-leadership-walkrounds-frontline
June 16, 2011 - August 10, 2011
Are we finally getting serious about medical errors?
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psnet.ahrq.gov/issue/measuring-patient-safety-culture-assessment-clustering-responses-unit-level-and-hospital
February 20, 2013 - June 16, 2011
Are we finally getting serious about medical errors?
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psnet.ahrq.gov/issue/development-and-evaluation-institute-healthcare-improvement-global-trigger-tool
February 10, 2015 - August 14, 2014
Are we finally getting serious about medical errors?
-
psnet.ahrq.gov/node/865570/psn-pdf
April 10, 2024 - Finally, the NAPA
PSO workgroup created a 15-minute training video to teach the Anesthesia Risk Alert … Finally, educate staff on the risk groups and the
interventions.
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psnet.ahrq.gov/node/863641/psn-pdf
February 28, 2024 - And finally, the fifth area of emphasis is emerging team challenges and opportunities that come with … Finally, the TeamSTEPPS curriculum closes with a
comprehensive guide for successfully implementing TeamSTEPPS
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psnet.ahrq.gov/perspective/conversation-rosemary-gibson-msc
September 01, 2014 - Finally, publicly-traded companies that sell drugs, devices, and equipment are a powerful driver of overuse … Finally, cut reimbursement as South Carolina Medicaid and Blue Cross have done for inappropriate early … Finally, some lawyers on both sides are too keen on generating income rather than resolving cases. … People are finally getting the picture: This doesn't make any sense and I'm worse off because of it.
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psnet.ahrq.gov/perspective/overuse-patient-safety-problem
September 01, 2014 - Finally, publicly-traded companies that sell drugs, devices, and equipment are a powerful driver of overuse … Finally, cut reimbursement as South Carolina Medicaid and Blue Cross have done for inappropriate early … Finally, some lawyers on both sides are too keen on generating income rather than resolving cases. … People are finally getting the picture: This doesn't make any sense and I'm worse off because of it.
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psnet.ahrq.gov/web-mm/charcoal-lavage-lungs
January 01, 2016 - Finally, they apparently were unaware of the other tests they could have used to check placement.( 2,3 … Finally, practitioners may not become sensitized to complications that occur at a low frequency in their
-
psnet.ahrq.gov/node/49520/psn-pdf
September 01, 2006 - Finally, as institutions create policies
and procedures to ensure high quality “handoffs,” the patient … Finally, hospitals should consider back-up systems for essential but difficult parts of a critical pathway
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psnet.ahrq.gov/issue/medical-liability-climate-and-prospects-reform
September 29, 2017 - April 24, 2019
Defensive medicine: it is time to finally slow down an epidemic.
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psnet.ahrq.gov/node/33620/psn-pdf
September 01, 2005 - Finally, when changes are
finalized, we describe them to both the involved units and the individual
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psnet.ahrq.gov/issue/temporal-trends-rates-patient-harm-resulting-medical-care
April 04, 2011 - October 2, 2013
Are we finally getting serious about medical errors?
-
psnet.ahrq.gov/issue/global-trigger-tool-shows-adverse-events-hospitals-may-be-ten-times-greater-previously
February 15, 2011 - January 4, 2012
Are we finally getting serious about medical errors?
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psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight Case_Under Pressure.pptx
Spotlight
Under Pressure: Tracheostomy Cuff Over Inflation
Leading to Tissue Necrosis and Cuff Rupture
Source and Credits
• This presentation is based on the June 2023 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm…
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psnet.ahrq.gov/sites/default/files/2021-09/Battle%20Buddy%20Pocket%20Card%20-%20final%20(1).pdf
January 01, 2021 - COVID 19 Battle Buddy Support Program
Background: COVID-19 is a pandemic that threatens not only our patients but
ourselves and our sense of safety and control. Like soldiers on a battlefield, our
front line staff are coping with ongoing uncertainty about the scope of the
threat, concerns about adequate PPE, …
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psnet.ahrq.gov/issue/final-check-say-it-out-loud
July 31, 2023 - Multi-use Website
The Final Check: Say it Out Loud.
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August 1, 2012
This Web site provides resources to help reduce incidence of …
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psnet.ahrq.gov/web-mm/engaging-seriously-ill-older-patients-advance-care-planning
December 22, 2018 - family during the terminal illness, and increased family ratings of anxiety and depression.( 3,4 ) Finally … Finally, in this multi-institutional study, 15% of these older hospitalized patients did not have any … Finally, at a health care system level, quality indicators for end-of-life communication and decision
-
psnet.ahrq.gov/web-mm/moving-pains
August 17, 2017 - Finally, even hospitals with reasonably robust policies rarely have systems in place to ensure that the … safety movement has begun encouraging patients to "speak up" when they see something wrong.( 2,3 ) Finally … Finally, how is compliance monitored?