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psnet.ahrq.gov/node/49590/psn-pdf
January 01, 2010 - Finally, there was likely no urgent need to achieve a theophylline
blood level within the therapeutic
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psnet.ahrq.gov/node/33846/psn-pdf
November 01, 2017 - needs of the patients who could benefit the most, and many of the apps are not safe or secure.(15)
Finally
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psnet.ahrq.gov/web-mm/getting-root-matter
September 01, 2005 - ; such rounding has been demonstrated to be associated with a reduction in medication errors.( 13 ) Finally … Finally, we suggest that all changes be re-evaluated periodically to ensure the new process is indeed
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psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
March 01, 2018 - Finally, I would require that he apologize to the nurse. … If the fair hearing panel agrees with the Executive Medical Board decision, a corrective action can finally
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psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms-0
December 01, 2017 - We have surgeons who have said that it has been a transformational, life-changing experience to finally … Finally, in an era of transparency of meaningful safety and quality data, it is hard to argue against
-
psnet.ahrq.gov/node/33862/psn-pdf
July 01, 2018 - year's worth of medical
care—she started off in Southeast Asia, then Germany, then to Walter Reed, and finally … Finally, I didn't think about resources.
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psnet.ahrq.gov/node/33728/psn-pdf
May 01, 2012 - Finally, we now
have automated the Global Trigger Tool within health systems in their commercial electronic … We have finally arrived now where we're seeing some effective
comparisons between hospitals.
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psnet.ahrq.gov/node/33783/psn-pdf
April 01, 2015 - intervention-decrease-catheter-related-bloodstream-infections-icu
As to megatrends, I think we will finally … Finally, I think the culture change we seek will
happen faster than we expect.
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psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon
April 01, 2006 - After about two or three questions, I started realizing he was talking about me and finally he said, … Finally, pharmacists are "fixers" and most are comfortable remaining behind the scenes.
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psnet.ahrq.gov/node/46541/psn-pdf
January 31, 2018 - The 2017 ACGME common work hour standards:
promoting physician learning and professional
development in a safe, humane environment.
January 31, 2018
Burchiel KJ, Zetterman RK, Ludmerer KM, et al. The 2017 ACGME Common Work Hour Standards:
Promoting Physician Learning and Professional Development in a Safe, Humane …
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psnet.ahrq.gov/node/45045/psn-pdf
May 25, 2016 - Developing and Testing the Health Care Safety Hotline: A
Prototype Consumer Reporting System for Patient Safety
Events. Final Report.
May 25, 2016
Schneider EC, Ridgely MS, Quigley DD, et al. Rockville, MD: Agency for Healthcare Research and Quality;
May 2016. AHRQ Publication No. 16-0027-EF.
https://psnet.ahrq.g…
-
psnet.ahrq.gov/node/43798/psn-pdf
January 07, 2015 - Pharmacist-managed inpatient discharge medication
reconciliation: a combined onsite and telepharmacy
model.
January 7, 2015
Keeys C, Kalejaiye B, Skinner M, et al. Pharmacist-managed inpatient discharge medication reconciliation:
a combined onsite and telepharmacy model. Am J Health Syst Pharm. 2014;71(24):2159-66…
-
psnet.ahrq.gov/node/45902/psn-pdf
October 13, 2018 - Are informed policies in place to promote safe and usable
EHRs? A cross-industry comparison.
October 13, 2018
Savage EL, Fairbanks RJ, Ratwani RM. Are informed policies in place to promote safe and usable EHRs?
A cross-industry comparison. J Am Med Inform Assoc. 2017;24(4):769-775. doi:10.1093/jamia/ocw185.
https:…
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psnet.ahrq.gov/node/38692/psn-pdf
March 04, 2015 - Errare humanum est: frequency of laterality errors in
radiology reports.
March 4, 2015
Sangwaiya MJ, Saini S, Blake MA, et al. Errare humanum est: frequency of laterality errors in radiology
reports. AJR Am J Roentgenol. 2009;192(5):W239-44. doi:10.2214/AJR.08.1778.
https://psnet.ahrq.gov/issue/errare-humanum-est-…
-
psnet.ahrq.gov/node/45891/psn-pdf
October 11, 2017 - Extent of diagnostic agreement among medical referrals.
October 11, 2017
Van Such M, Lohr R, Beckman T, et al. Extent of diagnostic agreement among medical referrals. J Eval
Clin Pract. 2017;23(4):870-874. doi:10.1111/jep.12747.
https://psnet.ahrq.gov/issue/extent-diagnostic-agreement-among-medical-referrals
Diagn…
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psnet.ahrq.gov/perspective/conversation-withjoseph-britto-md
February 01, 2007 - Yes, we might use a set of digital questionnaires to help us ask all the right questions, but finally
-
psnet.ahrq.gov/node/43766/psn-pdf
September 26, 2016 - Driven to distraction: a prospective controlled study of a
simulated ward round experience to improve patient
safety teaching for medical students.
September 26, 2016
Thomas I, Nicol L, Regan L, et al. Driven to distraction: a prospective controlled study of a simulated ward
round experience to improve patient saf…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.194_slideshow.ppt
March 01, 2009 - Spotlight Case July 2008
Spotlight Case
All in the History
Source and Credits
This presentation is based on the February/March 2009 AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Christopher Fee, MD, University of California, San Francisco
…
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psnet.ahrq.gov/web-mm/lethal-cap
December 19, 2018 - Finally, health professional schools should incorporate basic educational curricula ( 14 ) to ensure
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psnet.ahrq.gov/web-mm/amended-lab-results-communication-slip
September 26, 2012 - Finally, in this case, patient harm was avoided by a senior clinician noticing a discrepancy between